Chapter 1135 This Kid Is Getting More and More Evil!

At this moment, there are many people in the rescue room!

In addition to Yu Yonggang, there are several other group leaders, as well as those young doctors, advanced doctors and students.

Such a dangerous case is also the patient who can best improve the emergency response ability of medical staff.

However, the patient's current condition is too bad!

Everyone felt a little exhausted, even stretched.

However, Chen Cang never seemed to show any nervousness and Zhang Huang's bewildered expression from beginning to end.

Very calm.

Orderly start the examination, the doctor's order, the rescue...

At such a critical juncture, any manifestation of the patient seemed to be under his control.

This...is the ability!

Accurate diagnosis is the cornerstone of effective rescue.

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At this time, seeing that the people around him were full of doubts, Chen Cang couldn't bother to explain, and Xu Ziming was also helping to prepare for the rescue, so he didn't have time to take into account the blank expressions on other people's faces.

After all, this is a war, and I will explain to you why you should use a pistol instead of a machine gun?

Meng Xi looked at the people behind and explained: "The reason why the false blood pressure occurs is not because the blood pressure is really false, but because the dissection hematoma affects or compresses the main branches of the aorta, which causes the arterial blockage phenomenon!

The main manifestations are the disappearance or asymmetry of the bilateral cervical, brachioradial and femoral arteries, the obvious difference in blood pressure between the two upper extremities, or the reduction of the blood pressure difference between the upper and lower extremities. And this change in arterial pulsation is more common in type I patients! "

"In this kind of patient, the ascending aorta is easily damaged due to the blood vortex, causing blood to leak into the pericardial cavity, causing cardiac tamponade!"

"So the systolic and diastolic conditions of the heart must be improved at this time!

It is generally believed in foreign countries that the intravenous intermittent administration of propranolol and the intravenous use of sodium nitroprusside is an ideal solution. The former reduces dp/dt and the latter reduces blood pressure, which can effectively relieve this symptom. "

Without Meng Xi's explanation, everyone would be dumbfounded!

Because the professionalism is too strong!

However, after Meng Xi explained it clearly, everyone's reaction became more intense!

Because...that's too awesome, right?

In this way, time passed slowly, and the patient's symptoms gradually subsided and gradually eased.

Looking at the vital signs on the monitor, everyone couldn't help but get excited!

Because the patient's condition is improving!

At this moment, the eyes of everyone looking at Chen Cang are full of admiration and shock!

This is too strong!

According to effective diagnostic methods, we can obtain accurate judgments, and then make effective rescue plans based on our own judgments!

However, this does not mean that the patient's condition is safe.

There was also news from the operating room: "The operating room is ready!"

And the little nurse Cheng Yi also hurried over: "Director Yu, Dr. Chen, the patient's test results are out!"

Yu Yong just nodded his head and gave the test sheet, he didn't even look at it, he handed it to Chen Cang!

Because he knows that Chen Cang's grasp of the current patient's rescue is greater than his own!

After seeing this scene, the surrounding team leaders had a little more thought in their eyes!

And Chen Cang didn't show the slightest humility!

The rescue room is like a battlefield. As a pioneer coach, he is naturally patient-centered.

Chen Cang looked at the test sheet seriously.

At this moment, on the monitor, the patient's heartbeat suddenly began to increase.

Xu Ziming looked at the ECG monitor and said quickly, "Reflex tachycardia!"

When Chen Cang heard this, his eyes suddenly shrank!

"Stop Sodium Nitroprusside!"

The nurse nodded quickly to stop the liquid!

At this time, Chen Cang considered for a few seconds and said, "Use pressure to calm down!"

The people behind were stunned!

"Pressure Ningding?"

At this moment, they feel that Chen Cang is too arrogant!

There are many emergency rescue drugs, but they are not commonly used.

Even if they don't know enough about many drugs, they dare not use them!

And Chen Cang seems to be able to pinch it?

After the nurse heard it, she immediately opened the first aid kit and started looking for medicine.

After making a judgment, Chen Cang said accurately: "Yanningding is Uradil injection.

For the initial dose... Add 15mg to 20ml of normal saline, complete the intravenous injection in 5 minutes, and observe the changes in blood pressure! "

Yang Jie nodded quickly.

At this moment, everyone waited patiently.

If the patient's condition is stable, send it to the operating room in time. If it is unstable, it is useless to send it in.

Meng Xi looked at the quiet room and looked at the curious people, and couldn't help but say: "Yanningding is used to treat acute aortic dissection. It selectively blocks postsynaptic α1 receptors and relieves sympathetic nerves. Excitement of blood vessels, dilation of blood vessels.

At the same time, it activates the central serotonin-IA receptor and inhibits the sympathetic feedback regulation of the cardiovascular motor center.

However, its role is characterized by lowering blood pressure without causing reflex tachycardia. "

"So, it's more appropriate to use it than to use sodium nitroprusside!"

Seeing that the patient gradually eased, his vital signs became relatively stable, and his heart rate returned to normal.

Everyone is amazed!

The emergency department really needs to understand many diseases.

It's too testy.

The young students behind him looked at Chen Cang with admiration.

Chen Cang hurriedly said, "Prepare for surgery in the operating room!"

Yang Jie nodded quickly and walked towards the operating room with the two nurses and Xu Ziming.

And Chen Cang glanced at Yu Yonggang: "Director Yu, are you going?"

Yu Yong just shook his head: "I won't go, come on!"

Chen Cang nodded, turned to look at the people around him and said, "Mr. Meng, Director Li and Doctor Ge, let's come together!"

Li Baoshan sighed, today is a tough battle!

Total aortic arch replacement + abdominal aortic replacement!

Even the ascending aorta needs to be repaired...

Can this patient survive?

He glanced at Chen Cang, who was walking forward firmly, and it seemed that he had an aura called "I am going".

Can't help but be heartbroken!

Maybe this is the real emergency doctor?

Looking at Chen Cang and thinking about himself, Li Baoshan couldn't help laughing at himself.

fail?

What to fear!

Do your best, and that's enough!

Thinking of this, Li Baoshan resolutely accelerated his pace and walked ahead, trying to catch up with Chen Cang's pace.

And Meng Xi watched Chen Cang striding forward, this little man who would be nervous when he saw him at first, but after not seeing him for a few months, he has grown to be as strong as he is today!

This is the real man.

And many doctors in the emergency room were really shocked when they saw Chen Cang leaving firmly!

Very envious too!

Yu Yong just looked at the crowd, and then looked at Chen Cang's back, and couldn't help laughing.

Team Leader Hou couldn't help but muttered to himself: "This kid is getting more and more evil!"

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ps: Ask for a monthly pass, there will be chasing troops later, you can't relax... Hold on to the sixth! come on! come on!