Marfan syndrome - Grete has determined this through family history and repeated observations - after strenuous exercise, the patient covers his chest with his hands, looks in pain, and falls to the ground - there is a high probability that it is a cardiovascular disease attack!
You know, most patients with Marfan syndrome have congenital cardiovascular malformations!
He immediately ran towards the patient. As he ran, he was mentally rattling the list. Angina pectoris? Acute myocardial infarction? Cardiogenic shock? Or something worse...
In any case, if it is just a severe arrhythmia or cardiac arrest, as long as cardiopulmonary resuscitation is performed immediately, many people can be saved!
His eyes were fixed on Knight Hopman without blinking. The knight fell to the ground and curled up into a ball. He couldn't see whether his chest was rising or falling. Is he breathing? Are his lips cyanotic? Is there a cold sweat? It's too far away. From this distance, it can't be seen.
Not sure, I need to get closer...
After running a few steps, both arms on the left and right were already tightened at the same time. Lin En was on the left and Aurora was on the right. One of them grabbed one of his hands and dragged him back hard:
"what are you doing!"
"Let me go! I want to save him! If he doesn't save him, he will die soon!"
"What does dying have to do with you!" Linn couldn't wait to cover Grete's mouth. He simply stood in front of Grete, held his shoulders with both hands, and pushed him back hard. While pushing, he leaned towards
In front of him, he stared into Gretel’s eyes and growled:
"You didn't kill him even if he died! He asked for the duel himself! You stopped as soon as he fell! The three of us, Bernard, and my two magic pets, no one hurt him!
"
Just after shouting these words, a man rushed past the duel field. The old man's beard was almost completely white, and he ran very fast. In the blink of an eye, he ran to Knight Hopman. He knelt down and closed his eyes.
After praying for a moment, a white light fell on the knight.
It was the great-uncle of Knight Hopman. Although the old man was old, he still had a good level of priest. The three silver edges on the corners of his robe were shining brightly. He was clearly an eighth-level priest. As soon as Grete slowed down, the old man twisted.
turned over his head and yelled at him:
"What are you here for? Do you want to continue to harm him? Get out!"
Gretel has a meal. The level 8 priest is really very strong, so he should... be able to cure it, right?
But sudden cardiac death is still very dangerous... Without rescue, if the heart can't beat again, I don't know how long it can last with treatment alone... The old man only prayed, and I didn't see him doing any extracardiac compressions or anything like that.
of……
I'll go take a look...take a look...
Grete hesitated to take a step forward. Linn pulled him again:
"What else do you want to do? - Are you sure you can save him?"
In an instant, Grete's whole body strength was exhausted, and his shoulders slumped feebly.
Not sure.
Really not sure.
Without electrocardiogram, echocardiography, MRI, cardiac catheterization and aortography, he couldn't even determine what the patient's disease was. The cardiovascular malformations of Marfan syndrome are so bizarre that it can basically be regarded as a complete encyclopedia of cardiovascular diseases.
:
Progressive dilatation of the aorta, aortic regurgitation, aortic sinus aneurysm, dissecting aneurysm and rupture, mitral valve prolapse, mitral regurgitation, tricuspid regurgitation, congenital atrial septal defect, ventricular septal defect,
Tetralogy of Fallot, patent ductus arteriosus, aortic coarctation...
If you are really unlucky and encounter a burst aortic aneurysm or aortic dissection and tear, haha.
Even in a hospital emergency department with complete rescue equipment, if a person falls and is immediately pushed to the operating room, there is a high probability that they will not be able to be saved. Aortic rupture is so dangerous.
——Not to mention that in this foreign world, there is physical monitoring but not physical monitoring, extracorporeal circulation but not extracorporeal circulation. Even if you want a blood transfusion, there is no place to give it to the patient!
"Without diamonds, there's no way you can get a porcelain job!"
"If you're not sure, transfer to another hospital! You don't even know how to transfer?!"
"Why did a good person die?!"
"If you interfere, the patient's family will sue you if he dies! If you don't touch him, if he dies, it has nothing to do with you! Are you stupid?"
The various scoldings and roars he had heard in his previous life for more than ten years echoed in Gretel's ears again. He lowered his arms, lowered his head, and let out a long sigh silently.
——As a doctor, he also wants to save the patient's life whenever there is a glimmer of possibility. But sometimes, due to various reasons, the doctor can only choose to protect himself...
And those patients are often not even part of the "various causes".
The treatment at the front continued. The old priest knelt on his knees, clasped his hands on his chest, with a pious expression. The white light fell on Knight Hopman again and again, sometimes as a straight beam, sometimes as a soft rain of light, and sometimes as a soft rain of light.
Another ball of light held in both hands sank silently into the knight's chest.
Every time he fell down, Knight Hopman seemed to be getting better. Once he even struggled to sit up, but he fell down again just halfway up...
A half circle of people gradually formed around them. On one side was the Countess, and on the other side was the Archmage Tolga. They all looked solemn. Archmage Tolga was still secretly waving to Grete and winking, signaling him not to
Come here: Stand far away! Don’t cause trouble!
