Chapter 478

The whistling guttural sound sounded again.

The feeling of suffocation came over him, and the child stretched out his hands in panic, as if he was drowning.

No matter how hard he breathed, his lungs felt like they were filled with lead water, and the burning sensation was burning the remaining air in his lungs.

"Dongdong, what's wrong with you?"

The grandfather panicked when he saw that his grandson was suffering from extreme pain.

He is helpless and hopeless.

His eyes looked horrified.

The withered hand tightly grasped the grandson's hand, but his eyes looked at Xiao Chenguang beside him.

"Director Xiao, please, save my Dongdong!"

The old man came to the provincial capital without any friends.

He also didn’t understand Chairman Yang and Dr. Suga in front of him.

We can only place all our hopes on Xiao Chenguang, who came from Yingcheng together.

"Don't worry, uncle, the child is too nervous, which may cause respiratory distress."

"I'll go find a bag and I'll be there soon."

Xiao Chenguang immediately took action.

The child's current symptoms are not caused by pulmonary fibrosis.

The scene of the old man rescuing people just now would not be acceptable to ordinary people.

Not to mention a half-year-old child.

Coupled with the patient's own toxic reactions, long-distance transportation and the current noisy environment.

Being physically and mentally exhausted will naturally cause acute stress and anxiety.

"Xiao Xiao, I'll go find it for you!"

Yang Dehuai on the side is more familiar with the environment of his own emergency room than Xiao Chenguang.

He immediately returned to the nurse's station, took out a black garbage bag from a drawer, and handed it to Xiao Chenguang.

"Do you suspect he has respiratory alkalosis?"

Yang Dehuai hit the nail on the head and understood what Xiao Chenguang was going to do next.

"Yes, this kind of poisoning caused by breathing can be relieved quickly by reabsorbing the exhaled carbon dioxide through a plastic pad."

As Xiao Chenguang spoke, he carefully placed the plastic bag in his hand near the child's mouth.

At first, the child was nervous and refused to cooperate.

But with Xiao Chenguang's patient comfort and the help of his grandfather, he finally began to receive treatment.

The exhaled air quickly expands the plastic bag, and then deflates the bag with the sound of inhalation.

The cycle goes back and forth.

A large amount of carbon dioxide flows back into the lungs along the child's mouth and nose.

The originally tense and breathless situation was gradually improving.

Seeing this scene, the grandfather who was standing by the bed began to shed tears uncontrollably in his eyes.

As the saying goes, it is difficult to pass a pass but it is difficult to pass a pass.

But before formal treatment has started, symptoms have appeared one after another.

Seeing his eldest grandson suffering so much, his heart felt like needles pricking him.

"Xiao Xiao, I can't wait any longer. I'll put him under control now. Come and help me."

Yang Dehuai looked at the rescue operations that were still going on over there. Dr. Suga had already taken action and began to perform heart compressions on the patient.

Seeing that he was unable to do anything, and the situation here was also very urgent, Yang Dehuai made a prompt decision and decided to take care of it himself.

"President Yang, the lumen of this hemofiltration tube is thicker, not the 14-gauge thin tubes in ordinary operating rooms."

Xiao Chenguang suddenly spoke.

Deep venipuncture technology is generally performed by anesthesiologists in the operating room.

But he knew in his heart that Yang Dehuai, as the old director of the general surgery department in the provincial capital, must be familiar with this kind of puncture technique.

only.

Hemofiltration circuits are different from ordinary deep vein punctures, and the two cannot be confused.

If you are not familiar with it and rely solely on previous puncture techniques, you may encounter problems.

"I know."

Facing Xiao Chenguang's reminder, Yang Dehuai was very clear about the dilemma he was facing now.

This kind of puncture of the hemofiltration line was a technique that Dr. Suga only mastered after going to the Imperial Capital for training for a long time.

Although I am quite confident in the deep vein puncture technique, it is my first time to operate the tube as thick as my little finger in front of me.

"If not, I'll do it."

Just when Yang Dehuai distinguished the pros and cons and was about to start the operation, Xiao Chenguang's voice suddenly reached his ears.

