Embolism is a disease named after the blockage of blood vessels by fat, blood clots, etc., resulting in ischemia of the corresponding organs. The most common fat embolism is a super dangerous disease. This disease is really a race against death at the same time, one more second and one second less, and often the outcome is different.

A doctor who can rescue embolic patients often has to work in the relevant departments of the hospital for at least ten years before he can make effective rescue measures.

Amniotic fluid embolism is a BOSS-level disease in embolism. Because this embolism is related to the complex composition of amniotic fluid, various hormones and factors once they enter the circulatory system.

The first thing that happens is allergies, large-scale allergies, and then because these foreign bodies stimulate the walls of the blood vessels, the blood vessels begin to shake like a cow hiding from a gadfly, which is a spasm of the blood vessels, and once the spasms, the orderly pulsation of the blood vessels becomes disco.

The blood vessels begin to beat, which directly causes the blood to flow smoothly, and then multi-organ ischemia.

As soon as multiple organs are ischemia, the heart begins to beat more horsepower until heart failure. A series of problems lead to a complete collapse of bodily functions.

Just like dominoes, if doctors can stop the deterioration of body functions in a timely and effective manner, maybe they can correct it, and if there is a failure of organ compensation and organs begin to fail, then the gods will not be able to come down.

The disease is not only rapid, but also violent, like a flood that has broken through a dam.

Zhang Fan quickly put on the surgical gown, and the chief surgeon in Istanbul glanced at Zhang Fan gratefully, although he did not speak, but the gratitude in his eyes could be seen.

He took the initiative to get out of the way of the main knife. By this time, doctors in Huaguo had taken over the medical team in Istanbul.

"Oxygen is given under positive pressure, and the organ is cut directly if necessary. Lao Cheng, I'll leave it to you to breathe badly. "Zhang Fan and Doctor Xiang have already begun to explore the uterus, but Zhang Fan must be dedicated to two purposes, he not only has to do surgery, but also preside over the rescue.

The sweat on his forehead has slowly seeped out.

"Senior brother, dexamethasone 40mg is directly pushed intravenously. The intravenous line is maintained by intravenous infusion of hydrocortisone. "The import of hormones is to suppress allergies, and allergies must be suppressed, otherwise allergies all over the body do not need to be rescued, and allergies can kill people.

"Yes!" In medical rescue, after the senior doctor gives an order, the subordinate doctor or the executive doctor must give feedback, whether it is heard clearly, whether it can be done, and the feedback must be given as soon as possible.

"Head nurse, atropine 1 mg is added to poppy(a)saverine, which is injected intravenously every ten minutes. Upper limb channel aminophylline, 250mg into 25% glucose!"

"Yes!" Although the head nurse usually seems to flirt around, which is a small means of survival in the workplace, she can become the head nurse of the large operating room of a tertiary hospital, not to mention her skills, and she is very quick under her hands.

At a critical moment, the patient whose blood pressure cannot be measured, this plump woman, needles into the blood vessels, did not say that she pricked it more than once, this is the ability, this is the technology!

"Dextrose, dopamine into the pot, 20 drops / min, lower limb channel walking. ”

"Yes!"

"Trichoside propyl, 0.4mg into 50% sugar, intravenous push!" This is a traditional Chinese medicine extract, which is used to treat heart failure with fast effect and low toxicity.

"Furosemide 40 mg, upper limb intravenous push. ”

"Yes!" This is a diuretic, not only to prevent edema in the lungs, but also to protect the kidneys from failure. Because once the body is ischemia, the body will supply the contracted blood directly to the brain, and the kidneys are very prone to failure due to ischemia.

So, often a lot of the time, doctors have a very difficult choice. It's too difficult to choose! Which organ doesn't matter, the liver, kidney, or brain, there is no one that doesn't matter.

"5% sodium bicarbonate 250ml, walking on the lower limbs. ”

"Yes. "This is a weak alkali solution, the body is ischemia, carbon dioxide will be stored, and the pH value in the body will acidify, becoming acidosis, that is, electrolyte imbalance.

As soon as this thing is disordered, the internal environment in the body will collapse, the body's body fluids and circuits are working in a neutral environment, once the acid-base imbalance, then there is a problem, it is important to correct the shock, and it is also important to correct the acid-base balance.

It all has to go hand in hand, nothing before me, that is, whether it's respiratory circulation, shock or electrolyte disorders.

It must be corrected as soon as possible. Once there is one that is not solved, everything is in vain, and this is the bucket effect of the human body.

"Antibiotics, ornidazole, cefixia double-linked, high doses entered. "Amniotic fluid is not only nutritious, but also bacterial. The first time I didn't use antibiotics to suppress it, and when the shock, circulation, and electrolytes were all resolved, I looked back and saw that I was infected, and then my body collapsed again.

Really, amniotic fluid embolism is too.

Zhang Fan gave a verbal medical order loudly, and at the same time he and the doctor hurried to explore the uterus in the abdominal cavity.

At this time, there was only one person's voice in the operating car, and that was Zhang Fan, the chief surgeon.

Doctors and nurses in Istanbul went out three or four, and they called the herders to take blood tests. The chief surgeon looked at Zhang Fan blankly, listening to the words he didn't understand.

There was regret in his eyes. No healer wants his patient to die unexpectedly. Otherwise, he would never have been able to assume the title of doctor.

That is, the incidence of amniotic fluid embolism is very low. Otherwise, the number of human beings would never be so high. Many doctors have been working in obstetrics all their lives, and they may not be able to meet it once.

However, if you encounter it once, it is estimated that it will never be forgotten. And this surgeon in Istanbul is a professor in the hepatobiliary department of their state hospital. At this time, he had long regretted his death in his heart, but there was no regret medicine in the world.

This time the amniotic fluid embolism happened fortunately because the child had already been taken out, otherwise the danger would have doubled.

When the drug was infused into the patient's body, Zhang Fan also began a hysterectomy. The bleeding is no longer controllable, and although the patient has entered a state of shock, the uterus must now be removed as soon as possible to achieve complete hemostasis.

According to current medical statistics, about 1,600 pregnant women die every day worldwide, and about 500 of them die due to massive hemorrhage.

Amniotic fluid embolism is uncommon, but postpartum hemorrhage is all too common. Now that the patient's body is already in an ischemic state, Zhang Fan must perform a hysterectomy quickly and without bleeding to save the patient's life.

"O Vicho line, turn back line shortened!" Zhang Fan said to the instrument nurse for the first time.

Although the uterus is removed, a caesarean section is performed, so the uterus must be closed first to allow the bleeding to subside before the hysterectomy can be performed.

Zhang Fan took the nurse's needle holder and quickly began to stitch up. At this time, there is no need for layer-by-layer suture for suturing, just one requirement, it must be quickly and firmly sutured to stop bleeding at the first time.