Chapter 338: Ninety-Nine Deaths and a Life [Asking for a Monthly Pass, Asking for a Subscription]
Wu Shiyu, who also changed into a sterile gown, stood in the corridor outside the operating room, and could look inside through the small window on the door.
There are three operating rooms in this corridor, and two of them have rescue teams working to do ECMO for Gu Jun and Xue Ba.
In addition to the hand-brushing table, there is also a row of rest chairs on the side of the corridor, and several screens are hung on the opposite wall, which broadcast the images taken by several cameras above and next to the operating table in real time. Some of the substitute medics and spell staff are in a state of readiness and ready to walk into the operating room.
Uncle Dan and Zhang Huogang were also sitting on chairs, although they were still looking at the screen, they were already exhausted.
Not only did they experience everything on the island, but it was very difficult to continue to do chest compressions, they and the others had taken turns compressing for more than two hours before, but they had actually exhausted the last bit of strength very early, and if they didn't have the will to support them, they wouldn't have been able to sustain this time at all.
"Uncle Dan, Shi Yu! What's the situation? At this time, Lou Xiaoning came from the front hall with a quick run, and Peacock and Mo Qing followed behind.
They only knew that ECMO was done here, and Deng Ximei, who had a spontaneous heartbeat and breathing, had some imaging tests before being transferred to the intensive care unit.
"I'm still doing intravascular catheters to open access." Uncle Dan replied softly, staring at the image on the screen without blinking, "Ah Jun opened his mouth here and found the blood vessel...... That's it, that's it, awesome...... Complete the puncture and catheterization! ”
The doctors and nurses in the corridor were a little excited, and the command center also refreshed themselves, this step was very smooth, and it was a good start.
Lou Xiaoning walked next to Wu Shiyu, and his left eye also looked into the small window on the door, only to see that the operating table was surrounded by medical staff.
Gu Jun on the operating table was vaguely seen from the gaps in those blue clothes, connected to blood bags, drips, etc., as well as a bunch of equipment such as ECG monitors and anesthesia machines, some nurses were doing chest compressions on him, some doctors were treating limb injuries for him, and of course, there were doctors doing puncture and catheterization.
In the operating room, Gu Jun is usually the one who stands at the side of the operating table and works seriously, not like now.
"Ugh." Lou Xiaoning couldn't help but sigh lightly, what a good person, but now like this, and Xue Ba is also ......
At this time, the voice of Luo De, the chief surgeon of the ECMO team, came out of the screen speaker: "The equipment is pre-flushed." ”
Some of the personnel in the operating room are specifically responsible for the operation and adjustment of those ECMO equipment, which has many parameters and is constantly changing, and the interaction of cardio-lung-ECMO systems must be understood by the corresponding trained personnel, and they must be watched and adjusted at any time, which are the difficulties of ECMO.
After the equipment was pre-flushed, the chief surgeon Luo De immediately connected the intravascular catheter to the connecting catheter, and everyone inside and outside the operating room was nervous at the moment, and the ECMO began to operate!
There are two main types of ECMO diversion, one is to direct blood through a vein, oxygenate and pump it into another vein, which is V-V diversion, which is suitable for cases without cardiac arrest; The other is venous bleeding and finally sent back to the artery, which is V-A diversion, which is suitable for cases with heart and lung function problems and the risk of cardiac arrest.
However, if the patient's heart has completely stopped beating for more than three hours under ultrasound diagnosis, it is easy to produce thrombosis and pulmonary edema due to cardiopulmonary blood retention in V-A mode, so the patient must be immediately thoracotomy, and the catheter into the heart should be changed to A-A-A diversion mode.
What the rescue team did for Gu Jun first was the V-A mode.
Uncle Dan and the others saw dark red blood leading out of the catheter from the screen, which was the blood in Gu Jun's body......
The venous blood was already dark red because of the low oxygen content, but now his was too dark, almost black, as if it was about to thicken and solidify......
Uncle Dan suddenly lost his excitement, and exhaled a little dazedly, looking at the blood, he knew everything in his heart as a doctor.
It's not nine deaths, Ah Jun is ninety-nine deaths this time. Now it is not only cardiopulmonary resuscitation and intracranial problems, but the functions of his various organs should have been severely ischemic and hypoxic-damaged, and various complications are simply at hand......
Many of the medical staff in the corridor were sighing to themselves, but they were stacked on top of each other so that everyone could hear them.
At the same time, after the venous blood was oxygenated by the device, it returned to Gu Jun's body through the ductus arteriosus, completing the first circulation.
After the ECMO was successfully connected, the team's chest compressions on Gu Jun stopped. Even if the patient is able to get his heart back to beating as a result, it is uncertain how long it will take, some people will jump again as soon as the ECMO is connected, and some people will be hours or tens of hours......
And now in the screen of the ECG monitor, Gu Jun's heart is still silent, and as soon as the chest compression stops, it will be a straight line.
"There's still half an hour left." Uncle Dan said, "Ah Jun can have a little heartbeat, so he doesn't have to open his chest......"
The CT equipment had already been transported into the operating room, and in this ECMO state, the rescue team performed a cranial CT on Gu Jun and diagnosed a large intracranial hemorrhage. Craniotomy should be performed immediately, as thoracotomy also seems to be necessary, with open reduction of fractures coming later.
On the other hand, Xue Ba did not have cerebral hemorrhage and fractures, and the ECMO was doing well, but the blood situation was even worse than Gu Jun's, and the damage to various organs was more serious.
"Hey, don't look at it, don't look at it." Uncle Dan stood up and called out to Wu Shiyu and the others, "We can't help here, let's go out to the deck to blow the wind." ”
Uncle Dan was mainly afraid that Wu Shiyu would not be able to stand it, so watching Ah Jun open his skull and chest like this, even he couldn't stand it, Ah Jun would be shaved his hair, cut his scalp, drill holes in his skull, and then saw his skull......
"Uncle Dan, I'm okay." Wu Shiyu said, "I want to stay here, I feel that he can see it, so that it can give him more motivation to support." ”
"Okay, okay." Uncle Dan is not reluctant, it is uncomfortable to stay here, and it is uncomfortable to walk away, so follow her wishes.
Lou Xiaoning and Peacock didn't leave, everyone sat on chairs, looking at the operation on the screen, and talking with each other.
But it was at this time, close to the time when Gu Jun's heartbeat completely stopped for three hours.
A situation made the operating room burst into excitement, the command center was excited, and everyone in the corridor suddenly stood up.
"There's a heartbeat! The patient has a spontaneous heartbeat response! ”
In the screen of the ECG monitor, it was no longer just a dead straight line, but with a slight fluctuation, Gu Jun's heart beat again.
"This guy really has a good heart!" Lou Xiaoning said excitedly, "It's not okay if you don't accept it." ”
"No need to open your chest, a good thing, a great thing." Uncle Dan also said in a loud voice, although cardiac resuscitation does not mean that Ah Jun is alive, but it definitely means that there is this opportunity, and a thoracotomy was avoided, avoiding more complications, "Great...... Team Xue, Team Xue, can you learn something......"
"Huh......" Wu Shiyu took a long breath and sat down in a chair, "I thought I could see what he had in his heart later." ”
"What else?" Tongye's voice came from the walkie-talkie, "Can there still be my old pass?" ”
Everyone smiled a little in their suffering, it is true that this battle has not been won yet, and it will take a long time.
But now, they see hope.
Said the robot Vali
The second update, ask for a monthly pass in the new month! Let's smash one, happy National Day!