At noon, 120 roared into the hospital. The emergency department on the first floor immediately transported the patient to the rescue room.
At this time, Xiao li, who was lying on the rescue bed, was unusually awake. Seeing the paramedics busy, they were there all the time asking if they were in danger.
Without checking, no one dared to give her an answer, and could only try to comfort her.
It was understood that her stomach had been hurting since the middle of the night. Until she came to the hospital, she was firmly convinced that it was general gastroenteritis or something. However, as her stomach hurt more and more, she couldn't hold on. So, dial 120.
After an initial understanding of the situation, the doctor considered that it might be a perforation of the digestive tract or a common condition for young women such as ectopic pregnancy. At the same time, tests such as bedside ultrasound and electrocardiogram were also called.
Some people ask: Why do you do an electrocardiogram? It's not heart disease!
This is because the pain of some heart problems may not have symptoms in the heart's location. The area of pain may "migrate" to other parts of the body. The abdomen, which is also one of the sites of possible migration.
After seeing the ultrasound results, everyone's expression became solemn. This is because ultrasound points directly to a disease - perforation of the digestive tract. You know, this is a disease that can be life-threatening at any time.
At this moment, Xiao Li, who was still in pain and rolling around, suddenly felt that it was not so painful. Moreover, the mind is getting heavier. Presumably because she hadn't fallen asleep for half the night, she thought.
At the same time, the blood pressure on the monitor began to drop, the heart rate gradually became faster, and the breathing became more and more unstable, and even snored.
Seeing this, the emergency department immediately reported to the hospital and requested support from various departments. They know that Xiaoli's condition is very urgent!
The surgical and anesthesiologists who arrived afterwards decided they could not wait any longer. If the infection is not removed by surgery in time, other methods are "to treat the symptoms rather than the root causes".
For anesthesiology, the patient has already shown signs of shock. On anesthesia, the risks can be imagined. If you are not careful, you may also become a "back pot man". But if you find a reason to refuse anesthesia, it's a life.
Soon, the nurse pushed Xiaoli into the operating room.
Seeing that the patient had come in, the anesthesiologist immediately gave her oxygen. At the same time, tap her shoulder hard with your hand. The purpose of this is to hope that the patient's sympathetic nervous system will be excited, which is conducive to anti-shock and also conducive to the safety of the next anesthesia.
Asked Xiaoli afterwards, she did remember that in the haze someone had been calling her name and patting her on the shoulder. However, that "sleepiness" made her just want to sleep. As everyone knows, at that moment, all the medical staff were working hard for her life.
After a rapid replenishment of capacity, Xiaoli's blood pressure stabilized slightly. With the assistance of vasopressors, the anesthesiologist successfully completed the induction of anesthesia and intubation.
Later, to further expand capacity, correct acid, improve microcirculation, anti-infective medication, and necessary blood transfusions, the anesthesiologist performed a puncture catheter on her large vein.
During the operation, the surgeon thoroughly cleans the gastrointestinal tract of digestive juices and food debris; the anesthesiologist uses various methods to stabilize vital signs.
When the knife edge is closed, look at the gradually decreasing dose of the booster. Through the mask, everyone can feel each other's excitement – this battle is won again.
What xiaoli and her family left may be just a digestive perforation, which is quite serious, and it will be fine after the operation.
【Warm tips】Point to pay attention, here is a lot of professional medical science, for you to decipher those things about surgical anesthesia ~