"Chief, I'm in pain …" The patient lay on the hospital bed, his face pale. The reason why he was pale was because of blood loss and fear.
On the operating table, the chief's face was dark and he did not say a word. The nurse who had been talking and laughing earlier also fell silent. More and more instruments were pushed over, and some treatment methods were even done that he did not know about.
Just thinking about it was scary.
"Where does it hurt?" Chief Lang asked. His face did not look much better than the patient's. It was just as pale.
"My chest. The place where you gave me the needle just now hurts," the patient said after taking a deep breath.
The puncture hurt. It should be fine, it should be … Chief Lang prayed silently in his heart. Although the pericardial puncture had the word 'surgery' in it, it was not considered a surgery in many statistics. It was just a kind of operation.
It was just like the closed thoracic drainage technique. It was just a operation. The most outrageous was the one-time urethral catheterization. Some hospitals even considered it a surgical method to increase the total number of surgeries in the hospital.
However, although they were all operations, the pericardial puncture was much more difficult. Chief Lang was worried that there would be side injuries, but after listening to the patient's description, he was slightly relieved. It should only be skin pain.
What should he do? He looked at the patient's falling blood pressure and once again ordered the doctor to increase the amount of norepinephrine to stabilize the patient's blood pressure.
If it did not work, he would use IABP. Through physical effects, it would increase the diastolic pressure of the aorta, increase the blood supply of the coronary artery, and improve the function of the myocardium.
Chief Lang made up his mind and asked someone to prepare the IABP equipment.
He carefully looked after the patient and did not even leave the operating theater, ready to rescue him at any time.
The IABP was removed from the left femoral artery. After a 1: 1 reverse transfusion, the patient's circulation still did not improve. The continuous monitoring of blood pressure still showed a downward trend.
This was f * cking sh * t. Chief Lang suddenly had no idea.
It was already early in the morning. What should he do at this time? The chief had never done interventional surgery. He was just the simplest internal medicine doctor. Right now, he was the best at circulation interventional surgery in the entire hospital. He did not even have anyone to ask.
Chief Lang hesitated for a moment, but he still decided to observe. However, after the blood transfusion, the patient's blood pressure still did not show any signs of improvement. His breathing difficulties and chest pain were also gradually increasing.
He had no choice but to pick up his phone and call the hotline for relatives and friends.
Chief Lang's skills were the best in Nanshan City. Not to mention interventional surgery, he could also use IABP. This was not something that ordinary people could do.
If he wanted to ask for help, he could only find a doctor in the Imperial Capital. After hesitating for a moment, he chose Chief Zhang Lin of the 912.
Director Zhang's temper was even better. He rushed to call her in the middle of the night, hoping that she would not be angry. 'Please don't go through menopause …' Chief Lang muttered in his heart. He was afraid that he would be scolded and that the other side would not accept this unexpected emergency case.
It turned out that he was overthinking. When Chief Zhang Lin first picked up the phone, her voice was filled with drowsiness. However, when she heard that the surgery had caused a cardiac tamponade, she instantly woke up.
Moreover, Director Zhang Lin was also very enthusiastic. She knew that Director Lang couldn't handle this matter, so she immediately agreed.
After agreeing to send the patient to the 912 for inpatient treatment, Chief Lang finally felt better. However, it was a bumpy journey with so many instruments. He still called the department director over from home to look after the house while he got into the ambulance and escorted the patient to the higher-level hospital.
To save time, Chief Lang uploaded the patient's information to Chief Zhang Lin on the way, including the final color echocardiography.
Chief Physician Zhang Lin was no longer sleepy. This was not the first time she had been woken up in the middle of the night. Although she would not be able to adapt to it for the rest of her life, this was what a circulatory doctor had to do.
When she was young, when she was on duty, as long as the nurse called someone who had a problem, she would run to the ward without even putting on her shoes.
Now, there were at least four hours to look at the radiographic films, if the first-aid ambulance did not catch up with the morning rush hour in the capital.
Because there was an image of the radiographic materials, the content was relatively large and could not be transmitted through a mobile phone. Nanshan City called to say that it was an email.
She tiptoed out of the bedroom and turned on the computer.
The contrast looked fine. According to Chief Lang, he had done a pericardial puncture, and the amount of fluid drawn out could only be said to be moderate.
His blood pressure did not rise and continued to fall. It was the same even if he went to IABP. Chief Zhang Lin had her own judgment.
When she finished reading the contrast data and checked the echocardiogram, she was stunned.
The ultrasound looked … something did not seem right.
However, she only had an understanding of ultrasound, but she had not studied it in depth. After all, the tertiary Grade A hospitals were becoming more and more specialized. It was already very good to have a simple understanding.
If there was a problem with the echocardiogram, who should she look for? Chief Zhang Lin's first thought was Boss Zheng.
Yes, it was not a professor in the echocardiogram room, nor was it Chief Qi, but Boss Zheng.
The patient's condition was already relatively clear. The coronary artery was bleeding, and it was estimated that the bleeding was a small branch. As the pressure increased, it had already closed on its own. However, the patient's condition was extremely poor and he could die at any time.
Thoracotomy was a follow-up operation with a high probability.
Chief Zhang Lin and the Department of Cardiothoracic Surgery had a very good relationship. After all, the two related departments had their own interests and needs.
The Department of Cardiothoracic Surgery still wanted to retain a portion of the coronary artery bypass surgery. The stent was not omnipotent, and they needed the Department of Circulatory Surgery to send the patient. In this regard, the Department of Circulatory Surgery was the upstream department and had the advantage.
However, once such a situation occurred, the Department of Cardiothoracic Surgery would have to solve the subsequent matters.
However, which doctor's standard was higher than Boss Zheng's? Not to mention Boss Zheng, even Su Yun's standard was quite high.
After thinking about it, Chief Zhang Lin still looked at the time in a very measured manner.
After midnight, it would take three to four hours for the patient to be sent out from Nanshan City to 912. He should not be able to catch up with the morning rush hour, and the journey would be smooth.
She would take a look at the patient first, and then it would not be too late to look for Boss Zheng.
Chief Zhang Lin did not think that it would be a big problem for her to trouble Boss Zheng. She felt that she knew this young doctor very well. When it came to patients who needed rescue, he was willing to shed all pretense of cordiality in order to treat them. The narrow-minded Professor Zhang had been scolded before. There seemed to be physical contact.
After making up her mind, Chief Zhang Lin changed her clothes and went straight to the hospital's office to sleep. It was not until the patient was sent over that she was woken up.
At this time, the sky was already bright. The patient's face was as white as a sheet of paper. It looked frighteningly white. Chief Lang, who was pushing the stretcher trolley in, also had a pale face. Zhang Lin even suspected that there was something wrong with him.
The patient's blood pressure was 62/45mmHg, and he also had 4U of red blood cell suspension. Chief Lang bowed repeatedly, talking about the patient's condition and thanking him along the way. Chief Zhang Lin did not hesitate to call Boss Zheng and ask him to come and take a look at the situation.
This was also in 912. Even if he changed places, he would not have such convenient conditions.
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