Medical road ahead

"Ready to defibrillate!"

In the ward, Vice President Tian, ​​who was in charge of rescuing Wang Kun, saw that his vital signs were gradually weakening. He immediately gave an order and ordered others to leave. He only led two assistants to prepare for electric defibrillation.

Wait until one of the assistants quickly dried Wang Kun's chest skin, and then put him on his back with his head turned to one side. After pasting, Vice President Tian quickly stepped forward to take over the electrode plates, and placed the (STERNUM) electrode plate at the bottom of Wang Kun’s heart (on the second and third intercostal spaces on the right sternal margin of the clavicle midline), and the (APEX) electrode plate on the The apex of Wang Kun's heart (on the fourth and fifth intercostal spaces on the left midaxillary line), and keep the distance between the two electrode plates at least 10 cm.

"Back off!"

Then, he turned his head and looked around, making sure that the two assistants had stepped aside before pressing the charging button.

Nourishes—

Hearing the sound of the defibrillator being fully charged, Vice President Tian immediately pressed the electrode plate against Wang Kun's skin, kept away from the hospital bed, and pressed the discharge button with both hands at the same time.

The whole process took only 20 seconds, but it made his forehead wet with sweat.

"Still ventricular fibrillation!"

He looked up at the electrocardiogram, and the sweat on his forehead became more and more urgent.

"Dad, you have to hold on!"

Wang Kun's sons and daughters were lying on the glass window, seeing this scene, they were very anxious.

Mr. Wang, don't give up!

Qiao Tan clasped his hands together and silently prayed for Wang Kun.

"Come again!"

Vice President Tian glanced at his assistant quickly, held the electrode plate tightly again, and pressed the discharge button with both thumbs at the same time to perform a second shock defibrillation.

"Defibrillation succeeded, sinus rhythm restored!"

Another 20 seconds passed, and Vice President Tian's tense expression gradually relaxed. After he shouted in a hoarse voice, he hurriedly removed the electrode pad and asked one of the assistants to turn the defibrillator knob back to the monitoring position, and then put the electrode pad back on. The board was handed over to the remaining assistant, who was responsible for cleaning.

"Come on! Be careful."

Afterwards, Vice President Tian called the nurses who were on standby at the door, and asked them to assist him to lie Wang Kun back to a comfortable lying position, and then continued to observe the changes in his vital signs. Lower the electrodes and wipe the skin clean.

"call"

It wasn't until the assistant returned the electrode board to the correct position and turned off the machine that Vice President Tian wiped the sweat from his forehead and let out another breath, relieved and heartbroken.

"How's it going?"

Seeing him stumbling out of the ward, Dean Chen and Liu Yaxiu went up to meet him at the same time, and the rest followed closely behind, looking up anxiously.

"There is no danger to life for the time being, but Mr. Wang's situation is very complicated and tricky, so a comprehensive general consultation must be conducted immediately, a race against time, and a fight against death." Vice President Tian said calmly.

"it is good!"

Dean Chen nodded solemnly, and immediately arranged for the directors of various departments and expert doctors to go to the large conference room for emergency consultation.

"Yaoyao, you come too."

Liu Yaxiu crossed the crowd and walked up to Qiao Tan and Cai Ya. After explaining a few words to Cai Ya, she took Qiao Tan and followed Dean Chen and others to the conference room.

"Director Liu, is Mr. Wang still in danger?" Qiao Tan asked in a low voice.

"Correct!"

Liu Yaxiu frowned and nodded, and told him her preliminary judgment, "Mr. Wang's family said that he just fell down and fell unconscious. They thought he had knocked his head, so they sent him to the local hospital for emergency treatment. At first, the other party also thought it was a coma caused by a skull fracture, but after careful investigation, it was discovered that the cause of his coma and even the fall was probably a 'brain tumor of the elderly'."

"Brain tumors in the elderly? It is indeed easy to cause disturbance of consciousness and cause wrestling. Moreover, this disease is easily misdiagnosed as cerebrovascular disease or Alzheimer's disease." Qiao Tan said.

"Yes."

Liu Yaxiu nodded, "Because the onset of intracranial tumors in the elderly is diverse, and the signs of increased intracranial pressure appear later, and some positioning signs are indeed similar to the symptoms of cerebrovascular disease. It is confused with the neurophysiological changes of aging. However, the main reason why the other hospital transferred Mr. Wang was not that the disease could not be cured, but that Mr. Wang had lung-derived disease besides the brain tumor of the elderly. Heart disease, diabetes, kidney failure, etc."

"so serious!"

Qiao Tan turned pale with shock, and then understood, "No wonder the local hospital dare not take over."

"However, can we cure Mr. Wang?"

After a while, she turned her head to look at Liu Yaxiu, frowning.

"Everything depends on man's effort. You have to fight. Didn't you listen to what Vice President Tian said just now? We have to race against time and fight against death."

Liu Yaxiu spoke so eloquently that Qiao Tan's confidence doubled instantly, and his eyes became firm.

"Next, our nutrition department must cooperate with each department to carry out nutritional treatment and be ready at any time. Once Mr. Wang wakes up, we will immediately transfer from the rear to the front line."

After a while, Liu Yaxiu stretched out her hand to hold Qiao Tan's hand, and instructed her carefully.

"Yes!"

Qiao Tan nodded vigorously, and held her hand back.

"Director Yang, is Mr. Wang's tumor malignant or benign?"

At the meeting, Dean Chen asked the most concerned question, which was also the key to this consultation.

Although the etiology of brain tumors in the elderly is the same as that of other tumors, there is still a lack of unified understanding. Fortunately, most of the pathological types are benign than malignant.

As long as the diagnosis is benign, the next treatment work will be smoother.

"Benign meningioma." Yang Yang said, and took out the test report to explain to everyone in detail, "In fact, Mr. Wang has suffered from brain tumors for a long time, but because he had no obvious symptoms in the early stage, and his brain atrophy caused the intracranial pressure to increase later. , there was no problem such as cerebral edema, until the late stage of brain cancer, he began to have mental and cognitive obstacles, which led to physical imbalance and wrestling."

"Is it risky if surgical resection is performed? Will it cause other complications?" Dean Chen asked again.

"The risk is not great, but since Mr. Wang still has symptoms of heart disease and high blood pressure, in order to avoid the risk, I suggest not to perform surgery for the time being, and discuss it after his physical condition is stable." Yang Yang said cautiously.

"I agree with Director Yang's point of view."

Vice President Tian answered, "When I rescued Mr. Wang just now, I found that his body was swollen. Therefore, in addition to heart failure, his kidney function is also abnormal, and he may also have low protein."

"Deputy President Tian's analysis is good. Mr. Wang's family members have mentioned that before his accident, he kept saying that his stomach was bloated, which was a bit like flatulence, and that the amount of urine when urinating was relatively small and painful. So I speculate that he In the case of renal failure, it is recommended to pay attention to the dosage when using cardiotonic diuretic drugs to treat heart failure, so as not to increase the burden on the kidneys." Director Zhang of the Department of Nephrology said.

"In addition, Mr. Wang also suffers from diabetes. When giving him medicine to treat heart failure, kidney failure, and high blood pressure, remember to pay attention." Qin Xiao reminded.

"That is to give him protein infusion and diuretic to eliminate edema first, or..."

Dean Chen was in trouble, but before he could finish his question, he saw the door of the conference room being pushed open, and a nurse from the intensive care unit came in and shouted excitedly to everyone: "Mr. Wake up!"