Chapter 360 Fatal Pregnancy
The patient was pushed into the operating room, and because the corresponding consumables were still on the way, Zheng Ren could only ask Chu Yanran and Xie Yiren to give the patient dopamine first to maintain blood pressure and improve shock symptoms.
Then 5000 units of low molecular weight heparin sodium was injected intravenously for anticoagulation.
In pulmonary embolism, emboli usually originate from the veins of the lower extremities.
The female patient did not know what caused the sudden venous thrombosis of the lower extremities, and then the small emboli fell off, embolized the pulmonary artery, and developed chest pain, respiratory distress and other comprehensive symptoms.
The first aid was timely and could save a life. After a while, I'm afraid people will disappear.
18, 9 years old, the average age.
After the intravenous injection of low-molecular-weight heparin sodium, Zheng Ren asked Chu Yanran to give the patient sedative and pain-relieving drugs, and the intravenous pump continued to pump low-molecular-weight heparin sodium, 500-1000 units per hour.
In this way, it should be able to maintain it.
Hand this over to Chu Yanran first, Zheng Ren called Feng Xuhui to urge him, and at the same time reported the patient's condition to Director Pan.
Emergency treatment, no family members of the patient, only a little boyfriend who seems to be indifferent, this kind of thing is the most troublesome.
It's okay to be rescued, but once the patient dies on stage, there will be big troubles afterwards.
After changing clothes, Zheng Ren's phone rang.
Feng Xuhui rushed over as fast as he could, and he brought all kinds of consumables that Zheng Ren needed.
Changfeng MicroPort attached unprecedented importance to Haicheng No. 1 Hospital. The company was located near the city No. 1 Hospital. Chairman Ma made it clear that he would do everything possible to take good care of Zheng Ren.
In fact, the annual shipment volume of the entire Haicheng may not be as large as that of a hospital in the Imperial Capital.
But the fact that Changfeng Micro-injury and Manager Feng came here in less than 20 minutes is enough to show how much they attach importance to Zheng Ren.
Zheng Ren was not polite, and entered the operating room with the consumables.
Professor Rudolf Wagner also arrived. When he saw Zheng Ren, he greeted Zheng Ren enthusiastically.
How could Zheng Ren have the heart to deal with this guy, with a cold face, he trotted all the way and started to get busy.
The professor didn't understand either, but he still followed behind Zheng Ren to inquire.
"Boss, what's wrong?"
"Pulmonary embolism."
"This is an emergency..."
"Know that it's an emergency, so don't talk much." Zheng Ren's rare violent temper broke out again. The professor is a high-level person, but he is too verbose, especially now that Zheng Ren is busy with emergency treatment, so there is no time to listen to him.
Professor Rudolf Wagner quickly shut up and helped Zheng Ren prepare the equipment.
Pulmonary embolism requiring emergency thrombolysis. A filter is also placed in the inferior vena cava if necessary.
After emergency symptomatic treatment, the patient's condition has improved slightly.
Zheng Ren was puzzled, why did such an emergency occur at such a young age? It is said that pulmonary embolism is common in the elderly, especially those who have been bedridden for a long time, leading to venous thrombosis in the lower extremities.
The young people are full of vitality, and it is so easy to want blood clots.
This side was ready, and Professor Rudolf Wagner began to disinfect and make preoperative preparations.
Zheng Ren received a call from Director Pan. He had rushed to the emergency ward and met the patient's parents.
After thinking for a while, Zheng Ren said, "Fu Guier, let's do pulmonary thrombolysis first."
Professor Rudolf Wagner responded.
For the professor, thrombolysis in the pulmonary artery was simply unnecessary, and Zheng Ren was not worried about it. Moreover, thrombolysis is an extremely long process, which takes about 30 minutes to an hour.
If the effect is not good, the way of catheter thrombolysis should be adopted to treat the patient's pulmonary embolism.
Wearing an isolation suit, Zheng Ren returned to the emergency ward.
Director Pan understood the patient's condition mainly through Zheng Ren's simple words. He also had nothing to say to the patient's family, but repeatedly emphasized the danger of the patient and how low the possibility of successful treatment was.
Seeing Zheng Ren coming down, Old Director Pan breathed a sigh of relief.
Director Lao Pan went upstairs to take charge of the rescue. After all, the professor is a foreigner, and he is not familiar with many procedural matters. And it seems that he can speak Chinese well, but there is nothing wrong with some remote drug names.
Zheng Ren greeted the patient's parents to sit down and asked, "I heard from the patient's boyfriend that she also suffered from illness before?"
It's okay not to mention the boyfriend, but as soon as this was mentioned, the girl's father became furious and scolded loudly. The girl's mother persuaded while wiping away tears.
Zheng Ren tapped the table with his fingers, and said, "The rescue is still going on up there, so don't waste time!"
The patient's father was overwhelmed by Zheng Ren. Looking at Zheng Ren's appearance, he also knew that the situation was urgent, so he cursed in a low voice, then sat down with a sigh.
"My daughter usually looks normal, but once... once she gets pregnant, she will experience thrombocytosis, which will lead to venous thrombosis in the lower extremities." The patient's father explained the truth.
Pregnant? Platelets?
This was the first time Zheng Ren had heard of such a strange thing.
Although the system can give a diagnosis, it will never gossip about the patient's pregnancy. So Zheng Ren frowned, thinking about the relationship.
"Oh, she's not obedient either. Last time I was at school, I was sent to the hospital for treatment, and my life was saved. I didn't expect her to dare..." As he spoke, the patient's father let out a long sigh, and two lines of tears flowed down his face.
"Which hospital did you receive treatment last time?" Zheng Ren asked.
The patient's father mentioned a well-known third-level hospital in the imperial capital.
After thinking for a while, Zheng Ren asked about the situation of the patient's father's attending doctor, and then picked up the phone.
It's not too late, Director Kong hasn't rested yet.
After all, this is a disease of vascular intervention, and it is a critical illness such as pulmonary embolism. Although Professor Rudolf Wagner is on it to dissolve the thrombosis, Zheng Ren still wants to be more on the safe side.
"Director Kong, I'm Xiao Zheng."
"Well, yes. There is an emergency patient, and I want you to help me inquire about the situation."
Zheng Ren said the name of the top three hospital in the imperial capital and the name of the director of the vascular department, and Director Kong readily agreed.
Hearing that Zheng Ren gave his name casually, although he didn't know who was there, but he could casually inquire about the process of the last treatment, the hope in the patient's father was greatly increased.
Because of the last time he was hospitalized, the doctor in Imperial Capital told him that once the disease of pulmonary embolism recurs, it will be very dangerous. If there is hope for the large third-class hospitals in places like the Imperial Capital and the Modulus to be rescued.
If you change to your hometown, it is estimated that there will be no people.
This time, when he heard that it was the disease again, the father of the patient even thought of killing the boy with a knife.
There is help... there is help! Really help!
After hanging up the phone, Zheng Ren began to prepare for the preoperative explanation while waiting for Director Kong's reply.
Although it has been opened, some procedures still need to be done.
Just after explaining a few words, Director Kong called back.