The cold wind howled outside the window, and the withered yellow willow branches slapped against the glass under the ravages of the cold wind, making a sound of "whoa, whoa, whoa" made the faint of heart shudder.

Under the dazzling fluorescent lamp in the window lay an old lady with silver hair with a pale face and blue lips, and Mi Zixuan urged with sweat: "Hurry up, I don't have time to explain to you now." ”

Xiao Chen really didn't understand what to do with the puncture needle to rescue a patient with a myocardial infarction, and just as he was about to leave, Mi Zixuan suddenly shouted: "Let the B-ultrasound room come over immediately with the bedside B-ultrasound machine, I need to position, hurry, there is no time." ”

After speaking, Mi Zixuan immediately came to the patient's side and continued to press the heart, now the breath is there, but the heart has stopped, Mi Zixuan does not expect to rely on manual cardiopulmonary resuscitation to make the heart beat again, now pressing the heart is nothing more than to maintain the patient's blood pressure, so that the brain and other organs of the body can also get a certain amount of nutrients in the blood, if you do not do cardiac compressions at this time and rely on the ventilator, the patient's brain will soon be brain dead, even if Mi Zixuan can restore the heart beating afterwards, it is useless.

Xiao Chen ran away in a panic, in addition to the smell of disinfectant, Mi Zixuan's snort was a very strange smell that could not be described in words, it smelled very bad, this is the smell of death, it can also be said to be the smell of death, it stood beside Mi Zixuan and looked at him with a sneer.

A few minutes later, Ge Zemin, who was on duty in the B-ultrasound room, ran in with the bedside B-ultrasound machine, Xiao Chen followed behind with a puncture needle, and Xinning had been put on the diagnosis and treatment car by Mi Zixuan, and could be used at any time.

Ge Zemin frowned when he saw the patient's condition, and looked at Mi Zixuan, who was sitting in cardiopulmonary resuscitation with bare hands, and said: "What is the use of a patient with a myocardial infarction doing B ultrasound?" ”

Mi Zixuan turned his head sideways and gasped: "I need to locate, I need to know where the blood clot is." ”

Myocardial infarction is caused by some triggers that cause the coronary atheroma to rupture, and the platelets in the blood accumulate on the surface of the ruptured plaque to form blood clots, that is, blood clots, which suddenly block the arterial cavity of the audience, resulting in myocardial ischemia and necrosis.

When encountering such a patient, the rescue principle is simply a few points of anti-arrhythmia, thrombolysis, and resuscitation of the heart, but there is no bedside B ultrasound to determine the specific location of the thrombus, Ge Zemin is also an old doctor, naturally knows this, what is the use of the patient's determination of the location of the thrombus in this situation? This is not a big hospital, there is that the condition to carry out direct coronary intervention (PIC) immediately, the county hospital does not have this condition, and relying on the existing equipment, it is good to be able to see the coronary artery clearly, and want to determine where the blood clot is, isn't it a joke?

Mi Zixuan said anxiously: "I don't have time to explain to you now, do what I say immediately, I really can't save it if I delay." ”

Ge Zemin sneered and turned on the bedside B ultrasound machine, he wanted to see what tricks this kid Mi Zixuan could play, anyway, he was the rescue, and he was not responsible for what happened.

Images soon appeared on the B-ultrasound machine, but as Ge Zemin thought, this machine has been in service for seven years, too old and too long, let alone determine where the blood clot is, and even the coronary artery can't be seen clearly.

Mi Zixuan stared at the monitor, stretched out his finger and pointed at a position and said, "Here, don't move." ”

Ge Zemin looked at the place Mi Zixuan pointed to and wondered, "What kind of place is this?" ”

Mi Zixuan hurriedly said: "Imaging point." ”

Ge Zemin immediately exclaimed, "What is it? Contrast point? Mi Zixuan, what nonsense are you talking about? I've been doing B ultrasound for ten years, I can't see what this place is, and I've never heard of any imaging spots, can you stop talking nonsense? I advise you, if you can't cure it, change people, don't do it yourself, if something really happens, you can't hold back. ”

Mi Zixuan ignored him and said to Xiao Chen: "Panocular megluin." ”

Ge Zemin exclaimed again: "Mi Zixuan, what kind of plane are you doing?" Gastrografin is a contrast agent, yes, it can also be used for cardiovascular imaging, but it can only be visualized under X-ray and CT, and nothing can be seen under B ultrasound. ”

Mi Zixuan suddenly shouted: "You shut up for me." ”

Mi Zixuan has always been a smiling appearance, this sudden anger, immediately frightened Ge Zemin and Xiao Chen, at this time Mi Zixuan was like trying to eat people, and the invisible momentum exuded from Zhou's body made the two of them feel breathless.

Xiao Chen was stunned, standing there stunned, Mi Zixuan hurriedly said, "What are you still doing in a daze?" Bring it to me. ”

As soon as she heard this, Xiao Chen didn't want to turn around and run, she didn't know what was going on, anyway, now that Mi Zixuan asked her to do something, she would do it unconditionally, subconsciously obeying, not to mention questioning, she didn't even dare to hesitate.

