Carrying patients in high-risk conditions can only be done by experienced professionals like Wang Ge and Zhou Hua, who know where to move, where not to move, and what posture to use.

Even though Zhou Hua's description had taken into account the current mental state of the patient and the patient's family, and he was already very cautious, the patient's husband was still pale with fright, his hands trembled, and he was at a loss, basically unable to count on it.

Fortunately, the conductors on the train were more enthusiastic and came to help, and they also obeyed the command of Zhou Hua and Wang Ge, and tried their best to keep the patient in the original position, without touching the abdomen, so they lifted the person out of the narrow aisle, and the whole process was cautious, and no one dared to make too much movement.

Knowing that it was bleeding, and it was likely to be bleeding caused by ectopic pregnancy, but he still didn't know where the bleeding was, Zhou Hua's heart was inevitably a little apprehensive, but fortunately, there was no change in the patient's physical condition during the whole process.

But Zhou Hua knows that even if this disease does not stimulate the patient itself and does not change the body position, the body may deteriorate with the gradual increase of bleeding, and this deterioration can occur anytime and anywhere, and the patient must be sent back to the hospital immediately for laboratory examination, to determine the symptoms as soon as possible, and to perform surgery as soon as possible.

Wang Ge observed that the patient's abdomen was only soft just now, but now it has been raised, the symptoms of internal bleeding have been very obvious, the amount of bleeding has been a lot, and the person's consciousness is gradually lost.

Bai Nan first opened the intravenous access to the patient lying on the hospital bed and began to transfuse the substitute plasma to maintain blood pressure, otherwise it would be very dangerous to just pass through the station from the platform and arrive at the ambulance.

And the passengers on the platform who are ready to get on the train now finally understand that the car arrived at the station but only opened one compartment door, and the other carriage doors refused to open for a long time.

Looking at the patient surrounded by three medical staff, it seemed that the patient's condition was already very serious. After the patient got off the train, the conductor immediately opened the doors of the other carriages and let the passengers get on and off the train, and Wang Ge, with the help of the station staff, gave priority to the elevator and went to the exit of the railway station.

It's just that the king pigeon is very careful when pushing the cart, observing the road ahead, and not daring to go too fast, for the patient, any bumps are very dangerous and must be avoided as much as possible.

There was a constant temperature air conditioner in the whole station, but Wang Ge was still sweating profusely, and his clothes were soaked, until the patient was safely put on the train and everyone was sitting in the carriage, he was relieved.

The afternoon was unusually hot and humid, and the sun was obscured by dark clouds, which was oppressive and breathless, as if a heavy rain was already waiting ahead. And at the moment when the king pigeon twisted the key to start the car, a god of death suddenly appeared not far from the ambulance, holding a long-handled umbrella and slowly moving here.

"Is norepinephrine used? Blood pressure can't come back. Zhou Hua looked at the data on the display screen and frowned.

"I pushed it when I first got on the cart, and it didn't work well. Bai Nan replied.

"Push another one, it's really not possible, and I will cooperate with me to perform a paracentesis later, collect the blood, and return it to the body in an emergency. Zhou Hua said.

The patient has gone from being able to answer questions to being unconscious. The pain was fine, but the excessive blood loss had already begun to make her body function decline rapidly, and she could no longer maintain consciousness.

When the patient's husband got on the bus, he carried a large bag of luggage, but the ambulance was very crowded and he couldn't bring so many things.

It can be seen that the patient's husband has a deep relationship with the patient in the car, he has been worried, he has not said a word, looking at his wife, who could still talk a few minutes ago, is now unconscious, choked up and said, "Doctor, I beg you, save her! I can't live without my wife, and my children can't live without my mother!"

"Don't worry, we'll do our best. Zhou Hua gave him an affirmative look.

And the king pigeon is very uncomfortable. There was a void purple in the co-pilot's seat, the patient on the car was in very poor condition, the vehicle began to speed up after leaving the train station, but it never threw the god of death away, the speed of the god of death was very fast, and he recognized that he wanted to take the soul of the patient.

"This is the No. 0110 of the Second Affiliated Hospital of Yaxiang, Xiang AGZ689, and the patient has received from the train station and is on his way to the emergency department of the Second Affiliated Hospital of Yaxiang. Wang Ge picked up the intercom and said.

