There is a saying in surgery that when encountering a patient with heavy bleeding, the doctor must not be alarmed, calm and calm, and must not panic. But, there is a but, one is bleeding from a pregnant woman, and the other is bleeding from a young child.

These two cases are too special. Regardless of whether your doctor is calm or not, whether your doctor is not alarmed or not, when it is clear that he has improved, maybe in the next second, there will be a sudden collapse of the body, and in a matter of seconds, the patient will die.

The accident of a pregnant woman is due to the fact that all the organs are compensating during the original pregnancy, so to speak, a pregnant woman who is about to give birth has 30% more blood output from her heart than before she was pregnant.

This is already the limit of organ compensation, and in the event of an accident, each organ can no longer compensate. That is, there are no reserves of organs, and there are no reserves.

Young children, because their organs are not yet fully developed, they can't compensate if they want to, so they often have various sudden accidents. Doctors can't prevent this kind of sudden accident.

"Dean, get the operating room ready. Once there is a chance, there is a chance of surgery......" Zhang Fan couldn't bear to let Ouyang's heart be torn again, so he directly spent Ouyang.

People's hearts change hearts, and Zhang Fan doesn't want the old lady to be hurt again.

Ouyang Qing burst into tears, nodded, and after pinching Zhang Fan's little arm with a dry hand like a chicken claw, he walked out with the phone. As the phone calls went out one after another, the hospitals began to link.

The main force of each department began to rush to the emergency department. Especially the pediatric doctors, who are somewhat qualified, are here.

Rescue, especially hemorrhage rescue, the best way is to rescue and correct the shock at the same time, and do surgery to stop the bleeding, but now the child's current body surface bleeding is stopped, but the child's weak heart, like a bird's egg hanging on the edge of the cliff, may fall at any time.

With the entry of the directors of cardiology, pediatrics, and pediatric gravity, Ren Li took over Zhang Fan's leading position in the rescue, and now at this time, it is no longer a problem of bleeding.

The heart, kidneys, liver, gastrointestinal tract, and electrolytes are already hanging on the line, to say a bad word, the current rescue is like ordinary people buying lottery tickets, no one is sure.

"The operating room is ready!" Ouyang suddenly thought about getting older, she was no longer a steel company, she was no longer a firm commander standing on the roof of the car, but an old woman.

"Well, Dean, you can contact the child's parents, and you may need the child's parent's authorization. Zhang Fan stood on the edge of the expert group, wanting to spend Ouyang again.

"The parents of the children can't come anymore, let's do our best to help, I'm responsible for the problem. ”

"Huh?"

"The wounder reported that the child's mother and her concubine not only used drugs, but also sold drugs, and the wounder was a drug addict in the first place. The police have already implemented the situation. ”

"Hey!" Zhang Fan didn't speak, but let out a long sigh.

"Beasts are not as good as things, children are innocent, it's so pitiful. Ouyang gritted his teeth and said. The child's face was like a centipede lying on his stomach, which was stitched by a ENT doctor, from the left side of the face to the right lip.

"Director, the child is no longer working, he has ventricular fibrillation. ”

"Quick, prepare for cardioversion. Ren Litie said with a blushing face. At the moment when she gave the order, a male doctor in her heart was holding a defibrillator and preparing to defibrillate.

What is a defibrillator, in fact, it is like two irons for ironing clothes, connected to the instrument. This device can instantly generate the right amount of electric current, and then use this current to correct ventricular fibrillation.

When using this instrument, the patient must not have a connection to the earth or a metal connection, otherwise the child will become a conductor, and the huge current can directly electrocute the person, and no one can contact the child.

And what ventricular fibrillation is, it's also very simple. It's just that the heart is starting to beat wildly. The beating of the heart is rhythmic, jumping and jumping, and the blood can flow smoothly throughout the body like a child sucking breast milk (a) head.

But when the heart beats wildly, there is a whirlpool of blood, this whirlpool is terrible, it can consume the heart's beating energy, so that the blood can't go out.

Just like when an old car starts, the body of the car is disturbed, and this disorder is like ventricular fibrillation of the heart.

And once ventricular fibrillation occurs, if it cannot be corrected immediately, the brain will immediately lack oxygen, and then the brain will send instructions to the heart: beat faster for Lao Tzu, Lao Tzu is about to suffocate to death.

Then the heart accelerates, and after a few beats, the heart will have heart failure, and it will die of failure, and it will not be able to run away.

When ventricular fibrillation occurs, and there is no defibrillator and other related rescue equipment, you can punch according to the apex of the heart, with one hand on the heart and one hand on the back of the hand above the heart. But this kind of thing, unprofessional people can't play it at all.

"Bang, bang!!" The child was hit by a defibrillator on the bed like a rag doll, and his whole body was vacated.

With the correction of the defibrillator, the eyes of the expert group, Zhang Fan and Dean Ouyang were staring at the ECG monitoring, as long as the ECG was still out of order, the child was estimated to have no chance.

And at this time, the child immediately enters the triad of death (hypothermia, acidosis, coagulopathy). If the heart is not cardioverted, the rescue can only be declared a failure.

With the defibrillator over, the monitor's ECG is finally normal. Everyone present breathed a sigh of relief, and the sweat of the pediatric director came down, and everyone was so nervous that they didn't dare to breathe.

What is a moment of fate, this is a moment of fate. All efforts may not be effective, and human life is not as good as a dandelion in the wind at this moment.

"Is the blood gas analysis coming out? Ren Li urged loudly, she was also anxious, no one dared to say whether the child had acidosis at this time.

One by one, the examination was transmitted to the emergency center through the computer as quickly as possible, and the blood pH has dropped, and now in this case, the electrolytes are almost at the critical value, but in this case, the blood volume cannot be replenished, and nothing is used.

The heart rhythm has just been restored, but at this time, the monitor directly began to alarm, and the heart rate is almost gone! Heart has two words, heart rate, which is the number of times the heart beats, and heart rhythm is whether the heart beats properly.

If the law is messed up, it won't work, and if the rate is gone, it won't work. "Push adrenaline directly, not directly at the apex!" Ren Li was anxious.

Every member of the expert group was not nervous, at this moment, everyone's adrenaline was up, and Ouyang was also nervous, and the old lady grabbed Zhang Fan's arm tightly.

She is also an expert in cardiology, how could she not know the extent of the danger now.

Wave after wave, the doctors of the city hospital formed a team to fight the Grim Reaper. Now, however, death has prevailed.

"Director Li, open your chest!" Zhang Fan saw that the treatment of internal medicine had come to an end, and the child might die in a matter of seconds, and now he could only rely on the surgeon to operate, and he said to the director of the cardiothoracic surgery.

Whether it works or not, Zhang Fan is not sure.

After "Dean ......" explained to Director Li, Zhang Fan turned his head and glanced at Ouyang, who understood what Zhang Fan meant.

"Let's go, it's not good for her to die, and God will pity her if she lives. I will sign and take responsibility for all responsibilities!" The old lady calmed down at this time, looked at Zhang Fan quietly and said.

"Open your chest!"