Chapter 1432 Shock Storm (Leader Lan Zhiqiu Road Plus 3)

Zheng Ren strode into the operating room.

Song Moyan was fine for a second, but the next second, symptoms of anaphylactic shock appeared.

Mucosal manifestations are the earliest and most common signs of anaphylactic shock. The coin-shaped maculopapular rash appeared directly, giving people a strange feeling quickly.

Only this time, it was not local symptoms, but flushing all over the body.

Song Mocai's skin flushed, followed by extensive rash and angioedema, and even in just 1 second, the symptoms of systemic edema appeared vaguely.

Upper airway edema and obstruction due to airway laryngeal edema, spasm, and tracheal catarrhal secretion.

Song Moyao experienced increased airway pressure and increased airway resistance.

At the same time, her lower respiratory tract was edematous and her lung secretions increased, resulting in insufficient gas exchange, insufficient oxygen supply, and decreased blood oxygen saturation.

Even Song Moyan appeared cyanotic in an instant.

Edema appeared in the upper and lower respiratory tract at the same time, and the condition deteriorated rapidly. If it weren't for the ventilator to assist breathing, Song Mohao would not be able to save it this time.

Due to capillary infiltration, vasodilation to absolute or relative insufficiency of blood volume, and reduced blood return to the heart, Song Moyao's blood pressure plummeted to 80/50mmHg.

This was just the beginning, and her arterial pressure was still dropping wildly.

The heart rate soared to more than 120 beats per minute, the pulse was thin and fast, the limbs were cyanotic and cold.

These were all within Zheng Ren's expectations.

He rushed into the operating room and shouted, "Suck sputum and keep the airway open!"

The anesthesiologist didn't react. It was smooth and steady just now, and the song and dance were peaceful. Why did all the instruments start screaming frantically in just an instant?

Is it a machine failure?

There will be no machine failures at the same time, these are the most advanced instruments in the world, and they are also very well maintained.

"Sucking phlegm!" Zheng Ren kicked the anesthesiologist's outer thigh.

No force, just use violence to wake the anesthesiologist.

"Oh." The anesthesiologist stumbled and immediately realized what he should do now.

He is a top anesthesiologist after all, well trained.

In the shortest time, I picked up the suction tube and went in from the tracheal intubation.

There was a hissing sound, and a large amount of respiratory secretions was sucked out.

Seeing that the anesthesiologist was moving, Zheng Ren ignored him and continued to shout, "Su Yun, raise your head by 15 degrees and raise your lower limbs by 15 degrees."

Su Yun was stunned.

Although he was prepared, he did not expect the anaphylactic shock to be so rapid.

Elevation of the head and lower limbs is an easily overlooked point in the rescue process of anaphylactic shock.

In doing so, it helps the venous return of the brain and lower extremities to increase the pressure difference, and also prevents a sudden increase in the pressure of the carotid sinus, which can cause a reflex drop in blood pressure.

This is a detail that few people pay attention to, but it is extremely important!

"Epinephrine 0.5mg intravenously!"

"Hydrocortisone 200mg IV!"

"Epinephrine 0.5mg intravenously again!"

The anesthesiologist looked at the ECG monitoring and reminded subconsciously, "Doctor Zheng, the ECG monitoring is sine wave, consider ventricular flutter. Give amiodarone."

He spoke carefully and did not dare to provoke Zheng Ren easily. Even in the emergency rescue, he wanted to respect Zheng Ren's opinion.

Dr. Huo was fanned to the wall, and is still sitting there with his head in a daze.

"It's not ventricular flutter." Zheng Ren said with certainty, "Take a limb-guided electrocardiogram."

It is more advanced than the Sanatorium, and the leads are all in the chest area.

Zheng Ren said that the limb-lead ECG is an ECG in which the limbs also participate in the leads.

The anesthesiologist was startled.

In the emergency rescue, if there is ventricular flutter, shouldn't it be dealt with as soon as possible? How can you think not?

Continuous and regular, wide and deformed QRS waves look so "ugly".

