Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 119 Heart Stopped, Still a Dead End! (Please subscribe!)

"My husband was moved when he heard it. After finishing work in the afternoon, he went to his co-worker's house to fill a bottle and came back."

"Actually, when he came back and showed me the medicinal wine, I felt unreliable at the time, because generally medicinal wine is smeared, so there is no way to drink it."

"So I advised him not to try it. After all, it's such a strong alcohol, how can anyone bear it after drinking it!"

"But my husband insisted that there was absolutely no problem, so he drank a few sips straight away."

"But not long after drinking, he suddenly felt unwell, saying that his face was numb and his tongue was numb too!"

Speaking of this, the woman couldn't help showing a look of anxiety on her face,
"At first I thought it was because of the alcohol, and I didn't pay much attention to it. I just asked him to lie on the bed and rest for a while."

"But not long after he lay down, he said that his face and tongue became more numb, and he couldn't stand it anymore! He also started to feel sick and vomit!"

"So I hurried downstairs to buy medicine for him. During the process of buying medicine, he probably couldn't bear it anymore. He called me, and he stumbled to the hospital directly."

"So I hurried over when I found out!"

The woman told Lin Yi the whole story in one breath.

"It's too scary, this is something to drink, don't dare to drink it!"

"It is estimated that this elder brother is usually tortured by pain very badly, so after hearing that the workers said that it can relieve the pain, he thought about trying it quickly."

"Well, if you are overloaded with heavy work for a long time, your body will definitely not be able to bear it and you will suffer from pain."

"No way, life forces it!"

"I hope he won't have any accidents, otherwise it's too pitiful..."

After listening to her narration, the water friends in the live broadcast room immediately sent out barrage.

Lin Yi and Wu Jiang pondered in their hearts after listening.

After a while, Wu Jiang said directly:

"From this point of view, your husband is probably poisoned by medicinal wine!"

"Some toxins in medicinal wine can affect heart function, and even cause malignant arrhythmia, leading to repeated ventricular fibrillation, which is very dangerous."

"Then... what should we do now?"

The woman asked anxiously,

"It's all my fault. I should have stopped him then, and I shouldn't have let him drink it."

"I... Why didn't I persist? It's all my fault! Blame me!"

As the woman said, she blamed herself and wanted to slap herself twice!
Originally, Wu Jiang wanted to say a few words about her, but he dared to drink the medicinal wine without knowing its ingredients, he was really too brave!

But it's hard to say anything after seeing her like this, let alone now is not the time to regret and blame yourself, but to rescue the patient as soon as possible!
"Should we lavage the patient's stomach?"

A nurse looked at Lin Yi and asked him.

While continuing to perform chest compressions, Lin Yi shook his head and said:

"No, gastric lavage is no longer possible."

"On the one hand, the patient is now unconscious, and gastric lavage can easily cause liquid to enter the lungs, leading to aspiration."

"On the other hand, his heartbeat has not yet recovered. Cardiopulmonary resuscitation is the most important thing right now, and there can be no delay."

After finishing speaking, Lin Yi breathed a sigh of relief, frowned and said:

"Actually, in this patient's current situation, malignant arrhythmia has already occurred, which means that the drug in the medicinal wine has entered his blood. We must find a way to remove the toxin in his blood."

"And that requires bedside blood purification."

"But the problem now is that the patient's heartbeat hasn't recovered yet, so we can't take him to do it directly..."

After Lin Yi finished speaking, Wu Jiang nodded in agreement:

"Yes, who said otherwise! His life or death is still uncertain, and he must recover his heartbeat first."

"In this way, I will continue to press, and you quickly draw his blood to see the electrolytes in the blood, and then use some antiarrhythmic drugs to see how the effect is."

Lin Yi thought for a while, and gave instructions to everyone.

"it is good!"

Everyone agreed and acted quickly.

After a while, Wu Jiang frowned, anxiously, and said:

"No way, Brother Yi! He is now on a ventilator, but his blood oxygen saturation is only 83%."

"It doesn't work either!"

(Blood oxygen saturation is generally above 95% for normal people.)
Lin Yi thought for a moment, took a deep breath, nodded slightly and said:

"It's really impossible to continue like this. His cardiac arrest should be caused by poisoning. If only chest compressions and electrical defibrillation are used, it is really difficult to reverse his heartbeat."

