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Chapter 301 Autologous Blood Recovery Machine

 The B-ultrasound doctor has been called back to the hospital urgently. At this time, he quickly checked and nodded: "It is an ectopic pregnancy. The bleeding is heavy and requires immediate surgery."

Really solid.

The operating room has been prepared long ago, and all medical staff are on standby for possible rescue tonight.

In the operating room, Zhao Qiaoer has been disinfected under general anesthesia, and sterile towels have been laid out. Director Yu of the Obstetrics and Gynecology Department is the first assistant, and the director of the surgery department is the second assistant. However, Chen Qi, the surgeon, is nowhere to be seen.

The nurse taking the blood pressure next to me shouted anxiously: "The blood pressure has been dropping, and now it's only 60/30."

The patient's belly continues to bulge, and the internal bleeding is obviously continuing and not slow.

Director Bian stamped his foot: "There must be something wrong with this person's coagulation function, otherwise how could he lose his blood so quickly? Oh my, where did Chen Qi go?"

Director Yu became anxious when he saw that three intravenous channels had been opened and a large amount of fluid was being transfused:

"How much stored blood does our hospital have now? Just transfusion won't do it. The blood will be diluted so much that it will cause multi-organ failure and death."

The two chief directors were anxious, and the group of junior doctors and nurses in the operating room were even more confused.

In the history of the Fourth Hospital, there has never been a record of rescuing a live ectopic pregnancy. This makes everyone not very confident, and they feel that they may not be able to break this zero record today.

At the critical moment, the door of the operating room opened, and Chen Qi was seen pushing a strange machine into the operating room.

Why is it strange? Because this machine was covered in newspapers, it was hard to tell what it was, but Director Bian was certain that it was definitely not the machine in the operating room of the Fourth Hospital.

There was nothing Chen Qi could do. This "blood recycling machine", which was a must-have in every operating room in future generations, was still a "black technology" in China in 1984.

The principle of the machine may be explained clearly, but what's going on with your shiny LCD screen?

Therefore, in order to reduce unnecessary trouble, Chen Qi had to cover the "blood recycling machine" with newspapers so that people could not see the specific structure and use of the machine.

The patient is taking risks, and he, Chen Qi, is also taking risks.

But he couldn't take the risk because it involved a human life. He couldn't just watch a little girl die in front of his eyes, but he clearly had the ability to save her.

The surgery for ectopic pregnancy is not complicated, and there is no need for surgery in future generations. It can be solved directly with laparoscopic surgery.

It is nothing more than finding the location of the ectopic pregnancy, because the rupture is right here, and then the bleeding can be stopped by directly removing the lesion.

Some people may say, since the operation is so simple, why is the mortality rate still so high?

The so-called ectopic pregnancy means that the gestational sac is planted in the wrong place, outside the uterine cavity. There is not enough space and nutrients outside the uterine cavity to supply the gestational sac for growth.

Especially when the embryo grows in the interstitial part of the fallopian tube, due to the rich blood supply in the interstitial part, massive intra-abdominal bleeding will occur when it ruptures.

To sum up in one sentence, the cause of death for patients with ectopic pregnancy is massive bleeding.

Therefore, during rescue, a large amount of blood needs to be transfused to the patient to ensure blood supply and allow doctors time to remove the diseased area to stop bleeding. This is a key step in rescue.

The current situation in the fourth hospital is that the total amount of type B blood in the hospital is only 400ml, but the bleeding of an ectopic pregnancy is at least more than 1000ml. The problem is that the human body only has a little more than 4000ml of blood in total.

Therefore, in the rescue of ectopic pregnancy, if it is more serious, it is possible to replace the whole body with blood once or twice.

The fourth hospital didn't have much blood in stock, so we urgently called the People's Hospital and the second hospital for help in the middle of the night. They reported it to the people at one level, and then passed it on to the fourth hospital. Then they found the driver from home and drove dozens of kilometers to the fourth hospital.

.

The day lilies are cold.

And even if it is the People's Hospital, the blood inventory of the Second Hospital is not too large, and there is no "central blood station" these days.

In the 1980s, when a large amount of blood was needed, they would go directly to large enterprises, or directly pull out the soldiers, and then collect the blood on site.

Under the premise that a large amount of blood cannot be obtained, Zhao Qiaoer now has only one way to treat massive ectopic pregnancy bleeding, which is to collect her own blood, recycle it and then inject it into her own body.

This is safe and cost-effective, and is also a commonly used method in later generations when severe bleeding occurs during surgery.

And it's easy to use. All you need is a fully automatic "blood recovery machine". Others don't have it, but Chen Qi has it, but it comes with a certain risk.

Ordinary doctors would not take risks for a strange patient. If this matter is revealed and the superiors come to investigate, some things cannot be explained clearly.

But Chen Qi is not an ordinary doctor. He is a second-rate doctor, and his thinking cannot be judged by common sense.

