Chapter 267 Fighting for life with death, extraordinary courage and courage

Author: Jiangbian Yuweng

Chapter 267 Fighting for life with death, extraordinary courage and courage

After arriving at the cardiothoracic surgery department, I originally wanted to ask the doctors and nurses which operating room it was.

He found that all this was unnecessary.

No need to ask at all.

Because there were medical staff trotting in and out of operating room No. 3, all of them looking solemn.

Outsiders may not see anything, but insiders will know something is wrong.

Only when the patient's life is in danger will medical staff become so nervous.

Various rescue supplies were transported in to save people.

Doctors and nurses from multiple departments of the hospital will rush over as soon as possible to participate in the rescue work after receiving help.

Zhou Can followed two nurses into the operating room.

There were simply not enough clothes in the operating room, so the nurse temporarily placed a large pile of disposable protective clothing.

It can also be used in emergencies.

I am worried that this kind of protective clothing is not breathable and will be extremely stuffy when worn on the body. If wearing it for surgery, the doctor will definitely feel very uncomfortable.

It was important to save people now. After Zhou Can changed his clothes, he quickly walked into the operating room inside.

"Director Xue! Director Le!"

Zhou Can found that many of them were familiar faces. He had spent three months in the cardiothoracic surgery department and basically knew all the formal doctors and nurses in this department.

He couldn't say hello to all the ordinary medical staff. He only said hello to Director Xueyan and Director Le.

"You're finally here. Come help and see if you can rescue the patient!"

Director Xueyan felt a little hopeful again when she saw him arriving.

"Okay! Let me first understand the patient's basic situation."

Zhou Can agreed while learning about the patient's accident through Director Xueyan's introduction.

The patient, a 41-year-old male, accidentally fell down while going down the stairs at home, and his left limb hit the ground first. After the fall, he got up on his own and did not feel much discomfort.

When it was time to eat dinner, the patient felt tightness in his chest, palpitations, and labored breathing, as if a big invisible hand was covering his mouth and nose.

Later, the patient started coughing and coughed up blood.

At this time, his family members realized that something was wrong and took him to a local health center for treatment.

Because it was evening when I went there, the doctor on duty made a brief diagnosis and admitted the patient to the hospital first. He was going to check the patient's chest X-ray after work tomorrow.

The patient was worried about spending money and felt that it was nothing serious, so he refused to be hospitalized, so he insisted on going home.

After returning home, apart from coughing and chest tightness, I had no other symptoms.

In the end, I just endured it like this, hoping that my body would get better soon.

This delay lasted for twenty-seven days, but the patient's condition did not improve, and instead the chest tightness became more severe. In severe cases, he could not breathe and was accompanied by chest pain.

Yesterday, the patient suddenly fainted at home. His family members were worried that something had happened and sent him to the hospital.

The local health center did not dare to admit the patient and suggested sending him to a large hospital for diagnosis and treatment.

After many twists and turns, the family finally brought the patient to Tuya Hospital.

After receiving the emergency treatment, he felt that it could not be dealt with, so he transferred the patient to the cardiothoracic surgery department for further examination and diagnosis.

Director Hu Kan received a report from the doctor below that the patient's condition was very bad. A chest X-ray examination was performed on the patient. It showed that the patient had a hydropneumothorax on the right side and the right lung was compressed by more than 80%.

Later, a thoracentesis was performed on the patient, and a small amount of non-clotting blood was extracted.

The final initial diagnosis was hemopneumothorax.

Because the situation was urgent, Director Hu Kan decided to perform an exploratory thoracotomy on the patient.

Based on his diagnosis and treatment experience, he must have concluded that the patient suffered internal injuries after falling. This kind of hemopneumothorax is very difficult, especially since the patient took so long to get treatment.

Under normal circumstances, it is easier to find the bleeding point and injured area during an examination when you first fall.

After nearly a month of delay, I came back for the examination. Many of the original lesions disappeared or turned into hidden lesions, which will definitely greatly increase the difficulty of diagnosis and treatment.

Exploratory thoracotomy needs to be performed on the patient under general anesthesia.

Twenty minutes before anesthesia, the doctor injected the patient with scopolamine intramuscularly.

The use of this medicine can effectively slow down the patient's intestinal peristalsis and reduce the secretion of respiratory mucus.

