第四百六十九节 抢救
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“开始脑复苏!越快越好!”时袅仁说,“准备冰帽和冰袋!”
护士们手忙脚乱的开始从冰箱里取出冰帽和冰袋。由于本位面的医疗条件实在太差,所以一些早期的医疗手段又被捡了起来,所以一早百仞总医院就土法自制了冰帽。
“时大夫,按照最新的国际医学期刊载文,这种情况下头部重点降温没有实际意义……”艾贝贝小心翼翼的说道。
“有意义没意义,只能试试看再说了。”时袅仁说,“头部重点降温,全身冰袋降温!利尿脱水!”
但这些手段并未取得明显的效果,眼看着病人始终昏迷、无自主呼吸、尿闭、皮肤通红、频繁多源性室性早搏,抽搐也越来越频繁。如何进一步处理?此时的百仞总医院,一筹莫展,困惑无措。
要在旧时空,自然还有若干手段可以使用,但是不管那些手段,致病原因不找到的话就没法实施针对性的治疗。
电光火石间,时枭仁想起了当年在医学刊物上看到类似的病例,当即提出:此时孕产妇的的腹肌张力和膈肌张力业已完全消失,巨大子宫将膈肌顶压向胸腔,胸腔容积骤减、心脏位置变异、肺膨胀不全、肺门大血管扭曲、换气功能不足。因此,虽然在人工呼吸下,病人尚不致严重缺氧,但昏迷、抽搐有增无减、血压趋高不降、室性心律失常持续不止、体温升高、皮肤通红发烫,提示体内二氧化碳无法排尽。根据上述征象,他判断病人除处于“脑缺氧后遗症”外,还处于“二氧化碳麻醉”状态,昏迷、频繁抽搐和多源性室性早搏都与二氧化碳排出障碍导致体内严重蓄积所引起。如果不予及时解除二氧化碳蓄积问题,结果是再次心跳骤停而抢救无望。据此,时枭仁认为应立即果断施行剖宫产取出胎儿,以解除膈肌上抬顶压胸腔、改善呼吸换气功能问题。
“这种情况下动手术,人挺不住吧!”艾贝贝虽然同意时袅仁的诊断,但是一想到病人很可能会就此死在手术台上――一尸两命啊!说着眼圈都有点红了。她可不像其他元老大夫那样在旧时空长期从事临床工作,心肠已经锻炼的足够坚硬了。
“不这样做马上就挺不住了!”张土木也支撑时袅仁的方案,“最不济,至少能保住孩子!”
“我也知道在这种临床濒死状态下提出施行剖宫产,确实冒着巨大风险。”时枭仁承认根据常规,在病情如此危重的状况下再予施行大手术,简直是违规处理,不可思议。“不过这是挽救病人生命的唯一措施。我们没别得选择了。”
“是不是找家属签字……”张土木提醒道。虽然对方是归化民,到底也也得尊重下必要的权力。
“家属呢?”
“在上班,按规定孩子没生出来之前是不能请产假,说下班之后会过来。”护士回答。
艾贝贝忍不住骂了起来:“什么玩意!一点人情也没有!人都快死了!”她说着几乎控制不住的要掉眼泪。
“好了,用不着家属签字,”时袅仁说,“我来签字好了。马上动手术!”
剖宫产手术剖出一健康男婴,病人的脸色随即趋予正常,散大的瞳孔逐步恢复,大汗停止,室性早搏基本消失,病情明显改善,但仍然处于昏迷、尿闭,伴全身抽搐状态。时袅仁吩咐继续积极施行脑复苏等后期处理。
术后一个多小时,病人自主呼吸终于恢复,时袅仁终于松了一口气
“你去产房吧。”时袅仁对艾贝贝说,“那里也少不了人。这孩子也给他好好检查下身体,别落下什么后遗症!”
“好得,我这就去。”艾贝贝急匆匆的又走了。
时袅仁吩咐张土木先盯着,自己走出手术室脱掉了手套泡在消毒清洗槽里,走到休息室里。护士给他擦擦汗,又给他点了支雪茄。这件事有点蹊跷,因为类似的事件在旧时空很少发生,而且使用的麻醉药也是从旧时空带来的药品,不是制药厂自己制造的仿制品,实话说他们眼下也做不出盐酸丁卡因来――要说抗生素发生过敏反应或者疫苗有点什么造成致死病例他一点都不会惊讶,就目前制药厂那个水平,这简直就是不可避免的。但是这盐酸丁卡因可是地地道道的正货――一级管控物资,除非是大手术,否则是不准动用的……
时袅仁忽然打了个寒颤,想起了上次企划院给他们的通知:因为保质期临近,对多种药品撤销一级管控。
这盐酸丁卡因不会是过期货吧?时袅仁想,虽然本位面他基本上可以为所欲为,但是这事情实在是一个很不好的信号,万一是用在元老身上闹出这样大的事情可就惨了!
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