Chapter 50: Joy
Wang Bingbing agreed, and quickly ran to get the medicine, and by the way, she brought a micropump, a bag of liquid, and two packs of extension tubes, and she didn't know what she was going to do.
"Vanke Song!" Dai Yunyang continued to give Wang Bingbing a verbal medical order to use muscle relaxants, and then said to Fu Quan, "Adjust the ventilator to a forty-five centimeter water column to stabilize the pressure." Count the seconds and change the parameters! ”
Fu Quan began to count the seconds.
“…… 3-2-1, change parameters! ”
Although it was only a short forty-five seconds, Ke Dai Yunyang and Fu Quan were still so nervous that their heads smoked. Fu Quan stared at the bloody sputum in the tracheal intubation, and there was not much change.
"Turn up the end-of-expiratory pressure to 18!" Dai Yunyang gritted his teeth and said.
This is the limit of high pressure that the alveoli can tolerate, unprecedented. He didn't know what the result would be after the execution of this order, death? Or is it a reversal?
Fu Quan glanced at him, his hands trembled a little, but he still slowly adjusted the ventilator, due to nervousness, his goggles were full of steam, and he couldn't see clearly, so he could only get as close as possible.
Pure oxygen, oxygenation on the ventilator has reached the extreme, and there is no more way than to pray.
"There's a little less bloody phlegm!" Fu Quan exclaimed excitedly, his eyes staring at the blood-colored sputum in the transparent tracheal intubation.
Dai Yunyang looked at it, and his heart was also full of joy, but it was far from being reassured.
Wang Bingbing didn't look at what they were busy with, she was only responsible for carrying out Dai Yunyang's medical orders. She had noticed that the detector was too old-fashioned and did not have an invasive pressure monitoring function, so she had just brought some equipment and made a communicator on the infusion stand with a bag of liquid and an extension tube to connect the patient's deep veins, so that it was possible to measure the central venous pressure.
Dai Yunyang glanced at her approvingly, this girl is quite aura, she can ponder, and she can make such a simple and effective device to solve the problem.
Wang Bingbing felt Dai Yunyang's gaze, smiled at him, and then fixed the tracheal intubation again to prevent it from falling off.
The patient is in critical condition, and once it falls off, it is estimated that he will not have the opportunity to insert it back in.
Wu Hao walked over and took a look, and said, "Why are you so nervous?" It takes time for the lungs to balance the water, so hurry up and do the blood gas, don't stare at the monitor. ”
Dai Yunyang smiled stiffly and hurriedly did a blood gas analysis.
The results showed that Tan Yuanyuan's blood oxygen partial pressure was only 50, which indicated that the lack of oxygen in Tan Yuanyuan's body was still very serious and very dangerous.
Dai Yunyang said to Wu Hao: "I want to do lung recruitment again." ”
"Then do it." Wu Hao shrugged his shoulders easily, looking like he was lifting his weight.
Dai Yunyang gritted his teeth and nodded at Fu Quan. The two gave Tan Yuanyuan another 45-second lung re-expansion. The patient's status has not changed significantly.
The potential for ventilator excavation has been exhausted, and there is nothing to be done.
Wu Hao glanced at the monitor, the blood oxygen saturation was still less than 80%, and the positive end-expiratory pressure had been set to a frightening 18. He looked helplessly at Tan Yuanyuan, who was full of tubes, and sighed softly: "Continue to stay calm and loose, minimize her physical consumption, and see if she can survive this dangerous stage." However, the oxygen concentration close to pure oxygen will cause permanent damage to the alveoli, and it is to drink water to quench thirst, so, alas, I am not optimistic, I guess I can't survive. ”
Several people's hearts sank, and they could get off the operating table, but they couldn't get off the intensive care table, which was a failure of the ICU and a kind of helplessness.
Dai Yunyang gave a doctor's order to use a combination of drugs to keep Tan Yuanyuan sedative, analgesic, muscle relaxant, and vasopressor combined, to maintain her oxygen saturation on the verge of death as much as possible, and then expect her immune system to reverse the situation.
………………
Because the child was born prematurely, it was put in a nursery box, and it was in a separate ward nursery in the negative pressure intensive care unit, because it was not known whether the child was infected with the new crown.
Dai Yunyang left the intensive care unit in shifts.
He went outside the baby's hospital room, where there was only one nurse watching over the child, through the glass. Looking at the cute baby in the nursery box who moved his hands and feet from time to time, it was really emotional. I thought that when I would be able to have such a lovely child with Ai Fenfei, then my life would be perfect.
But Ai Fenfei is bent on her career and doesn't want to have a child so early, which is quite a headache for Dai Yunyang.
At this time, Wu Hao's voice came from behind him: "What are you doing?" Do you look at your children and think about your own children? ”
Wu Hao is really a person who has come over, and he is too touched by the status of children in the hearts of parents, and he can accurately guess them.
Dai Yunyang smiled and said, "Yes, my wife said that I will have children in a few days, so I can't help but think about it when I see other children." ”
Wu Hao nodded and said, "Yes, I was like this at the beginning, when my daughter was not born, I really looked forward to the stars and the moon." But she didn't expect an accident later, when her mother gave birth to her, she had a difficult birth, and the labor took too long to cause suffocation, and her brain was damaged, so she has been developing very badly. I was expecting her to be successful in the future, but I didn't expect that she couldn't even call her parents clearly. Hey, if you knew this, what were you happy about at the beginning? Children are miserable, and parents are miserable. ”
It was the first time for Dai Yunyang to hear the director talk about his child, and he had kept silent about his family before, so he must have felt that this time everyone worked together and worked hard to save the life of the mother and child, which was very touching.
Dai Yunyang said: "Have you taken your daughter to see an expert?" Maybe it can be cured. ”
"I've seen it, and the famous neurologists in the country have almost seen it and treated it, but it has no effect."
Dai Yunyang continued: "It's really hard enough, now the child is still young, and you are not too old, but in the future, when you are older, you will get older day by day, it will be more and more difficult to take care of her, so you have to take precautions!" ”
Dai Yunyang didn't expect that he would say such a thing, maybe after wanting a child, he thought about it more and more. These are questions that he might not have thought about before.
Wu Hao said: "That's right, so I'm forcing myself to work hard to make money now." I had to earn enough money to take care of my daughter for the rest of her life. My wife is unemployed, I'm going to die, she can marry someone else, but my daughter has a sum of money, all of them, and I want to earn enough money so that she can support without me. ”
Dai Yunyang asked curiously, "What kind of money can doctors make?" ”