Zhou Chao stared at the monitor, and his heart went up and down, hoping that this patient's blood pressure would come down as soon as possible.

The only way to get the patient's blood pressure down is to get it to the normal range.

Then the risk of his aneurysm rupturing will be reduced, and only then will Zhou Chao dare to take him for CT and cardiac ultrasound examinations.

However, after more than ten minutes, the patient's blood pressure was still 200/120mmHg.

On Zhou Chao's forehead, a layer of sweat couldn't help but appear.

Sodium nitroprusside is the most powerful drug used to lower blood pressure.

In most patients, not to mention 10 minutes of medication, or 3 to 5 minutes of medication, blood pressure will be lowered.

However, this patient has been using it for more than ten minutes, but his blood pressure is not stable at all.

Due to the application of demerol analgesics to him, the pain was relatively reduced.

But because his blood pressure did not drop, Zhou Chao did not dare to move him at all.

Not to mention taking him for a check-up.

Blood pressure is so high, take him to check, in case the aneurysm ruptures on the way to the examination, then this patient will definitely die.

Then Zhou Chao himself will also have an unshirkable responsibility.

"Adjust the sodium nitroprusside to 8 milligrams per hour and pump it intravenously."

Zhou Chao asked the nurse to increase the dosage of medicine.

Even if the patient's blood pressure drops to the normal range,

Zhou Chao took him for an examination, and he had already taken a big risk.

If the blood pressure could not drop to the normal range, Zhou Chao would never dare to take the risk and take the patient for examination.

However, after more than ten minutes, after increasing the dosage, the patient's blood pressure still did not decrease, and even increased slightly.

At this moment, Zhou Chao's heart began to become anxious.

This patient needs to be checked urgently, but his blood pressure has not come down, what can I do?

Zhou Chao frowned slightly, and said to the nurse: "Add another set of urapidil 100mg pumped in to lower blood pressure as soon as possible." ”

The nurse on the side hurriedly prepared the spare urapidil injection and pumped it into the patient's body with an infusion pump.

After more than ten minutes, seeing that the blood pressure on the monitor had become 160/100mmHg, Zhou Chao gradually calmed down.

As long as the patient's blood pressure can be lowered to a normal level, then the risk of aneurysm rupture is much less, she has the opportunity to go for a check-up, and the patient has a better chance of survival.

After waiting for about ten minutes, the patient's blood pressure has dropped to a normal level and is lower, and now in this case, you can take the patient for examination, although there is still a certain danger.

However, compared to the previous time when the blood pressure was high, the risk has been reduced a lot.

At this time, Zhou Chao couldn't take too many thoughts, and hurriedly pushed the gurney with the nurse to check the patient.

Lin Yi knew very well what was going on, and he didn't follow.

After more than 20 minutes, Zhou Chao pushed the patient back to the emergency room.

He took the patient's CT film and color ultrasound results and asked Lin Yi to see them.

"This patient really has an aortic dissection aneurysm, so let's transfer him to the vascular surgery department and have surgery as soon as possible."

Lin Yi nodded and didn't say much.

Like this kind of interventional surgery, Lin Yi is naturally not a problem.

A disease like this, which can die at any time, must be explained to the family.

Otherwise, if the patient dies, he will be very passive if he can't tell clearly.

The patient's wife trembled and agreed to have surgery.

However, this surgical consent form does not need to be signed in their emergency department.

Instead, when someone from the vascular surgeon came, he transferred to their department and signed there.

Zhou Chao first called the doctor on duty in the vascular surgery department and asked them to come over and have a look first.

Soon a young doctor came to the emergency department.

He is about the same age as Wu Jiang, and he is also an attending physician named Chen Jiaqiang.

Chen Jiaqiang first listened carefully to Zhou Chao's medical record report.

Then the patient was looked at, and all of the patient's test results were reviewed.

He pondered for a moment, frowned, and said, "This patient's diagnosis is very clear, and he definitely needs to be operated on immediately.

But the problem is that our director is in a meeting in the field and will not be back until three days later, can this patient wait until then? ”

The director of the Department of Vascular Surgery is called Gao Lin, and this aortic dissection aneurysm intrastent implantation is a level 4 operation.

Only he would do it, and no one else under his command could do it.

When Zhou Chao heard that Gao Lin was actually holding a meeting in the field, he suddenly became nervous again.

He had to be nervous!

If this patient can't be transferred to vascular surgery today, then she will still be in charge of the bed.