"I am a doctor with the car, the patient has abdominal pain, delirium, has entered a coma, diagnosed with massive abdominal bleeding, suspected ectopic pregnancy hemorrhage, the specific bleeding location is unknown, the amount of bleeding can not be judged. Now I request the hospital to prepare blood tests, blood routines, matching, abdominal B-ultrasound, X-ray, CT examinations, and request doctors above the level of chief physician of gynecology to conduct consultations, and immediately prepare the operating room!" Zhou Hua took the intercom, and his tone was steady and fast.

Xuzi will not give any advice to the king pigeon, after all, this is the content of the gambling contract, it is impossible to help the king pigeon cheat, everything can still rely on the king pigeon himself.

The previous premonition began to come true, and the raindrops fell from the sky, and at first only a few drops fell on the front windshield of the ambulance, but the rain became heavier and heavier, and after only a dozen seconds, the windshield was full of water stains, and the king pigeon turned on the wipers and adjusted them to the maximum.

After the soul power training, the king pigeon is no longer afraid of the situation that the vision can not keep up with the situation at ultra-high speed, only by the extended spiritual power can judge the situation of the road around the vehicle, even the reflector is rarely seen, this feeling will not go wrong, the king pigeon has been handy. Look at the mirror just to see where the Grim Reaper is.

However, the heavy rain blurred the mirrors on the left and right sides of the car, and the car could not see clearly, let alone the trail of death, and the rearview mirror on the top of the head could not see anything, and the observation field was insufficient, and the king pigeon could only guess.

The soul detection gives the king pigeon good feedback, run according to the line on the car navigation, there will be no problems, the road is smooth at this time, there will be no traffic jams, and the train station is relatively close to the hospital, but now it is impossible to judge how far away the god of death is from him, but the king pigeon is sure that the god of death is still chasing behind, and his soul card has not shown any reaction, which proves that the god of death has not given up.

The sick in the car are saved, and the king pigeon knows that.

When the Grim Reaper confirms the information of the dying person, he will take out the life and death book and look at the name, portrait and time of the dying person, and this action will be performed when the Grim Reaper sees the patient for the first time.

The Grim Reaper hadn't done that.

Even if it is a patient in the book of life and death, as long as it can drag the person to the hospital, and after the specified longevity time, the king pigeon will be able to get the number, and it is impossible to give up, let alone the patient who still has a chance to survive.

Ectopic pregnancy is a disease that has a relatively high incidence rate, a mortality rate, a fast onset, and a short effective treatment cycle.

"No, the internal bleeding is too severe, it may cause other complications, you assist me in performing a paracentesis, draining the blood first, doing a good job of disinfection, aseptic collection of blood, and blood transfusion during the examination stage or surgery stage. Zhou Hua said.

Blood is not as simple as people think, and many film and television works are misleading. In many film and television dramas, you will see such a plot, a relative at home has a car accident, and the family member stands up, it may be a father and mother, it may be a son and daughter, saying, the doctor should quickly draw my blood, and then the audience was moved.

In fact, this kind of storyline is unscientific, and it is not allowed to do so in reality.

Modern medicine has proved that although the first-degree relatives are related by blood, they may cause very serious transfusion reactions, which is called transfusion-associated graft antibody host disease, which sounds complicated, but is actually an allergic reaction in the human body.

The incidence of such allergic reactions is extremely low, almost 0.1 percent, and the chance of death is almost 100 percent, and once it occurs, it is almost impossible to save it.

The disease does not manifest itself at the time of blood transfusion, but usually occurs about a week after the transfusion is completed, and the transfused blood contains active lymphocytes, which are a type of white blood cells and are an important part of the body's immune system.

If these active lymphocytes are transfused into an unrelated person, and the recipient does not have a weakened or impaired immune system, because the genetics are inconsistent, the recipient's own lymphocytes will recognize, reject, and kill these invading active lymphocytes, so the donor's lymphocytes will generally not be present in the recipient's body.

