[Emergency Mission: The Dying.

Mission: Successfully resuscitated a patient with ruptured aortic dissection.

Mission duration: 2 hours.

Reward: Bad Luck Charm +2. 】

Luo Hao did not complain about the reward of bad luck, but directly smacked his tongue at the content of the task.

The task is very clear, it is not aortic dissection, but aortic dissection rupture!

If that thing breaks, the patient will die within 1 minute! How to save?!

Do you really think you have a resurrection card?

"Boss, I'll go." Luo Hao roared directly.

Although he was smiling about the task, Luo Hao's gentle expression disappeared unconsciously, and there seemed to be a horn sounding in his ears.

Chen Yong was stunned for a moment, and just wanted to habitually mock, but the aura emanating from Luo Hao's body reminded him of the forty-meter broadsword.

Following behind Luo Hao, the two of them trotted to the emergency department.

"Which patient is looking for an interventional consultation?" Luo Hao shouted loudly on the side of the corridor.

"Professor Luo, this side!"

The doctor in the emergency department saw that it was Luo Hao and pointed inside.

"Abdominal aortic dissection aneurysm, take a look at it in your palm, and do it in the emergency." Emergency physicians aren't in a hurry.

Luo Hao rushed into the emergency room.

The emergency room was quiet, with the ticking of monitors and micropumps.

The damn aneurysm hasn't been broken yet!

If it is broken again on the operating table, it is still excusable, as long as you hurry up to do the operation, and then plug the breach before the patient dies.

Luo Hao finally breathed a sigh of relief, but only a sigh of relief.

The system is very reliable, and if the dissection aneurysm is ruptured, it will definitely break!

Hurry!

"Where's the film?"

Luo Hao stretched out his hand to ask for a film, and at the same time looked at the value of the ECG monitoring.

Blood pressure: 110/75 mmHg; Heart rate: 95 beats per minute; Oxygen saturation 96%.

Not bad.

"The micropump controls blood pressure, it has come down, and I just gave a morphine analgesia." The emergency doctor was well-trained, and while talking about the disposition he had given on this side, he took the tablets out of the tablet bag and shook them habitually.

"Brush~"

The film made a brushing sound, and the crisp energy of emergency first aid was fully revealed.

"Doodoo~~~"

The alarm sounded and the patient's heart rate rose from 95 to 110.

"Send the patient." Luo Hao was about to take the film, but a dark shadow suddenly flashed in his heart.

Wrong!

Damn, this is the emergency department, and the cuff measures blood pressure, and the shortest time is every 5 minutes.

In other words, the patient's blood pressure seems to be stable, but it is a blood pressure at a certain point within 0-5 minutes, not the current blood pressure.

"Doodoo~~~"

The alarm continues to sound, and the patient's heart rate has increased to 120 beats per minute.

"!" Luo Hao didn't answer the film, and strode forward to press the button to measure blood pressure.

At the same time, Luo Hao shouted loudly, "Chen Yong, you go to the operating room and prepare for surgery!" ”

Chen Yong was stunned, but there was only one voice in the medical team, it was an emergency first aid, and he absolutely could not question Luo Hao's decision.

He turned and ran, twice as fast as he had come, faster than a rabbit.

"Professor Luo, your blood pressure is okay, don't be nervous." The emergency doctor smiled to reassure Luo Hao, who felt that Professor Luo Haoluo was a little nervous.

Also, such a young professor, although it is said that the level of chronic surgery is very high, but emergency surgery is not necessarily.

It is estimated that Professor Luo was already panicked when he heard about the aortic dissection aneurysm.

"Salt water!"

After Luo Hao finished shouting, he put the monitor on the flat car, and at this time, the value of the monitor's blood pressure had already appeared - 60/30 mm Hg.

Finished!

The emergency doctor's heart was cold, and a cold air rushed from his heel to the back of his head.

Although the treatment was seamless and the blood pressure was well controlled, the patient's aortic dissection aneurysm was still broken!

"桄榔桄榔~~" The emergency flat car crushed the marble floor and rushed out of the emergency room.

"Patient's family, follow!" Luo Hao didn't care who the patient's family was, and shouted loudly. At the same time, Luo Hao squeezed the salt water and used his hand as a pressurized infusion set.

Voices echoed through the corridors of the emergency department, like hollow valleys.