"Are you coming?"

Yang Dehuai was stunned for a moment.

He looked at Xiao Chenguang and couldn't help but ask again: "Do you know how to place a hemofiltration tube?"

You know, this technology is also a new skill in the provincial capital.

After all, bedside CRRT blood purification technology has only recently been developed.

Even Qilu Hospital ranks among the best in the province in terms of comprehensive strength.

Only a few people know how to use it.

One of them includes Dr. Suga, who diagnoses and treats poisoning in the emergency room.

However, facing Yang Dehuai's inquiry, Xiao Chenguang nodded firmly.

"There was one such patient in Yingcheng."

"Victory Hospital?"

Hearing this explanation, Yang Dehuai was stunned.

He just came back from there two days ago and was deeply impressed by the Shengli Hospital where Xiao Chenguang was located.

only.

According to Dean Li's introduction, he never heard that Shengli Hospital can do bedside CRRT technology.

You must know that with Dean Li's character and characteristics, such a skill worth touting has been demonstrated to Yang Dehuai a long time ago.

"It was not at Shengli Hospital, but he was transferred to the Central Hospital. This time, he came to the provincial capital because hemofiltration was in use there and there was no other way."

Xiao Chenguang said truthfully.

He knew Yang Dehuai's concerns.

But now the patient is in urgent need of a catheter, and Xiao Chenguang can't take care of it.

Dr. Jian was rescuing the patient, and Yang Dehuai had never been exposed to this kind of pipeline.

Even if they are now in Qilu Hospital in the provincial capital, it is the most appropriate choice for Xiao Chenguang to operate.

"Okay, I understand."

After weighing the pros and cons, Yang Dehuai briefly explained the situation to the family members beside him.

When the old man heard that Xiao Chenguang came to place the tube, he immediately agreed.

In his opinion, the most trustworthy person so far is Xiao Chenguang who has accompanied them all the way.

"Chairman Yang, you and the family members keep an eye on the child and don't let him move. I can complete the operation soon."

"Okay!"

When Yang Dehuai heard that Xiao Chenguang said that the operation could be completed soon, he hesitated for a moment, but quickly reacted.

Although he didn't know why Xiao Chenguang could even operate the blood filtration tube.

But his current confident appearance reminded Yang Dehuai of the scene on the operating table before.

The same words, the same operation, the child's liver cyst was removed in minutes, and the miraculous operation still impressed Yang Dehuai.

After positioning the patient, Xiao Chenguang began to operate.

Due to the age of the child, Xiao Chenguang chose the safest and most reliable femoral vein for catheterization.

Unpack the sterilized disposable materials.

Sort the contents into categories according to the operating steps.

The movements were quick and clear, and the materials were as neat and uniform as the instruments on the operating table.

This move alone has conquered Yang Dehuai.

People who often perform surgery and punctures will have an instinctive intuition. Operations like Xiao Chenguang must have been trained hundreds or thousands of times.

Just like the egg that was ground at his home at that time, only practice makes perfect can produce the current effect.

"Xiao Xiao, I will be responsible for skin disinfection. Are you going to do femoral vein puncture?"

"Yes." Xiao Chenguang replied.

"Okay! Leave the preparation work to me."

Although Yang Dehuai has never operated the indwelling of blood filtration lines, he still understands the basic principles.

He picked up the disinfection materials.

Using the femoral vein as the puncture point, expand the disinfection radius to 20 centimeters.

If the hair is dense, skin preparation is required in advance.

The child who just entered junior high school in front of him, although a little malnourished, is developing well.

At least everything is normal...

While disinfecting, Yang Dehuai couldn't help but think of the scene of hernia surgery in the early years in the general surgery department.

He often encountered the situation that should have been normal. ! . Development, but because of the cystic hernia, it appeared. . ! or! . . .

Some are even more outrageous...

Yang Dehuai didn't want to think too much, after all, it was a man's lifelong pain.

At this time, the patient's skin disinfection had been completed, and sterile sheets were laid on his body one by one.

