Grete cursed loudly and fell to his knees. The sharp sound in his ears, the electrocardiogram cloud screen, and the blood pressure magic, both alarmed at the same time. The sharp beeping sound was so loud that it almost formed a straight line.
Arrhythmia!
Arrhythmia!
Blood pressure 70/50!
60/30!
High pressure is 35, low pressure is undetectable!
I go!
I go!
I go!!!
Suspected aortic dissection, aortic aneurysm, postural change, sudden collapse, arrhythmia, sudden drop in blood pressure
So the reason why the patient collapsed was because the change in body position caused the blood pressure to rise, the receptors to overoperate, and the blood pressure to drop sharply?
Heart stuffing?
Or the most terrifying thing, aortic rupture and massive bleeding?
Gretel stared at the electrocardiogram, thinking quickly. One possibility after another, one to the left and one to the right, two knights had already rushed forward to catch his father. He panicked and shook vigorously:
"Father! Father, what's wrong with you?"
"Wake up!"
"How to rescue?"
"By the way, how to rescue? External cardiac compression? I'll do it!"
While speaking, he had already laid the old knight down, unbuttoned his chest clothes, and turned his head to one side. He tested his breathing and felt the carotid artery. His skillful movements made Gretel very sure of one thing:
After the Temple of the God of War took his first aid manual, it did provide enough training for the soldiers, at least the knights. People who have not practiced would never think of opening the airway...
The two knights looked at each other. One had his hands folded and his arms straightened, ready to strike. The other put his palms on the ground, rose up from his knees, passed the old knight, and turned his knees to the opposite side of him. It looked like
Always ready to take over.
If it were other circumstances, and there were two trained tool people like this willing to take over, Gretel would be very happy. He wouldn’t have to press the button himself!
He doesn't even need to mobilize magic to press it himself!
CPR, before magic, would kill half of his life every time!
But it didn't work this time. Gretel roared angrily, waved his arm, and threw it directly at the middle-aged knight:
"Don't touch him! He will die if you press him like this!"
Aortic dissection!
Dissection will occur, which means that the aorta with a three-layer structure is repeatedly stretched under excessive pressure, and the three-layer connective tissue structure is torn. The inner layer of the aortic blood vessel is damaged, and the blood flows into the wrong position and enters the blood vessel wall.
Between the inner and middle layers.
In Grete's previous life, he had heard of the largest aortic dissection, which tore from the thoracic aorta to the abdominal aorta, almost to the iliac artery.
External cardiac compression will put an extra huge pressure on the heart. It is already very fragile, with only one layer left to the outside world. If the two-layer aorta receives this pressure, if it is bad luck, even the outermost layer will rupture.
Once it ruptures, massive bleeding will follow. The blood pumped from the heart passes through the aorta break and rushes directly into the chest or abdominal cavity. Within a minute or two, the blood will flow out directly, and there is no way to save it.
Of course, there are also family members who strongly request chest compressions. Grete himself once answered a question from a junior doctor. He had an aortic dissection and saw that his heartbeat was gone. Should he perform chest compressions?
According to the disease itself, compression has absolutely no benefit, but according to the rescue of cardiac arrest, it is absolutely wrong not to perform compression, and the family members will think that you have not fulfilled your rescue responsibility.
Fortunately, it is not the case at the moment. The two knights were quite obedient and stopped immediately after being yelled at. Only the younger knight asked softly:
"Then what should we do..."
Gretel first used the [Cure Serious Injury] healing technique, an emergency first aid method, which has miraculous effects in raising blood pressure, stabilizing the heart rate, and stabilizing vital signs. Then he stretched out his hand to wave the oak staff and moved forward:
Under the green leaves at the head of the staff, the little snake turned into a stream of light and jumped directly into the old knight's body. Gretel closed his eyes slightly, connected to the perspective of the little snake, and guided it forward quickly:
Chest wall!
rib cage!
Pericardium!
At this time, the direct detection by the Contract Spirit is more effective than CT, enhanced CT, and bedside cardiac color ultrasound. The important thing is that it can be seen directly!
In the illusory eyes of the contract spirit, I saw that the pericardium was abnormally enlarged. If I went further in, was the pericardium filled up?
No, thank God!
Although there is effusion in the pericardium, it is not to the extent of tamponade. This means that the dissection has not broken into the pericardium, causing pericardial tamponade, compressing the heart, and preventing the heart from beating.
If it really reaches this level, like the orc last time, we have to directly open the chest, cut the pericardium to decompress, and perform heart compressions under direct vision. Can a patient with aortic dissection be saved by doing this, Gray?
Te felt completely unsure.
He directed the little snake to make a circle around the two atria and two ventricles. Except for the fact that the ventricles were thickened as expected, everything else was fine. Then he went up the ascending aorta, here I go!!!
What a big breach!!!
With every beat of the heart, bright red blood shoots out and goes straight into the chest. In these two sentences, the patient has lost so much blood that he has reached a critical point!
Grete took a deep breath and forced himself to calm down. Don't worry, don't worry, this is not the past life. By the time the stent is removed or the thoracotomy is sutured, the patient will be gone. With treatment, there is hope to plug this hole...
He stretched out his palm again and pressed it down gently. In the palm of his hand, a dense white light fell into the old man's chest and continued to sink:
【Treat serious injuries】!
rely on you!
Gretel concentrated her mental power and tried her best to ensure that the healing technique would not be lax. When it reaches the heart, don’t run around! Don’t lax!
There is no point in keeping the heart beating now. It is true that we should close the breach quickly...
The spirit of the incorporeal contract swam silently in the old man's chest, leading the treatment forward. It's here, it's at the rupture of the ascending aorta, stay on both sides and let it grow toward the middle! Hurry up, hurry up!
In the illusive eyes, the tear in the ascending aorta quickly climbed from both sides to the center. Two centimeters, one centimeter, five millimeters, it was closed! But it was not enough. Only the last layer of the tough three-layer aortic intima was left.
It cannot withstand the tremendous pressure on the heart...
Gretel glanced at the electrocardiogram and blood pressure monitor, calmed down, and directed the snake to turn around and descend. Is it possible that the torn aortic intima can grow back to its original position?
Use healing techniques to call it, cultivate it, and let it continue to climb up and return to the aorta!
Gretel never knew that using treatment in such a precise way would be such a huge test for his mental power. His mental power leaked out like a floodgate, guiding blood vessels to grow little by little, and guiding cells to arrange themselves into what they needed.
look
Fortunately, when he was building the meditation core before, he recalled the construction of the aorta over and over again. Inside the humanoid of light, a dense and elastic powerful blood vessel covered with three layers of connective tissue was built. Now, it’s just a matter of starting over.
Just once.
alright!
Got a ride!
Long time together!
The little snake continued walking down, found the end point of the aortic tear, made an incision, and released the blood in the false cavity to increase the blood volume!
****
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