0163 Hybridization
Low right, the full name is low molecular weight dextran amino acid injection, which is different from sugar saline in that it belongs to colloids and is necessary in infusion.
Many people do not like to use low right because of the rare occurrence of allergies.
But at this moment, when the plasma and red blood cells have not yet been sent, it is a correct choice to inject low-molecular-weight dextran amino acid injection at the same time as giving sugar saline.
As for allergies......
Rather than focusing on such a small possibility, it is better to rescue hemorrhagic shock first.
"Blood, go to a doctor, go to the blood transfusion department, wait!" Zheng Ren didn't see anything but continued to give medical orders.
Because the doctors in the blood transfusion department do not know whether the patient's condition is ordinary or critical, or dying, if they line up, they are afraid that they will wait for the blood to come, and the person will be cold.
Normally, it is the nurse who goes to collect blood, so let the nurse go at this time, the amount is completely insufficient.
A doctor went to the blood transfusion department to explain the situation, and everything went through the urgent procedure before Miao Xiaohua could be transfused.
There is not much time left for Zheng Ren, so he can only do this.
The main thing is that it is now daytime and there are plenty of people.
Taking off the sterile gloves, Zheng Ren took out his mobile phone and dialed out, his voice was slightly hoarse, "Gastroenterology, rescue, come immediately." ”
After saying that, he hung up the phone.
The low-molecular-weight dextran amino acid injection was hung up, and a nurse stood aside and pressurized the low-right bag with a pressurized blood transfusion set, so as to inject more fluids in a short time.
Zheng Ren began to check the body, and Miao Xiaohua's stomach swelled, and it was estimated that her stomach was full of blood. She was unconscious, and she couldn't pinpoint what the bleeding was.
System this big pig's trotters!
Zheng Ren secretly cursed in his heart.
At the very beginning, when I was blessed by the power of the system, I was still complacent, which is simply a super ability. But in the face of one after another critically ill patients who were difficult to solve, Zheng Ren felt powerless again.
Tell me where the bleeding point is! A rupture and hemorrhagic pancreatic pseudocyst and a diagnosis of hemorrhagic shock are absolutely not enough.
Abdominal exploration must also have a purpose. If you look for all the possible locations, Miao Xiaohua is estimated to be cold.
A few minutes later, Su Yun quickly rushed to the emergency room of the gastroenterology department.
When I came in, I glanced at it and knew the general situation. He came to Zheng Ren's side and asked in a low voice, "What disease?"
"Pancreatic pseudocyst rupture and hemorrhage. Zheng Rendao.
"......" Su Yun was speechless.
The rarer the disease, the more difficult it is to manage because there is less clinical experience.
Once you catch up with a major attack of a rare disease, the chances of being able to save it are very 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 intervention operating room, have an imaging view, and then open the abdomen to stop the bleeding." ”
“……”
This is the second time Su Yun has been speechless today.
Although he was extremely talented, and he studied for graduate school from the top hospital in the country and returned to Haicheng, Su Yun had never experienced the technique of opening the stage directly after imaging.
The interventional operating room is a hybrid operating room, but no one has ever done surgery, and no one seems to have experience in this area.
"Are you sure?"
"There's no other way. ”
"Good. Su Yun didn't question Zheng Ren's decision, he was the perfect assistant at the moment.
Glancing at the numbers on the ECG monitor beside Miao Xiaohua, Su Yun and the doctors and nurses in the digestive department got busy.
If you want to be transferred from the emergency room of the gastroenterology department to the emergency interventional operating room, you need to take a huge risk, and the chance of Miao Xiaohua having cardiac arrest in the middle of the road is greater than 30%.
30% may not seem like a high number, but in the eyes of medical staff, it is definitely an unaffordable possibility.
Chu Yanzhi also heard Xin'er afterwards and rushed over with the equipment for tracheal intubation.
In less than ten minutes, when the fresh frozen red blood cells arrived, the tracheal intubation had been prepared, the leather ball was prepared, and the 10u red blood cells were warmed by the doctors and nurses of the gastroenterology department, and they rushed all the way to the emergency building.
Fortunately, there is no one in the medical elevator at the moment, and it is still smooth.
Trotting all the way, except for a slight pause in the middle when replacing the red blood cell bag, there was basically no delay of a little time.
When I came to the interventional operating room and carried Miao Xiaohua onto the operating table, my blood pressure could not be measured.
Chu Yanran was ready for anesthesia, and gave Miao Xiaohua a bolus injection of medicine as soon as possible to prepare for surgery.
Although Director Pan rushed to the hospital after hearing the news, without the knowledge and signature of the family, Director Pan still followed the normal process and found the staff of the medical department to prepare all the legal procedures from the perspective of the hospital.
The Shay people followed the flat car all the way back, as usual, changing clothes and brushing their hands.
As she stood in front of the instrument table, tears welled up in her eyes.
Fortunately, the concept of sterility has been integrated into the deepest part of the soul, and I subconsciously avoided the instrument table, which avoided the incident of the instrument table being contaminated and having to open another surgical bag.
It's not that the surgical kit is precious, it's that time waits for no one.
The first time to do hybrid surgery, this should be the first hospital in Haicheng, or even the first hybrid surgery in Haicheng.
There was no communication, but everyone was very tacit.
Director Pan stood outside to command, deal with various miscellaneous matters, and sort out every link.
The head nurse of the operating room simply put on a lead suit, entered the operating room, and prepared surgical instruments when Zheng Ren and the others intervened.
Although Miao Xiaohua's heartbeat did not stop, the ECG monitoring showed atrial fibrillation. Afraid of danger, they need to administer medicine at any time, so Chu Yanran and the nurses also put on lead suits, entered the operating room, and were on standby at any time.
This is a completely different surgical method than before, there has been no practice, and before this incident, there was no plan at all.
But everyone worked together, and in less than twenty minutes, they were ready to open the stage.
When Su Yun was wearing lead clothes and brushing his hands, Zheng Ren began to disinfect, lay sterile sheets, and puncture.
At the same time, Xinglinyuan's live broadcast room began to broadcast live again.
[Urging the change before watching, saying that it is boring to see the operation all the time, and asking the great god to come out and sing a song. 】
[Go to other video sites to watch, some are beautiful girls, so I have to come here to watch it.] 】
[That is, your illness is very serious, so you should be treated as soon as possible. 】
It's just that at the beginning of the moment, several barrages flew out.
Because the postoperative recording was canceled, people who have been following this live broadcast account know that they must see the case first, grasp a little more information, and if it is really a rare operation, there will be more gains.
Today's barrage is surprisingly small, and most people choose to close the barrage, refuse to communicate, and concentrate on watching the operation.
But when everyone saw the case, everyone was silent.
Hybrid surgery, today's surgeon is going to broadcast live hybrid surgery!