第二百二十章 抢(1 / 2)
我能看见状态栏
罗三观.CS
1081 字
2022-04-26
已经出现了脑疝的病人,活下来的几率有多少?
如果是枕骨大孔疝,那么存活几率基本等于0。如果是小脑幕切迹疝,在两小时内得到治疗的情况下,存活几率约为50%。其他的脑疝死亡率略低一些,但仍然是一种可能分分钟要命的疾病。
每一个医生最不愿意看到的情况就是自己负责的病人出现濒临死亡的症状。但真要遇上了,除了硬着头皮兵来将挡水来土掩以外,谁都没有什么好办法。
对于现在的张俊义来说,他最需要的是一台神经外科手术。去除掉大量颅骨骨瓣之后释放颅内压力,避免脑组织被挤压到颅脑的其他孔隙里。
120的急救车上是有甘露醇的。如果能够及时输注,倒是能够稍微降低一点张俊义的脑疝风险。但在颠簸的车上,望着四肢都被紧紧扎住止血的张俊义,院前急救员有些犯难——他一个人可没办法在车上完成深静脉置管这种高难度操作。
“把针给我。”布鲁恩博士看出了院前急救员的为难,他停下了通过手机发送微信的动作,从车里找出一副干净的乳胶手套戴在手上,“我来做注射,你消毒——别擦脖子!”他瞪了一眼院前,“在车上扎颈静脉,你是嫌他死的不够快?走贵要静脉!扎左边!”
“啊?”院前看起来真的很紧张,他正准备在张俊义的右侧胳膊上进行消毒,却被布鲁恩叫住了。
“右边这个胳膊都快拧成麻花了,那你还给右边消毒?”布鲁恩博士很不满意的瞪了一眼院前,然后摇了摇头。一把撕开了注射器包装后,他极其熟练的完成了输液准备。并且在晃悠着的车上开始进行静脉注射——一针见血,效果好的简直不像是医生。
而像是个高年资的护士。
“以前在加勒比海区域做巡回医疗的时候,我可没有护士帮忙。”完成了入针后,布鲁恩博士看起来很有些得意于自己的手段。他这么嘟囔了一句后,转头向孙立恩严肃道,“这话可千万不能告诉咱们院里的护士啊……到时候我下医嘱她们却让我自己干活,这我可受不了。”
救护车在孙立恩和布鲁恩说话的当口已经停在了医院门口。提前五分钟得到120预报,提前一分多钟得到孙立恩和布鲁恩通知的医生们已经等在了门口。张俊义这种高空坠落伤员必然是要走绿色通道的。
绿色通道的最大好处,就是免去了一切其他不紧要的过程。张俊义就像是整个医院里最重要的人一样,到处插队是基本操作。接到通知的CT室为了等张俊义,已经停止了对其他患者的检查。虽然一开始患者们大多有些不满和不理解,但是看到了躺在床上的张俊义以后,所有的不满都顿时烟消云散。
他伤的实在是……太重了点。就算一般人看不出来他的脑疝和脊椎骨折,光看四肢上那些深可见骨的伤口以及扭曲的胳膊,也能判断出来——这人伤的很重。
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