Ruan Bin was sweating profusely doing cardiopulmonary resuscitation, and said to Zhou Tianlei: "Old Zhou, hurry up and install the automatic cardiopulmonary resuscitation instrument!"

"Good. ”

Zhou Tianlei and Wei Haiyang worked together to install the equipment in the shortest possible time, and Ruan Bin left the stage to let the automatic cardiopulmonary resuscitation machine take his place.

Soon, the automatic CPR began to work step by step, with a compression depth of 5cm, a compression frequency of 110 times/min, and at the same time, a ventilator (CPR comes with it) was given automatic ventilation, and the compression/ventilation was 30:2!

Ruan Bin looked at the ECG monitoring, it was still a straight line!

It was already nine twenty by this time.

Wei Haiyang and the others stared at the monitor, watching every subtle change in Liu Junchi.

"Can't you really save it?"

"Give 1mg of accessory kidney, 1mg of atropine intravenously, 0.9% sodium chloride 250ml + dopamine 200mg intravenous infusion, and continue artificial ventilation!" Ruan Bin almost roared.

The situation is becoming less and less optimistic, and you can only give it a shot if you aggravate the pressor drugs!

Nurse Xiaoli was also a little busy at this time, and quickly used these medicines.

Nine twenty-five.

The monitoring chart shows that the heart rhythm is still a straight line.

Everyone's faces were black to freezing.

As a surgeon, I am accustomed to seeing life and death every day, and I should say that I am used to it. But they are still most afraid of seeing their relatives or peers die on the operating table!

The atmosphere in the emergency room was somewhat oppressive and quiet, except for the sound of everyone panting.

At 9:27, the guardianship chart is still a straight line.

Wei Haiyang felt that his hands and feet were a little cold and numb, "I, we tried our best...... Ruan Bin, announce the time of death. ”

He hated to say it, but someone had to bring it up!

"Xiaoli, another set of lidocaine and adrenaline!Lao Zhou, remove the automatic cardiopulmonary resuscitation device, and do another defibrillation!" Ruan Bin didn't listen to Wei Haiyang's words and tried to rescue him one last time!

"Good. Zhou Tianlei hurriedly withdrew the automatic cardiopulmonary resuscitation instrument.

Wei Haiyang shook his head silently.

Ruan Bin also hurriedly used the defibrillator.

360 Joule Defibrillation!" Zhou Tianlei gave a verbal medical order.

"360 joule defibrillation!" Ruan Bin repeated, the defibrillator was ready.

"Everybody get out of bed, out!" Xiaoli shouted.

With a "bang", Liu Junchi's body bounced upward, but there was still no response.

"360 joules again!"

"Get out of bed!"

"Bang!"

No response!

"One more time!"

Bang!

Didi ......

"There you have it, there you have it!" Wei Haiyang exclaimed excitedly and in shock.

At 9:30, the ECG monitoring suddenly changed, no longer a straight line, and was displayed as: ventricular escape rhythm 20 beats per minute.

"It's too low!" Ruan Bin shook his head after reading it, such a low ventricular escape heart rate will soon have cardiac arrest again!

He began to continue to manually perform cardiopulmonary resuscitation on Liu Junchi.

"Lao Liu, come on, aren't you divorced? I'm also going to introduce you to the widow Wang of my village! She looks average, but she is virtuous, and she is proficient in cooking and cleaning with children! The key is that she is only 27 years old this year, and if you die, I will introduce you to Mao!" Ruan Bin said loudly while doing cardiopulmonary resuscitation vigorously.

"Crazy?" Zhou Tianlei and the others were slightly stunned when they saw this.

After doing three sets in a row, Ruan Bin was completely tired.

"Old Zhou, you go!"

"Okay. ”

Nine thirty-five a.m.

Zhou Tianlei did five more sets down, tired and sweating profusely.

For the first time, the heart rhythm appeared in ECG monitoring, and the frequency was about times per minute!

"Pause compressions, pull out an ECG and take a look!" Ruan Bin began.

Soon, the ECG came out.

It is indeed a sinus rhythm!

ECG shows: sinus rhythm 125 beats per minute

Everyone was very excited, although Director Liu's spontaneous breathing and consciousness did not recover, but everyone's hearts lit up with the dawn.

At 9:40, Director Liu's heart rhythm stabilized and remained between times / minute, and his blood pressure was measured at hg.

At 9:50, Director Liu finally breathed on his own, and everyone was extremely excited.

"It's successful, we've succeeded!" Zhou Tianlei said excitedly.

"Doctor Ruan, if it weren't for your last insistence, maybe it would ......," Wei Haiyang said with some embarrassment. He was the first to give up!

"It's good to save it. Ruan Bin smiled, very tired.

At this moment, everyone is exhausted.

However, it is not possible to relax now, and several people are closely observing in the emergency room.

At 10 o'clock, ECG monitoring showed that ventricular tachycardia was 175 beats/min.

"The room speed is too fast!" Zhou Tianlei said in a low voice.

"Lidocaine 50 mg slowly intravenously. Wei Haiyang has experience.

Sure enough, soon, the ventricular velocity was terminated.

At 10:20, Director Liu began to have unconscious movement of his limbs, and his pupils began to retract.

"Take another ECG and see. Ruan Bin said.

Soon, the ECG came out.

ECG showing: sinus rhythm, acute inferior myocardial infarction.

"I went out and called the cardiologist to come over. Ruan Bin knew that he could hand it over to the cardiology department next.

Walking out of the emergency room, Huang Hongwen greeted him.

"Lao Ruan, how is Director Liu?" Huang Hongwen asked with concern, Nima went in for 2 hours and didn't come out, can you not worry?

"Saved. ”

Soon, Ruan Bin contacted an attending doctor from the hospital's internal medicine department.

I heard that a colleague from the emergency department had an accident, so I rushed over.

The doctor's surname is Song.

It's called Song Ting.

"Lao Liu's blood pressure continues to be low, and I plan to take aortic balloon counterpulsation and emergency PCI surgery to treat it quickly. After examining Director Liu's condition, Dr. Song said to Ruan Bin and the others.

"Then please Doctor Song!" Ruan Bin began.

"Don't worry, I will definitely give you a healthy Director Liu!" Dr. Song patted Ruan Bin on the shoulder.

Soon, the cardiology department took Director Liu over for treatment.

The emergency department is also back on duty.

Slumped in a chair, Ruan Bin took a sip of boiled water, physically and mentally exhausted.

This short 2 hours seems to be more tiring than moving bricks for a day.

"Lao Ruan, come over here. Less than five minutes after sitting down, Guo Hui, an internist in the emergency department, came over.

"Lao Guo, what's wrong?" asked Ruan Bin.

"A patient just came to the clinic with abdominal pain. Male, 45 years old, with a history of perennial drinking. Self-reported no special diet and medication during the day, as usual, half a catty of liquor, duck neck, peanuts, etc. At that time, I initially considered the possibility of intestinal perforation, and asked him to go for a check-up, and take blood for routine blood counting, blood coagulation, biochemistry, and rapid HIV. After the specimen was sent, it showed severe lipid turbidity, serious interference with blood coagulation and biochemistry, and it was impossible to do it, and the routine blood was disturbed!" Guo Hui explained.

"Severe turbidity?" Ruan Bin frowned. I want to talk about "Krypton Doctor" with more like-minded people, pay attention to "excellent reading literature" on WeChat, talk about life, and find a confidant~