If it is a blood transfusion between immediate relatives, and some of the genes of the two are the same, it is difficult for the recipient to identify the lymphocytes of the blood donor and reject them, and let them multiply, but instead treat the skin, digestive tract, liver, kidney and other tissues of the recipient as foreign bodies and reject and attack, causing serious organ damage and causing the death of the blood recipient.

Patients present with high fever, skin flushing or erythema, nausea, vomiting, jaundice, diarrhoea, large rash or bullae on mucocutaneous membranes, pancytopenia, and abnormal or failed hepatic kinetics. The disease has a sudden onset, progresses rapidly, and is so severe that sometimes the doctor dies before the doctor can make a diagnosis.

The risk of graft-versus-host disease after blood transfusion between relatives is much greater than that between non-relatives because genetic differences are small among people who are related by blood, especially first-degree relatives. The closer the blood relationship, the higher the incidence of the disease, especially between first-degree relatives, i.e. parents and children, which is ten to twenty times higher.

The principle of clinical transfusion is to avoid the use of blood from relatives and donors as much as possible.

So someone has to ask, if it is a rare blood type, the blood bank cannot be found, what should I do if this situation cannot be avoided?

In fact, there is a way for medical science and technology, and now medicine can kill and inactivate this active lymphocyte through radiation irradiation, so that it can no longer produce immune activity after being infused into the body.

Although blood transfusion between immediate family members can be solved by irradiation technology, doctors still do not recommend blood transfusion between immediate family members, and if the radiation meter irradiation cannot completely inactivate lymphocytes, then it will be a big problem.

If you really want to lose your studies, you must follow several principles, first, the amount should be small, and you can lose as little as possible. Second, select component blood transfusion, only red blood cells are transfused when red blood cells are transfused, and plasma is not transfused when there is no plasma ischemia, and platelets are transfused only when platelets are transfused.

There is this kind of coincidence in the world, and someone wants to ask, I went to donate blood, it happened that my father was going to have a blood transfusion, and I was consistent with his blood, although the probability is small, but what should I do if I transmute it by mistake?

The blood bank will also verify the identity when dispensing blood, and if it happens to be found that the recipient is an immediate family member of the blood donor, it is also necessary to circumvent it.

After the blood is collected in the blood bank, the blood products are also made of blood, and according to the actual needs of the patient, only the blood components related to the treatment are transfused, and the blood transfusion reaction is greatly reduced. And this kind of deployment of blood banks and hospitals, many people are not aware of it.

In medicine, nothing is simple.

Therefore, blood collection and reinfusion are necessary for such patients. Simple plasma can not completely replace the blood of the human body, and there is no way to support all the functions of the body. It will take some time from the patient to the hospital, to the blood test, blood matching, blood bank extraction, thawing and heating.

For patients who have lost a lot of blood in a short period of time, a large number of allogeneic blood transfusions are not safe, even if the blood group is matched, there may be organ inflammation or severe rejection of the remains, allergies, which is seriously life-threatening. In recent years, medical staff have been paying more and more attention to the technique of autologous blood retransfusion during surgery.

During the treatment or surgery, the blood recovered through medical means can be transfused into the body, which can perfectly avoid cross-infection, infectious diseases, rejection and allergies.

However, the blood collected during the operation, even in the sterile environment of the operating room, needs to be filtered, separated, cleaned, and purified. No link or step can be ignored, otherwise it will cause serious consequences.

In some cases, the hospital may choose to mix the collected blood into artificial plasma for transfusion, and the fusion of the two can also have a good effect.

In the case that some patients have been hospitalized and their condition is under control, but they need surgical treatment, and there will be a lot of bleeding during the operation, the doctors will also advise the patient to draw a few units of blood in advance if the physical condition allows, put it in the blood bank for backup, and wait until a few weeks later, the human hematopoietic function has completely replenished the blood in his body, and then carry out the operation.

In this case, even if you lose blood during the operation, you can directly replace it with your own blood.

Zhou Hua is doing this now, which is really helpless, and there is too little time left for the patient.

"Don't do anything when you get to the hospital, match the type first, take the blood for processing, go directly to the CT, determine the bleeding point and perform the operation immediately, you can't delay. Zhou Hua was concentrating on the blood drainage of the paracentesis, and at the same time, he was chanting words in his mouth.

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