I Can See Health: Chapter 88 Let me do it
Chapter 88 I'll Come
In the elevator.
"The logistics department of the hospital is also true. This elevator is always broken. Why don't you find a time to repair it?"
He Sirong looked at the patient on the bed and couldn't help saying.
"There are too many people in the hospital, and it is overloaded almost every day." Jiang Qingyan said softly, "Not only our second hospital, but also the situation in several other affiliated hospitals. The elevator often breaks down."
Lu Chen didn't talk to everyone, he stared at the patient on the bed.
Pay attention to the changes in various vital signs on the ECG monitor at the bedside, as well as the changes in the health value on his head.
Suddenly, the health number on the patient's head jumped.
jumped from 51 to 49!
Lu Chen's heart sank to the extreme.
It's only been a minute since the ten minutes the logistics staff said just now!
"Um...uh..."
Suddenly, on the hospital bed.
The patient's breathing became more rapid, from the original 30/min to 40/min!
Blood oxygen saturation dropped from 91% to 85% all of a sudden!
Heart rate has risen from 110 beats/min to 125 beats/min!
"This...patient...he...he..."
He Sirong's face turned pale.
Lu Chen and Jiang Qingyan also noticed the abnormality of the patient at the first time.
"Don't panic! Take the patient's blood pressure!" Lu Chen said to Ke Yue.
Ke Yue was at the head of the hospital bed, with the centrifugal electric monitor nearest.
She nodded immediately, then leaned down and pressed the button on the ECG monitor to measure blood pressure.
At the same time, Lu Chen compressed the patient's oxygen balloon, trying to make the oxygen inhalation flow faster.
"Jiang Qingyan, call Senior Sister Guoguo again, tell us what's going on inside, and ask her to help contact the outside support staff!" Lu Chen said to Jiang Qingyan.
"it is good!"
Jiang Qingyan immediately took out her mobile phone and called Sun Guoguo.
At this point, the blood pressure measurement of the ECG monitor ends.
Blood pressure 80/45mmHg!
Oops!
Shocked!
Seeing this blood pressure, everyone present felt that something was wrong!
Lu Chen immediately approached the elevator door, patted the elevator, and said loudly, "How long will you be outside? The patient's condition has worsened!"
"Ten minutes more!"
The sound from outside made everyone in the elevator feel particularly heavy.
According to the current state of the patient, let alone ten minutes, it is a question whether the patient can survive in five minutes.
Moreover, no matter what the treatment method is now, except for pericardiocentesis, any other treatment measures are only symptomatic treatment, and there is no way to solve the root cause of pericardial tamponade.
"He Sirong, the patient has severe symptoms of pericardial tamponade and has been in cardiogenic shock!"
He Sirong also saw that the patient's condition was wrong.
"Speed up the liquid."
"Lu Chen, I can't get out now, what should I do?"
He Sirong stared at Lu Chen closely.
Jiang Qingyan and Ke Yue also looked at Lu Chen.
In the faint, several people are headed by Lu Chen.
Lu Chen didn't answer He Sirong, but turned to look at Jiang Qingyan beside him.
"Have you contacted Senior Sister Guoguo?"
"I'm in touch!" Jiang Qingyan held the phone, nodded, and turned on the phone's loudspeaker function.
…
At this time, Sun Guoguo had arrived at the door of the elevator on the 3rd floor.
The time is also just now, 2 minutes have passed.
"Junior Sister Jiang, how is the situation inside?"
"Sister, the patient's patient is unstable, blood pressure and blood oxygen saturation have dropped!"
Sun Guoguo frowned.
Shocked!
"Hang up the phone, let's talk on WeChat, let me see the patient!"
"it is good!"
Jiang Qingyan's hands and feet were very quick, so she immediately hung up the phone and opened WeChat.
dialed Sun Guoguo's WeChat number.
Jiang Qingyan pointed the phone camera at the patient on the hospital bed.
Sun Guoguo saw the patient's condition clearly.
"Blood pressure and oxygen saturation are decreasing!"
It can’t go on like this!
No one can guarantee that the patient can last for 10 minutes?
She turned her head to look at the elevator logistics staff beside her.
"Brother, can you force the door now?"
The logistics staff immediately shook their heads: "It's not working for the time being, we haven't finished the inspection, and the door of this elevator can't be opened."
Sun Guoguo was very anxious when he heard this!
"If this patient does not perform pericardiocentesis immediately to relieve the compression, he will die at any time!"
…
In the elevator.
Everyone is also aware of the current situation.
There are still seven minutes before the logistics staff open the door.
