Chapter 129 Intracardiac Injection
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In terms of Western medicine, Xu's father has always respected his son. Although he has also dabbled in Western medicine, of course he listened to his son in terms of treatment and rescue. A shot of epinephrine was drawn with a syringe and handed over.
Xu Ze picked up the syringe, grabbed the child's arm, and stuck the needle down, then injected one milliliter of adrenaline into the deltoid muscle of the arm, and continued to perform chest compressions...
Seeing that Xu Ze had injected the medicine, everyone's eyes widened, waiting to see the reaction, but Dr. Hu was the only one with a sneer on his face. If epinephrine was effective, then the child would have been in the town hospital long ago. was saved.
Xu Ze continued to perform chest compressions carefully, but it seemed as if Dr. Hu had expected that there was no response.
Everyone also turned from expectation to disappointment. He secretly thought that this little Dr. Xu could do nothing, and the rescue was probably just a fake.
Seeing that the addition of adrenaline, combined with the bioelectric shock, still didn't work, he couldn't help but frowned, and continued: "Ten mg of dexamethasone..."
Seeing Xu Ze's still indifferent appearance, Xu's father felt a little apprehensive, but he quickly took another ten milligrams of dexamethasone and handed it to Xu Ze.
Xu Ze injected 10 mg of dexamethasone into the child's deltoid muscle again, and continued to perform several bioelectric shocks through chest compressions.
However, the medicine this time still didn't seem to have any effect, and the child's pale face remained unchanged under Xu Ze's pressure.
Seeing that Xu Ze had been rescued for so long and still had no response, the child's father also began to feel disappointed, and the child's mother, who had stopped crying, started to sob again.
People also began to chatter now, saying one after another: "I'm afraid this is hopeless... After so long, it's basically a waste of time!"
Dr. Hu beside him also began to sneer presumptuously at this time, rubbed his chin, and snorted, "Young people don't know the heights of the heavens and the earth, so they really think they are some kind of miracle doctor...Hmph..."
The few people around listened, but they also nodded frequently, thinking that what Dr. Hu said was really good. This little Dr. Xu has skills, but the young man is too confident.
Listen to those noises in the ear. Xu Ze couldn't help frowning slightly,
Taking a breath, he said slowly, "Add one milligram of adrenaline to a nine-gauge needle..."
"No. 9 needle?" Xu's father was stunned, and couldn't help looking at Xu Ze with some doubts. That needle is rarely used. What does Xu Ze want this guy for?
However, seeing that Xu Ze was waiting for him to take the medicine, although he was puzzled at the moment, Xu Ze didn't dare to hesitate. He quickly dug out a nine-gauge needle from the depths of the box, and then took a milligram of epinephrine and handed it to Xu Ze. Ze.
Xu Ze took the syringe and said, "Alcohol swab!"
Hearing Xu Ze's words, Xu's father quickly handed over another alcohol swab. After Xu Ze took it, he reached out and touched the child's sternum, first confirmed the position of the sternum handle, and then touched the side ribs , quickly confirmed the position of the fourth rib, confirmed that this is where the heart is, and then gently began to disinfect the position 1-4 cm to the left of the fourth rib.
Seeing Xu Ze's actions, Doctor Hu's eyes widened at the outside of the crowd: "Does this Xu Ze dare to inject into his heart?"
Intracardiac injection is a rescue technique with great risk. Because it is extremely dangerous to puncture the heart directly with a needle, once it is pierced in the wrong place, it will easily lead to massive bleeding or even life-threatening. Generally, except for some large hospitals, few people use it, let alone this kind of rural clinic. But Xu Ze dared to use it, which surprised Dr. Hu.
But at the moment, Dr. Hu showed disdain again. Could it be that you can save this child with an intracardiac injection? It's been so long, even if you use a defibrillator, it's useless, let alone you use medicine directly in your heart... Moreover, for such a big child, the heart is much smaller than that of an adult. Two words... I'd like to see what else you can do.
When the other people saw that Xu Ze seemed to want to inject people's chests, their eyes widened. They had seen injections on people's buttocks, arms and thighs, but they had never seen anyone give injections to the chest. Yes, can this chest also be given an injection?
Thinking of this, everyone looked suspiciously at Dr. Hu next to him, but saw that Dr. Hu also had a face of astonishment at this time, and then disdain. At the moment, everyone became extremely curious. Dr. Hu's expression was strange. I'm afraid it's not a simple thing to come here, but whether it works or not, that may still be a matter of two.
Xu Ze was not distracted in the slightest at this time. This kind of rescue by direct intracardiac injection of drugs was also his last resort. If this combined with bioelectric stimulation had no effect, Xu Ze could only announce that he had given up. .