"Taking a step back, even if you were lucky enough to press the heartbeat back, it is estimated that you will fall into a second ventricular fibrillation soon, and then continue to have cardiac arrest!"

After hearing Lin Yi's words, the patient's wife turned pale in an instant!

"Doctor, think of a way to see if there is any treatment plan, I beg you!"

"My husband... he can't have an accident! This family is pointing at him. If something happens to him, what shall we do!"

"Money is not a problem, I will admit how much money is spent!"

"Although my family is not rich, I can sell the house, as long as it can save my husband, I can do anything!"

His wife was trembling all over, especially excited.

"Ma'am, don't get excited, aren't we trying to find a way?"

Wu Jiang quickly comforted him.

At this moment, another young man about 20 years old rushed in from the door.

"dad!"

After rushing in, he anxiously yelled at Deng Yong who was lying on the hospital bed.

"Mom, my dad...how is he?"

When the young man saw Deng Yong with his eyes closed and his face pale on the hospital bed, he panicked immediately!

With tears streaming down his face, he asked the woman in a trembling voice.

"Lele!"

The woman couldn't suppress the collapse in her heart, so she hugged her son directly, and the mother and son embraced and cried bitterly.

Seeing this scene, the water friends in the live broadcast room couldn't help sighing, and launched a barrage:
"Oh, now that I'm getting old, I can't see this kind of picture anymore."

"Now the elder brother's life and death are unknown, one can imagine the grief in their hearts."

"That's right, a person who was good at first, suddenly became like this, who can accept it?"

"The originally happy family of three is now..."

"Indeed, it should be very good to be able to see their feelings!"

"This heart-piercing pain..."

Lin Yi saw that the mother and son were losing control of their emotions, so he said quickly:
"Ma'am, please take your son outside and wait. As for the elder brother, we will try our best to rescue him."

After Lin Yi finished speaking, her son regained consciousness first, wiped away the tears on his face and said to the woman with sobs:
"Let's go, Mom, we can't help you here, don't affect other doctors."

The woman twitched from crying, and confided to Lin Yi and the others:
"My son just graduated from high school this year and was admitted to university. He is a very sensible child. Although his father is very tired every day, he works very hard. Why is it suddenly like this now..."

Lin Yi sighed, looked at the woman and said:

"Ma'am, go out first and control your emotions, otherwise you will twitch after a while, and we will have to draw resources to rescue you."

"Well, good, you must save him."

The woman couldn't help breaking her tears and laughed, then wiped her nose and tears, and said restrainedly.

"Come on, Mom, tell me what's going on with my dad."

Later, her son helped her walk to the emergency room.

After the mother and son went out, all the medical staff present did not dare to slack off, and each got busy.

They intubated Deng Yong and connected him to a ventilator.

In this way, there is a ventilator pumping air inside, at least it can ensure the supply of oxygen, and will not make him hypoxic.

After the operation, Lin Yi stared at Deng Yong, frowned and shook his head, saying:

"There is no way to continue like this. The toxin in his heart has not decreased, and it is still a dead end."

"Yeah, the heartbeat has not recovered, it is too dangerous now, and there is a possibility of death at any time!"

Wu Jiang was also extremely anxious at this time, constantly thinking about countermeasures in his mind.

After a while, Lin Yi suddenly said:

"I think...the only way now is to use an artificial heart-lung machine, at least to stabilize his life first!"

(An artificial heart-lung machine, also known as ECMO (Extracorporeal Membrane Oxygenation), can temporarily replace the patient's heart and lung function.)
"After he stabilizes, if he is really poisoned by medicinal wine, then we will try to remove the toxins from his body."

After hearing Lin Yi's idea, Wu Jiang was silent for a moment, then hesitated and said:
"Currently, this is indeed the best way. It's just that once the machine is installed, it will cost tens of thousands a day, and the cost of a week's treatment will be around 20..."

"For their family..."

Speaking of this, Wu Jiang stopped what he said.

Lin Yi naturally knew what he was worried about.

Indeed, this fee is undoubtedly a huge expense for the average family!

But in this situation, any money is not as important as saving your life!
Afterwards, Wu Jiang also sighed and said:
"But even if it costs an astronomical amount, there is no way out. I will tell the patient's family now."