A child who was about to break tetanus was crying, but after hearing Luo Hao's voice, he forcibly stifled the crying and stared at the flat car that ran past with wide eyes.

A patient who was complaining that no one was paying attention to him also subconsciously shut up.

If no one cares, no one cares, it's better than the doctors and nurses who are nervous and pushing the flat car to grab every minute and second.

……

Chen Yong ran, his right hand constantly tapping on his mobile phone.

"Mr. Ma! Interventional Operating Room!! The aortic dissection is broken! ”

Answering the phone, Chen Yong shouted loudly.

Originally, Chen Yong despised the most and thought that the most beautiful yelling has become natural.

"Right now!"

The person in the operating room spoke slurred, probably eating.

Chen Yong immediately hung up the phone and continued to call while running wildly.

"Lao Meng, operating room, rescue! Bring the nurse with you!! ”

Meng Liangren didn't speak, Chen Yong hung up the phone, and the next call was to Yuan Xiaoli.

"Director Yuan, the dissection is ruptured, preparing for surgery!"

"Wait, stupid!" Yuan Xiaoli reacted very quickly, "If the dissection is broken, you can push the patient to the operating room, which is considered awesome!" ”

Yuan Xiaoli has always looked at Chen Yong wrongly, although he has already knelt, but it is aimed at Luo Hao, and he has nothing to do with Chen Yong.

So Yuan Xiaoli grabbed a "flaw" in Chen Yong's words and sprayed it directly.

"Luo Hao pushed the patient to the operating room, you don't do anything if you have the ability!"

As he spoke, Chen Yong had already come to the interventional catheterization laboratory, reached out and pressed the fingerprint lock to open the door of the operating room.

Chen Yong opened the door, hung up the phone, and yelled, "Yuan Xiaoli, Luo Hao will be here soon." ”

After saying this, even if it was emergency first aid, Chen Yong was stunned for a moment.

Words such as fox and tiger come flooding back to mind.

"The diagnosis is correct?" Yuan Xiaoli appeared in the corridor with a frown.

"Slippery, don't grind, if the patient pushes it over, Luo Hao will scold us to death. Hemostatic pliers hit you in the face, believe it or not! ”

Yuan Xiaoli was stunned for a moment, and then found something to cover the door of the operating room, so that when the patient advanced in, there was one less procedure to open the door.

Although it will only save 3-5 seconds, it is also something that must be earned.

"You go and prepare what you need for surgery, I'll call!" Chen Yong began to command Yuan Xiaoli.

Yuan Xiaoli was skeptical, but he still seized the time to prepare various consumables and salt water.

"In the emergency department, what was the name of the patient with aortic dissection just now?" Chen Yong continued to make the phone and walked to the computer to turn on the video system.

Enter the patient's name and the image appears.

Abdominal aortic dissection aneurysm, located below the renal arteries.

Chen Yong saw the location clearly and took a photo with his mobile phone.

"Click~"

"Boom~~~~"

As soon as the photo was taken, the roar of the flat car came in.

"Professor Luo, what patient?"

"The aortic dissection is broken, blood pressure is 30, hurry up and go to surgery!" Luo Hao's voice was a little hoarse.

Yuan Xiaoli was really stunned.

It is common sense that if the aortic dissection ruptures, the patient can live for 1-2 minutes at most.

The largest blood vessel in the human body was broken, bleeding, 2 minutes were all in the sky, Luo Hao pulled a dead man over to dry the wool?

Before Yuan Xiaoli could finish thinking about it, a huge force came.

Luo Hao pushed Yuan Xiaoli away with his shoulder, and didn't scold him, but rushed into the operating room with a flat car.

The patient has a high blood pressure of 30 and appears to have blood pressure, but it is most likely a "false" value from a dying convulsion of vascular smooth muscle.

There is a high probability that the patient in front of him has died, but he has not yet cooled down.

But there is still a distance of 100-150 seconds between this death and real death.

And the system has given a countdown to death.

The pale system panel on the numbers is passing indifferently.

00:00:01:23。

1 minute 23 seconds.

"Piece." Chen Yong took the mobile phone and shook it in front of Luo Hao's eyes.

Luo Hao saw the location of the dissection aneurysm and knew it in his heart. Although it has been tested several times in the operating room of the system, it is necessary to see what it looks like in reality.

After only one look, Luo Hao and Chen Yong stood on both sides of the operating table and flat car, and dragged the patient to the operating table with their clothes.

