A new doctor tried to lift the arm that was in the way, but it didn't move.

Zheng Ren suddenly had a sickness in his mind, and he walked into the operating room and stood behind to take a look.

The system panel was bright red, and several diagnoses appeared in front of Zheng Ren.

Diagnostics such as inguinal oblique hernia and gallbladder stones, Zheng Ren directly ignored them, and what he paid attention to was a simple diagnosis - malignant high fever!

This disease...... It can be called a disease, and the incidence rate is very low, and it only occurs when you are exposed to anesthesia.

It is one of the most feared dark lightning in the anesthesiology department.

Malignant hyperthermia is an inherited disorder characterized by hypermetabolism. Triggered by exposure to certain anesthetic drugs, nondepolarizing muscle relaxants can delay onset.

"Stop the anesthetic medication!" Zheng Ren shouted in a deep voice the moment he saw the diagnosis on the system panel.

None of the busy doctors and nurses had an idea, and when they heard someone talking, and the words were full of majesty and the unquestionability of the senior doctor, and no one thought much about why, the anesthesiologist directly stopped the anesthetic drug.

"Dantroline, do you have any medicine?!" Zheng Ren said almost with a roar.

“……”

“……”

There was confusion in the operating room.

Dantroline, what the hell is this?

"Is it a malignant high fever?" the director of the anesthesiology department ran in from outside, he was burly, like a bear, and his figure alone could bring a strong and violent sense of oppression.

"Yes!" Zheng Ren said without hesitation, looking at the patient.

Not only the diagnosis of the system panel, but also the patient's severe convulsions, spasms, skeletal muscle stiffness, sweating, and other symptoms are the most typical manifestations of malignant hyperthermia.

No temperature was taken, but Zheng Ren believes that the patient's temperature is now at least above 40 degrees Celsius.

The director of the anesthesiology department strode to the patient's side, and the doctors and nurses on both sides consciously moved out of the way.

After a simple judgment, he hurriedly said: "The temperature of the cooling blanket is not low enough, find something else to speed up the cooling." ”

After saying that, he immediately took out his mobile phone and dialed it.

"I want a helicopter, go to Xiehe, I want dantrolene, there is a patient with a sudden malignant high fever!" The voice of the director of the anesthesiology department was like a Hong Zhong, and the whole operation trembled slightly.

Malignant hyperthermia is an extremely rare genetic disease that cannot be prevented. Moreover, the only hospital in China that has studied malignant hyperthermia is Xiehe.

The caffeine fluane in vitro skeletal muscle contraction test has been carried out in the Department of Anesthesiology of Union Medical College. The special drug for the treatment of malignant hyperthermia, dantrolene, is only available in the Department of Anesthesiology of Union Medical College in the country.

Zheng Ren has read several reports, most of which are case reviews written by doctors in the imperial capital and the magic capital. When the doctors in the magic capital encountered this situation, they could only helplessly watch the patients die.

Not for anything else, just because there is no specific drug.

In the imperial capital, because there is Concord, there is also an option. (Note 1)

But even if a helicopter is called, it is still difficult to say whether the patient's life can be saved before dantrolene is brought over.

"Increase the oxygen flow, mask oxygen inhalation!" Zheng Ren roared: "The oxygen flow rate is increased, to more than 10L/min!!"

"Ice saline, sterile ice saline, intravenous administration, the fastest!"

"Keep your temperature on track!"

"2 vials of sodium bicarbonate intravenously!"

"Hurry up, who's stunned! Hurry up and push sodium bicarbonate!"

"Nurse, take blood!"

"Instrument nurse, get off the stage! No need for sterility! Hurry up and collect blood, ions, blood gas, and send it as soon as possible after the collection, and tell the laboratory department, emergency!"

Jung In's roar kept ringing in the operating room, and he forgot his identity.

Although he has always avoided doing things on his behalf, which aroused the disgust of the doctors in the 912 Hospital, when he encountered a sudden serious illness such as malignant high fever, Zheng Ren left everything behind.

The world is big, can it be bigger than human life?

"Call someone to help cool down physically. Nurse Leader! Hurry up and see if the amount of frozen salt water is enough!"

Zheng Ren roared, looking crazy, but in fact, he did not lose his mind. He has been calmly observing the patient's vital signs on the ECG monitoring.

The patient's ECG begins with a shortened Q-T interval, a high, pointed and symmetrical T wave, and a narrow, tent-shaped basilis.

Soon, Zheng Ren noticed that the amplitude of the P wave on the ECG decreased, and the P-R interval was prolonged and the P wave disappeared!

This is a manifestation of high blood potassium, although the test value has not come out, but Zheng Ren can be sure with a high probability that the patient's blood potassium value may have exceeded 8mmol/L, or even reached a fatal level of 10mmol/L.

"Calcium gluconate, 5000mg, static push!" Zheng Ren's eyes narrowed, staring at the waveform of the ECG monitoring, and shouted.

"5,000......" A nurse who had just arrived to help was stunned.

For clinical use, the limit dosage of calcium gluconate is 3g, that is, 3000mg. 5000mg, is this amount really okay?

The director of the anesthesiology department frowned, looked at Zheng Ren carefully, and he didn't know him.

Whose doctor is this? How did you command the rescue here? But every one of them was timely, except for the excess calcium gluconate.

He strode over to Zheng Ren and asked in a deep voice, "Is it okay to overdose?"

"The P wave is gone!" Zheng Ren stretched out his hand, pointed his finger at the screen of ECG monitoring, and shouted: "Cardiac arrest immediately!"

Generally, cardiac arrest can also be rescued by defibrillator, chest compression, etc.

However, in patients with malignant hyperthermia, defibrillators are useless. And the whole body is stiff, like a stone, and he can't press the ribcage of the chest at all.

Zheng Ren was thinking that if his heart stopped, he opened his chest directly, did chest compressions under direct vision, and cooled down with ice salt water in his body, the effect might be better.

But this method is too extreme and intense, and it can be avoided as much as possible. And even if it is cut, the internal and external muscles of the intercostal space are tense, and it is estimated that you will not even be able to reach into your hands.

The director of the anesthesiology department glanced at the electrocardiogram and knew that what Zheng Ren said was right, so he immediately asked the nurse to inject 5000mg of calcium gluconate.

"How much urine is there!"

The "......" operating room was already busy, and no one was monitoring urine output. Zheng Ren stared at the ECG monitor tightly, and after he finished asking, there was silence around him.

The director of the anesthesiology department paused for a moment, then half-squatted down, looked at the urine bag, and said, "About 20ml." ”

“20…… No, 80mg furosemide intravenous injection!" Zheng Ren said: "Monitor urine output, keep it at 50-100ml/hour. ”

"Overventilated!"

"Yes, hyperventilation, it must be excessive!"

"The test value is back, is it back!

Instructions echoed and surging in the operating room in an orderly manner.

More than a dozen doctors and nurses flew up without touching the ground.

And that arm, stretched out hard, iron-struck, only convulsed and convulsed at its own frequency.

……

Note 1: It seems that Beijing Sanbo Hospital also has a sufficient amount of dantrolene in reserve.

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