novelslam Chapter 412
Chapter 412
Chapter 412
Lin Feng shook his heart!
call out!
“Quick, cardiopulmonary resuscitation!”
Hearing this, Second Help quickly stretched out his hand and pressed it on the heart without a second word!
1, 2, 3, 4, 5…
The heart keeps pressing!
As for artificial respiration?
No need, because I am itching the ventilator…
Then every three minutes, 1 mg of adrenaline is injected intravenously…
And at this time,
Lin Feng’s movements remain unchanged, continue stitching…
Block, anastomosis, open, supply-blood…
After a series of operations,
Moving clouds and flowing water…
However, it is useless, because the patient still has no heartbeat…
8 minutes……
10 minutes……
15 minutes……
Lin Feng, all doctors and nurses, their hearts are sinking…
The longer the time, the less chance…
In a flash,
At the 20th minute…
soon,
25 minutes passed…
The patient’s heart did not react at all…
On the cardiopulmonary resuscitation side, 5 doctors and nurses have been changed…
Lin Feng waved,
give up.
25 minutes is enough.
For ordinary doctors, 10 minutes is good, but if you insist on 25 minutes now, it is considered to be ‘benevolent and righteous’.
There was silence in the operating room.
Although I am used to seeing life and death, I still can’t help but feel sad.
Lin Feng: “Go and talk to your family…”
Lin Feng sighed.
It took 300,000, but it was not saved… I am afraid that the family members are not feeling well…
Other doctors and nurses began to dismantle ECG monitors, ventilators… and other instruments…
At this moment,
Sudden,
An intern suddenly uttered a piercing scream:
“Doctor Lin, he… his… arteries… seem to move…”
Lin Feng: “……………………”
Other doctors and nurses: “……………………”
All shocked!
Have arteries?
Everyone looked at the abdominal aorta that had just been sutured apart from the patient’s abdominal cavity…
It’s weird… It’s jumping! !
“Fuck!”
“what happened?”
“A corpse!!”
At this time, Lin Feng reacted immediately:
“Quick, face ventilator and ECG monitor right away!”
Ventilator, connect it to ensure enough oxygen…
The ECG monitor is connected…
“Damn!”
“There really is a wave!!”
“This waveform is still healthy!!”
I saw that on the ECG monitor, a healthy ECG waveform was moving…
·Blood pressure is a bit low…
·The blood oxygen saturation is only 78%…
With the ventilation of the ventilator, blood oxygen saturation began to rise, and blood pressure began to rise…
Everyone was stunned.
“Resurrected?”
“Fate?”
“what happened?”
Everyone looked at Lin Feng at this moment.
Perhaps only Lin Feng can answer their answers…
Lin Feng pondered for a moment.
Reacted quickly.
Found the final answer!
“I think it should be “Lazarus syndrome”! ! ”
To be honest, Lin Feng only thought of it with hindsight.
“Lazarus syndrome?”
When everyone heard,
Qi Qi was stunned.
“What’s this?”
“Have not heard……”
Lin Feng smiled and took advantage of this rare opportunity to do a popular science.
“Lazarus comes from the “Bible·John Gospel”. It is said that in order to prove his miracle, Jesus predicted that the dead Lazarus would be resurrected. And four days after his death, Lazarus really went from the cave where he was buried. Came out of it. So Lazarus is connected with the concept of resurrection from the dead.”
“The name “Lazarus” naturally means “resurrection from the dead.” ”
This phenomenon rarely occurs, and it is rare in the world.
As for its mechanism?
Excuse me,
At present, the whole world is not clear, the only speculation may be caused by a combination of multiple factors.
in,
There are three speculations:
·Conjecture 1: The patient’s excessive itching and itching increase the pressure in the alveoli and the thoracic cavity, which compresses the pulmonary circulation vascular bed, large blood vessels and the heart to a certain extent. The venous return is blocked, and even the patient’s cardiac arrest is caused. After stopping cardiopulmonary resuscitation, these accumulated pressures will gradually be released to restore the autogenous circulation and the heart beats again.
