Chapter 453 No one in Baiyun Province can save him!
"No, even if we are here, we may not be able to save him..." the doctor on board said seriously.
For many injuries, the mortality rate outside the hospital is too high. Except for Xu Qiu, I am afraid no one can save their lives.
Thanks to Xu Qiu's presence and his well-organized command in the emergency department, all the critically injured patients survived.
"Doctor Xu, do you want to go back with us for a check-up?" the captain of the emergency team said respectfully.
"Need not."
Xu Qiu himself is a doctor. He is very clear about the invisible injuries after various car accidents, and it is easy to judge that there is nothing wrong with him.
What's more, he put on his seat belt at the last moment and broke his ribs.
Rib fractures, on the other hand, require no treatment at all, except for flail chest caused by multiple fractures.
"Uncle Wei, you can follow me for a checkup." Xu Qiu looked at the driver.
"good!"
Uncle Wei wiped the blood on his forehead that had solidified. During the car accident, his head hit the steering wheel. Now that he came back to his senses, he realized the pain.
…
The night was not uneventful.
After Fu Qing sent Xu Qiu home, he also sent several special police officers on duty near the apartment.
As a result, Xu Qiu went downstairs again in the middle of the night.
"Doctor Xu?!" The special police immediately came to greet him.
"It's so late at night, what are you doing..." asked another special police officer.
Xu Qiu waved her hand: "There are patients over there in the hospital who need to be rescued."
"But you also tonight..."
"It's out of the way."
"I'll send you off!"
A special police officer quickly drove over, and his companion called Fu Qing.
More than half an hour later, Xu Qiu appeared at the door of the emergency department.
He Hai looked very apologetic: "This patient's condition is very bad. Linhai... No, no one in Baiyun Province can save him. I can only call you."
Xu Qiu nodded.
He had already read the patient's information on the way here.
Male, 41 years old, he was the pneumothorax patient who was rescued by Xu Qiu after the car accident at around 8 o'clock last night.
His chest pain lasted for another four to five hours after admission, and the pain was like tearing pain from the chest to the back.
An experienced doctor can tell at a glance that there is a high probability of aortic dissection.
Therefore, a few hours ago, famous doctors Joseph and Saitono were eager to try it and rushed to the emergency room with the modified SUN surgery.
Upon inspection, everyone was dumbfounded.
Plain head scan + CTA of large blood vessels of the chest + CTA of large blood vessels of the abdomen show:
1. Aortic dissection: Stanford type A; the upper breach is located in the wall of the ascending aorta and is about 16 mm wide; re-breaks can be seen in the abdominal aorta, involving three coronary sinuses, the brachiocephalic trunk, the left common carotid artery, and the left subclavian artery , Ascending aorta-abdominal aorta bifurcation; thoracoabdominal aortic dissection aneurysm formation, the wider part is about 91mm.
2. Aortic valve annulus diameter...
…
The lesions revealed by the examination were extremely exaggerated, with numerous tear sites. There were at least four tears from the ascending aorta to the abdominal aorta, and the straddling true and false cavities spread through the openings of the celiac trunk, inferior mesenteric artery, and left renal artery. .
Joseph, Saitono and others who wanted to show off their talents were all stunned.
With an injury of this magnitude, it was already a miracle that he survived the CT scan, let alone surgery.
Even at Levelland Medical Center, such patients are basically sentenced to death, with no room for rescue.
However, the family's willingness to rescue was very strong, so the clinic could only go all out. Wang Fan, Jiang Mai and others all went to the hospital. Cardiac arrest occurred two or three times along the way, and several rounds of compressions were performed.
The patient woke up from pain several times, and was finally given the most powerful morphine for pain relief, but it still didn't work.
Dong dong dong——
At this moment, there was a sound of footsteps outside the rescue room, and the frowning Wang Fan and others' faces showed joy: "Brother Xu is here!"
Joseph and others looked at it at the same time, their eyes shining brightly. They finally realized what it felt like to have a big boss protecting them...
The next moment, Xu Qiu, wearing a white coat, entered the emergency room, and everyone's eyes immediately came to him.
"Blood pressure 180/?mmHg."
Xu Qiu glanced at the patient's life monitor and frowned immediately.
High blood pressure is grade three, and low pressure cannot be measured. This is already a blood pressure that is on the verge of danger.
He Hai was a little shocked: "I was given antihypertensive drugs before, why did my blood pressure rise again?"
Wang Fan and others shook their heads. The patient was currently beyond control - a large-scale tear in the aorta; aortic aneurysm rupture; high blood pressure has reached the most serious level...
No one knows what to do next!
"Were you given sedation and pain relief?" Xu Qiu asked.
Wang Fan: "Give it, morphine! But the effect is not very good."
"Ineffective?"
Xu Qiu came to the hospital bed.
There are several principles for acute aortic dissection: effective analgesia, control of heart rate and blood pressure, reduction of aortic shear stress and reduction of aortic rupture risk.
Nowadays, analgesia and blood pressure reduction are no longer effective, so we can only work on other aspects.
"Prepare for improved SUN surgery!"
As soon as Xu Qiu finished speaking, the eyes of Joseph and others lit up again.
I finally had SUN surgery again. God knows Xu Qiu is obsessed with palm finger regeneration these days, and how annoying that guy Noah is!
"Can a patient with this physical condition undergo surgery?" He Hai was shocked.
Xu Qiu said seriously: "We have to do it."
Theoretically, a patient with a blood pressure of 180 cannot be pushed to the operating table, but the patient is already on the verge of death, so there is no need to worry too much.
It is nothing more than asking the anesthesiologist to come and find a way to lower the blood pressure to around 160.
In addition, the patient's aorta has been torn open in all layers, and there are multiple ruptures, which is almost the same as being torn from top to bottom.
Even morphine does not work, which is enough to imagine how severe the pain is!
If the patient is not rescued by surgery immediately, even if he does not die of blood loss, he will die in pain!
Conventional SUN-style surgery is helpless in the face of this situation.
However, Xu Qiu's improved style can reduce damage to the pulmonary artery, esophagus and local nerves, and significantly shorten the operation time of the proximal anastomosis of the descending thoracic aorta, thereby shortening the aortic occlusion time.
In such a dangerous operation, time is the success rate, and it is life!
Only the modified SUN operation, and the complete version mastered by Xu Qiu, could be successful. Even if Joseph and Saito Ye were half-baked, it still wouldn't work.
"Hurry up and ask the family members to talk before the operation!" Joseph was impatient.
Soon, three or four family members came to the conference room. The patient's wife's eyes were red and swollen from crying, and she was out of breath.
During the whole conversation, the family members were very cooperative and basically signed everything they could, just to save the patient.
This scene made Joseph, He Hai and others feel nervous.