But in the current state of the patient, every minute spent is lucky!
I have to wait another seven minutes, which is like a foot has entered the door of the morgue.
On the hospital bed, the patient's symptoms of breathing difficulties became more and more severe.
Blood oxygen is getting lower and lower!
The health value on his head dropped from 49 to 42!
However, Lu Chen and others could only watch the patient's condition worsen!
…
At this moment.
In the elevator area on the 3rd floor of the eighth district, a group of people suddenly came quickly.
is headed by Li Yao, director of the Cardiology Department, and Lin Cui, the deputy director, followed by Dr. Yin Xinhua.
After they knew about this, they rushed to the 3rd floor as soon as possible.
"Guoguo, how is the situation?"
"not too good!"
At the elevator door, Sun Guoguo handed the phone to Liyao.
Li Yao had seen the patient's condition and knew the seriousness of the matter.
If pericardiocentesis is not performed immediately, most of these patients will die of shock!
"Can't open the door?"
"It's still seven or eight minutes!"
There were about a dozen people present, but it was exceptionally quiet.
Faced with this situation, everyone raised their hearts to their throats.
"Can you open the elevator door a crack?"
At this time, Chief Physician Lin Cui suddenly said.
The logisticians paused and discussed with each other.
"Yes, but only about 10cm."
"Okay, that's it." Lin Cui nodded.
Li Yao frowned and looked at Lin Cui, "Are you thinking..."
Before he could finish speaking, Lin Cui nodded.
"One of my graduate students, He Sirong, is in the elevator now. She can perform pericardiocentesis! As an assistant, she has completed many punctures."
"I think, hand her the pericardiocentesis tool and let her operate inside!"
"Blind wear?" Li Yao frowned.
Lin Cui nodded, "The patient has a large amount of pericardial effusion, so it shouldn't be difficult for a blind piercing!"
The time is tight, and it is too late for Li Yao to think about it.
"Okay! Let her pierce!"
"Don't worry, Director Li, if something goes wrong, I will take all the responsibilities!" Lin Cui said solemnly.
Li Yao glanced at Lin Cui, "I am the director of the ward, this is a decision I made, and I will bear it!"
Lin Tsui paused, but did not speak.
At this time, a doctor had already gone to the CCU and brought back the pericardiocentesis kit.
…
In the elevator.
Lu Chen and others also got the news.
Li Yao and Director Lin Cui outside decided to let He Sirong perform a heart kit puncture!
The logistics staff opened the elevator door about 10cm and handed in the pericardiocentesis kit!
He Sirong took the puncture bag, his hands trembling slightly.
This is blind dressing!
She did have a pericardiocentesis before, but it was all under the guidance of ultrasound, with the guidance and help of a superior doctor.
Under the guidance of ultrasound, the puncture point and location are extremely easy to select, and knowing the situation in the pericardium, the puncture direction can be changed at any time.
But, now it is, blind wear!
This is like walking in the middle of the night when you can't see your fingers, you can only rely on your own familiarity with the road, step by step tentative!
He Sirong put on gloves and placed puncture tools.
The patient's chest puncture has been fully exposed and sterilized three times!
Extract the lidocaine anesthetic and come to the vicinity of the puncture site.
He Sirong took a few deep breaths, but his hands were still shaking.
…
Outside the elevator.
Everyone is making a video call on their mobile phones and watching the whole operation.
"Xiao He, puncture under the xiphoid process! This position is relatively safe!"
Lin Cui reminded.
Li Yao stared at the video, frowning.
This kid is so nervous!
Hands are shaking!
Even though the camera was separated, she was keenly aware of this.
This is not acceptable!
In case, after the puncture needle enters the pericardium, it is accidentally checked by hand and poked into the heart, which will be a disaster!
Lin Cui also noticed this.
"Xiao He, don't be nervous, just do what you usually do!"
But the more he reminded him like this, the more nervous He Sirong was in the elevator!
She found the puncture point under the xiphoid process, but the needle has not been placed!
On the hospital bed, the patient's symptoms are getting worse!
The blood oxygen saturation even dropped to 80% at one point!
"He Sirong, calm down!" Lu Chen said solemnly from the side.
He Sirong's face turned pale.
Looking at the patient in front of him, he kept thinking, what if he poked his heart?
What if I poke the liver?
What if it fails and the patient dies?
He Sirong was hesitant and did not place the needle for a long time!
But on the hospital bed.
The patient is gasping for breath, and the blood pressure and oxygen saturation are decreasing!
"Let me do it!"
I don't know when, Lu Chen had put on gloves and stood beside He Sirong.
(end of this chapter)