At the Archmage's signal, even the barbarian Bernard didn't dare to walk in a straight line. Together with the black cat and the golden skeleton, they stayed away from Knight Hopman and made a large circle to join Gretel. The group was far away.
Looking around, Linn even gave the barbarian extra instructions:
"Bernard, watch your boss! Don't let him pass! He still wants to kill that knight!"
Bernard responded with a rough voice, stood next to Gretel, and put a big palm directly on Gretel's shoulder. Without any effort, just such a normal touch, Gretel felt the whole body on his right shoulder.
It collapsed. He raised his left hand with a wry smile:
"Okay, I promise I won't go through - can you let me go? I'm going to be crushed!"
"You'd better remember your promise." Lin snorted and waved to Bernard. The barbarian then let go, still staring at Gretel unblinkingly, as if the boss would take action if there was any change.
People run away.
Grete could no longer care about him. Thirty or forty steps away, the healing spell flashed faster and faster, but the patient showed no signs of improvement. When manpower was exhausted, once the old priest's healing spell was exhausted, the patient's condition would
If there is still no improvement, I'm afraid...
"Do you think it can be cured?"
A somewhat distant voice asked. Grete raised his head slightly and saw Archmage Tolga holding his daughter and making a gesture to him. A long wind, like a wisp, sent the voice directly to his ear, and a few people beside him
The individual was suddenly unaware.
Gretel shook his head slightly. Although the people next to the Archmage probably couldn't hear it, he still lowered his voice habitually:
"It's hard to say, it depends on the cause of the disease. If you're lucky, you can save it, but if you're not lucky..."
If you are unlucky, the aortic aneurysm ruptures, or the aorta is torn, and the bleeding stops, without blood transfusion, and without replacing an artificial blood vessel, what is the use of just using a sling to treat it?
As he talked, the old priest was sweating profusely and was shaking, and water was dripping from his hair and beard. Under the white light, Knight Hopman was lying flat on the ground, his face was pale, and his lips had no color at all.
It just looks like he lost too much blood...
The aorta is broken? It can't be that big!
The Countess looked pale. She held the Earl of Inverness's wrist and pulled it twice. She took a small crystal bottle from the Earl's hand and quickly drank it for the old priest. With the help of the medicine, the old priest managed to utter a few more words.
After a treatment, the oil finally ran out and the lamp dried up. I closed my eyes and panted.
"He's going to die."
Next to Gretel, Aurora and Linn spoke in unison. Aurora stood on tiptoe slightly and looked forward, but Linn half-closed her eyes, seeming to feel the death breath of the other knight. Gretel was silent, while the countess had already knelt down.
I went down, tried my nephew's breathing, and then lay on his chest to listen to his heartbeat——
She let out a very sharp high note. She lifted up her skirt and rushed towards Grete:
"You killed him!—you killed him!"
"Madam, please pay attention to your manners!" Selina immediately stood up in front of her stepmother. She took off her long sword and blocked it with the sheath in the middle. The countess was unable to move forward even half a step. It was obvious that she had no strength. She jumped
Pointing at Grete with great effort on the long sword, the tip of the sword is as sharp as a drop of blood:
"You killed my nephew! Killed the heir of the Hopman family! The Hopman family will not let you go!"
Gretel was speechless. He really hated the behavior of Knight Hopman. He hated him, but he didn't want anyone to die, let alone provoke him to fight with him and die of illness on the spot. I won't kill him.
Boren, Boren died because of me...
He listened silently to the countess's accusations, not wanting to reply even a word. But Archmage Tolga was already furious:
"Madam, please be careful with your words! Knight Hopman suddenly fell to the ground in the middle of a legal duel and died! So many pairs of eyes were watching. As soon as he fell to the ground, the Nordmark mage stopped.
, no additional damage!
——Earl of Inverness, do you agree with the legality of the duel?!"
The Earl of Inverness, with a sinking face, dragged his wife behind him. As one of the witnesses of the duel, his presence was part of the legitimacy of the duel:
Of the three witnesses, Pastor Farren represents the knights' side, and Archmage Tolga represents Gretel's side. As the highest-ranking nobleman in the locality and the father of the host of the banquet, he undoubtedly represents the owner of the place. As a landowner, he should have
To maintain justice, it was his wife who made trouble!
Damn, that little bastard was still teasing his daughter during the battle! If his daughter hadn't been strong-willed and refused to violate the knight's code, he would have been killed!
"Shut up!"
He shouted at his wife and turned to the public:
"I testify that Knight Hopman suddenly fell to the ground and died on his own in the middle of a legal duel. Master Nordmark did not commit any wrongdoing. No one may use this as a reason to accuse Master Nordmark or launch a lawsuit.
revenge!"
"That won't stop some people from not following the rules." Archmage Tolga snorted beside him. Without waiting for the count to react, he strode forward and pulled Gretel:
"Let's go! Follow me back to the city immediately! You'll be safe when you reach the Mage Tower!"
****
Emma, I was reading books while I was writing. Writing about cardiogenic diseases made my own blood pressure rise...
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