This is one of the most feared waveforms for circulatory surgeons and means that it is difficult for patients to be rescued.

The duration of the QRS wave is long, and when it is more than 0.12s, the QRS wave has an upward and downward amplitude like a sine-like curve, which is difficult to distinguish from the T wave.

All this proves that Master Song has ventricular flutter!

Although the QRS frequency did not reach 180 beats/min, the P wave did not disappear. But that wide QRS waveform told the anesthesiologist that it was ventricular flutter!

Must be rescued.

He really wanted to inject amiodarone intravenously with Master Song right away, but Dr. Zheng just slapped him...

Or do a limb-guided ECG.

Even if Master Song had an accident, he fulfilled his obligation.

Knowing people is unknown, this is the problem of Master Song. And this arrogant and domineering Doctor Zheng refused to remind him that everything that happened had nothing to do with him.

The anesthesiologist quickly connected the limb to conduct the ECG, but when the ECG appeared, he was stunned.

It is not ventricular flutter at all, P-QRS-T is clearly visible, and the sine wave pattern should be caused by mutual interference between the instruments.

This……

The anesthesiologist looked at the clear, P-QRS-T waveform and was extremely puzzled.

In this case, who gave him the courage to make the judgment of machine interference? !

"Watch out for phlegm!"

"Ansaima 100mg intravenous drip, pay attention to low speed."

"5% glucose 1000mL, metahydroxyamine, dopamine..."

"Mannitol 250ml quick drip!"

"Ulinastatin injection 100,000 units, intravenous drip!"

Zheng Ren gave medical orders one by one, continuously.

In the entire operating room, everyone was beaten by the invisible whip formed by the doctor's orders, and moved frantically.

Zheng Ren stood not far away, and his vision just covered the entire rescue scene. Whoever made a mistake will be ruthlessly reprimanded.

In the audience, only Su Yun ran like a fly without a single mistake.

Gradually, the alarm sound in the operating room began to weaken.

One machine after another returned to normal, Song Mohao's vital signs began to stabilize, his blood pressure slowly rose, and his condition gradually improved.

After half an hour, the operating room was completely quiet.

Looking at the stable and normal ECG monitors and the values ​​on various instruments, all the doctors and nurses in the nursing hospital felt like they had a dream.

nightmare.

But under the command of this young public hospital doctor, the ending was perfect.

The menacing anaphylactic shock made the medical staff present in a cold sweat in retrospect.

The obstetrician wanted to apologize, but when she saw Zheng Ren, her heart trembled.

Fortunately, she didn't rush up to take the initiative to provoke Dr. Zheng, or else... She thought that in the face of such a major rescue, and the object of rescue was Master Song, this Dr. Zheng would not be concerned about the gender difference between himself and him .

I am afraid that I will be slapped against the wall.

"Boss, you told me to direct." Su Yun was very dissatisfied, and stood beside Zheng Ren and muttered.

"Some things are too complicated, so I'm still a little worried." Zheng Ren said.

"Have you pulled back?" Su Yun asked, glancing at Dr. Huo, who was crying while holding his head in the next room.

The voice was not too loud, not too small, just like Dr. Huo's voice just now, it can definitely be heard.

"Take it, if you don't take it, it's him who should be rescued." Zheng Ren said flatly, "Remove the tube and send the patient back to the ward."

After speaking, he turned around, "Let's go, Su Yun."

...

...

Yesterday, I thought about Boss Zheng, but I didn't expect everyone to give so many rewards. I'm really sorry, it's just a small thing. For more than half a year, there are always mood swings, I'm sorry, I'm sorry. Tomorrow, I will go back to the imperial capital to continue the operation, to mourn the death of cardiothoracic surgery and the disappearance of cardiopulmonary bypass.

In other words, the rising star of cardiothoracic surgery, thinking about it now, is very unfair to Comrade Su Yun. Cardiothoracic surgery has no tomorrow at all...

Everything needs to be minimally invasive, but it seems that thoracoscopic aortic arch replacement is not enough.

bow……