Chen Cang swallowed, "Does a pulmonary embolism also cause an allergic rash?"
"Um, it's not impossible," Niu Tianfu said at this time.
At this point, a very serious issue had already been laid out in front of everyone!
If acute pulmonary embolism is suspected, what should be done?
Just then, Qin Xiaoyuan suddenly asked, "How long has it been since the attack?"
Yu Yingcai was right at the door and had been startled by the emergency resuscitation. He checked his watch, "It's been just over an hour… to be precise, about 70 minutes."
Upon hearing this, Qin Xiaoyuan immediately furrowed his brows!
Many theories now believe that about sixty to seventy percent of pulmonary embolism patients, especially those who faint, will die within the first two hours of onset!
However, it is very difficult to get to the hospital and obtain a clear diagnosis in such a short time!
If the patient can effectively get through this initial crisis, under active medical treatment in internal medicine, they can be saved.
At this time, they usually need to perform pulmonary angiography and lung scanning to confirm the diagnosis and understand the location and extent of the emboli.
The directors began a tense discussion!
Five minutes later, they decided to conduct a coronary angiography.
But before this, it was necessary to ensure the patient's safety!
"Atropine 1mg! Intravenous injection!"
"Dopamine 5ug/kg.min!"
Before the patient's examination or surgery, necessary preventive measures must be taken to prevent accidents during the examination!
After hearing these two medical orders, Chen Cang silently took note of them.
Atropine is used to relieve coronary spasm caused by excessive vagus nerve tension, while dopamine, at this time, is clearly capable of treating shock while correcting hypotension-induced arrhythmias!
These two medical orders, like shields, once again escorted the patient!
Of course, any medical means is a matter of probability!
No one can guarantee that there won't be accidents during surgery.
This is not without possibility!
Qin Xiaoyuan had already thought through all possible measures and had done everything that needed to be done.
Yu Yingcai had no choice but to nod in acceptance!
At this time, the test results came back!
WBC was significantly elevated, LDH was also high, while CPK was essentially normal.
Acute myocardial infarction could now be ruled out.
Director Niu personally took charge, starting to prepare for the angiography.
With each passing second, a colorless gunsmoke filled the emergency resuscitation room.
Resuscitation and war have commonalities.
It causes a surge in adrenaline.
You feel something called passion spreading within you.
Before long, the angiographic images came back, and the patient was diagnosed without a doubt, with a pulmonary embolism!
Having just been brought to the resuscitation room, the directors were overjoyed, looking at the images, and now they could fully prepare to start treatment.
Director Niu calmly began issuing medical orders.
The anticoagulant drug Lele was already being prepared.
Just as everyone heaved a sigh of relief and was ready to begin treatment,
Shi Na exclaimed, "The patient's heart has arrested!"
At once, everyone's faces changed.
Cardiac arrest at this time?
Old Niu was immediately scared. At this time, anticoagulants are useless.
Even Tao Zi became panicked!
Why would there be a cardiac arrest?
Is there ventricular fibrillation?
At this moment, if ventricular fibrillation occurs again, these directors are already prepared to give up on you.
Already afflicted with pulmonary embolism, if ventricular fibrillation were added on top, who knows if there's another embolus present.
At this point, if something else just slightly affected the fragile patient, they'd really be done for.
Without a second thought, Chen Cang immediately prepared to start external chest compressions!
It was then that the directors began to frantically discuss what to do now?
The situation was truly bleak!
While everyone was frowning and troubled, Tao Zi suddenly said, "There is still a way now!"
Qin Xiaoyuan's eyes lit up, "What do you mean, Director Tao?"
Niu Tianfu felt the same, wondering if surgery had any better options.
With every word measured, Tao Zi stated, "Lung artery thrombectomy!"
At these words, several department heads frowned instantly.
Truth be told, there was still controversy to date regarding surgeries for pulmonary embolism and a lack of consensus.
Even when such surgeries first appeared, they were deemed useless by everyone!
Because surgical treatment had no place in this condition, given the extremely low success rate of such surgeries!
The mortality rate was extremely high!
All along, it was used as an adjunct treatment, for massive pulmonary embolism with accompanying shock, systolic pressure dropping to below 100mmHg, elevated central venous pressure, renal failure, those for whom medical treatment had failed or was unsuitable.
The mortality rate for surgeries under cardiopulmonary bypass was higher still.
But at this moment, everyone was out of options.
Now the heart had stopped beating, and the systolic pressure had just been less than 90; at this point, how effective could medical treatment truly be?
Everyone was uncertain!
After some discussion, Qin Xiaoyuan looked at Tao Zi with a grave expression, "Director Tao, this lung artery thrombectomy, can you perform it?"
Blushing, Tao Zi responded, "I've never done it before; not many people have."
Hearing this, everyone sighed, and hope was extinguished once more…
It was then that Chen Cang's external chest compressions succeeded.
Finally, the patient's heartbeat was restored…
Now, everyone was not necessarily confident in proceeding with medical treatment.
But they were even less certain about surgical removal of the clot!
Not even Tao Zi could perform the operation…
At that moment, Tao Zi suddenly turned to Chen Cang, "Xiao Chen, can you perform a lung artery thrombectomy?"
Chen Cang was taken aback.
Even Qin Xiaoyuan and Niu Tianfu had given up any hope.
To place hope on a young person.
It made them feel embarrassed just to think about it.
But calling for a specialist wasn't realistic; if effective measures couldn't be taken within two hours, the patient's mortality rate would soar again.
At that moment, Chen Cang glanced at his skill points, 25 in total.
A lung artery thrombectomy was a level three thoracic surgery and also an emergency lifesaving operation, redeemable for 4 skill points.
To upgrade to Master level required 7 skill points.
In total, he needed 11 skill points!
Chen Cang looked at Yu Yi lying on the bed, took a deep breath.
Moreover, he was eager to know what the truth was… exactly what truth?
Although not very clear, Chen Cang understood that the hidden mission would certainly bring significant news and clues!
Saving a life, plus a hidden mission, was worth it!
As soon as he said this, several people were stunned.
The expressions on Tao Zi's face were rich indeed.
From doubt to shock to ecstasy!
He couldn't help but punch the air, "Dean Qin, Xiao Chen can do it!"
Qin Xiaoyuan looked at Chen Cang, and he too felt an overwhelming sense of shock.
In a situation where everyone else was at a loss, Chen Cang suddenly stood up and took on the responsibility.
As though when everyone was ready to give up, Chen Cang managed to turn the tides against all odds!
He knew Chen Cang was outstanding, but ... this feeling of hope arising during a time of helplessness was just too thrilling.
Looking at Chen Cang, Qin Xiaoyuan found himself… somewhat unable to see through his son-in-law!
After some hesitation, Qin Xiaoyuan once again called the family members over.
Yu Yingcai's heart had already been on a rollercoaster several times today, and it couldn't take any more shocks.
He had not expected to encounter such a situation again.
After Qin Xiaoyuan gave his instructions, he informed Yu Yingcai, "The success rate of the surgery is less than twenty percent, even lower for medical treatment, and he hoped that a decision could be made swiftly!"
ps: A big thank you to "Having Buddha in My Heart, I Fear You" for the 10,000 reward, thank you, the story to come is even more exciting!