"No, even if we are present, we may not be able to rescue you..." Doctor Suiche said seriously.

Many injuries and the mortality rate outside the hospital was too high. Except for Xu Qiu, no one could save their lives.

Thanks to Xu Qiu's presence, they also enjoyed an orderly command in the emergency department, which allowed all the critically injured to survive.

"Doctor Xu, do you want to go back with us for a check-up?" The captain of the emergency team said respectfully.

"Need not."

Xu Qiu himself is a doctor. He is quite clear about the invisible damage after various car accidents, and it is easy to tell that he is fine.

What's more, he wore a seat belt at the last moment, which was a fracture of his ribs.

Rib fractures do not require treatment except for multiple fractures causing flail chest.

"Uncle Wei, you can go and do a checkup." Xu Qiu looked at the driver.

"good!"

Uncle Wei wiped the forehead and had blood solidified. During the car accident, his head hit the steering wheel. Now that he came to his senses, he realized the pain.

...

It was not peaceful that night.

After Fu Qing sent Xu Qiu home, he also sent several special police officers to work near the apartment.

As a result, in the middle of the night, Xu Qiu went downstairs again.

"Doctor Xu?!" The special police immediately came up.

"It's midnight, you're..." another special policeman asked.

Xu Qiu waved his hand: "There are patients in the hospital to be rescued."

"But you too... tonight."

"It's not in the way."

"I'll give you!"

A special policeman quickly drove the car, and his companion called Fu Qing.

More than half an hour later, Xu Qiu appeared at the door of the emergency department.

He Hai seemed very guilty: "This patient's condition is very bad, Linhai... No, no one in Baiyun Province can save him, so he can only call you."

Xu Qiu nodded.

On the way he came, he had already read the patient's information.

Male, forty-one years old, after the car accident at around 8 o'clock last night, he was a pneumothoracic patient rescued by Xu Qiu.

After he was admitted to the hospital, his chest pain lasted for another four or five hours, and the pain was like a tear-like pain from his chest to his back.

An experienced doctor can tell at a glance that it is likely to be an aortic dissection.

Therefore, a few hours ago, Joseph and several famous doctors in Saito Nori were eager to try it out and went to the rescue room with improved SUN surgery.

When the check was made, everyone was stunned.

The head swepts the chest large blood vessel CTA and the abdomen large blood vessel CTA show:

1. Aortic dissection: StanfordA type; the upper rupture is located at the wall of the ascending aorta, about 16mm wide; the re-rupture can be seen in the abdominal aorta, involving three coronary sinuses, the brachial trunk, the left common carotid artery, and the left subclavian artery

, Ascending aorta-abdominal aorta bifurcation; thoracic and abdominal aorta dissection aneurysm is formed, with a wider location about 91mm.

2. Aortic annulus diameter…

...

The lesions shown in the examination were very exaggerated, with many tear sites, from the ascending aorta to the abdominal aorta, there were at least four ruptures, and the true and false cavity of the cycling spread across the abdominal cavity, the openings of the submesenteric artery and the left renal artery

.

Joseph, Saitono and others who wanted to show their strength were all stunned.

It is a miracle to be able to take a CT scan at this level, let alone have surgery.

Even at Levelland Medical Center, such patients were basically sentenced to death and had no room for rescue.

However, the family members were very willing to rescue him, so Linyu could only do his best. Wang Fan, Jiang Mai and others all went on. On the way, the cardiac arrest occurred two or three times, and the compression was carried out for several rounds. ωωw

..net

The patient woke up several times of pain, but finally got the most effective morphine analgesia, but it still didn't work.

Dongdongdongdongdong-

At this moment, footsteps sounded outside the rescue room, and joy appeared on the faces of Wang Fan and others who were frowning: "Brother Xu is here!"

Joseph and others looked at the same time, their eyes lit up. They finally realized that there was a big boss covering him with this feeling...

The next moment, Xu Qiu, wearing a white coat, entered the rescue room, and everyone's eyes immediately came to him.

"Blood pressure 180/?mmHg."

Xu Qiu glanced at the patient's life monitor and frowned immediately.

High blood pressure level 3 and low pressure cannot be detected. This is already a blood pressure on the brink of danger.

He Hai was a little shocked: "I have given antihypertensive drugs before, why has my blood pressure risen again?"

Wang Fan and others shook their heads. The patient is now out of control - aorta is torn in a large range; aortic aneurysm rupture; hypertension has also reached the most severe grade...

No one knows what to do next!

"Did you give me sedation and relieve pain?" Xu Qiu asked.

Wang Fan: "I gave it, morphine! But the effect is not very good."

“Not good results?”

Xu Qiu came to the bedside.

There are several principles for acute aortic dissection: effective analgesia, control heart rate and blood pressure, reduce aortic shear stress and reduce the risk of aortic rupture.

Nowadays, pain relief and blood pressure reduction have failed, so we can only work hard in other aspects.

"Prepare for improved SUN surgery!"

As soon as Xu Qiu finished speaking, Joseph and others' eyes lit up again.

Finally, I have had SUN surgery again. God knows how proud that guy Noah is that guy who is addicted to the regeneration of the palm and fingers these days!

"Can patients undergo surgery even if they are in such physical condition?" He Hai was shocked.

Xu Qiu said seriously: "I have to do it."

The blood pressure is 180, and in theory, it cannot be pushed onto the operating table, but the patient is already on the verge of death, so he doesn't care too much about it.

It’s nothing more than asking the anesthesiologist to come over and find a way to reduce the blood pressure to about 160.

In addition, the patient's aorta has been torn open in full layer, and there are multiple ruptures, which is almost the same as tearing it from top to bottom.

Even morphine doesn't work, enough to imagine how severe the pain is for this person!

If the patient is not rescued immediately, even if he does not lose blood, he will suffer from pain!

The conventional SUN-style surgery is helpless in the face of this situation.

However, Xu Qiu's modified style can reduce damage to the pulmonary artery, esophagus and local nerves, and significantly shorten the operation time of the proximal anastomosis of the descending thoracic aorta, thereby shortening the aortic occlusion time.

In such a dangerous operation, time is the success rate and life!

Only by modifying SUN-style surgery, and it must be a complete version mastered by Xu Qiu, can it be successful. If it is replaced by Joseph and Saito No, these half-baked ones, are still not easy to use.

"Come to have a family talk before the operation!" Joseph was already impatient.

Soon, three or four family members came to the conference room. The patient's wife's eyes were red and swollen, and she was out of breath.

The whole conversation was over, and the family members were very cooperative. They signed basically all the people who could sign, just to protect the patients.
Chapter completed!