第4章 回阳升压、救厥保命,压经阻血、固摄冲任

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    第4章回阳升压、救厥保命,压经阻血、固摄冲任(第1/2页)
    止血、止血、止血!
    钟槿专业止血,让今日的急救抢救工作,比往日变得从容一些,血有效止住,抢救黄金窗口就有效放大,更能保住这些伤者。
    第七位伤患顺利送入手术室,院外也暂时没有新增救护车呜哇呜哇的刺耳鸣笛驶来。
    连轴转忙活了整整三个小时有余的一众急诊医护,紧绷的神经终于得以稍稍松弛,下意识松了口气,微微躬身想要挺直酸痛的腰背。
    就在众人身形松懈的瞬间,一名随车跟来陪同、贴着绿标轻症标识的家属,脸色毫无征兆地骤然惨白,冷汗淋漓、方才还能正常站立、帮忙转运伤员的人,下一瞬直挺挺地轰然倒地,彻底失去了动静。
    还未完全直起身的红区抢救人员,身体比思绪更快,全员瞬间扑了上去。
    吴建平第一时间俯身,指尖精准探向患者颈部,颈动脉细弱急促、触之欲断,他神色骤沉,厉声急喝:“就地平卧!立刻接监护测血压血氧!抬高下肢、注意保暖!”
    监护仪飞速对接完毕,下一秒,刺耳的病危警报骤然炸响众人耳边,刺破了短暂的平静。
    “血压归零!心跳148次/分,血氧98%!”
    在场都是身经百战的急诊骨干,众人瞬间快速排查致命急症:血氧全程正常,没有体征、直接排除气胸、窒息、呼吸骤停;
    患者无抽搐、瞳孔无异常,彻底摒除脑卒中、癫痫、中枢性晕厥诱因;
    年轻患者,没有异常诱因,基本可以排除心源性猝死。
    所有常见的猝死病因全部被一一推翻,可眼前的患者,却呈现出极致危重的休克体征:
    面色死灰惨白,浑身遍布冰冷冷汗,四肢厥冷如冰,脉搏细速难寻,血压秒速归零。
    体征完全凶险休克,却无任何可见外伤、无胸痛、无呼吸困难,诡异得让人心悸。
    大胆怀疑,小心求证,车祸现场拉回来的人,
    极具临床经验的吴建平与陆振邦,心底瞬间同时升起一个头皮发麻的猜测——隐匿创伤大出血,濒危失血性休克。
    “床旁FAST超声!”两人异口同声,急促下令。
    床旁超声探头快速扫查,反馈结果瞬息传回,护士语速急促嘶吼:“腹腔大量游离液!脾脏破裂!”
    “是迟发性脾包膜破裂,腹腔隐匿大出血!”
    这会儿,所有人都反应过来。
    这正是车祸创伤中最凶险、最致命的隐匿杀手。
    患者脾脏先期形成被膜下血肿,淤血全部淤积封闭在包膜之内,未流入腹腔,因此前期体征平稳、无任何异常预兆,无外伤、无外出血,意识清醒、行动自如。
    方才他自主起身搬抬伤员,腹腔压力骤然剧变,原本脆弱的脾包膜瞬间不堪负荷、轰然炸裂,大量积血瞬间涌入腹腔,短短数秒内失血一千五到两千毫升,体内有效循环血量被彻底掏空。
    这也是患者几秒内血压归零、脉搏几近消失的根本原因,
    抢救窗口短暂到极致,仅仅三五分钟时间,稍有延误便是回天乏术。
    与此同时,脑海灌输完整医道的基础知识随着钟槿思维飞速跳转,阳脱昏厥,与眼前病机完美契合,
    她几乎与两位主任同步判断出患者隐匿大出血、气随血脱的濒危危象。
    回阳升压、救厥保命,
    (本章未完,请点击下一页继续阅读)第4章回阳升压、救厥保命,压经阻血、固摄冲任(第2/2页)
    压经阻血、固摄冲任。
    整套中医急救思路瞬间清晰浮现,她不假思索跪地俯身,双手同步开展急救操作。
    一手精准按住患者人中,同时取穴面部鼻尖正中央最高点凹陷处的素髎穴,持续重掐强刺激二十秒,专攻回阳醒厥,硬生生将患者涣散濒死的气机勉强收拢稳固。
    几乎同一时间,她的另一手精准落于患者左侧脾区对应经筋、血海与三阴交穴位,持续按压固摄。
    这套手法并非止住已经流入腹腔的积血,而是直击本源,收敛脾气、固摄血溢,截断脾脏持续出血的通路,从源头遏制失血速度。
    急救效果立竿见影,监护仪数据快速回弹。
    护士惊喜报告:“45/20mmHg!有血压了,还在持续上升!心率136次/分,血氧96%!”
    众人清晰看见,方才完全昏死、毫无反应的患者,眼睫微微颤动,濒危的生命体征迎来一丝转机。
    钟槿左手手法适时调整,不再重掐强刺激,转为匀速间断点按人中、素髎二穴,
    指尖始终贴合穴位未曾离开,持续刺激六十秒,牢牢守住患者体内阳气底线,彻底杜绝二次脱厥、循环崩盘的风险。
    在生命体征彻底稳住的后,撤回左手专注固本止血,双手稳稳压住脾经止血靶点,
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