The momentum of the commander that Mi Zixuan has cultivated for many years in his previous life has all exploded at this moment, not to mention Xiao Chen and Ge Zemin, even if Su Zhiqiang is here, he will be taken by his momentum, and he will do whatever he asks, he will not hesitate, let alone question.

As soon as Gastrografin arrived, Mi Zixuan immediately used the syringe to draw some, and then drew a little Xinning, he picked up the puncture needle and connected it to the syringe, looked at the display screen, took a deep breath, and said, "Keep moving." ”

Now this B-ultrasound machine is too old, the image is very blurry, and Mi Zixuan can only see the approximate location of the puncture point on the top according to his own experience.

Mi Zixuan took a deep breath, the puncture needle penetrated the skin, fat, and muscle layer and went straight to the puncture point, the sweat on Mi Zixuan's forehead came down again, he suddenly held the syringe and moved it up and down, and there was a blurred image in the display screen immediately, Mi Zixuan said: "Go to the left." ”

Ge Zemin subconsciously did what Mi Zixuan said, and Mi Zixuan said solemnly: "This is it, don't move." ”

In the blurry and abstract image of black and white in the display screen, there was a long strip like a needle moving down a little bit, and Mi Zixuan's palms were sweaty, success or failure in this move, he gritted his teeth, and the puncture needle immediately advanced one centimeter.

Mi Zixuan held the hand on the syringe and first felt a faint sense of obstruction, and then the obstruction disappeared, Mi Zixuan gently pushed the syringe to inject a little mixture of gastrografin and Xinning, and a faint white image immediately appeared on the monitor.

Ge Zemin's eyes instantly widened, and he stammered in disbelief: "Visible, developed?" ”

Mi Zixuan let out a sigh of relief, it was done, this is it, he quickly pushed all the liquid in the syringe in, and the faint white shadow on the monitor became longer and longer, like a snake in a state of stealth, little by little out of the state of invisibility, gradually showing its full picture.

Ge Zemin was dumbfounded, isn't gastrografin only visible under X-ray, CT, and MRI? How can B ultrasound work?

Mi Zixuan stared at the "long snake" He suddenly stretched out his hand and pointed to a position on the monitor and said, "That's it, move in this direction." ”

The location image that Mi Zixuan is pointing to is very much like a snake's head, here is the blood clot, because the blood clot blocks the blood vessels, so the contrast agent cannot pass through, and it is blocked here.

After Mi Zixuan finished speaking, he pulled all his heart into the syringe, took a deep breath, and pierced the patient's chest again, and the gray blurry bar image moved forward little by little like an ant, at this time Ge Zemin and Xiao Chen also realized that at the critical moment, a heart was raised to the throat, and the ears were full of their own rapid heartbeat.

The ant finally approached the snake's head, Mi Zixuan's hand was slightly forced, and the ant got into the snake's head, he immediately injected all his hearts into it, and soon a strange scene appeared, the white snake's head began to melt little by little, and finally disappeared, a wisp of white line appeared, extending forward over the position where the snake's head was, and finally began to gradually dissipate.

Mi Zixuan immediately pulled out the puncture needle to the side, and smashed a fist into the patient's chest, with a muffled "bang", the patient's body bounced up, and then fell heavily, and the second punch followed, this time the curve of the heartbeat appeared on the ECG monitor next to the patient's body without waiting for the patient's body to fall.

Xiao Chen immediately cheered: "Saved." ”

Mi Zixuan exhaled a long breath and wiped the sweat on his forehead, at this time there was a feeling of detachment, he was too focused just now, and this relaxation made him feel deactivated.

Ge Zemin looked at Mi Zixuan in a daze and said, "You ...... You ......" He really couldn't find the right words to describe Mi Zixuan's first aid just now, because he had never seen a patient with a heart attack treat him like this.

Mi Zixuan took off his mask and hat and breathed a little unevenly: "Actually, it's very simple to say, it is to find the location of the blood clot and then perform thrombolysis." ”

Ge Zemin almost didn't bare out of his eyes when he heard this, Mi Zixuan said it really simply, but it relied on an old B-ultrasound positioning, and the image was still very blurry, in such a harsh environment, that doctor dared to ensure that the puncture needle could accurately penetrate the blood vessel where the thrombus was located?

No one dares to guarantee it, let alone do it, even if he calls the world's top medical experts and asks him to operate in such an environment, he doesn't have the courage, but Mi Zixuan not only has the courage, but he succeeds at one time.

Ge Zemin was so shocked that he didn't know what to say, he could only look at Mi Zixuan like a monster, and said repeatedly in his heart - this kid is not a human!

Mi Zixuan didn't leave immediately, but sat on the side to observe the changes in the patient's condition, and after about half an hour, Ge Zemin finally reacted, and came up with a sentence: "You kid is not a human." ”

This sentence almost choked Mi Zixuan to death, and it was at this time that the patient finally woke up.

Mi Zixuan looked at the data on the ECG monitor, blood pressure, electrocardiogram, and blood oxygen, and there was no big problem, and he immediately said, "Withdraw the ventilator." ”