Although the boy was a little nervous, he overcame his fear with his grandfather watching beside him.

"Xiao Xiao, the sterile area here can't last long. If the tube is not easy to put, you can only push it to the operating room first, and come back after the blood filter tube is put in."

This large-area, all-round skin coverage is to retain the maximum sterile barrier near the puncture to prevent the operator from accidentally contaminating the surgical area during the operation.

After all, the environment of the emergency room is too noisy and chaotic. It is very difficult to maintain a sterile area under such circumstances.

Yang Dehuai looked at the people coming and going around him, and he also showed a helpless expression.

If he really had to go to the operating room.

The delay in the middle would be very long, which would definitely be detrimental to the child's treatment.

So now Yang Dehuai can only rely on Xiao Chenguang to hit the nail on the head and minimize this unnecessary risk.

"Chairman Yang, don't worry, it's just one shot."

Xiao Chenguang, who was operating on the stage, was different from his humble character off the stage in the past.

At this time, he was extremely confident.

Especially when everything was ready, Xiao Chenguang used the lidocaine injection in his hand to start giving the patient local anesthesia.

The concentration in his expression was like a beam of light that cut through the darkness, which made people feel very at ease.

"Young man, do you still feel it?"

After the local anesthesia, Xiao Chenguang lightly touched the patient's skin surface with the needle to assess his pain sensation.

"Numb."

The patient lying on the bed only felt a touch on the inner thigh, but no pain.

"Okay, I'll put a tube in you now, and the toxins in the blood will be cleared out in a while, and you'll be fine."

While Xiao Chenguang was chatting with the patient, his hands moved quickly.

Surgical hand disinfection, wearing sterile gloves.

On the operating table, a half-length silver metal steel needle was firmly grasped in the palm of his hand.

When Yang Dehuai, who was assisting at the side, saw this puncture needle, his eyelids jumped instinctively.

Thick and long.

Incredibly strong.

As Xiao Chenguang said, even the puncture needle is thicker than the general deep vein steel needle.

Xiao Chenguang did not hesitate at all.

Touching the skin with his fingers, even through the latex gloves, he could clearly feel the strong and powerful femoral artery fluctuations at the root of the patient's thigh.

As an important artery in the human body.

It plays a role in transporting oxygen and supplying nutrients.

Once it is accidentally touched and damaged, its strong pulse pressure can make blood gush out instantly.

It is no exaggeration to say that the ancient description of blood splattering three feet is nothing compared to a ruptured artery.

"Xiao Xiao, insert the needle 0.5cm inside the femoral artery, the puncture effect will be better."

Yang Dehuai had never seen Xiao Chenguang perform deep vein puncture before, so he seemed a little nagging.

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"Okay, Chairman Yang."

Xiao Chenguang didn't say much, and responded simply, using a pen-holding puncture instead, and the needle tip penetrated the patient's skin without any warning.

The elastic feel comes from the tip of the needle.

A stream of dark red bloody fluid began to flow slowly outward along the needle tube.

Xiao Chenguang looked at it and knew clearly that this was venous blood.

Hit the nail on the head, extremely easy.

He began to insert the guide wire in an orderly manner, with skillful and swift movements.

This scene made Yang Dehuai, who wanted to say a few more words, shut his mouth instantly.

"Xiao Xiao did the venipuncture without blinking. The process was smooth and the needle was applied decisively. It was really powerful."

He thought silently in his mind and quietly watched Xiao Chenguang operate.

As the guide wire enters, the bullet-like skin expander begins to work.

This operation does not seem to have much technical content in the eyes of others.

It is only necessary to expand the skin at the puncture site to a size that can be inserted into the hemofiltration tube lumen.

But actually.

There are many details in it.

This is just like regular surgery. For the same disease, the length of the incision is different under the operations of different surgeons.

The cut is long, the field of view is large, and it is easy to operate.

However, as the patient's bleeding volume increases, the postoperative pain will increase exponentially.

Therefore, seemingly simple things often test a person's skills and experience more.