But whether it can be stabbed smoothly. Xu Ze wasn't worried at all, but he ordered softly in his mind: "Start the B-mode ultrasound scan..."
With the automatic response system, there was a "beep" response: "B-mode ultrasound scan started..."
With a flash of light on the glasses, the child's chest gradually became translucent in front of Xu Ze's eyes. In the dark field of vision, Xu Ze saw that under the obstruction of several white rib light bands, A shadow the size of a fist was motionless on the left chest.
Looking at the small shadow of the heart, Xu Ze lightly frowned his delicate eyebrows. He held the syringe lightly with the middle index finger and the thumb of his right hand. Insert the needle vertically at the edge m, and penetrate 4~m. Feeling a burst of breakthrough from the syringe in your hand, you immediately raised your eyebrows.
In that dark vision, Xu Ze saw that the steel needle was emitting a faint light at the position of the heart, and it should have penetrated the heart smoothly. A thick red blood gushed out of the hole quickly, Xu Ze nodded slightly, it seemed that he had indeed penetrated smoothly.
Dr. Hu next to him saw the blood gushing from the needle in Xu Ze's hand, but his eyes widened in astonishment again. This little thing actually hit it? Such a small child. Can he also dress well?
Compared with Dr. Hu's astonishment, Xu Ze did not hesitate at all, and quickly pushed the medicine and blood in the needle tube into the heart again, then pulled out the needle, and gently pressed the needle hole with a cotton swab to save the pain. pinhole bleeding.
Seeing that Xu Ze still had a calm face, neither proud nor worried, Dr. Hu's eyes flashed a trace of jealousy. This kid can be so calm at such a young age, neither happy nor arrogant, he really has a hand. but. Hmph...how calm are you? I don't believe that you can really save him. If you can save a person whose heart has stopped beating for so long, then I won't open this clinic. I'll leave Quan Chentang to you alone.
Dr. Hu thought of it like this, but Xu Ze remained calm. Seeing that the pinhole did not leak, he threw away the cotton swab, and then stretched out his right hand to pat the child's heart twice.
Following his two beats, two powerful bioelectric currents rushed towards the child's heart, and together with the newly injected medicine, began the final stimulation of cardiac pacing.
After taking these two shots, Xu Ze breathed a sigh of relief, and then waited to see the final result. If he could take off, he would rely on this last kick. If he couldn't take off, then it would be gone... completely gone...
Seeing Xu Ze casually slapped his hands twice, and then looked like he was about to give up, Dr. Hu showed a sneer on his face: "Hey...Little thing, how about it, can't you help it? Pretending to be great, Are you going to continue saving?"
At this moment, the people around saw that Xu Ze took two casual pats before stopping, but now they really thought that Xu Ze had no choice but to give up, so they all sighed softly and looked at Hu There was a hint of admiration in the doctor's eyes, and he secretly thought that this doctor Hu was experienced enough, and he knew it was hopeless at a glance.
After waiting for a few seconds, Xu Ze took a deep breath, stretched out his hand and gently touched the child's chest, and activated the ECG monitoring. With the rush of a tiny monitoring current, the system quickly reported: "Beep... the heartbeat has recovered. , sixty beats per minute. Successful resuscitation..."
Xu Ze was overjoyed and heaved a sigh of relief. He secretly thought that his efforts were not in vain. He quickly turned his head to Xu's father and said, "One milligram of adrenaline, and then 250ml of sugar water plus 10mg of dopamine for intravenous infusion!"
"Ah..." Father Xu was taken aback when he heard Xu Ze's words, but then he was overjoyed. He quickly looked at the child on the ground, only to find that the child's chest seemed to have begun to heave a little, and he was ecstatic at the moment. The child was really saved by Aze.
Without any hesitation, he quickly took another dose of adrenaline and handed it over, and then hurriedly dispensed the medicine for the infusion.
Xu Ze took the syringe, stroked the child's arm, and inserted it gently. After pushing the medicine, he took the cuff and alcohol swab handed over by Xu's father. Insert it into the child's vein, adjust the infusion speed, and stand up slowly.
At this time, people also saw the changes in the child on the ground. It seemed that he had breathed out, his chest began to rise and fall slowly, and his complexion gradually changed from pale to rosy. Now I couldn't help exclaiming: "I'm alive, I'm really alive? I was really saved by Dr. Xiao Xu..."
At this time, Dr. Hu, who was on the side, saw that the child was obviously breathing, and he was dumbfounded, and exclaimed: "It's alive? How is it possible? How is this possible?"
The father and mother of the child who had been holding a heart beside them were also weeping with joy at this moment, throwing themselves beside the child, weeping with joy.
Seeing the excitement of the two couples, as well as the joy and admiration of the people around them, Xu Ze couldn't help sighing softly...(!)