Unexpectedly, the patient had just been connected to the life monitoring equipment and had not had time to perform general anesthesia surgery. The patient suddenly began to have symptoms such as restlessness, clammy limbs, and cyanotic lips.

Director Hu Kan remained calm in the face of such emergencies, immediately administered local anesthesia to the patient, and then performed closed chest drainage from the right sixth intercostal space at the mid-axillary line.

In the end, nearly 1000ml of accumulated blood was drained out of the drainage bottle.

Director Hu Kan then administered 12 ml of 2.5% sodium thiopental and 100 mg of succinylcholine to the patient for intramuscular injection.

Immediately afterwards, an endotracheal tube is inserted into the patient.

After about two minutes, the patient resumed breathing on his own.

Unexpectedly, the good times did not last long, and it was soon discovered that the patient's respiratory resistance increased. After discussing with the anesthesiologist, Director Hu Kan gave the patient intravenous injection of fentanyl and had the patient inhale enflurane.

But the situation didn't get any better.

After a while, I found that there was no water bubbling in the drainage bottle, and there was no fluctuation in the water column in the glass tube.

Director Hu Kan squeezed the drainage tube with his hand and still no blisters came out.

At this moment, the patient's heartbeat stopped.

Director Hu Kan decisively ordered the patient to perform cardiac compressions and rescue operations.

Open the chest for exploration from between the ribs. When the pleura is incised, air bubbles and blood will flow out from the incision.

When Director Hu Kan saw this situation, he said in a sad voice, "Continue the heart compressions, intravenous and intracardiac injections..." Before he could finish his words, he fainted on the ground.

Director Hu Kan is known as the most stable scalpel and has never failed before.

Only the last time I took a risk to perform an operation on the thymoma patient and almost had an accident. At that time, Director Hu directly suffered a myocardial infarction. It was Zhou Can who carried him around and tried to save him, and finally saved him.

It is precisely because of this relationship that Director Hu Kan still has a very close relationship with Zhou Can.

Unexpectedly, less than a year had passed and something happened to Director Hu Kan again.

And what happened this time was a bit unfair.

The person with the greatest responsibility should be the anesthetist and physician. Director Hu Kan just happened to be involved in this matter. He would have passed out in the operating room, and he must have known that it would be difficult to revive the patient.

He worked hard to retain the title of the most stable scalpel throughout his life, but it was ruined in one day.

The stimulation was so great that he fainted.

Not to mention that Director Hu Kan was rushed to the hospital after he fainted. Director Xue Yan took over Director Hu Kan's position as surgeon and continued to rescue the patient together with the official doctor.

Under her command, the patient was given rescue measures including intravenous and intracardiac injection of epinephrine and lidocaine.

With the help of these drugs, which can make the heart beat harder, the patient can resume beating again.

Unfortunately, it only lasted less than a minute, and the patient's heart stopped again.

Since then, they have been working hard to continue to rescue patients.

After Zhou Chan quickly learned about the matter, he had a general understanding of the patient's cause and condition.

When you reach out, the patient has no pulse, the body is cold, and the skin is sticky.

There is no body temperature that normal people should have.

"Where will happen?"

Zhou Chan forced herself to calm down, and the patient did not have an autonomous heartbeat and breathing at present, and relying on artificial cardiopulmonary resuscitation to maintain the most basic blood oxygen exchange. The rescue at this time must fight in seconds.

Most of the patient's body entered the ghost gate.

Several chief physicians and deputy chief physicians of the cardiac surgery are participating in the rescue on the spot. Director Liu Xiangqing of the Department of Severe Medicine invited all.

But in the face of the fact that patients were almost dead, they were helpless.

At this moment, Zhou Chan's emergency health medical skills have played a huge role.

His mind is particularly calm, and the idea of ​​diagnosis and treatment has become unprecedentedly powerful and clear.

"Cut off the three ribs of the patient and open the chest windows to open the window! The problem is likely that there is a blood clot in the chest cavity itself.

Zhou Can expressed his own diagnosis.

After passing it quickly in his mind, he thought that there was only this possibility.

If the patient's heart had a major problem, it would be dead when the injury was injured, and it could not live now.

Since a large amount of blood accumulation is drawn from the patient's chest, although those are all undisclosed blood, it does not mean that there is no blood clot.
To be continued...