"The child has just turned 12 and has encountered something like this. As long as it can reduce the pain, even if the operation is a little more difficult, it doesn't matter."

Xiao Chenguang muttered to himself, already starting to calculate the diameter of the lumen during the puncture process.

The hand controls the skin expander and moves forward centimeter by centimeter.

The precise control of his strength made him stand as still as a sculpture.

Just when the child was about to show an expression of discomfort due to skin expansion, Xiao Chenguang stopped.

Then the skin expander was pulled out and a hemofiltration tube as thick as a little finger was quickly inserted into the child's body.

"Xiao Xiao, what you do is so awesome!"

When the tube was in place and Xiao Chenguang began to fix the sutures, Yang Dehuai suddenly discovered that there was no extravasation of blood during this deep vein puncture.

The entire skin surface is clean and dry.

Not contaminated by a trace of blood.

It's more than that.

When Xiao Chenguang quickly sutured the tube, Yang Dehuai discovered that the exposed tube lumen was tightly attached to the skin.

Nothing is missing around here.

Yang Dehuai even thought that the hemofiltration tube buried in the child's body was just like growing on it.

Ingenious workmanship and perfect operation!

"President Yang, has the hemofiltration line been soaked in heparin? It's ready to go on the plane."

Faced with compliments, Xiao Chenguang responded lightly.

He took off his gloves and threw them into the yellow waste bin next to him.

His eyes looked towards the blood filter machine that was running not far away.

"Xiao Xiao, it's okay. I asked them to start up the blood filtration machine in advance. It's already been half an hour, so it should be fine."

Yang Dehuai arranged for someone to start the machine in advance just to wait for this moment and provide timely help to the patient.

As for why it has to run for 30 minutes first.

This was Xiao Chenguang's request on the phone. Yang Dehuai, who did not understand the principle of hemofiltration, could only follow it.

At the same time, the situation of the elderly over there is still not optimistic.

Rescue efforts are continuing.

On the operating table and on the rescue vehicle, there were empty ampoules scattered on the ground.

Countless doses of epinephrine hydrochloride are pushed into the patient's body every few minutes, but it is like a stone sinking into the sea, unable to stir up any waves.

The old man's heart was always in a state of stopping.

The dark green straight line on the monitor, accompanied by the harsh alarm sound, was flashing red light.

It was like a wild beast baring its fangs, looking at the people in front of it with great power.

"Dad, wake up. Lihua, whom you always talk about, will be back from other places in two days. Don't worry about anything. Everyone is waiting for you to go home to celebrate the New Year."

The heartbroken cries of family members echoed in the emergency room.

My mother passed away a few years ago. If my father has another trouble this time, the family may be separated.

However.

Time passed by, and the old man's rescue had passed the optimal survival time.

Even if he survives, his consciousness will never come back.

And based on previous experience, there is a high probability that there is no hope of rescuing the patient.

Just when everyone showed regret, they began to retreat in their hearts.

At this time, Dr. Suga was still performing external cardiac compressions on the old man.

"Don't give up!"

"Push another accessory kidney!"

"Check the blood gases, order half a bottle of sodium bicarbonate, and correct the acidosis!"

Dr. Suga gave emergency orders.

Beads of sweat began to trickle down his cheeks, and the constant pressing consumed a lot of his energy.

His lungs seemed to be burning, and Dr. Suga gasped for air. This feeling was more exhausting than running a marathon.

"Okay. Dr. Suga!"

"clear!"

His efforts infected everyone, and everyone regained their strength and once again devoted themselves to the intense rescue work.

"Thank you, thank you!"

The family members who saw this scene burst into tears and kept expressing their gratitude to the medical staff in front of them.

However, after a long period of resuscitation, he realized that his father's condition was not good.

Although she was unwilling to give up, her reason told her that her father might not come back.

"Does he have a heartbeat?"

Dr. Suga's hoarse voice sounded.

"Doctor Suga... No."

As long as he stopped pressing, the heart rate on the old man's monitor would instantly return to zero.

Without any fluctuations, the straight line made everyone see no hope.

"Adrenaline push..."

