0163 Hybrid surgery
Low right, the full name is low molecular weight dextran amino acid injection. What is different from sugar saline is that it belongs to colloids and is necessary in infusion.
Many people don’t like to use a low right because allergies may occur in rare cases.
But at this moment, when the plasma and red blood cells have not been sent, it is a correct choice to input low-molecular dextran amino acid injection while giving sugar saline.
As for allergies...
Rather than paying attention to such a small possibility, it is better to rescue hemorrhagic shock first.
"Turn blood, go to a doctor, go to the blood transfusion department, and wait!" Zheng Ren ignored him and continued to make a doctor's advice.
Because the doctor in the blood transfusion department does not know whether the patient is in an ordinary or critical condition or is dying, if he queues up, he may be afraid that the blood will come and the person will be cold.
Generally speaking, nurses take blood, so the amount of the nurses is not enough at this time.
A doctor went to the blood transfusion department to explain the situation and followed the expedited procedure to allow blood transfusion before Miao Xiaohua was cold.
There is not much time left for Zheng Ren, so I can only do this.
The most important thing is that it is daytime now and there are plenty of manpower.
Taking off the sterile gloves, Zheng Ren took out his cell phone and called out, his voice a little hoarse, "Gas for Gastroenterology, Rescue, come right away."
After saying that, he hung up the phone.
A low-molecular dextran amino acid injection was hung, and a nurse stood aside and pressurized the low-right bag with a pressurized blood transfusion device, and input more liquid in a short time.
Zheng Ren started to check his body. Miao Xiaohua's stomach was swelling, and her stomach was probably covered with blood. She lost consciousness and couldn't find out where the bleeding was.
System this big pig's hoof!
Zheng Ren cursed in his heart.
When he was first supported by the system, he was complacent, which was simply super ability. However, when facing one difficult-to-solve critically ill patients, Zheng Ren felt powerless again.
Damn, you tell me where the bleeding point is! It is absolutely not enough to diagnose a pseudocyst of the pancreas and a hemorrhagic shock.
It is also necessary to have a purpose when exploring the belly. If you look for all possible locations, Miao Xiaohua will probably be cold.
A few minutes later, Su Yun quickly rushed to the emergency room of the gastroenterology department.
After coming in, he glanced at him and knew the general situation. He came to Zheng Ren and asked in a low voice: "What disease?"
"Pseudocysts of the pancreas rupture and bleeding," Zheng Ren said.
"..." Su Yun was speechless.
The rarer the disease is, the more difficult it is to deal with it because there is less clinical experience.
Once you catch a rare disease, the possibility of being rescued is slim.
"Can you tell which blood vessel is broken?" Su Yun seemed to understand everything and suddenly asked the key point of the matter.
"I don't know." Zheng Ren shook his head, but he immediately made up his mind, "Go to the interventional operating room, check the imaging, and then open the abdomen and stop the bleeding."
“…”
This is the second time Su Yun is speechless today.
Although he was very talented and had graduated from the top hospital in the country and returned to Haicheng, Su Yun had never experienced the procedure of directly opening the stage after imaging.
The interventional operating room is a hybrid operating room, but has never had surgery, and no one seems to have had experience in this area.
"Are you sure?"
"There's no other way."
"Okay." Su Yun did not question Zheng Ren's decision. At this moment, he was the perfect assistant.
After glanced at the numbers on the electrocardiogram monitor beside Miao Xiaohua, Su Yun and the doctors and nurses in the gastroenterology department became busy.
If you want to transfer from the emergency room of the gastroenterology department to the emergency interventional operating room, you need to take a huge risk. Miao Xiaohua's chance of cardiac arrest halfway through is greater than 30%.
Perhaps the number 30% does not seem high, but in the eyes of medical staff, this is definitely an unbearable possibility.
Chu Yanzhi then heard the letter and rushed over with the equipment for intubation.
Within less than ten minutes, when the fresh frozen red blood cells were delivered, the tracheal intubation was done and the bulbs were prepared. The 10u red blood cells were warmed by the doctor and nurse from the gastroenterology department and ran towards the emergency building.
Fortunately, there is no one in the medical elevator at this moment, and it is still going well.
I trotted all the way, except for the slight pause when changing the red blood cell bag in the middle, I basically didn't waste any time.
When I came to the interventional operating room, I carried Miao Xiaohua onto the operating table, and my blood pressure could not be measured.
Chu Yanran was ready for anesthesia and immediately gave Miao Xiaohua medicine and prepared for the operation.
Director Lao Pan rushed over after hearing the news. Although he was a nurse in the hospital, without the family's knowledge and signing, Director Lao Pan still found the staff of the medical department according to the normal process and prepared all legal procedures from the perspective of the hospital.
Xie Yiren ran back with the flat car, changing clothes and brushing his hands as usual.
Tears burst into her eyes as she stood in front of the instrument table.
Fortunately, the concept of sterility has been integrated into the deepest part of the soul. I subconsciously avoided the instrument table, which prevented the instrument table from being contaminated and had to open another surgical bag.
It’s not how precious the surgical kit is, the key is that time waits for no one.
The first hybrid surgery should be the first hybrid surgery in Haicheng First Hospital, or even Haicheng First City.
There was no communication, but everyone had a very tacit understanding.
Director Pan stood outside to direct, handled all the miscellaneous tasks, and sorted out every link.
The head nurse in the operating room simply wore a lead suit and entered the operating room. When Zheng Ren and his friends were doing the intervention, they prepared surgical instruments.
Although Miao Xiaohua's heartbeat did not stop suddenly, the electrocardiogram monitoring showed atrial fibrillation. She was afraid of danger and needed to give medicine at any time, so Chu Yanran and the nurse also put on lead clothes, entered the operating room, and were on standby at any time.
This is a completely different surgical method than before. It has not been practiced and there was no plan before this incident.
But everyone worked together and in less than twenty minutes, they were ready to open the stage.
When Su Yun was wearing a lead suit and brushing his hands, Zheng Ren began to disinfect, lay sterile sheets, and puncture.
At the same time, the live broadcast room of Xinglin Garden started to be broadcast live again.
[I urged to update before watching, saying that it was boring to always see the surgery and asked the master to come out and sing a song.]
[Let’s go to other video websites to watch. Some of them are beautiful girls, so they must come here to watch.]
【That is, your illness is very serious, so you need to treat it early.】
But at the moment of the beginning, several barrages flew out.
Because the post-operative recording was cancelled, everyone who has been following this live broadcast account knows that you should first check the cases and get more information. If it is really a rare operation, you will get more rewards.
There are surprisingly few barrage today, and most people choose to close the barrage, refuse to communicate, and concentrate on watching the surgery.
But when everyone saw the case, they were all silent.
Chapter completed!