Chapter 2754 Overnight referral
“Chief, I’m in pain ...” The patient was lying on the bed, his face pale. The reason why it was white was because of the blood loss, and also because of fear.
On the operating table, the Departnt director’s face was dark, and he did not say a word. The nurses who were talking and laughing earlier also fell silent. More and more instrunts were being pushed over, and he was even being treated with so treatnt thods that he did not know about.
It was scary just thinking about it.
“Which part of your body hurts?” Departnt Director lang asked. His face did not look any better than the patient ‘s, it was also deathly pale.
“My chest. The spot where you gave the needle earlier hurts.” The patient said after taking a deep breath.
“The puncture is a little painful. It should be fine. It should be ...” Departnt Director lang prayed silently in his heart. Pericardium puncture might have the word ‘technique’ in it, but in many statistics, it was not considered a surgery. It was just a form of operation.
It was just like closed thoracic drainage. The most outrageous thing was the one-ti urinary catheter. So hospitals could still consider it a surgical thod to increase the total number of surgeries in the hospital.
However, even though it was also a surgery, the difficulty of a cardiac puncture was much higher. Departnt Director lang was worried that there would be side injuries, but after hearing the patient’s description, he was a little relieved. It should only be skin pain.
What should he do? He looked at the patient’s blood pressure that continued to drop, and once again gave an order to increase the amount of epinephrine to stabilize the patient’s blood pressure.
If it didn’t work, then he would use IAB. Through physical effects, it would increase the internal vasolasty pressure in the aorta, increase the blood supply to the coronary artery, and improve cardiac function.
Departnt Director lang made up his mind and asked soone to prepare the IAB equipnt.
He carefully took care of the patient and did not even leave the operating theater. He was ready to perform ergency treatnt at any ti.
He inserted IAPP through the left femoral artery through 1: After the reverse gambling, the patient’s circulatory system did not improve, and the blood pressure continued to show a downward trend.
This was F * cking terrible. Director lang was at a loss.
It was already midnight. What should he do now? The Departnt Director had never perford any interventional surgeries. He was just a simple internier. Right now, he was the best performing interventional Cardiovascular Surgery in the entire hospital, and he did not even have anyone to ask about it.
Departnt Director lang hesitated for a mont, but he still decided to observe and see. However, the patient’s blood pressure still showed no signs of improvent after the blood transfusion, and breathing difficulties and chest pain were gradually getting worse.
He had no choice but to pick up his phone and dial the family and friends hotline.
Departnt Director Lang’s skills in Nanshan city were the best. Not to ntion performing interventional surgeries, he could perform IAB whenever he wanted, which was not sothing ordinary people could do.
If he wanted to ask for help, he could only go to the doctors in the capital. After hesitating for a mont, he chose director Zhang Lin from 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 nopause ...” Departnt Director lang muttered in his heart. He was afraid that the ergency departnt would not accept this patient who had an accident if he was scolded.
It turned out that he had thought too much. When director Zhang Lin answered the phone, her voice was almost sleepy, but when she heard that the surgery had caused cardiac tamponade, she imdiately woke up.
Director Zhang Lin was also very enthusiastic. She knew that director lang couldn’t handle this matter, so she agreed directly.
After they agreed to send the patient to Room 912 for treatnt, Departnt Director lang finally felt better. It was just that with so many instrunts, the journey was bumpy. He still called the Departnt Director from ho to look after the house and got into the ambulance to escort the patient to a high-class hospital.
In order to save ti, director lang uploaded the patient’s information to director Zhang Lin on the way, including the color ultrasound scan done at the end.
Director Zhang Lin was no longer sleepy. It was not the first ti she had been woken up in the middle of the night. Although she could not get used to it in her life, this was what a doctor from the cardiology departnt had to do.
When he was young and on duty, as long as the nurse called out that soone had a problem, she would run to the ward without even putting on her shoes.
There were at least four hours left to watch the X-ray, if the ambulance did not make it in ti for the morning rush hour in the capital.
Because there was a lot of X-ray imaging information about the angiography, they could not transmit it through the mobile phone. Nanshan city called to say that they had sent an email.
She tiptoed out of the bedroom and turned on the computer.
The angiography looked fine. According to Departnt Director lang, a pericardium puncture was perford, and the amount of liquid that was drawn out could only be said to be dium.
Her blood pressure did not rise, but continued to drop, even if it had gone up to IAPP. Director Zhang Lin had her own judgnt.
When she finished reading the information about the angiography and checked her ultrasound results, she was stunned for a mont.
The ultrasound ... Seed to be wrong.
However, she only knew about ultrasound, but she had never studied it in depth. After all, tertiary Grade A hospitals were getting more and more specialized, and it was already good enough for her to have a simple understanding of it.
If there was a problem with the ultrasound, who would he look for? Director Zhang Lin’s first thought was boss Zheng.
Yes, he was not looking for a professor in the ultrasound room, nor was he looking for director Qi, but boss Zheng.
The patient’s condition was quite clear. The patient’s coronary artery was bleeding. It was estimated that a small branch of the bleeding had closed on its own as the pressure increased. However, the patient’s condition was extrely bad, and he could die at any mont.
Opening up the chest for exploration was the most likely subsequent operation.
Departnt Director Zhang Lin had a good relationship with the cardiothoracic Departnt. After all, the two related departnts had their own interests.
The cardiothoracic Departnt still wanted to retain a portion of their coronary artery bypass surgery, and the stent was not omnipotent, so they needed the Departnt of Cardiovascular Surgery to send patients. In this regard, the Departnt of Cardiovascular Surgery was an upper-tier Departnt, and they had an advantage.
However, once such a situation occurred, the cardiothoracic Departnt would have to deal with the aftermath.
However, none of the cardiologists were as skilled as boss Zheng. Even Su Yun’s skills were quite high, let alone boss Zheng ‘s.
As she thought about it, director Zhang Lin still looked at the ti.
After midnight, it would take three to four hours for the patient to get to Room 912 after he was sent out of Nanshan city. He should not be able to make it in ti for the morning rush hour, so the road would be smooth.
It would not be too late for him to look for boss Zheng after he had seen the patient.
Director Zhang Lin didn’t think it would be a big problem for her to trouble boss Zheng. She felt that she knew this young doctor very well. When he encountered a patient in need of ergency treatnt, he was willing to shed all pretenses of cordiality for the sake of treatnt. Professor Zhang had been scolded before, and there seed to have been physical contact.
After making up her mind, director Zhang Lin changed her clothes and went straight to the hospital’s office to sleep. She was woken up when the patient was sent in.
At this ti, the sky was already starting to light up. The patient’s face looked as if it had been covered with white paper, and it was frighteningly white. Director lang, who was pushing the Gurney in, was also pale. Zhang Lin even suspected that there was sothing wrong with him.
The patient’s blood pressure was 62/45 mmhcg, and there was also four units of red blood cell suspension. Departnt Director lang bowed repeatedly as he spoke of the patient’s condition and words of gratitude. Director Zhang Lin called boss Zheng without hesitation and asked him to co and take a look at the situation.
This was also because they were in 912. No other place would have such convenient conditions.
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