Dr. Suga was unwilling to give up, and a new round of rescue began again.

The old man being rescued was the patient Dr. Suga had just seen tonight.

A diabetic patient.

During the conversation, he was a very qualified and kind old man.

Because there were too many patients in the emergency room tonight, the medical staff were very busy. Seeing this, the old man did not bother them too much, but just waited quietly for the examination.

Unexpectedly, a heart attack occurred.

Guilt and self-blame rose in Dr. Suga's heart.

If he could arrange the relevant examination earlier, or pay more attention to the old man's condition, things would not have developed into what they are now.

"Does the patient have a heartbeat?"

Dr. Suga asked again with a dry throat.

"No..."

The medical staff didn't know what to do at this time.

They had tried their best.

Some heart attacks are irreversible once they occur, especially for some diabetic patients.

"I'll go talk to the family."

Dr. Suga sighed in his heart.

He knew that if he continued to rescue, the old man's body could not withstand such a frequency and strength of compression.

Just now, he had felt the collapse of the old man's sternum.

If he continued, rigor mortis would appear, and he couldn't even wear clothes. This would be the last bit of dignity.

"Sorry, we have tried our best."

After the words fell, the family members cried heartbreakingly.

Seeing this scene, Dr. Suga also felt a sense of powerlessness.

Even though such things happen almost every day in the hospital, Dr. Suga still couldn't stop feeling uncomfortable.

He glanced at the clock hanging on the wall and said in a heavy voice.

"XX, 73 years old, sudden heart attack, rescue failed, time of death in 1999..."

Pull the electrocardiogram, cover the cloth, and let the assistant handle the relevant matters.

Dr. Suga looked frustrated, but this emotion was soon interrupted by the cries of other patients.

After a while of busy work, Dr. Suga suddenly found that the child who was personally picked up by Chairman Yang had already been undergoing blood purification at the bedside.

On the machine as tall as a person, four blood pumps were rotating rapidly.

The finger-thick blood filter tube was connected to the patient's body, and a large amount of blood with toxins was drawn out. After passing through a filter made of special materials.

The toxins were discharged and fresh blood was re-injected into the body.

The cycle repeats.

"This?"

Dr. Suga hurried to the bedside and checked the parameter settings above.

He was so shocked by the scene in front of him that he was speechless.

Every parameter was adjusted just right.

Whether it was blood flow rate, treatment time, dehydration or solution replaced every hour.

The real-time feedback data proved that this blood filter machine was playing its excellent role.

"Who adjusted this? It runs perfectly, the blood filter machine has no alarms, and all values ​​are kept within a reasonable range."

Dr. Suga looked at the values ​​on the screen of the blood filter machine and couldn't move his feet for a while.

In his early days, for the study of poisonology, he went to the Imperial Capital Research Institute alone to learn from a master.

Among them, blood purification technology is the key to treating poisoning.

During that time, Dr. Suga took great pains to master its principles, structure, treatment and other knowledge points.

After returning, he devoted himself to research and gradually became able to form a team to treat patients poisoned by paraquat.

But now.

The data in front of him shocked him greatly.

This unheard-of treatment plan was beyond his imagination.

"Did Chairman Yang do all this just now?"

Dr. Suga asked the nurse who happened to pass by.

The latter shook her head blankly.

Because there were many patients, a nurse was in charge of several beds. She was giving an injection next to her just now, so she didn't pay attention to what happened here.

"They helped Dongdong to be admitted to the hospital."

The grandfather of the patient who had been guarding the bed answered quickly.

At this time.

Yang Dehuai and Xiao Chenguang, holding the hospitalization ticket and the prescribed medicine, re-entered the emergency room.

"Chairman Yang, did you do all these?"

Dr. Suga hurried forward, his tone seemed a little urgent.

He had never thought that Chairman Yang, who had been in charge of surgery, would use such a critical treatment method as blood purification.

It is said that the provincial health experts are well-deserved.

His master is like this.

Yang Dehuai in front of him is also like this.

But the next second.

Yang Dehuai's words shocked Dr. Suga.

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