"Get on the color Doppler ultrasound machine." "Perform a chest color Doppler ultrasound immediately!" Lu Chenxi issued the latest instructions without hesitation. The sudden drop in blood pressure, accompanied by obvious symptoms such as a decrease in heart rate, combined with the results of a comprehensive examination before the operation. The biggest possibility is that the steel bars that penetrate the chest have compressed the heart or pulmonary artery, and even ruptured and bled. This is also the possibility that Lu Chenxi is most reluctant to face. This means that the choice of this surgical plan has completely failed. If the first step is to deal with the steel bars in the chest, there will not be such a critical situation, putting the patient in the most dangerous situation. But Lu Chenxi also knows that now is not the time to shirk responsibility and complain. Since the choice has been made, no matter what the result is, he must bear the corresponding consequences.
The most critical thing at present is to find out the cause as soon as possible. Minimize the risk of the injured person... When the nurse arranged the color Doppler ultrasound machine in the operating room and made preparations. Lu Chenxi immediately started chest exploration. "Huh?" After seeing the image on the color Doppler ultrasound machine, Lu Chenxi hummed in disbelief. "The heart is normal, and the pulmonary artery is normal." "There is no large area of effusion in the chest cavity?" "How is this possible!" Lu Chenxi frowned more and more. After several checks, the results were still normal. There was almost no difference from the images during the preoperative examination. Such normal examination results could not cause such a large fluctuation in the vital signs of the injured. "Ding ding ding... ding ding ding..." But the life monitor still issued a harsh alarm. The blood pressure and heart rate of the injured were still slowly and continuously decreasing. If this continued, shock and cardiac arrest would easily occur. "Could it be that the two steel bars that penetrated the clavicle had problems?" Lu Chenxi moved the probe of the color Doppler ultrasound machine to the back of the injured. After excluding the steel bar in the chest, the problem could only be the wound where the other two steel bars were located. "Impossible!"
"There is still nothing unusual here!" Lu Chenxi exclaimed, unable to remain calm. There were no abnormalities in the steel bars in the chest and clavicle. There was no way to explain the sudden drop in the victim's vital signs. She didn't even consider whether there was a problem with the spleen suturing process. Lin Yi's entire operation never left her sight. If there was still a problem with such a perfect spleen suturing, then doctors like them wouldn't have to perform the operation. "What should I do?" Lu Chenxi was anxious. Before she knew the specific cause, rashly using pressor drugs might cause more serious surgical risks. She had no choice but to look at Lin Yi for help. But the other party's shaking head made her feel like she was falling into an ice cellar... "What's going on?" "System, please give me some hints!" At this time, Lin Yi's face was also solemn, and his eyes swept back and forth on Zhuzi. In his mind, he was even more frantic in his output to the system. The system prompts, which had always been timely, suddenly seemed to have crashed. No matter how much he cursed, there was no hint. Zhuzi's blood pressure and heartbeat were about to reach the critical value that endangered his life. If no measures are taken, danger will come at any time... "It's bad!" "If this goes on, something bad will happen!" In the observation room, Director Zhong was so anxious that he jumped up and down when he saw Lu Chenxi finish one check after another and still couldn't find the cause. "All gods, all uncles." "I, Old Zhong, bow to you all." "Don't be cautious, go and have a look..." As soon as Director Zhong finished speaking, there was no one in the observation room. In such an emergency, the heads of various departments could not stand for a long time, and Qing was waiting for the top leader of the emergency department to speak. So many heads of departments jointly consulted, and the patient was put in danger again.
If it gets out, no one will look good. "Get out of the way, stand back!" As soon as they entered the operating room, Baiji snatched the color ultrasound machine from Lu Chenxi's hand and ordered her to retreat to the back. You can't even find such a simple cause of the disease, and you dare to claim to be responsible for the patient's life. At the same time, the heads of various departments also surrounded them. As Baiji's arm moved, he stared at the image analysis on the color Doppler ultrasound machine. "Something is wrong! The patient's chest condition is maintained very well, and the injury has not deteriorated at all." Director Bai was a little furious. "It's unreasonable. I must have overlooked something..." He couldn't accept the same diagnosis as Lu Chenxi. Based on the experience of countless surgeries in the past, the patient's blood pressure and heart rate dropped at the same time. Ninety-nine percent of the probability is that there is a problem with the heart and pulmonary artery. In other cases, blood pressure will not drop so quickly! "What do you think, Director Liang? You are an expert in imaging." Baiji, who was really helpless, had to shamelessly ask Liang Hong, the director of the imaging department, for help. "According to my judgment, the patient's condition is definitely not caused by the heart and lung area." Director Liang looked solemn, repeatedly compared the data on the color Doppler ultrasound machine, and then gave a positive answer. In theory, if the injured person has this situation, the probability of problems in the heart and lung area is very high. But the data given on the instrument forced Director Liang to make the opposite judgment. "What the hell!" "This is the first time I encountered such a strange phenomenon." Director Bai pretended to be casual and wiped the sweat from his forehead, feeling that he was really a bit of a Muggle. After driving away Lu Chenxi, I couldn't find anything wrong with him anymore, so I was really embarrassed. "Let me take a look." "Could it be that the two steel bars at the collarbone have shown symptoms of infection and inflammation?" Seeing that Baiji from the thoracic surgery department could no longer count on him, the director of the orthopedics department took the color Doppler ultrasound instrument from the opponent's hand and began to explore the injured person's back. "Huh..." Bai Ji let out a long breath and stepped back in relief. If orthopedics hadn't taken over, he wouldn't have known how to step down.
Until now, he still believes that patients are more likely to have chest problems. Even if the two steel bars at the injured man's collarbone become infected, the disease will not progress so quickly. "There is no abnormality in these two steel bars. Compared with the previous inspection, there is no change." "I guess the problem is still in the internal medicine department. You can study it further." In less than a minute, the director of orthopedics also retreated angrily. The only parts of the victim's bones that were damaged were the left and right clavicle. There are no problems in these two areas, and the remaining problems are beyond his ability. "Could it be that there were complications in the spleen that was just sutured? It's not so fast!" "Emergency suturing was performed on the injured thigh. Could it be that the debridement was not thorough, leading to infection?" "Is the speed of suturing the spleen and closing the abdomen too fast? Is there any material left inside?" "If the abdomen is opened again, the risk of secondary infection will increase dramatically..." As time passed by, the falling blood pressure of the injured did not slow down at all. If no treatment plan can be provided within five minutes, the injured person's life will be in danger at any time. The directors of each department looked nervous and started discussing emergency plans. After excluding all possibilities, the fingertips were finally pointed at the thighs and abdomen. coincidentally. The stitching of the two areas was all completed by Lin Yi alone. This makes everyone have to doubt. This GP is all about speed. Have you ever paid attention to the stitching quality...