Chapter 508: Patient Cardiac Arrest
Chapter 508 Patient Cardiac Arrest
"He was there just now, who would have thought that the wall next to him had fallen down, and an iron nail had pierced his clothes! I started to see that the nails were not big, thinking that there was nothing wrong, how do you know people... People are suddenly gone!" the captain of the rescue team said the situation in a trembling voice.
"The heart is penetrating!" Lin Yu immediately made a diagnosis.
"Ahh
"Hurry up and carry it to the operating room!" Lin Yu ordered.
When Xia Yuyan saw this scene, she immediately coordinated the blood transfusion, fortunately, the patients in the rescue team have files, and the patients are blood type B!
Although the patient is already in a coma, he is in a cold sweat all over his body, has a shallow pulse, is in typical shock, and may suffer respiratory and cardiac arrest at any time!
"Blood pressure 70/50mmHg, heart rate 120 beats per minute, blood oxygen 60%, shock state!" said the anesthesiologist who reported on the patient's monitoring.
The nurses brought by the earthquake relief are also experienced in clinical practice, and they are all seasoned angels in white, who have already hung two sets of intravenous fluids on the patient's left and right hands.
At this time, there is nothing more important than blood transfusion, infusion rescue shock, time is life at this time, the more agile the action, the more minute can save a patient's life!
"Bring me a 50ml syringe!" Lin Yu commanded.
The instrument guard immediately handed him a syringe.
Lin Yu took the syringe, tore the bag, and without hesitation, he plunged the pillow into the patient's left chest!
"Ah!" exclaimed several of them.
Xia Yuyan was also on the side of the operating table, scared a lot, not only her, but also Han Qiang, the anesthesiologist and the instrument nurse.
They didn't know why Lin Yu suddenly came to such a sassy operation, and directly plunged the needle into the patient's body, and that position seemed to be the patient's heart!
It was indeed a heart! Because Lin Yu's syringe at this time drew out dark red blood!
"The patient is already short of blood, how did you draw blood?" Han Qiang was confused by his operation.
Directly scared!
Lin Yu said lightly: "The patient just had cardiac tamponade, and his heart was seriously compressed, so take out some of it to improve the compression of the heart!"
"Oh! no wonder!" Xia Yuyan was frightened, but she looked at the patient's face, and it seemed that it was indeed a lot more rosy than just now!
Xia Yuyan is now more and more interested in surgery, she likes to watch this director named Lin Yu do surgery, she likes him to scold Fang Yu on the operating table, and even she sometimes doesn't know if she likes surgery or likes to see the surname Lin expert do surgery!
Regarding whether she is attracted to this old man, Xia Yuyan herself is a little stupid and can't tell the difference.
A mysterious man!
This is Xia Yuyan's definition of this director surnamed Lin! Her curiosity was attracted by his unusual low-key, why did he not want to come to the hospital with such a powerful surgical technique, but lived this life of exile.
Xia Yuyan saw that Lin Yu was concentrating on surgery!
"It would be nice if he was five or six years younger!" Xia Yuyan shouted in her heart, if he was five years younger, she would not hesitate to like him! Looking at him, he should be in his thirties.
How did Lin Yu know that the beauty next to him already liked him, of course it was another self, a self with a mask!
He is now racing against time to save the life of this patient under his hands!
"I am sick and already in a coma, and in order to save time, we generally use direct endotracheal intubation for anesthesia!" Lin Yu explained. "Why did we only use a small dose of anesthetic?" Han Qiang didn't quite understand this.
Lin Yu ignored him, and the anesthesiologist spoke: "Dr. Lin, the patient is now in a coma, we use a small amount of anesthetics, muscle relaxants positive pressure ventilation, if the amount of anesthetic is too large, it may inhibit the function of the circulatory system, and at the same time, it is easy to lead to carbon dioxide accumulation!"
Lin Yu had already quickly opened his chest cavity at this time! He quickly found the ventricular fissure, located below the left atrium!
"We use atrial forceps to clamp the atrial wall around the tear! Repair and suture! It's similar to how we suture the other parts, but the speed must be fast!" Lin Yu sutured the breach as fast as he could.
"Damn! You're too fast!" Han Qiang simply bowed to his speed, just now I saw the stitches in his hand shuttling back and forth, there was no room for hesitation, and the sewing was done in one go.
"Director Lin's operation is amazing!" Xia Yuyan couldn't help but praise him.
"Cardiac penetrating injury, especially pay attention to avoid cardiac arrest! Although it must be fast, it must also be gentle! She is not a gentle organ! We must move..." Lin Yu did not finish speaking.
The anesthesiologist roared, "Cardiac arrest!" with horror in his voice!
When encountering this incident, everyone will be frightened, and the patient has completed the operation, who would have thought that the heart actually stopped, and this is called a failure! Clinically, there are relatively few cases that can be rescued in this case.
"What should I do?" Xia Yuyan also exclaimed.
Her heart sank, this patient was finished, she thought the operation was done perfectly, but she never thought that she was too happy.
"It may be over!" this was Han Qiang's judgment, and it could be seen from his shouts that he was disheartened.
