Under normal circumstances, this kind of rescue of patients, which disease will be responsible for which relevant department, but this person looks like a compound injury, looking at the color of this blood, it is estimated that the rectum has been punctured into the pelvic cavity and injured a large vein. It can be regarded as luck is not bad to the apex, if it is a major artery, for such a long time, acute heart failure would have lost blood and hung up!

Fluid resuscitation in patients with massive bleeding is a very necessary means, but what kind of fluid resuscitation is better first, the clinical debate has not yet reached a result! The principle requires that the electrolyte concentration of the fluid is similar to that of normal plasma, the osmotic pressure and osmotic volume are similar to those of whole blood, and the principle of achieving maximum expansion and optimal oxygen carrying with the least fluid volume can be achieved. The literature of the last 20 years suggests that early fluid resuscitation crystalloids are superior to colloids, which include glucose and electrolytes, and which include plasma, plasma substitutes, and whole blood.

To put it simply, at present, when the shock is rescued, whether to transfuse blood or balance fluid first is a matter of endless debate, let alone anything else.

This kind of bleeding from internal organs must be performed while rescuing shock, and surgery must be performed at the same time, actively looking for the bleeding point, and then stopping the bleeding. Only by stopping the bleeding can there be hope for life.

Ouyang is not here, this operation is controversial, in the past, the director of the anorectal department would not be involved in this kind of thing, more things are better than less things, anyway, this kind of thing is carried by ordinary people in front. And he was glad to dry his hemorrhoids.

But when Zhang Fan had a major surgery for rectal cancer in the anorectal department, he couldn't sit still, and his authority almost made Zhang Fan beat it. Now it is rumored that he is also at the level of cutting his ass!

There's no way to put it down. He is still counting on the doctor below to raise his wife, "Prepare for surgery!" He looked at the rescue patient, and made the first sound, he thought about it, and opened his stomach and only operated on his anorectal part.

The director of the general surgery and the director of urology didn't squeak, he was embarrassed! No one set up a stage, and the director of the medical department saw that the posture was not right, so he hurriedly contacted Ouyang. The boss is not the second one, there is no strong superior, and he really can't hold this group of directors with eyes on the top of his head.

Just when the hospital was rescuing and preparing for surgery, the family members of the wounded in the harbor had already turned the sky upside down, looking for people everywhere, and now they could only rely on relationships, find people, and find people with energy, otherwise the wounded who were thousands of miles away, they had no way at all.

If it is a small family, as long as you have the ability, you will definitely use your strength in one direction.

The patient's bodyguard's phone kept ringing, and the phone of the frontier boss kept ringing. It's really a mess, the people in the wounded's family are playing! The game between surgery and hospital transfer, a boss of this level, his wife may not be able to call the shots!

Ouyang came down with the phone, and the superior leader also said hello, and he didn't give a direct order, just a word, do his best. That's an attitude. The leader's phone call is very particular, must, certain, and try, all of which represent different levels of attention.

After Ouyang entered the emergency department, several directors of the Department of Surgery also spoke.

"How? Who's on it?" Ouyang asked, the leaders are concerned about different levels, and she cares about the doctors' business, and she doesn't want to put any pressure on the doctors, and the identity of the patients is not revealed.

"Dean, this is an anorectal trauma, and I am in charge of the surgery! However, considering the heavy bleeding, I apply for assistance from other departments. Said the director of the anorectal department.

"Okay!" Ouyang said after looking at him. Then he said to the director of general surgery and urology: "Prepare for surgery." "In just two sentences, the matter is settled.

The face of the anorectal director is not big, the level is average, and the director of general surgery and urology is also invited, which is estimated to be an ordinary deputy high to assist. But it's enough, in fact, this operation looks dangerous, as long as you quickly open the abdominal cavity and find the bleeding point, in addition to the speed requirements, there is no other difficulty, and it is not a very difficult operation that requires lymphatic dissection and reconstruction.

Just when they were discussing the operation, the cardiology director of the emergency department was not idle, first to hang his life, before it was possible to carry out the operation, what is hanging, is to first ensure this circulation, the oxygen in the circulation!

