2612 Erratic nerve reaction
Zheng Ren held a 50 ml syringe in his hand. After a simple disinfection, he inserted the needle 0.5 cm above the pubis.
The bladder, which was full of urine, was against the abdominal wall, so it was not difficult to insert the needle. Zheng Ren then began to extract the urine that had accumulated in his bladder.
A 50 ml syringe was filled with a needle, which was about 60 ml. After six aspiration, Zheng Ren turned his head to look at the ECG monitor.
As Su Yun’s chest pumped and the accumulated urine in her bladder decreased, the electrocardiogram showed an heart rate with an atrial septal defect.
“Continue chest compressions, Gu Xiaoran! Get ready to use electricity!”
“Intravenous injection of epinephrine and lidocaine.”
Gu Xiaoran took the head that was electrocuted from the circulating nurse and asked,””How much energy?”
“200J。”
“Teacher he, I’m no longer trembling.” Gu Xiaoran still greeted old he very carefully, but when she saw that old he was holding a syringe in his hand and waiting for her to defibriate, she felt a little panicked.
It was like a machine that was originally running well suddenly stopped because of him.
“Xiao ran, hold on tight.” Su Yun knelt on the operating table in a very awkward position as he performed chest compressions. He said anxiously,”
“Oh, oh.” Gu Xiaoran immediately handed the defibrillator to Su Yun.
“Bang~”
Under the effect of 200 Joules of energy, the patient’s ventricular fibrillation showed a certain improvement.
“Continue.” Zheng Ren directed the resuscitation.
As his heart rate rose, he no longer spoke as quickly as he did in the beginning.
Zheng Ren took out the needle of the syringe after extracting 600ml of urine.
“President Yu, do a bladder fistincision.” Zheng Ren looked at President Yu and said.
“Oh, okay.” Chief Yu stood in the operating area and watched as the heart rate and electrocardiogram displayed on the patient’s electrocardiogram went from normal to disappearing, and then from disappearing to normal again. The process had nothing to do with him, and he felt like he was observing an extremely standard teaching of an emergency rescue.
It was just that … He seemed to be the Sorcerer, and he should be the one standing in the middle and directing the rescue. Looking at boss Zheng giving orders from the center, Vice President Yu was a little envious.
Zheng Ren took a look at the patient’s electrocardiogram. It had stabilized, and he finally let out a long breath.
“It’s fine now. President Yu, you can perform fistulation first, and then remove the nail. ” Zheng Ren said.
Although the electrocardiogram still sounded occasionally, after three times of electrical shock removal and the effects of epinephrine, lidocaine, and atropine, the patient’s condition gradually returned to normal.
The most important thing was that Zheng Ren had already extracted the urine from Youyou’s bladder.
After a few more minutes of observation, President Yu laid out the sterile sheet on the abdomen and began to perform bladder fistwork. The patient’s vital signs had returned to normal.
“Boss, you’re really like a mouse or an ant.” Su Yun’s anti-bacterial cap was a little sweaty, not because she was nervous, but because she was too awkward when she was half-kneeling on the operating table and performing emergency chest compressions.
In fact, it was enough to stand under the operating table with a stool, but at that time, his heart rate suddenly fell like a cliff, and the electrocardiogram was pulled to a straight line. Who had the time to think about so many things?
It would definitely come as fast as possible.
“Urinary retention in the bladder. It’s because of the stimulation of the vacuous nerve.” Zheng Ren had no intention of going on stage to help Vice President Yu. It was just a bladder fistulation surgery, and he could also check if the 50ml syringe needle had damaged any other organs. Zheng Ren would not go on stage for this kind of operation that was almost not considered a surgery but a disposal.
“Another rich clinical experience?” Su Yun subconsciously blew out a breath of air. A stream of hot air was unable to pass through the three layers of masks and seeped out through the gap above the bridge of her nose.
“Yes, definitely.” Zheng Ren said frankly. He took off his sterile gloves and returned to his original stool.
“Boss Zheng, big brother Yun, what’s going on?” Vice President Yu asked with lingering fear.
Just now, when the patient’s heart rate fell like a cliff, and his electrocardiogram was pulled straight, he was stunned and did not know fear. But now that everything was over, thinking back, Vice President Yu felt fear in his heart.
This was a ghost! How could a patient who had walked in on her own suddenly die after a few minutes of surgery?
“I just told you about the stimulation of the vyssal nerve.” Zheng Ren said indifferently. He leaned against the wall and felt a slight chill from the wall. He felt a little lucky.
Fortunately, he couldn’t find the answer in the end. When he came out of the system operating room, he heard Su Yun and Vice President Yu chatting about the high pressure in the bladder and the possibility of urine spewing out the moment the last nail was removed.
With this thought in mind, Zheng Ren turned around and returned to the system operating theater. He performed a bladder fistrepair before the surgery, and the experimental subject did not suffer from cardiac arrest.
He had found the problem, but it was a pity that the patient’s heart had stopped before Zheng Ren could say anything.
‘However, it’s good that she can be saved,’ Zheng Ren thought to himself.
Seeing that boss Zheng was not willing to talk, Vice President Yu looked at Brother Yun with a questioning look as he looked for the pubis and prepared to make an incision on the thigh to perform a bladder fistwork.
“The Paladins are widely distributed in all the tissues and organs of the body, and they complete various physiological activities with the central nervous system in the form of reflex arcs.” “Have you done any Ophthalmology surgeries?” Su Yun asked.
Vice President Yu shook his head.
“Where did you graduate from? didn’t you go to the Ophthalmology Department during your internship?”
“I’ve been there, but the professor definitely won’t let me do it. It’s already considered good if you can stand at the side and take a look at the operating theater. If you encounter a F * cking professor, you can’t even go up to the operating theater and can only write medical records below. ” President Yu said.
“Don’t say ‘F * cked up’ yet. I guess you’ll soon become the kind of F * cked up professor you’re talking about.” Su Yun chuckled.”The boss said that in the end, you will become the kind of person you hated the most.”
“…” President Yu was stunned for a moment, then he smiled and said,””Thank you for your kind words, Brother Yun.”
However, his smile was so stiff that he had not recovered from the sudden change.
Accidents in the operating theater could happen at any time, and only God knew what problems there would be. It was just that this problem appeared quickly and was solved even faster. Before President Yu could react, the resuscitation had already ended.
But … What did it have to do with Ophthalmology?
“Brother Yun, what’s wrong with the Ophthalmology Department? continue.” President Yu asked as he cut open the skin and separated it layer by layer.
“There’s a very rare situation in Ophthalmology called octological reflex. “When eye muscles are pulled, it will produce a response to the vacuous nerve, causing the vacuous nerve to be overly excited, leading to arrhythmia and a slow pulse. This is called the eye-heart reflex.”
“Uh, no wonder the students who aren’t doing their internships are going on stage.”
“The reflex arc is the reaction of the eye branch of the Trident nerve to the bridge nucleus of the Trident nerve, then to the back nucleus of the vacuous nerve, and finally the heart muscle. In serious cases, it can lead to cardiac arrest. It’s the same logic for this patient. Her heart stopped because of the vacuous nerve reflex, right, boss?”
“Yes.” Zheng Ren nodded.