"Doctor Wu, I'm going to give you an injection right now." Following Wu Xiangdong's medical advice, Li Yanan quickly prepared a set of intravenous access equipment. However, compared with the last time, the injection this time brought Li Yanan a lot of trouble.

As the patient's blood pressure continued to drop, the blood vessels throughout her body began to gradually shrink and become thinner. The blood vessels that were like black hair before were now completely invisible.

At this moment, no matter how Li Yanan slapped the patient's skin, there was not a decent blood vessel for her to puncture, which made Li Yanan very anxious.

"Don't be anxious, try inserting the needle from here." Wu Xiangdong also noticed that Li Yanan was encountering difficulties. He directly placed his fingers on the side of the woman's elbow socket based on the distribution of blood vessels in human anatomy.

This is a blood vessel branching from the lower part of the basilic vein. Although it cannot be seen from the skin with the naked eye, it is still easy to puncture successfully as long as the location is found correctly.

"Okay." Li Yanan gritted her teeth and gave the injection where Wu Xiangdong pointed. At this moment, her heart was pounding. After all, the blood vessels here were invisible and intangible. If the injection was in the wrong position, wouldn't it be a failure?

But as Li Yanan continued to insert the needle deep into the skin, she suddenly felt a long-lost breakthrough feeling coming from the belly of her finger, and then blood flowed back and filled the entire needle tube.

"Doctor Wu, you are really amazing. This can help you find blood vessels." Li Yanan was so excited that she didn't dare to delay and quickly fixed the needle with tape, for fear that she would pull out the needle that was finally inserted if she didn't pay attention.

At this time, Wu Xiangdong saw that the intravenous access was established, and immediately said to Li Yanan: "This is the vasopressor I found in the rescue vehicle. You give her half of the vasopressor first, and add the rest to 250 ml of normal saline for intravenous infusion."

.”

"Are all these medicines added?" Li Yanan took the ampoule and saw Dopamine Hydrochloride Injection written on it. She knew it was a medicine to raise blood pressure, but when she saw Wu Xiangdong handed her ten bottles like this at once

Medicine, I can't help but feel a little drummed in my heart.

"It's okay, this is dopamine, which is suitable for shock syndrome caused by various reasons. It can excite the sympathetic nervous system of the human body, thereby stimulating the secretion of adrenaline and other receptors, which can effectively increase blood pressure."

Wu Xiangdong used 200mg of dopamine hydrochloride injection this time. According to the drug specifications, it is the amount of ten injections. Because the patient has low blood pressure and unknown vascular condition at this stage, other blood pressure drugs, such as norepinephrine hydrochloride and metahydroxylamine hydrochloride, are used.

Injections, etc. may damage peripheral blood vessels. Although they are more effective, they require a doctor to perform deep vein catheterization before they can be used.

Deep venous catheterization refers to a treatment method that inserts catheters into deep large veins and central veins through relatively superficial veins. It is usually used in various rescues and major surgeries to ensure the safety of critically ill patients.

An operation performed with medication.

However, Wu Xiangdong did not choose deep vein catheterization at this time. First, the environment and items did not allow it. Secondly, this deep vein catheterization also required the patient's blood pressure to be relatively stable before it could be performed.

"How's it going? Has the blood pressure gone up?" At this time, Li Yanan had slowly pushed the saline solution containing half a dose of dopamine into the patient's body.

"Okay, no problem." At this time, Wu Xiangdong had been paying attention to the patient's pulse fluctuations. As the medicine began to take effect, the fluctuations from the fingertips became stronger and stronger. At this time, the woman who was already somewhat confused finally had something in her eyes.

Awesome.

"I, what happened to me just now?" The woman who woke up felt like she had just had a dream. In the dream, she was alone and lost in the jungle. No matter how hard she struggled, she could not find her way home.

"You just fainted due to shock due to excessive blood loss. According to your current situation, you must undergo surgery immediately." Wu Xiangdong's expression was very serious at this time, giving the woman no room for further negotiation.

At this time, Wang Jia, who was responsible for contacting the surgery, also came back from the appointment room. Seeing the woman's condition, she directly determined the time for the surgery without saying anything, and she would go on stage as soon as the supplies were ready.

"Ask the man who came with her to go to the pharmacy and bring over the intraoperative medicines I prescribed." Seeing that the woman's condition had improved slightly, Wu Xiangdong didn't plan to return to the emergency department at this time, so he was going to wait for the patient here.

Once the condition is stable, proceed directly to surgery.

"That... man seems to have left." I don't know who reminded him. At this time, everyone turned around and realized that the man who came with the patient had disappeared at some point.

"You bastard, you ran pretty fast." Wu Xiangdong snorted coldly when he saw this, his sharp eyes full of disdain. He felt contempt for the man's behavior of running away from the battlefield.

But anger is anger, and this saves a lot of unnecessary trouble. At least now the power of life and death of a woman is completely in the hands of the doctor.

This situation reminded Wu Xiangdong of what happened in a tertiary hospital in the imperial capital more than 20 years ago.

He remembered that the situation at that time was similar to now, except that they were boyfriend and girlfriend at the time. The woman was bleeding and gradually fell into coma, but the man always refused to sign the informed consent form for the operation and insisted that he only brought his girlfriend to the hospital to see a patient.

If you have a stomachache, there is no need for surgery.

Because the woman's parents were far away in the mountain village at the time, the hospital was unable to contact them in time. In addition, her boyfriend refused to sign to block the operation, which eventually led to the woman suffering from cardiac arrest due to hemorrhagic shock. After various rescue efforts by the hospital, she was eventually hospitalized due to severe bleeding.

He was pronounced dead at the scene.

Originally, the hospital thought that the matter was over, but the man suddenly reversed course and sued the hospital for disregarding human life. The reason was that he should have cured the patient even if he did not sign the consent form for the operation.

Although the hospital finally provided various imaging data at that time, due to the man's unrelenting persistence, he finally received a huge compensation from the hospital.

Even after he got the money, he didn't even deal with his girlfriend's funeral, leaving her to rot in the morgue. He chose to disappear, and this person has never been found again.

In the end, the parents who were far away in the mountains came after hearing the news and took the girl's body back to their hometown for burial in tears. The whole thing came to an end, which was really sad.

"No matter what, I have decided on this operation." Seeing the woman lying dying on the hospital bed, Wang Jia naturally couldn't sit still and wait for death. She looked at Wu Xiangdong as if she wanted to ask for his consent.
Chapter completed!