Zhang Fan doesn't like gossip, let alone be curious about the intrigue of several directors, he cares about illness and rescue. The director of the heart, an expert in a provincial-level hospital, was dumped into a city-level hospital back then, but her shock resuscitation technique was self-admitted to be second in the city-level hospital, and no one dared to admit the first! This is the qualification!

The principles and methods of early fluid resuscitation are exquisite, that is, early, rapid and sufficient volume expansion is the key to the success of rescue shock.

Ren Li stood calmly in front of the bed, crossed her hands, hugged her arms, and gave verbal instructions without thinking, "Establish four intravenous infusion channels, quickly infuse 1500ml of balanced saline, 500ml of dextran 70 (medium molecule dextran), and use an infusion pump to speed up the infusion." ”

Then he looked at the ECG monitoring and ordered directly: "Measure blood pressure manually!" The nurse was too busy, a little busy, Zhang Fan stepped forward and took the blood pressure monitor, and quickly began to measure blood pressure.

“70/30mmhg。 Pulse rate. Zhang Fan reported while measuring. "Blood transfusion, venous whole blood compression rapid intravenous transfusion of 300ml. Add dexamethasone to the pot. Ren Li continued, Ren Li also fought hard! This rescue method is a bit dangerous! Once you don't grasp it well, it's a big deal!

This kind of person is not short of money, and when he was admitted to the hospital, he put more than 100,000 yuan!

"The blood pressure has gone up, but the pulse is still fast. The director can operate!" Zhang Fan said to Ren Li.

"Okay, the rest is up to your surgeons. "The principle of this first aid is also very simple, in layman's terms, there is a fish in the bowl, and there is a hole in the bottom of the bowl, and the water must be added at a certain rate, not only to ensure the water demand of the fish, but also to maintain that it cannot overflow all at once!

That's the power!

The nurse pushed the hospital bed and carried a fixed liquid rack, quickly out of the emergency department, and ran to the special elevator for surgery. The director of the anorectum went out in high spirits, and he was ready to enter the surgical elevator.

"Doctor in charge of the department?" An assistant-looking lady stopped the director of the proctology department.

"Huh?"

"Which of you is the chief surgeon. "The bodyguard translated, in the harbor, this kind of family power people, the choice of assistants is not necessarily for office, and their old-fashioned family that tends to Britain is the most rejecting Mandarin.

They either speak English or the local dialect! And they also claim to be English speakers!

"This is our chairman, the chairman of the board of directors with a net worth of more than four billion, are you sure that you are sure?" This woman doesn't know whether it is intentional or unintentional, anyway, it is just a sentence, the director of the anorectum who pressed it, suddenly did not dare to enter the elevator!

I don't know if others are in a hurry or not, the frontier boss must be in a hurry, and he can't figure out the things in the business field, but he also knows from his expression that the relationship is not small or the interests involved are not small.

"Dean Ou, I'm a friend of the secretary general, please help! " The frontier boss was scared to death, at this time, saying this kind of thing to threaten the doctor, this is obviously to smash the field!

Ouyang, who was about to be furious, stopped his anger and looked at the boss of the frontier, the boss was a man of more than one meter and eight, half-bent over, and looked down at this old lady who was a little more than six meters in prayer.

Ouyang looked at the director of the anorectal department, who was a little stunned, and said, "Say, tell her loudly!" Let a woman be scared before the operation, Ouyang couldn't bear it!

"I! I!" The director of the anorectal department was a little incoherent! The pot in Ouyang's stomach was boiling, it was too uncompromising!

At present, many of the old-fashioned rich people in China are their generation, but they can really say that they look down on the rich people, and it is also their generation!

Ouyang glanced at the director of the anorectal department with contempt, looked back at a group of doctors who had just come out of the emergency department and said, "Who is sure, stand up! Don't let people look down on you! I can't afford to lose this person!"

"Me!"

"I!"

"Me!" deputy director of urology.

"Me!"

"Dean, you don't have to work with the directors, I'll just go up!" Zhang Fan stood at the edge of the crowd and said loudly.

"Okay, it's you! Let the young doctor go!" Ouyang said!

When the frontier boss heard that the youngest doctor should be in, he immediately softened! Paralyzed! Ten thousand alpacas flew by in his heart!

。 m.