00:00:01:08。

"Close the door, step on the line!" Luo Hao said in a deep voice while taking off the patient's pants.

"You're crazy!"

Chen Yong was stunned.

But Luo Hao ignored him, put on sterile gloves, grabbed a handful of iodine and rubbed it at the patient's femoral artery, and sprinkled a handful of red soup by the way.

Luo Hao didn't change his clothes or wear a lead suit, he stood in front of the operating table and began to pierce.

"Chen Yong, you go and explain to the patient's family and sign before the operation."

After Luo Hao finished speaking, the puncture needle had been successfully pierced, and thin blood appeared.

Chen Yong glanced at it, he wasn't even sure if Luo Hao's piercing was successful.

The femoral artery, that's the femoral artery, just a little bit of blood? Is the color still so light?

Chen Yong turned around and closed the door.

"Director Yuan, prepare saline and high-pressure infusion."

After Luo Hao finished the puncture, he left the arterial sheath, he didn't even have time to fix the arterial sheath, and the countdown to death was silently urging him.

00:00:00:55。

It takes about 10 seconds to complete the femoral artery puncture and catheterization, which is appalling.

But Luo Hao didn't have time to be complacent, his left and right hands crossed to operate, and the guidewire guided the pig's tail tube in, and Luo Hao directly made a shot shadow.

Confirm the location of normal vascular segments as well as the location of both renal arteries.

00:00:00:25。

The balloon was fed in, and when it came to the intact section between the bleeding site and the renal artery, Luo Hao opened the balloon.

Yuan Xiaoli was stunned by Luo Hao's speed while pinching the salt water and turning himself into a high-pressure blood transfusion.

00:00:00:08。

The balloon is opened, the system screen starts flashing, and the countdown stops.

But the countdown didn't go away, and a new one appeared.

00:05:23:02。

Luo Hao was not surprised, this is normal.

Temporarily block the top of the bleeding point to prevent those "delicate" organs in the body from continuing to lose blood.

The heart, liver, lung, and kidney ischemia and hypoxia are not tolerated for a long time.

The lower limb muscles are relatively well tolerated, theoretically up to 8 hours.

The system gave more than 5 hours of evaluation, which is already relatively short.

Luo Hao breathed a sigh of relief for the time being and stopped stepping on the line.

"Damn, are you crazy!" A woman's voice appeared, the airtight lead door was kicked open, and the female Ma always strode in while nagging.

She wore a long sterile gown unique to the operating room, and a simple lead coat on her body, striding meteors, sassy and strong.

"Luo Hao, you don't even wear a lead suit, you're going to die!" The female Ma always scolded.

She scolded as she quickly opened the anesthesia first aid kit.

Immediately, various drugs were pushed through the tee.

Yoh? Not bad.

Luo Hao now has time to breathe, and sees the female Ma Zong's tricks, although she is unforgiving, she moves quickly.

Scolding is scolding, as long as you don't delay things, you can do anything.

"Eating hot pot and singing, you brought a dead man on stage, I haven't seen such an outrageous thing in so many years."

After the female anesthesia general manager was given a wave of medicine, she began to monitor her arterial blood pressure.

Arterial blood pressure monitoring is real-time, countless times more reliable than cuffs.

Blood pressure 45/23 mm Hg.

Another round of medicine pushed in.

At this time, Luo Hao had already put on a lead coat, and came back to re-disinfect and lay sterile towels after brushing his hands.

"Sprinkle red soup and serve?" The female Ma always asked.

Red soup is iodine, and sprinkling red soup means that the situation is urgent, and only the most basic disinfection of iodophor can be used to open the stage.

After all, no matter what, it's not bad for that 1-2 seconds.

"Well, temporarily plugged above the breach, under the renal artery." Luo Hao nodded, "Anesthetize." ”

"How long does it take to lose blood?"

Another shot of adrenaline pushes in.

"In less than 5 minutes, it should be in time." Luo Hao stood on the operating table, "Director Yuan, come and help." ”

At this time, Meng Liangren and the nurses also rushed over out of breath, drawing blood, sending tests, and sending blood samples to the blood transfusion department, and countless troublesome tasks were undertaken by Meng Liangren.

Luo Hao didn't ramble, nor did he command Meng Liangren.

The old ruler knew what he was going to do.