And Director Wang of the Department of Vascular Surgery is not at home, so the doctors under him will definitely not take him in.

Because this patient is a time bomb, and death may occur at any time.

Who wants to put such an unstable patient on their hands when they can't do surgery immediately?

If the patient is to wait for Gao Lin to come back for surgery, then the vascular surgeon must let the patient stay in the emergency department.

Just keep it stable, and as soon as their director returns, they will be transferred to their department immediately.

Zhou Chao knew very well in his heart that there was a way here.

The patient is in a particularly critical condition, and no one wants to take the risk.

Gao Lin will not return until three days later, which means that the operation will not be available until three days later.

But can the patient's condition last for three days?

The patient's dangerous hemangioma can rupture at any time and kill him.

Even if the doctor can wait, the patient can wait, but can the disease wait?

If the patient is to be transferred because of this, the question is where can the patient be transferred?

In the whole of Jiangnan Province, the Provincial People's Hospital is in a position to perform this operation.

If a patient is transferred to the hospital, he can only be transferred to Shangjing, but does the patient's physical condition allow?

It's such a long journey, and if there is a bad guy on the road, the patient will hang up.

But no matter what, Zhou Chao didn't want this patient to continue to stay in her hands, she said tentatively:

"Doctor Chen, this patient is no longer suitable in our department, so let's transfer to your department now!"

It's also human nature, and no doctor wants to keep a patient who is going to die at any time in his own hands.

Chen Jiaqiang shook his head.

"Director Zhou, our director is not here, you transfer the patient to us, it's the same as you are,

It's better to maintain your blood pressure and vital signs here, and save yourself from moving him, and as soon as our director comes back, he will be transferred to our department! ”

Chen Jiaqiang is not a fool either.

If such a dangerous patient is transferred to their department and waits for three days, who knows if there will be any accidents?

It would be better to keep him in the emergency department.

Zhou Chao was a little irritable.

Chen Jiaqiang is obviously prevaricating the patient here!

The role of the emergency department is to screen the patient first, and after the patient's condition is stabilized, he will be transported to the corresponding department for further treatment.

Now this patient with aortic dissection aneurysm has stable blood pressure and has been diagnosed.

Obviously, it needs to be sent to the Department of Macrovascular Surgery for treatment.

Regardless of whether their director is present or absent, they should not remain in the emergency department.

This is a matter of principle.

After all, this patient is too dangerous.

For three days, Zhou Chao felt that this patient might not be able to wait.

If the patient is left in the emergency department, in case something happens.

The family will only find trouble for themselves, not for the trouble of major vascular surgery.

Zhou Chao was suddenly a little unhappy, and the tone of his speech was a little unkind.

"Dr. Chen, it doesn't matter if your director is here or not, but this patient belongs to the scope of your department's treatment.

Now it is a matter of principle to transfer to your department for further treatment, right? If you don't accept it now, aren't you passing the buck to the patient? ”

Suddenly, Chen Jiaqiang's face was also a little unsightly.

After all, Zhao Yun and Zhou Chao's tone unceremoniously said that he was prevaricating the patient.

If the patient's family complains, he is responsible.

But Chen Jiaqiang put on a posture of a dead pig who was not afraid of boiling water.

"Director Zhou, what you said is serious, our director is not here, the operation can't be performed, isn't it the same as transferring to our department and being in your department? What's the difference?

Aren't you afraid that during the moving process, his aneurysm will rupture, isn't this also a risk? Anyway, if our director doesn't come back, I won't accept this patient, as for which department you want him to transfer to, it's up to you. ”

After Chen Jiaqiang finished speaking, without waiting for Zhou Chao to refute, he turned his head and left.

He didn't want to dwell on it too much.

Zhou Chao saw Chen Jiaqiang leave without looking back, and immediately said:

"Lin Yi, why do you see the people in their vascular surgery department like this? There's no one in your eyes! ”

What about Lin Yineng, he can't control the people in the large vascular surgery.

I had to comfort: "Director Zhou, don't be like them." ”

At this moment, the nurse hurriedly ran into the office and shouted, "Director Zhou, that patient's blood pressure has risen again, come and have a look!" ”

Zhou Chao's heart immediately rose again.

Hurriedly ran out of the office, and Lin Yi followed.

Sure enough, the blood pressure on the patient's monitor now shows 160/90mmHg.

This is still a patient, and his blood pressure has started to rise again with nitroprusside and urapidil.

