I can see the status bar

Chapter 790
Facts have proved that Sun Lien's decision is very correct and timely.Only three to ten minutes after the endotracheal intubation was completed, Zeng Jing developed respiratory depression.After the blood oxygen dropped to 10%, the doctors decisively performed mechanical ventilation for her.

At the same time, the nurses who were drawing blood for the second amylase test were surprised to find that the blood in Zeng Jing's vein had turned pink.

It cannot be delayed any longer.Sun Lien made a decisive decision and immediately sent Zeng Jing to the operating room floor—the headmistress had already given permission for the operation, and she didn’t start the surgical intervention immediately because her vital signs were not stable enough——Zeng Jing’s blood volume increased rapidly. Fast forward, which led to her blood pressure level is likely to be unable to tolerate anesthesia.

But now it looks like there is no better way.Sun Li'en decided to be a rogue and leave this problem to the anesthesiologist to solve it - if it doesn't work, he can do it with local anesthesia or no anesthesia at all.As long as you can save your life, everything else can be compromised.He didn't want to ruin Zeng Jing's only possibility of survival because of his hesitation.

The mortality rate of painless pancreatitis is high.According to general experience, the mortality rate of severe acute pancreatitis may be as high as 15% to 20%, and painless pancreatitis, once found, is severe acute pancreatitis without exception, and because the attack is hidden, the mortality rate will be higher than that of ordinary severe acute pancreatitis. Pancreatitis is much higher.

Since the statistics of painless pancreatitis are difficult to obtain comprehensively, when referring to this special type of acute pancreatitis, most of the general literature vaguely mentions "the mortality rate is extremely high" and then gives up.But as long as you use your brain a little, you can guess that the mortality rate of this disease is bound to be much higher than that of ordinary severe pancreatitis.

After sending Zeng Jing to the operating room, Sun Lien deliberately found the anesthetist who was about to take the stage, and told him the problems he was facing now.

"Without this operation, the patient's mortality rate may be as high as 50% or more." In order to express his point of view, Sun Lien carefully adjusted his words, "Peritoneal washing is a must, and she has already had it." Respiratory depression, if you don't deal with it, you will really die..."

"That's it." Unexpectedly, the anesthesiologist didn't seem to take this as a serious problem. He scratched his head through the surgical cap, "Then we'll use spinal anesthesia."

There is also a more well-known type of spinal anesthesia-spinal anesthesia.It is different from the general anesthesia required for traditional major surgery.Depending on where the anesthetic is injected, this technique can be subdivided into subarachnoid blocks (spinal), epidural blocks (epidural), caudal blocks, and lumbar epidural blocks. Four kinds of anesthesia.

Compared with traditional general anesthesia, the biggest advantage of epispinal anesthesia is that the affected area is smaller.Because it is not general anesthesia, compared with general anesthesia, epispinal anesthesia has the advantages of less impact on organs, less blood pressure and respiratory depression.

"Don't worry about the specific details, I'll do it." Anesthesiologists are the most tiring group of people in the entire operating room. They work long hours and intensively so that they rarely communicate with other doctors in detail. interest.Especially with emergency physicians who have nothing to do with it... Then there is no interest in continuing the discussion. "That's the only question, isn't it?"

"The main problem is this. However, the operation may require laparotomy." Sun Lien was stunned for half a second before continuing, "The patient's pancreatitis may have lasted for more than 24 hours. It is hard to say how damaged the pancreas is now." ——She already has hyperlipidemia.”

"It's enough to start the anesthesia platform from t4." The anesthesiologist muttered, then turned around and walked into the operating room, and said to Sun Li'en while walking, "It's okay, just wait for the news." Then It really disappeared behind the door of the operating room.

Regarding the surgery, Sun Li'en actually couldn't help much.In the environment of Africa, he can also play a small role as a humanoid vital signs monitor.But now in the fourth hospital, all the necessary equipment is available. If Sun Lien enters the operating room again, it will be useless except for wasting a set of surgical gowns and occupying a piece of space in the operating room.Thinking of this, Sun Lien decided without any psychological pressure, and went back to the emergency room first, and then sorted out Zeng Jing's case.

Knowing yourself is a very rare and important qualification.As a physician, Sun Lien's role in the operating room is no greater than the stool an anesthesiologist sits on.As a screw in the entire medical system, he can play his due role only in the correct position.

For example, sorting out cases, such as contacting the Department of Endocrinology, Gastroenterology and ICU.

The doctor who came for consultation from the Department of Endocrinology ran away and did not see the patient, which puzzled the Chief Resident Physician of the Department of Endocrinology who came for consultation.However, the large amount of information in Sun Lien's hands can indeed play a certain role.

"The surgical plan depends on how the surgery is done. But I guess...a considerable part of the pancreas may have to be removed." After reading the information and listening to Sun Lien's diagnosis opinion, the Chief Resident Physician of the Department of Endocrinology gave own opinion. "In this case, she will face more problems in the future... I don't know if the spleen can be preserved."

"Then you will only find out after the operation." Emergency surgery is like this. Not only the family members don't know what will happen afterwards, but even the doctors sometimes don't know what the specific process will look like.Sun Li'en said helplessly, "Based on the timing, her pancreatitis may have been onset for almost a day."

"Ordinary acute pancreatitis, even if it is treated conservatively with drugs one day after the attack, the effect will not be too bad." Doctors in the Department of Endocrinology usually do not deal with patients with acute pancreatitis.Acute pancreatitis is basically managed by gastroenterology, gastrointestinal surgery or ICU.So when he said this, the boss of the endocrinology department didn't look very confident.

"Painless pancreatitis? Where's the person?" At this moment, the consulting doctor from the Department of Gastroenterology also arrived.But this time... a group of people came in a mighty way.The leading doctor yelled as soon as he entered the door, "Where is the patient?"

As a rare disease in severe acute pancreatitis, a patient with painless pancreatitis who is still alive is equal to an important paper and an extremely valuable treatment experience.It's no wonder that the doctors of the Department of Gastroenterology attach so much importance to it—there are seven or eight people who come down after one consultation.It looked almost as if it was about to steal someone from the emergency department.

At the same time, doctors from the ICU rushed to the scene.However, due to work reasons, the number of doctors who can be sent out for consultation in the ICU is inherently insufficient.However, this does not affect the enthusiasm of the ICU to grab people - the chief director of the critical care medicine department showed up in the emergency room with a deputy director, and said very sincerely, "We have specially selected elite soldiers and strong generals to form The treatment team, and specially adjusted the bed for reception. She is in such a serious condition now, she must be put under supervision in our department first. "

The gastrointestinal surgeons weren't there—they were still in the operating room doing emergency surgery.

When the head of the endocrinology department watched this scene at first, he was completely bewildered and didn't know what happened.But looking at the dynamics on both sides, he suddenly understood why this patient was regarded as a sweet potato.

"That... that..." He held back for a long time before saying, "Our endocrinology department can undertake the subsequent treatment..."

In the emergency room of the Fourth Central Hospital, doctors from the Department of Gastroenterology and the ICU almost fought.

(End of this chapter)