Although the team has not been running in for a long time, Luo Hao believes in them.

Yourself, as long as you do a good job, the rest is enough for Chen Yong and Meng Liangren.

"At 18:23:12, both lower limbs were blocked." Luo Hao said softly.

"You remember the time and tell me when the time comes." The female Ma said with a grin.

"Blood pressure goes up to 52."

"Blood pressure 55."

While doing her own thing, the female Ma always reported her blood pressure without Luo Hao looking up.

In less than 5 minutes, the blood pressure rose to 82/55 mm Hg, which was even more ideal than Luo Hao expected.

It was just perfect!

"Mr. Ma, what is your surname?" Luo Hao asked.

"What!" The female maha did not answer Luo Hao's words, but continued to test the patient's condition.

"Her name is Liu Yiyi, and she is embarrassed to say her name in the anesthesiology department." Yuan Xiaoli chuckled softly.

"Girl's awkward name, Lao Yuan, don't you do all your emergency surgeries? How did you change people today? Liu Yiyi asked.

"......," Luo Hao sighed.

This person who is extremely quick to work, and pushes forward one tube after another without hesitation, without grinding at all, and does not consider whose pot it is in case the patient dies.

The general manager of the anesthesiology department, who has countless advantages, has a very clear brain, sowing discord and sour words, and scolding Yuan Xiaoli into a corner with one sentence.

"......" Yuan Xiaoli was speechless.

He glanced at the blood pressure value on the ECG monitor, and then at the screen in front of him, and didn't let out a single fart.

Yuan Xiaoli knew very well that if the patient had been rescued by himself, he would have died long ago.

Can aortic dissection aneurysm rupture be recovered?

It's a myth, the kind that no one believes when you drink and brag about it.

Everyone would rather believe in love, believe that marriage can be done without a bride price, believe that a girlfriend will buy 4090 for themselves, and never believe that a patient with a ruptured dissecting aneurysm can still live if he is sent to the stage.

Yuan Xiaoli's nose was sore, and he almost didn't cry.

He couldn't afford to compete with each other for a long time, Luo Hao's outrageous level was just another proof today.

I don't know what others think, I just can't do it myself anyway.

"Professor Luo, you're awesome!" Liu Yiyi saw that the patient was breathing spontaneously, and the speed of pinching the ball slowed down a few points, and began to praise, "The rupture of the aortic dissection can be retrieved." ”

"Good luck." Luo Hao is showing off.

But when these words were heard in the ears of Liu Yiyi and Yuan Xiaoli, they became modest.

However, Luo Hao is really showing off his luck.

"It's just below the renal artery, and if it's above the renal artery, I can't help it." Luo Hao told the truth.

"I haven't heard of a ruptured aortic dissection that can be retrieved, and the patient's stomach is bulging, and it is estimated that there is blood in the stomach." Liu Yiyi said, "Did you send a blood sample?" ”

"Yes, the nurse will send it." Meng Liangren was busy in a lead coat, and he regarded everyone as a senior physician and took the initiative to "report".

"Oh, it's okay, it's time to do a pre-operative explanation." Liu Yiyi helped to check and fill in the gaps.

"When I ran in, I saw that the patient's family was paralyzed." Meng Liang said, "Dr. Chen grabbed the patient's hair ......"

"What?" Liu Yiyi was stunned.

"Well, it's just grabbing the patient's family by the hair and pinning her to the wall. Wall knock? Meng Liangren frowned and found a relevant adjective, "Dr. Chen nodded to the patient's family and nodded loudly if he agreed to the operation. ”

"Holy! Your interventional department is more special than surgery! Liu Yiyi scolded.

But the emotion in her words is praise and appreciation.

"And then?" Yuan Xiaoli asked in surprise.

The family members of the patients were forced to sign before the operation, and he didn't even dare to think about this kind of thing.

"I don't know, it's a family member of a female patient, and it's enough to have Dr. Chen here." Meng Liangren told the truth.

"Dr. Chen? Is it the new scourge? Liu Yiyi asked suspiciously.

"Scourge?"

"The little nurse in our operating room talks about Chen ...... every day Chen Yong, his eyebrows are dancing. ”

"......" Luo Hao sighed in his heart and sent the big shelf in.

Concentrate on the scaffold, it doesn't matter what the hell Chen Yong looks like to others.