·Speculation 2: Because the patient’s venous return is blocked, it may take some time for rescue drugs such as epinephrine to be injected into the peripheral vein to reach the target organ with the blood circulation. When the venous reflux was restored, the medicine began to work, and the person was rescued.
·Conjecture 3: Researchers found that some patients with Lazarus phenomenon also suffer from hyperkalemia. High potassium in the intracellular fluid can reduce myocardial contractility and autonomy, which can cause cardiac arrest. When the hyperkalemia is released, the heart begins to recover…
After Lin Feng explained it again,
The doctors and nurses suddenly realized…
“So it’s like this…”
“learnt!”
“Dr. Lin, he is really knowledgeable…”
Lin Feng said at this time: “Take a blood to the patient and send it to a laboratory to see the blood potassium level… Also wait for the patient to leave a urine test…”
“Yes……”
Lin Feng didn’t say one more thing,
After the patient suffered a cardiac arrest, he performed cardiac compressions for 25 minutes to ensure that the itch was supplied to the whole body. However, after Lin Feng announced that he gave up, there was no cardiac compression for about 3 minutes.
I don’t know if these 3 minutes will cause brain death…
“I hope not…”
I took a look at the ECG monitor,
The vital signs are very stable and have returned to the normal range.
Life, saved.
0 ········Find flowers·····
…
at this time,
Outside the operating room,
The patient’s wife and parents still don’t know what happened in the operating room.
Is waiting anxiously,
at this time……
Lin Feng pushed the hospital bed and walked out the door of the operating room.
The parents and wife stood up in surprise and ran over quickly.
“Doctor Lin, how is the situation?”
“Congratulations, I saved it, and I will be hospitalized for observation for seven days…”
This message,
Undoubtedly, the two elderly people and their wives were full of joy and crying happily.
Their family was undoubtedly lucky, and the operation was successful in the end.
It can be said that this is a decision to bet on their lives. They made the right bet and spent 300,000 yuan to buy the lives of their families.
However, not everyone is lucky.
In the hospital, there are many patients’ family members who can only endure the grief and sign “abandon all treatment” in the face of the high cost of treatment…
…
the next day,
This rescue operation by Lin Feng spread throughout the hospital.
Shocked many doctors and nurses!
“Fuck, there is this kind of’resurrection’ situation?”
“Magic!”
“I’ve heard of this disease a long time ago, but I didn’t expect it to happen.”
“See the legend!”
but,
This incident also caused a turmoil in Harmony Hospital.
The storm is: When a doctor judges that a patient is dead, there will be a kind of confusion: Is the patient dead or not? What if “Salarlu Syndrome”?
How does the hospital judge: the patient is dead?
Forensic medicine textbooks divide death into three periods, namely the near-death period, the clinical death period, and the biological death period.
Modern medicine generally does this: the patient has confirmed that there is no heart sound, pulse, pupil response to light, and corneal reflex.
Then judged as: death!
But most of the reported cases of “Salarlu Syndrome” occurred after death was confirmed.
so,
“Salarus Syndrome” will cause doctors to be confused…
As for Harmony Hospital, this kind of confusion now appears!
Then, there was a heated discussion inside the Harmony Hospital, and many doctors held their own opinions.
Even the storm has spread to other nearby hospitals, such as Shuitan Hospital, Ditan Hospital…
Lin Feng was also a little confused,
Unexpectedly, one of my own operations would have triggered such intense and wide-ranging discussions.
…
this day,
The patient’s potassium test came out on time.
·Result: Hyperkalemia!
Same as many cases of “Salarlu Syndrome”!
————————————
ps: The update is over…
Explain the meaning of “XXemia”, which generally refers to: In the blood, the content of XX is low or high.
For example, “hyperkalemia” means that the potassium ions in the blood are higher than the normal range!
. again.