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Chapter 3478: 【3478】can't rush



   What a disaster! Students Lin and Pan felt the urge to cry.

  The second batch of people came, including Shen Youhuan and Du Yeqing. Maybe before they thought that classmate Xie came to quarrel with Zhang Huayao, it would be impossible to get results so quickly. When they heard that someone was showing off their skills, they immediately changed their posture and rushed in.

   "Should I call the class monitor?" Lin Hao asked for advice from his classmate Holmes Pan.

   They can\'t get in to see, the squad leader may be able to squeeze in because of his special status as the squad leader.

  The absence of class leader Yue Wen is because he took the place of the next teacher to do psychological counseling work for the students. The most important person here is classmate Wei, and the other person is classmate Geng who you may not have guessed.

  It is not only Wei who is distressed by this matter, Geng blames himself very much. After all, he was at the scene of the fire, and he didn\'t expect to stop her immediately and run back.

  Pan Shihua was a little silent, as if he was thinking about other people.

  Lin Hao read something from his expression and frowned.

   It can be seen that Holmes Pan is thinking whether to pull Song Mao back to see.

   "I\'ll call someone." Lin Hao turned around resolutely and went out to find someone.

   After looking for it, it is bound to alarm the internal medicine four people outside to rush in together. After a while, Zhang Desheng and the others rushed to the office to join the stretching team.

"First of all, we need to know that in the upper membrane lung, in most cases, we will first use the vvecmo mode, that is, the respiratory support mode. When using the vaecmo mode, it provides two major supports for breathing and circulation, and is used for cardiogenic shock. Patient. I personally think that the current patient’s heart function is said to be damaged, and the heart rate is not stable, but this mode cannot be used for the time being. The teachers also know that whether the patient’s heart rate is unstable now means that the heart is really not working. It needs to be checked. It is really impossible to correct the heart function after the lung function is improved."

  So don’t rush, take it step by step. Clinical suspicion is preliminary suspicion, and specific measures need to be confirmed by more empirical evidence. The support that the machine can give to the human body needs to be precise rather than as many as possible. If people\'s heart function is not abolished, forcing the machine to support it will be counterproductive.

   When on ecmo, there are cases when you are awake. This is a patient who generally does not need to be on a ventilator.

   Like critically ill patients who are on invasive ventilators at the same time, they must be given sedatives.

  Machine support of ventilator and membrane lung running at the same time is to patients, according to many patients\' recollection, it is like forcing things into the body, which is not comfortable at all in terms of feeling. The patient must be braked to keep the patient from moving. The consequence of using sedatives is that the patient will be trapped and locked on the hospital bed like a prisoner, which is tens of thousands of times more uncomfortable than being in prison.

   "If the vvecmo mode is adopted, the extracorporeal procedure goes like this. The blood goes out of the femoral vein, goes to the pump, goes to the membrane lung, and then returns to the internal jugular vein."

The people nearby glanced at the structure diagram of the pump and membrane lung she had drawn with her clear words, followed by those eyes secretly shivering: the drawing is as fast as an engineering design diagram, this is a machine as a human anatomy diagram to paint?

   "From here, it can be seen that the important functional center of the machine is the pump and membrane lung. Other auxiliary functional structures around the pump and membrane lung, such as flow sensors, are installed behind the pump to monitor the flow rate."

  (end of this chapter)


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