Chapter 307 Blindly Penetrate the Pericardium!

After Chen Cang saw several directors, he hurried over: "Director, you are here."

Li Baoshan nodded and said solemnly, "How is it now?"

Chen Cang swallowed his saliva: "It's fairly stable. I'm going to do the relevant examinations now, and I'll be back soon."

Li Baoshan snorted.

At this time, Director Tao Mi of the Department of Cardiac Surgery and Director Xu Tianfu of the Department of Cardiology came over.

Tao Mi frowned and asked, "Xiao Chen? What's the condition of the patient?"

Chen Cang explained: "The patient's test results have not yet come out, I guess it may be a cardiac tamponade caused by traumatic hemopericardium!"

As soon as the words "cardiac tamponade" came out, the expressions of several directors suddenly changed!

Cardiac tamponade, this is a fatal disease!

You can't just do inspections, at least someone must be watching!

Thinking of this, Li Baoshan quickly asked, "What inspection did you go to?"

At this time, Chang Lina, who was taking the patient for examination, pushed the car and walked over with the doctor on duty in the radiology department.

The radiologist took out the MRI film in his hand: "Director, look, this is a chest X-ray, this is an MRI."

After Tao Mi heard this sentence, his face changed suddenly: "Why do nuclear magnetics?"

This sentence made everyone ask stupid!

The radiologist was stunned for a moment: "In order to clarify the blood accumulation in the pericardial cavity..."

This question confuses the radiologist. Could it be... I'm doing something wrong?

But seeing the three directors staring at him with serious faces, the radiology doctor suddenly shrank his head, am I really wrong?

Li Baoshan quickly asked, "Is the patient's condition stable now?"

Chang Lina, who was sent for examination, nodded: "Stable! Blood pressure 90/70, heart rate 70 beats per minute... The patient's vital signs are stable."

As soon as these words came out, several directors around were relieved!

Xu Tianfu said slowly: "It's not that you are not allowed to do MRI, but only when the patient's condition is stable, otherwise cardiac tamponade is very easy to kill!"

indeed!

Xu Tianfu is not joking.

Heart disease patients die in CT room and MRI room every year.

Therefore, many hospitals in China now do not recommend MRI and CT for patients with possible myocardial infarction, heart failure, etc., and wait until they are stabilized.

The radiologist smiled awkwardly: "Director, when it was delivered, it was already stable."

The three were stunned!

Cardiac tamponade caused by hemopericardium...how can it be stabilized without treatment?

At this time, Xu Tianfu, who was holding the nuclear magnetic film, suddenly froze for a moment: "No...why is there no blood accumulation?"

Even Tao Mi, who was beside him, was dumbfounded. After a careful comparison... After looking at the echocardiogram, he was immediately curious.

"No, look, the second and third ribs on the left...have obvious blunt trauma."

"But the ultrasonic fluid level..."

At this time, Lao Liu hurried in and said, "Doctor Chen, I have taken the blood you asked me to get."

At this time, everyone looked up at Chen Cang.

Li Baoshan suddenly widened his eyes: "What kind of blood is this?"

Chen Cang said: "After I arrived at the scene with the driver Lao Liu, the patient's condition was very poor, the cardiac tamponade was very serious, the blood pressure was only 60/30mmHg, and the triad of cardiac tamponade was very obvious. This is the first time I have seen a triple syndrome at the same time. At that time, the patient's heartbeat was very weak, and I was worried that there would be problems on the way to the hospital, so I decided to choose an outdoor pericardiocentesis."

As soon as this word comes out!

Immediately, the expressions of the three directors changed again.

They all know the serious consequences of cardiac tamponade.

But how do you do a pericardiocentesis outdoors?

1. There is no B-ultrasound positioning, and there is no guardian watching

Pericardiocentesis can only be done blindly.

Do it blindly... If you are not careful, you will have problems.

After all, the pericardium is not the thoracic cavity, and the maneuverable space is very large, and his maneuverable space is very small.

Tao Mi thought of this, hesitated for a moment, and asked, "You... "Blind wear"?"

Chen Cang nodded: "It was a last resort, the situation was special at the time, and the patient was very urgent and imminent. If you don't do it, I will do it."

The three of them looked at each other and couldn't help swallowing... I can think of the danger in it.

But the more this happened, the more fearful the three of them became.

If it is not good, the patients will not come to the hospital.

Li Baoshan sighed: "You are too risky."

Tao Mi shook his head: "I have to!"

Speaking of this, the three people's eyes on Chen Cang changed.

After all, there are dozens of people in the Cardiac Surgery Department of the Department of Cardiology of the Second Provincial Hospital who can blindly pierce the pericardium... You may not find a few.

Even Tao Mi and the others are not sure if they dare!

Maybe... in that case, would I do it myself?

Tao Mi pondered in his heart, but...it's really uncertain whether it can be successful or not.

Thinking of this, Tao Mi looked at Chen Cang with admiration.

Courageous and resourceful!

It is really a kind of ability to be able to judge cardiac tamponade decisively and carry out on-site puncture decisively.

Sometimes people really have to obey.

Watching the generation of outstanding young people gradually grow up, several directors are also happy and regretful in their hearts.

Fortunately, there are people who follow.

Sadly, I am getting old...

However, everyone was relieved to learn that the patient's vital signs were stable after pericardiocentesis, and there was indeed some blood in the patient's pericardial cavity at this time.

But there is no large-scale bleeding, it should not be damage to the large blood vessels.

Nor is it a sharp rupture of the heart.

The only thing to consider now is the damage to the pericardium, which is caused by the damage to the pericardial blood vessels.

At this time, various test results came back.

The indicators are basically normal, the hemoglobin is low but there is no indication for blood transfusion, and the white blood cells are slightly higher, but it is normal.

After reading the various inspection reports, Tao Mi said: "It is still necessary to open the chest to explore whether there is damage to the heart or blood vessels. The source of bleeding should be explored and symptomatic treatment should be given in time."

"And... you can see on the film, there are still blood pericardium and blood clots here, so the next step should be to cut the pericardium, clear the hemopericardium, identify the source of the bleeding, and repair the damage to the heart blood vessels!"

Xu Tianfu also nodded: "Fortunately, the heart was not pierced, otherwise it would not be so simple. Look at this broken rib, it should have injured the blood vessels of the pericardial tissue and did not cause damage to the heart. I guess this It should be the main cause of blood pericardium and cardiac tamponade!"

I have to say, thanks to this Sun Sheng is more fortunate, the fractured rib did not cause damage to the heart, otherwise... this is not the case now.

After a few discussions with the directors, a decision was made to complete the operation as soon as possible.