The Sackler family, known as the "pain-allergic family", is not useless.

In order to make opioids the world's number one medicine and make pain the standard of treatment.

So much so that pain is becoming more and more important, and pain index and scores are also developing rapidly.

The pain of aortic dissection is definitely the top fourth-degree pain in the grading, that is, level five pain (level five standards)!

Although Chen Cang had never felt this level of pain, according to the guidelines, the pain was continuous and severe, and accompanied by changes in vital signs such as blood pressure, which is difficult for most people to tolerate.

Perhaps this description is not intuitive enough. For example, according to the 12th level pain classification, level 1: mosquito bites, level 5: slap with a slap and leave a red palm mark, level 6: Pay attention to diet and cause gastroenteritis and stomachache. Level 7: Use a stick to leave a black and purple mark.

Level 8: Various forms of bleeding trauma caused by area. Level 9: labor pain, of course, it is about natural birth.

Level 10: Causing physical disability and getting injured in a war, blowing fingers, Level 11: Visceral pain, Level 12... It may be the top ten torture levels of the Qing Dynasty.

There is no specific classification for acute aortic dissection pain because the plot is analyzed in detail, but it is definitely not under childbirth.

After all, this is a pathological pain.

This pain will give people a sense of dying, which is a feeling that death will come at any time.

Do you think this is the cruelest?

Of course not!

Seeing Tian Zhengkai's face pale, beads of sweat as big as beans rolling down, the severe pain even this little giant, who is more than two meters tall, can't bear it. Tian Zhengkai, who is an athlete, is still very strong in willpower, and his teammates and coaches around him are heartbreaking.

In the past, Tian Zhengkai was always the big brother of the team, a very humble person, very caring for newcomers, and often taught some skills.

Therefore, everyone respects him very much!

So, seeing him like this now, these teammates feel uncomfortable!

"Doctor, can you take painkillers?"

"Yes, that morphine!"

Chen Cang sighed and shook his head: "It's not that you don't let the injection, but it's useless. The pain of the aortic dissection makes morphine not work at all. Moreover, the effect of morphine will also affect the already unstable blood pressure."

After figuring it out, Chen Cang said to Lao Ma: "Get into the car first and take it to the hospital."

Several athletes quickly said, "Let's do it, it's too heavy!"

Chen Cang and Lao Ma smiled. Their exercise was not bad at all.

The two looked at each other, lifted the stretcher and walked outside.

Seeing this, the deputy coach said, "You guys stay and continue the game, I'll go to the hospital!"

After saying that, he followed Chen Cang and the others without saying anything.

I have to say that this guy is really heavy, and he is so tall that he can't even put the stretcher incompletely.

Chen Cang was once worried about whether the length of the ambulance was enough...

Fortunately, the ambulance is long enough, so there is no need to worry about this problem.

The deputy coach is not very old. He is Tian Zhengkai's senior. He retired and became the deputy coach of the Beijing team. Some of Tian Zhengkai's original intentions are his.

Seeing him like this, the deputy coach was worried.

He asked quickly: "Zhengkai, what's the phone number at home?"

Tian Zhengkai's mobile phone is still in the locker room. If such a serious situation occurs, he must contact his family.

Tian Zhengkai was a little exhausted at this time, and the pain consumed too much of his physical strength. He slowly said his phone number.

Here, Chen Cang and Xiao Ke quickly did an electrocardiogram.

Lao Ma contacted the hospital, made relevant preparations, and improved relevant examinations as soon as possible.

What is the most dangerous thing about aortic dissection?

Aorta rupture!

Once it breaks, the probability of death is basically high.

Chen Cang's mind was very fast, and Ma Yuehui also helped to use the monitor to monitor blood pressure regularly.

Because of this situation, once the patient has too high blood pressure, the damaged aorta is likely to suddenly rupture due to excessive tension.

It’s like water flowing in the skin tube, and suddenly the endothelium breaks in the skin tube, and then the water instantly fills it, bulging the skin tube and becoming thinner!

At this time, a false aneurysm was formed, which hindered the operation of water. The huge pressure might continue to expand here until... it broke with a "bang"!

The electrocardiogram results are out, and there is no characteristic performance, which is almost normal!

Chen Cang glanced at Lao Ma: "Team Leader Ma, the electrocardiogram is normal!"

This looks like good news because myocardial infarction is ruled out.

However, after diagnosing such things and excluding one murderer, another often appears.

The symptoms of aortic dissection and myocardial infarction are surprisingly similar, while electrocardiogram can be distinguished, and the use of painkillers for myocardial infarction can be effective, but aortic dissection cannot.

The patient can now diagnose it as an aortic dissection.

At this time, after Tian Zhengkai's wife answered the phone, the deputy coach quickly told the story.

This sudden news scared her!

I didn't care about going to work, so I quickly went out to take a taxi.

Lao Ma kept staring at his blood pressure, afraid of rising.

Blood pressure has now become a fatal factor that endangers the patient's life.

"Xiao Ke, add 500ml of 5% glucose in 100mg of nitroprusside sodium, and drip at a rate of 20μg/min!" Chen Cang said after pondering for a moment.

"Add 0.5 mg to enjoy your feelings!"

Chen Cang made a quick decision and made a plan.

Now the patient's blood pressure is 100-110, which is enough to maintain the blood supply needs of important organs such as the heart, brain, kidney and other organs. If it is extra, it is very dangerous.

Moreover, the heart contraction force must be reduced to stabilize the blood vessels. Never break them!

Sometimes, when medicine cannot explain it, you can only use metaphysics!

Just like this, the assistant coach was nervous and could only pray.

Is praying useful?

Of course the assistant coach didn't know, but... he didn't know what he could do!

Not only him, Chen Cang and Lao Ma were also worried. Chen Cang had already put his hand on the instrument box. If his blood pressure dropped sharply, he would definitely have surgery as soon as possible.

Time is slowly spent in anxiety.

Finally, 20 minutes later, the car was fine at the door of the emergency center!

Chen Cang ran down first, Lao Ma came back to help, and with four or five people helping him, he pushed the car steadily.

"Make an echocardiogram first!"

"Contact the cardiology department for consultation and prepare for aortic angiography as soon as possible!"

"Take blood as soon as possible, improve diagnosis, notify the blood distribution room, and prepare for blood supply!"

If the aortic dissection is really broken, the amount of bleeding will not be a little bit. You must prepare in advance!

What is the most important thing in medicine?

Be prepared for any trouble!

Taking all possibilities into account.
Chapter completed!