"Okay." Meng Liangren hurriedly replied, "Doctor Chen should be able to get the signature." ”

The patient's blood pressure was stable, there was spontaneous breathing, Mr. Ma Liu Yiyi was given a certain amount of sedative medicine, the dose control was particularly good, the patient was not agitated, and could answer questions simply.

The rescue was timely, and the patient's brain did not fall into a state of hypoxia necrosis.

It can even be said that the whole rescue is almost perfect, even if you wear colored glasses to find faults, you can't find the slightest flaw.

Despite this, Mr. Ma Liu Yiyi is still not careless, and now the patient's blood pressure is only boosted by drugs.

The patient's abdomen was covered with blood, and it would be hellish to say that it didn't affect it.

Now is only the first step in a successful salvage.

"When will the blood arrive?" Mr. Ma Liu Yiyi asked.

"Hurry, there are about 3 minutes left." Meng Liangren replied truthfully.

Mr. Ma Liu Yiyi frowned slightly.

Not to mention the interventional team, even the surgical team rarely sees such a tacit cooperation.

The patient stepped on the bridge with both feet, held Meng Po soup in his hand, and even took a small sip.

That's it, Luo Hao and his team actually dragged the patient back.

It's almost a miracle.

Not only is Luo Hao's surgical skills strong and rescue awareness sufficient, but the overall team's smooth operation is also first-class.

Someone is responsible for all kinds of trivial things, and there is almost no omission.

Mr. Ma Liu Yiyi was thinking about it, and Meng Liangren was standing behind Luo Hao with A4 paper and a ballpoint pen.

"Professor Luo, I'll record the rescue time."

"At 18:18:48, the patient's abdominal aortic dissection ruptured in the emergency room, and he was given symptomatic treatment and rushed to the interventional operating room."

"18:21:57, enter the operating room."

"18:23:12 double lower limb blockade."

"For the rest, you can talk to Sister Liu." Luo Hao said a few numbers lightly.

Meng Liangren recorded truthfully, and did not ask how Luo Hao remembered the number accurate to the second.

"Hello, Mr. Liu." Meng Liangren is older than Mr. Ma Liu Yiyi, but he did not call Xiaoliu, but respectfully called Teacher Liu.

"Now that the patient's vital signs are stable, let's check the anesthesia record sheet?"

"Okay." Mr. Ma Liu Yiyi responded without hesitation.

The rescue record will be correct sooner or later, and now you can save time and effort, so as not to repeatedly revise what everyone remembers differently in the future.

Luo Hao's medical team is a bit interesting, and he is busy with stitches and needles, and he really doesn't waste any time.

Even the rescue time check starts when the patient's condition is just stabilized.

A few minutes later, the nurse came back gasping for breath and carrying a pile of blood bags.

"Teacher Liu, you face first, I'll go check the blood sample with the nurse." Meng Liangren said in an orderly manner.

10u red blood cells, 400ml plasma, 2u platelets, this is the blood in the stock of the First Hospital of the Medical University.

120 ambulances have gone to the downtown blood bank to get blood again.

Everything is in order.

There was no plasma heater in the interventional catheterization laboratory, so Meng Liangren did not hesitate to stuff the blood into his arms and use his body temperature to raise the temperature of red blood cells.

"Give me one." Chen Yong walked in, asked for two bags of blood to warm up with his body temperature, sat down in front of the computer and began to write a preoperative explanation.

20 minutes later, Luo Hao pulled out the guidewire and gave another shot, the dissection breach was well sealed, and the operation ended successfully.

At this time, the patient's blood pressure was 85/65 mm Hg, and he was clear and speechless, but slightly indifferent.

It's normal to be indifferent, but if you're dead for more than 1 minute and you're still alive, you're going to see a ghost.

"Send the ICU." After Luo Hao finished speaking, he stabbed.

Immediately, a heavy object fell to the ground.

Mr. Ma Liu Yiyi was stunned to see the calm old ruler following behind Luo Hao, picking up the lead clothes and money skirts one by one.

Professor Xiao Luo's spectrum is a bit big, Mr. Ma Liu thought in his heart.

But there is a reason for people to put the score, the abdominal aortic dissection is ruptured, and the whole process from the emergency department to the operating room takes less than 1 hour to get the person back.

Gee.

Terrible!

"Luo Hao, the patient's family members sign here." Chen Yong sat in front of the computer in the operation room, thinking about it.

(End of chapter)