Chapter 367

The patient was pushed into the operating room, but the necessary supplies were still on the way, so Zheng Ren could only have Chu Yanran and Xie Yiren first hang dopamine for the patient to maintain blood pressure and alleviate shock symptoms.

Then administer 5000 units of low-molecular-weight heparin sodium intravenously for anticoagulation.

Pulmonary embolism, the embolus usually originates from the lower limb veins.

This female patient, for unknown reasons, developed a sudden lower limb venous thrombosis; then a small embolus broke off, blocked the pulmonary artery, and presented with chest pain, respiratory distress, and other combined symptoms.

If rescued in time, a life can still be saved; but if delayed even a little, the person might be lost.

Eighteen or nineteen years old, the age of blossoms.

After intravenous injection of low-molecular-weight heparin sodium, Zheng Ren also had Chu Yanran give the patient sedatives and analgesics, and used an IV pump to continuously infuse low-molecular-weight heparin sodium at 500–1000 units per hour.

This should be enough to hold for now.

Leave this to Chu Yanran for now; Zheng Ren called to urge Feng Xu Hui while reporting the patient's condition to Director Pan.

In the emergency room, there are no family members of the patient, only a seemingly inexperienced little boyfriend—this kind of situation is the most troublesome.

If the patient is saved, it's fine to say; but if the patient dies on the table, the ensuing trouble will be much greater.

After changing clothes, Zheng Ren's phone rang.

Feng Xu Hui rushed over at top speed, bringing all the supplies Zheng Ren needed.

Longwind Micro-creation's emphasis on Haicheng Shi Yiyuan is unprecedentedly high; the company is located near City First Hospital, and Chairman Ma has made it clear that he will do everything possible to attend to Zheng Ren, this young master.

Actually, the total annual output of Hai Cheng may not even be as large as that of a single hospital in Di Du.

But Longwind Micro-creation and Manager Feng can arrive in less than twenty minutes, which sufficiently shows how much they value Zheng Ren.

Zheng Ren stood on ceremony, grabbed the supplies, and went straight into the operating room.

Professor Rudolf Wagner also arrived; seeing Zheng Ren, he warmly greeted him with enthusiasm.

Zheng Ren had no mood to deal with him; with a cold face, he trotted off and began busying himself.

The professor didn't understand either, but he still followed behind Zheng Ren, asking questions.

"Boss, what's the illness?"

"Pulmonary artery embolism."

"This is an emergency……"

"Knowing it's an emergency, just talk less." Zheng Ren's rare temper flared; the professor is highly knowledgeable but too talkative, especially now that Zheng Ren is busy with emergency rescue—there's no time to listen to him ramble.

Professor Rudolf Wagner quickly shut up and helped Zheng Ren prepare the instruments.

Pulmonary embolism requires emergency thrombolysis; if needed, a filter should also be placed in the inferior vena cava.

After symptomatic treatment in the emergency room, the patient's condition has slightly improved.

Zheng Ren wondered: at such a young age, why would this emergency occur? Normally pulmonary embolism is common in older people, especially those long-term bedridden, leading to lower limb venous thrombosis.

Young people, full of vitality, wanting a blood clot—how could that be easy?

With this ready, Professor Rudolf Wagner began disinfection and preoperative preparations.

Zheng Ren received a call from Director Pan, who had already rushed to the emergency ward and also met the patient's parents.

After thinking, Zheng Ren said, "Fugui'er, when we start, you first perform pulmonary artery thrombolysis."

Professor Rudolf Wagner responded with an acknowledgement.

Pulmonary artery thrombolysis is, for the professor, simple as can be; Zheng Ren also isn't worried about anything. Moreover, thrombolysis is an extremely lengthy process, likely taking thirty minutes to an hour.

If the effect is poor, we may need to adopt catheter-directed thrombolysis to treat the patient's pulmonary artery embolism symptoms.

Wearing an isolation gown, Zheng Ren returned to the emergency ward.

Director Pan's understanding of the patient's condition mainly came from a few simple words from Zheng Ren; he also had little to say to the patient's family, merely repeatedly emphasizing the patient's danger and how low the chance of successful treatment is.

Seeing Zheng Ren come down, Director Pan finally relaxed.

Director Pan went upstairs to take charge of the rescue, after all the professor is a foreigner and not familiar with many procedures; moreover, although his Chinese sounds good, we must be careful not to make mistakes with some obscure drug names.

Zheng Ren greeted the patient's parents and had them sit down, asking: "I heard from the patient's boyfriend that she had this condition before?"

Not mentioning the boyfriend would be fine, but as soon as it was brought up, the girl's father flew into a rage, shouting curses. The girl's mother wiped her tears while trying to persuade him.

Zheng Ren tapped the table with his finger and said, "They're still rescuing upstairs—don't waste time!"

The patient's father was intimidated by Zheng Ren; seeing his demeanor, he also knew the situation was urgent, muttered a couple of resentful curses under his breath, then sighed and sat down.

"My daughter usually looks quite normal, but once… once she gets pregnant, she develops thrombocytosis, which leads to lower limb venous thrombosis." The patient's father explained the truth.

Pregnancy? Platelets?

Such a strange thing—Zheng Ren had also never heard of it before.

Although the system can give a diagnosis, it definitely won't gossip about the patient's condition being caused by pregnancy. So Zheng Ren furrowed his brows, contemplating the connection.

Ah, she doesn't listen either. Last time it was at school, she was sent to the hospital for treatment and barely saved her life. I never thought she would dare… As he spoke, the patient's father let out a long sigh, and two streams of tears flowed down.

Which hospital was she treated at last time? Zheng Ren asked.

The patient's father said it was a well-known tertiary hospital in Di Du.

Zheng Ren thought for a moment, then asked about the patient's father's attending physician, and picked up the phone.

It's not too late yet; presumably Director Kong hasn't rested yet.

After all, this is a Blood Vessel interventional disease, and moreover it's a pulmonary embolism, a critical condition; although Professor Rudolf Wagner is performing thrombolysis above, Zheng Ren still wants to be more cautious.

Director Kong, this is Xiao Zheng.

Mm, yes. There's an emergency patient; I'd like you to help inquire about the situation.

Zheng Ren said the name of the tertiary hospital in Di Du and the name of the Head of Vascular Department, and Director Kong readily agreed.

Hearing Zheng Ren casually give the name, although he didn't know who that was, but being able to easily inquire about the previous treatment, the patient's father's hope greatly increased.

Because of the previous hospitalization, the doctors in Di Du told him that if pulmonary embolism recurs, it will be very dangerous. If a large tertiary hospital in places like Di Du or Modu still has hope of saving him.

If it were back in his hometown, he'd probably be dead.

This time, upon hearing it's the same disease again, the patient's father even had the thought of grabbing a knife and killing that kid.

There's hope……there's hope! Really there's hope!

After hanging up the phone, Zheng Ren, while waiting for Director Kong's reply, began preparing the pre-operative briefing.

Although the platform has already been opened, some procedures still need to be done.

Just after saying a few words, Director Kong's phone called back.