Chapter 2753 Overnight Referral

"Director, I'm in pain..." The patient was lying on the hospital bed, his face pale. The reason why it is white is because of blood loss, but also because of fear.

On the operating table, the director said nothing with a sullen face, and the nurses who were talking and laughing before also fell silent. More and more instruments were brought in, and some treatments that I didn't even know about were done.

It's scary just thinking about it.

"Where does it hurt?" Director Lang asked. His complexion didn't look much better than the patient's, just as pale.

"Chest, the place where you gave me the needle just now hurts." The patient took a deep breath and said.

The puncture hurts a little, it should be fine, it should... Director Lang prayed silently in his heart. Pericardiocentesis, although it carries a word of surgery, is not considered a surgery in many statistics, but just an operation.

It's like closed chest drainage, just an operation. The most excessive is the one-time catheterization, which is considered a surgical procedure in some hospitals, increasing the total number of operations in the hospital.

But it is also an operation, and pericardiocentesis is much more difficult. Director Lang was worried that there would be secondary injuries, but he was a little relieved after hearing the patient's narration. It should only be skin pain.

what to do? He watched the patient's blood pressure continue to drop, and again ordered the doctor to increase the amount of norepinephrine to stabilize the patient's blood pressure.

If not, go to iabp. Through physical effects, it can increase the diastolic pressure in the aorta, increase coronary blood supply and improve myocardial function.

Director Lang made up his mind and asked people to prepare iabp equipment.

He took care of the patient carefully, and he didn't even leave the operating room, ready to rescue him at any time.

The IABP was lowered from the left femoral artery, and the patient's circulation did not improve after 1:1 counterpulse, and the continuous monitoring of blood pressure still showed a downward trend.

This is so fucking bad, Director Lang suddenly lost his mind.

It's already midnight, what should we do at this time? The director never does interventional surgery, he is just the simplest physician. Now the whole hospital is doing the best circulation interventional surgery by themselves, and there is no one to ask.

Director Lang hesitated for a moment, but decided to observe. However, after the blood transfusion, the patient's blood pressure still showed no signs of improvement, and his dyspnea and chest pain gradually worsened.

He had no choice but to pick up his mobile phone and call the hotline of relatives and friends.

Director Lilang of Nanshan City has the best technique. Not to mention interventional surgery, IABP can do it at will, which is not something ordinary people can do.

If he wanted to ask for help, he could only turn to the doctor in the imperial capital. After hesitating for a while, he chose Director Zhang Lin from 912 in two calls.

Director Zhang has a better temper, and he called in the middle of the night, hoping that she would not be angry. Don't be menopausal... Director Lang murmured in his heart, afraid that he would be scolded, and he would not accept this unexpected emergency.

Facts proved that he was thinking too much. Director Zhang Lin's voice was almost infinitely drowsy when she answered the phone, but she woke up instantly after hearing that the operation caused cardiac tamponade.

Moreover, Director Zhang Lin was also very enthusiastic. She knew that Director Lang could not handle this matter, so she responded directly.

It was agreed to send the patient to 912 for hospital treatment, and Director Lang finally got better. It was just a bumpy journey with so many instruments, but he still called the chief director from home to look at the house, and got into the ambulance to escort the patient all the way to the higher-level hospital.

In order to save time, Director Lu Lang uploaded all the patient's information to Director Zhang Lin, including the final color echocardiography.

Director Zhang Lin didn't feel sleepy at all, and it wasn't once or twice that she was tossed up in the middle of the night. Although she couldn't adapt to it in her whole life, this is what a circulatory doctor must do.

When I was on duty when I was young, the nurses would run to the ward as long as they shouted that there was something wrong, and they ran to the ward before they could put on their shoes.

Now at least there are about 4 hours to watch the film, if the 120 ambulance does not catch the morning rush hour in God's capital.

Because there is a radiography image data, the content is relatively large, and there is no way to transfer it through the mobile phone. Nanshan City called and said it was an email.

She tiptoed out of the bedroom and turned on the computer.

The angiography looked okay, but according to director Lang, a pericardiocentesis was done, and the amount of fluid extracted can only be said to be moderate.

The blood pressure has not picked up, and continues to drop, even after IABP, Director Zhang Lin has her own judgment.

When she checked the echocardiogram after reading the radiography data, she was taken aback.

The ultrasound looked... something seemed wrong.

But she only knows about ultrasound, but has not studied it in depth. After all, the level of specialization in the third-level hospitals is getting higher and higher, and it is already very good to be able to understand it simply.

I have problems with echocardiography, who can I see? Director Zhang Lin's first thought was Boss Zheng.

Yes, it's not a professor in the echocardiography room, nor Director Qi, but Boss Zheng.

The patient's condition has been relatively clear. The coronary artery is bleeding. It is estimated that the bleeding is a small branch, which has closed itself with the increase of pressure. But the patient's state is extremely poor and may die at any time.

Chest opening and exploration, this is a follow-up operation with high probability.

Director Zhang Lin has a good relationship with cardiothoracic surgery, after all, the two related departments have their own interests and needs.

Cardiothoracic surgery also wants to retain part of the coronary artery bypass surgery, and stents are not a panacea, and need to be sent to patients by the circulatory department. At this point, the Department of Circulation is the upstream department and has the advantage.

But once this happens, it is necessary for cardiothoracic surgery to solve the follow-up matters.

It's just that the level of a doctor with a heart is as high as Boss Zheng's. Not to mention Boss Zheng, even Su Yun's level is quite high, killing one in seconds.

After thinking about it, Director Zhang Lin looked at the time in a measured manner.

In the second half of the night, the patient was sent out from Nanshan City, and it took 3-4 hours to go to 912. It should not be able to catch up with the morning peak, and the journey will be smooth.

It's not too late to talk to Boss Zheng after seeing the patient himself.

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 encountering a patient who needs to be rescued, he is willing to tear his skin apart in order to treat him. The caring Professor Zhang has been scolded, and it seems that there is still physical contact.

After making up her mind, Director Zhang Lin changed her clothes first, and went directly to the hospital office to sleep for a while, until the patient brought her and she was called.

At this time, the sky was already getting bright, and the patient's face seemed to be pasted with white paper, looking frighteningly white. Director Lang, who was pushing the flat cart in, also had a pale face, and Zhang Lin wondered if there was something wrong with him.

The patient's blood pressure was 62/45mmHg, and he also took 4U red blood cell suspension. Director Lang bowed again and again, talking about the patient's condition and thanks all the way. Director Zhang Lin called Boss Zheng without hesitation and asked him to take a look at the situation.

This means that in 912, there are no such convenient conditions in other places.