With a condition like his, once the blood pressure rises, the risk of hemangioma rupture also rises sharply.

Zhou Chao frowned, stared at the monitor carefully for a while, and then looked at Lin Yi.

"Lin Yi, this blood pressure can't be controlled!"

In just a few moments, the patient's blood pressure had risen to 170/95mmHg.

Moreover, the dosage of antihypertensive drugs has been prescribed to the maximum, but the patient's blood pressure still seems to have a tendency to rise.

The patient began to have dull pain again, and his condition was not optimistic.

"Director Zhou, it seems that this patient can't be sustained by drugs to lower blood pressure alone, and he needs to have surgery as soon as possible!"

But now Lin Yi is suggesting that the patient have surgery as soon as possible, which makes Zhou Chao embarrassed.

If surgery could have been done, wouldn't it have been done a long time ago?

What will you wait until now?

Zhou Chao frowned, thought for a while, and had to say: "Gao Lin is not here, otherwise let him be transferred to the hospital, it is really difficult to do it in our place!" ”

Lin Yike is very aware of this patient's situation.

If you are transferred from their hospital to a big hospital in the province, you can't fly and need to be sent by ambulance.

It takes at least a few hours for an ambulance to arrive.

The bumps along the way are likely to worsen the patient's condition, resulting in his death.

Overall, the risk of transferring him to the hospital is higher than the risk of waiting here for three days.

In this way, the situation of this patient is, in short, nine deaths, and his life hangs by a thread.

In this case, Lin Yi couldn't sit idly by.

He was a doctor after all.

If you don't save yourself when you see death, you will have a bad conscience.

If he doesn't know how to do the surgery, then he won't feel guilty if the patient dies.

But in this situation, if the patient dies, Lin Yi will not forgive himself in his heart.

It's like this, and he doesn't care what "more is better than less", saving people is important.

Looking at Zhou Chao's painful choice, Lin Yi said, "Director Zhou, why don't I do this operation!" ”

"You ........."

Zhou Chao couldn't help frowning and looked at Lin Yi.

"Will you do this interventional surgery?"

Aortic dissection aneurysm stent implantation is a fourth-level operation, and the difficulty is not ordinary.

The entire central hospital can also be done by Gao Lin.

I haven't heard of any other doctor who can do this.

And now Lin Yi actually said that he could do this operation.

Zhou Chao also knew in his heart that the possibility of Lin Yi joking was almost non-existent.

Lin Yi has been here for so long.

Although it is said that he can't understand Lin Yi thoroughly, he already has a certain understanding of Lin Yi.

Lin Yi is a very stable person, and he will not joke casually in the part of treating diseases and saving people.

Lin Yi looked at Zhou Chao's expression and knew that he didn't believe what he said.

Don't say it's the Zhou Dynasty, if it were someone else, he wouldn't believe it himself.

After all, age and experience are here, Lin Yi is too young.

Lin Yi said solemnly: "Director Zhou, in this kind of matter, of course I won't joke nonsense, what I said is true, I can do this operation."

But if you really don't believe me, just don't say it. This patient, whether to transfer him to the province, or let him wait for three days to wait for Director Gao, you can make up your own mind! ”

You have to say it, and you can't let yourself go against your will.

As for how the Zhou Dynasty made up his mind, that was his business, and Lin Yi did not interfere.

Zhou Chao thought for a while, approached Lin Yi, stared straight into his eyes, and asked again, "Lin Yi, can you really do this surgery?" ”

Lin Yi nodded and said, "I can affirm to you that I can do this operation 100%, and I won't joke with the patient's life." ”

Seeing Lin Yi so sure, Zhou Chao seemed to breathe a sigh of relief.

He looked at Lin Yi fixedly and said, "Okay, this patient will be handed over to you, and you will do this operation." ”

After informing Song Borui to come to the operation together, he was also surprised.

Although he knew that Lin Yi was very clever in hand surgery and general surgery.

But he really didn't expect that Lin Yi would actually do interventional surgery.

In particular, this kind of fourth-level cardiovascular intervention surgery is really beyond his expectations.

However, Song Borui also knew in his heart that Lin Yi would not joke about this matter.

Moreover, after seeing the patient, I also know the patient's condition, and it is estimated that it will not be able to wait for three days, and the possibility of transferring to the hospital is almost none.

What they can do now is to unconditionally believe that Lin Yi can do this operation well.

Zhou Chao explained it to the family in detail again, and then asked the family to sign the consent form for the operation.