Seeing the confused looks in the operating room, Chen Qi just explained lightly:

"This machine is a trial machine for a scientific research institution in the province. It can recover the patient's own blood, filter it and then infuse it back into the body. It is still confidential, so please don't reveal it after the operation.

If it gets spread and is known to lurking spies abroad, then this leading technology will be mastered by hostile foreign countries. This is our country's core technology and must be kept secret. We cannot be the sinners of the country!"

Upon hearing that state secrets were involved, everyone in the operating room became serious.

This year, we are on guard against enemy spy propaganda day and night, describing the dire straits abroad, so the people in China are still very vigilant, and they also understand the serious consequences of leaking secrets, and must not be careless.

Those special years have already made people timid.

Although Director Bian and Director Yu were puzzled, this explanation made sense. After all, Chen Qi knew too many people in the province, so it was normal for people to open a back door for him to feed him.

Director Bian asked: "Deputy Chen, you have to hurry up and do the surgery quickly."

"No, Director Yu will be the one to perform this operation. I will be the first assistant. I will be in charge of this machine today. We don't have enough blood storage, so we can only rely on the patient's own blood recovery."

Nonsense, only he can operate this machine, and since it needs to be kept secret, he can't let anyone touch this black technology.

Director Yu didn't say anything after hearing this, and walked directly to the surgeon's position to prepare for the operation.

Chen Qi handed the suction head to Yang Tihao, who was the second assistant, and said:

"After a while, when you open the abdominal cavity, a large amount of blood will definitely pour out. Your job is to suck all the blood away. Don't waste it. This is the key to saving lives."

After Chen Qi prepared the anticoagulant with 500ml of normal saline and 2000U of heparin, he nodded heavily:

"Let's get started."

The sound of the blood recovery machine suddenly sounded.

Director Yu made a small incision in the peritoneum with one knife, and Yang Tishun immediately inserted the suction head and began to aspirate the blood in the patient's abdominal cavity.

The blood quickly entered the blood recovery machine along with the drainage tube, and began the process of layer-by-layer filtration, separation, cleaning, and purification.

When a bag of clean blood is completed, Chen Qi immediately hands it to the nurse and infuses it back into the patient's body as quickly as possible.

Three hours later, when Director Yu finished the last stitch, everyone in the operating room couldn't help but cheer.

This is the first time in the history of the Fourth Hospital that the rescue of ectopic pregnancy has been successful. This not only saves a life, but also symbolizes that the overall medical level and surgical level of the Fourth Hospital have reached a new level.

Director Yu is also excited. The old lady is so proud. As the director of the Department of Obstetrics and Gynecology, the success rate of ectopic pregnancy surgery is 0, which has always been a pain in her heart.

Although there are objective reasons, she always wonders if her surgical skills are really bad?

Once the "inner demon" arises, it is fatal for a clinician, because at the critical moment, her lack of confidence may lead to the failure of the operation.

Today, she finally felt proud and elated, and she really wanted to laugh out loud.

Chen Qi was smiling while guarding the machine, but his work was not finished yet and he had to continue filtering the blood, so he just gave an order:

"Then who, Yang Tihao, took out the diseased fallopian tube cut off by Director Yu and showed it to the patient's family, so that they could take a closer look at the gestational sac inside and stop saying that we were spreading rumors and slandering their daughter."<

/p>

Director Bian was also very proud, "Yes, take it out and let them take a closer look. It's true, the tutoring is not strict!"

Yang Tihao also nodded heavily: "Okay, it's time to slap them in the face, haha~~~~"

Everyone in the operating room also laughed, everyone was in a good mood, and the previous injustices could finally be cleared away.

Yang Tihao pushed open the door of the operating room, and the Zhao family immediately gathered around:

"Doctor, how is my daughter?"

"How is my little sister doing?"

Zhao Wei was standing outside at this time, his heart almost beating out of his chest. He was indescribably nervous. He didn't know whether he was nervous about his daughter's life or whether his daughter had done something shameless.

Soon, the mystery was revealed.

Yang Tihao glanced at the group of parents unhappily, then brought the dishes in his hands in front of the family members:

"Look, this is the fallopian tube that was cut off during the surgery, and this dark red thing is the gestational sac. So our previous diagnosis of the patient's ectopic pregnancy was established, and we did not misdiagnose it."

Yang Tihao's words were not insulting at all, but they were a bolt from the blue to the Zhao family.

Ectopic pregnancy? Does that mean Zhao Qiaoer is indeed pregnant? Would she really do such a scandal?

Zhao Wei felt himself dizzy and was held up by his eldest son.

Mother Zhao was just about to cry out in mourning again, but her younger son covered her mouth and signaled not to cry.

Zhao Wei stabilized his body and winked at the eldest son next to him. The eldest son nodded to express receipt.

"Doctor, the lights here are too dark and we can't see clearly. I want to go to the bright spot and take a closer look."

Yang Tihao curled his lips in disdain: "No, take it with you, please watch carefully."
Chapter completed!
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