"What's the hurry?" Lin Yu didn't panic at all!
He went straight into it with his hands and began to squeeze his heart at the rate of heart compressions!
"Give me an adrenaline!" Lin Yu commanded the instrument guard.
The adrenaline came, Lin Yu took his hand away and injected the adrenaline directly into the heart!
Everyone is holding their breath!
No one knows what the outcome will be! No one knows if the patient will be able to come over! Of course, the patient can be saved, and the key is whether the heart will return to beating.
"There you have it!" exclaimed the anesthesiologist.
As an anesthesiologist, he always pays attention to the straight lines on the ECG machine, and when it becomes a crooked and rhythmic line, it means that it has been successful!
"Come here!" Xia Yuyan finally breathed a sigh of relief.
In fact, Lin Yu was also relieved! Just now, he didn't dare to guarantee whether he could save the patient, so he pressed directly on the heart, this kind of cardiopulmonary resuscitation, this is the first time for him!
Speaking from the bottom of his heart, he actually has no bottom! Whether he can be saved or not is actually a lot of factors! However, this patient intervened relatively early, so he was saved.
"That's amazing!" the instrument guard also admired.
The patient was saved, and the next step was to start suturing the pericardium and finally closing the ribcage!
"It's done!" Lin Yu announced.
"My condition got better, my blood pressure came back to 100/70mmHg, and my heart rate dropped to 90 beats per minute!" the anesthesiologist reported.
The patient is back completely.
The patient was sent to a makeshift ward, and there were no patients for the time being!
"Depending on the situation, we may have to go back!" Lin Yu sighed.
Today is the fourth day, and the golden time for disaster relief has passed, and now there are fewer and fewer patients.
At this time, it was not only Lin Yu's group who sat on the cold bench! Professor Wang Bin had nothing to do, he was smoking outside the operating room.
The smoke swirled around his head, like a thin cloud slowly rising, and Lin Yu looked at him coldly.
He also looked at Lin Yu coldly, not knowing what he was thinking.
Han Qiang was addicted to smoking, he got out of the temporary operating room made by the ambulance, felt the smoke, and then touched the lighter for a long time, but he didn't find it for a long time.
He staggered to Professor Wang Bin and borrowed the fire to smoke.
"Director Lin, we're going to go back tomorrow! Now the disaster relief is basically the same!" Xia Yuyan reminded.
"Hmm!good!" Lin Yu has always cherished words like gold.
In fact, the disaster relief is just in the past few days, and for Huaqing Hospital, the cost is not small, and it has to be spent every day, and even these doctors, anesthesiologists, nurses and logistics personnel have another 1,000 yuan/day subsidy every day.
Xia Yuyan was afraid that he wouldn't understand, so she explained in detail: "The golden period of disaster relief is almost over, there are no more patients, not to mention, the local hospital has been able to take charge on its own, so let's go back!"
"Is Tangtian Hospital going back too?" Lin Yu said curiously.
"Well, they will also leave tomorrow and the day after tomorrow at the latest!"
"Oh!"
"Tang Tiantian hasn't come yet, saying that he arrived this morning!"
"What's the fun she's here again?" Lin Yu wondered.
"Oh! She seems to have donated millions of materials to come! I still admire her!" Xia Yuyan sighed, thinking that she was a star, pampered and pampered, and actually came to the earthquake site to fight the earthquake in person, which in itself deserves respect.
Lin Yu also felt that she was a little too much, millions of supplies were not a little, and the car would pull a lot of cars, not to mention, the road was not easy to walk, and it was not easy to get in.
"She doesn't dare to donate! Many institutions are unreliable, you donated, you really don't know who you donated?" Xia Yuyan muttered.
Lin Yu also nodded sympathetically, and agreed: "That's the same reason! Maybe all the money everyone donated is given to some juniors to show off their wealth?"
This is a witticism, Lin Yu heard Han Qiang say a news, he was a little emotional, many donations can't reach the hands of people in need of help, even if they can reach others, maybe they will be filtered layer by layer, and many institutions are not very transparent about the use of donations, resulting in a decline in the credibility of many such institutions!
"Hehe! It may be an exaggeration, but it's definitely possible! So now a lot of people donate things directly! Yesterday, a big star also donated tens of millions of things, pulled by a big truck, just by ambulance, she donated 20 vehicles, and also donated a lot of medical supplies!" Xia Yuyan introduced.
"Oh! I didn't pay attention!" Xia Yuyan didn't notice the news, except for the operation and then the way to the operation, he had never paid attention to other things in the past few days, celebrities donated ambulances or something, and his mind was blank.
I've been so tired in the past few days, especially yesterday and the day before yesterday, there are really many surgeries, and the difficulty of the operation is very great, I don't know how many brain cells have died, except for sleeping!
"Oh! This must be liked, now is the time to need this thing! It really solves the urgent need, even after the disaster, these things are urgently needed!" Lin Yu sighed.
"You don't know, there are still people who question her at night, saying that she is a show!" Xia Yuyan talked a lot today, never so much, she said so many things, she didn't even notice it.