After speaking, Wu Jiang walked outside the emergency room.

The water friends in the live broadcast room clicked their tongues when they heard Wu Jiang's words:

"It's so expensive to use this machine!"

"It will cost 20 in a few days! This is too scary!"

"Even if the medical insurance can claim some, but the bulk still has to be paid by yourself!"

"Maybe they really want to sell the house..."

"This is simply a disaster that fell from the sky, directly crushing an ordinary family!"

"It's okay, if spending 20 yuan can save people, it's worth it!"

"That's right, money or not is a trivial matter. If you keep the green hills alive, you don't have to worry about running out of firewood. As long as you can save this big brother, how much you spend is not the most important thing!"

"Using this ECMO does not mean that there is a [-]% guarantee that people can be saved, it just increases the chance of saving lives."

"Ah? Is that so..."

After Wu Jiang walked out, he came to the mother and son.

He told them about the current situation, and emphasized to them that the use of an artificial heart-lung machine does not guarantee that her husband will be saved, but only increases the chance.

But even so, the woman nodded and agreed immediately after hearing it, and said again and again:
"It's okay, doctor! Money is not a problem, as long as you can save my husband, even if there is a chance, then you can do it!"

"In a while, I will go to my relatives to borrow money. If it is not enough, I will sell the newly bought car at home in the next two days, or I will sell the house!"

"There will always be a way! You should hurry up and treat it!"

"And don't worry, even if I can't save my husband, I will admit it, and I will definitely not trouble you!"

"Um……"

Wu Jiang nodded slightly, turned around decisively and walked directly.

He was afraid that if he looked at this elder sister one more time, his heart would churn.

Although he has been in the hospital for so many years, he has seen everything.

Parting from life and death, despair of having no money, change of heart between husband and wife...

But at this moment, he still couldn't help being filled with emotion.

What a kind and understanding elder sister, what a loving and harmonious family......

We must do our best to treat and bring the patient back from the death line. This is the best return expected of her!
Wu Jiang secretly clenched his fists and walked directly into the emergency room.

"What did the patient's family say?"

After seeing Wu Jiang coming in, Lin Yi asked impatiently.

"The patient's family members agreed without hesitation, and told us not to have other concerns!"

"it is good!"

After Lin Yi heard the answer, he nodded vigorously, and then immediately said:

"Hurry up and notify the ECMO team to be in place!"

"Yes!"

Wu Jiang agreed and quickly ran out.

At the same time, Lin Yi arranged for the nurse:

"Hurry up and get ready for pre-filling the ECMO circuit!"

"Yes!"

The principle of ECMO is to first puncture the patient's large vein and place a catheter.

The blood is drawn out from this vein, passed through the oxygenator, oxygen is inhaled, and carbon dioxide is released, completely simulating the lung function of the human body.

Then turn the blood back to the patient, and after such a back and forth, the patient gets enough oxygen.

There are two commonly used methods of ECMO, VV ECMO and VA ECMO.

VV ECMO draws blood from the vein and returns it from the vein without going through the heart, so it has no obvious decompression and protection effect on the heart. Simply put, this is just an artificial lung.

VA ECMO, on the other hand, draws blood from the veins and then turns it back from the arteries. This is of great help to the heart and can reduce the work of the heart. Therefore, this is an artificial heart-lung machine, which replaces both the lungs and the heart.

As for Deng Yong's heart problem at this time, he had repeated ventricular fibrillation.

If it is not suitable to simply do VV ECMO, VA ECMO is the most suitable choice!

Soon, the ECMO team was in place quickly and began to operate, ready to make the ECMO machine work.

And Lin Yi continued to do cardiopulmonary resuscitation for the patient.

"Doctor Lin, how about I stand for you for a while."

Seeing Lin Yi sweating profusely, a doctor next to him couldn't bear it and said to him.

"No, my physical strength is fine!"

Lin Yi directly refused.

"OK then."

Looking at Lin Yi, the doctor couldn't help secretly admiring his physical strength.

This is a sports student changing career, it's too awesome!
At the same time, this period of time is also a challenge for the doctors and nurses present.

Because the whole body of the patient is shaking constantly when being pressed, this undoubtedly increases the difficulty of placing the venous arterial catheter!

(End of this chapter)