On-the-spot experience and the accumulation of knowledge are particularly important at this time.

"Transfusion anaphylactic shock!"

After a series of possible judgments were sifted through his mind, Director Tian made judgments keenly.

But before he could say anything, Yang Ping whispered: "Blood transfusion anaphylactic shock." ”

Director Tian glanced at Yang Ping and immediately ordered the anesthesiologist: "Look at the complexion!" ”

The anesthesiologist immediately observed and replied: "Redness, edema around the eyes!" ”

"Transfusion anaphylactic shock! Stop the blood transfusion, give fluids quickly, and even remove the tube for blood transfusion! ”

Director Tian's voice was loud and clear, but he was not panicked and calm. He glanced at the monitoring screen and the anesthesia machine, the ECG waves were still there, the patient's heartbeat did not stop, and there was no need for cardiopulmonary resuscitation; In terms of respiration, the patient was on an anesthetic ventilator, and now a ventilator assists breathing, so there will be no problems with breathing.

The anesthesiologist is fine, the itinerant nurse is a little stage frightened, there is anaphylactic shock with blood transfusion, there is hemorrhage, any one is fatal, and now both appear at the same time.

The doctors who were observing were even more heartbeat.

"0.1% epinephrine, 0.5 ml, intramuscularly!" Director Tian's tone was tough.

Generally subcutaneous, now intramuscular? The itinerant nurse questioned with a slightly hesitant look.

"Intramuscular injection!" Director Tian repeated harshly.

Under the authority of the professor, the anesthesiologist and the nurse no longer doubt how he judged the anaphylactic shock of blood transfusion, and how he injected adrenaline intramuscularly.

Hemorrhage and adrenaline are a pair of contradictions, adrenaline can aggravate hemorrhagic shock, and hemorrhage can aggravate anaphylactic shock, the two are a pair of entangled contradictions.

While directing the rescue, Director Tian's movements did not stop, the rescue was a lightning operation, anaphylactic shock was extremely dangerous, and life and death only took a few minutes to tell.

"Knife, open the abdomen, prepare rubber strips, temporarily block the abdominal aorta!"

Temporarily blocking the abdominal aorta, this is a large-scale operation, ordinary people dare not do this, Director Miao has no clue now, can not help, can only do it in a hurry.

"Prepare the rubber strip!" The movements of the itinerant nurse can keep up with Director Ueda.

got the gloves and started cutting the rubber strips, and Director Miao helped cut them together.

The knife extends along the original incision, and Yang Ping's pull hook has arrived, helping to stretch and reveal, cutting the deep subcutaneous fascia of the skin, and then cutting three layers of abdominal muscles, entering the abdominal cavity, and successfully finding the abdominal aorta.

The thick abdominal aorta pulsates in the abdominal cavity, because of shock, although the pulse is not as strong as normal, but it still gives people a strong visual impact, which is the main artery of the entire lower body of the human body.

The vascular clamp bypassed the posterior side of the abdominal aorta, and Yang Ping's rubber strip was fed into it precisely.

As soon as the rubber strip was pumped, Director Tian tightened, and Yang Ping's vascular clamp had clamped the rubber strip, forming an elastic cable tie that tied the abdominal aorta, without any words, Yang Ping could predict Director Tian's movements in advance every time, never made a mistake, never been late.

The main gate closed successfully and the bleeding stopped.

Temporary blockade of the abdominal aorta should not be too long, but it can last for forty-five minutes, and forty-five minutes is enough for Director Tian to find the ruptured blood vessel.

"Go ahead with the operation!" Director Tian said.

Stopping the operation at this point is more risky, like a ship entering a vortex and either being engulfed or coming out of the vortex.

The suction device is gently inserted through the fracture gap to remove the blood and try to locate the bleeding dead artery, which is a challenging task.

"Is there an interventional department?" Song Zimo asked, he was offstage, and the bystanders were clear, and he also had to give advice.

Director Tian said decisively: "No need. ”

Looking for the interventional department, before and after, there is no half an hour, those messy bleeding points on the CT angiography, the interventional department can not accurately embolize, can only risk the trunk embolization, which will bring serious consequences of necrosis, unless there is no other way.

The bone piece was carefully opened, and the assistant's hemostat had already clamped a blood vessel and gently pulled it out, Director Tian raised his head and met Yang Ping's confident and calm eyes.

"Silk Thread Four!"

The vascular forceps were handed over with silk threads, and Director Tian bypassed them and tied a beautiful surgical knot.

"Sew!"

He sewed one more, one stitch, one ligature, and two should be safer.

Director Tian released the rubber strip of the abdominal aorta, and the blood in the operation area came out again, and he quickly tied the abdominal aorta tightly, and Yang Ping's vascular clamp caught up again and clamped the rubber strip.

Isn't this pierced artery of death? Or have two dead arteries?

His eyes looked at Yang Ping, Yang Ping seemed to guess what he was thinking, and nodded: "There should be two dead arteries, and both of them should be ligated at the proximal and distal ends, which is equivalent to us looking for four blood vessels to be ligated, they form a circuit, and it is useless to ligate only one end." ”

He was right, he was better than himself, and he was able to find the first dead artery faster than he did.

"Suction for me! Here you go! Director Tian took the suction device in Yang Ping's hand and began to suck blood.

Although he has confidence, he needs to be fast at this time! The sooner the better, he will not put the patient in danger for the sake of the so-called face, and now one minute sooner will have one more chance of winning.

The second blood vessel is found.

Ligation, stitching! Two more courses.

The third, the fourth!

Two blood vessels, all four broken ends were found, and they were all sutured and ligated.

The rubber strip of the abdominal aorta was loosened again, and there was no further blood in the surgical area.

Director Tian thought that Yang Ping's judgment was faster than his own, and his movements were faster than his own, no wonder Director Han let him take him. Involuntarily cast an admiring gaze on Yang Ping, who took the straw from his hand again.

These small movements on the stage could not be seen by the people in the audience, and Director Miao was already paying attention to the patient's vital signs at this time, and had no heart to watch the operation.

Director Tian hesitated, did he let him continue to finish the operation? Yang Ping's eyes were full of encouragement.

Director Tian smiled and continued, after crossing the danger of the death artery, he could take a rest, the rhythm of the operation must be mastered, just now it was to resolve the contradiction between adrenaline and bleeding, he took the risk to continue the operation, and now he can breathe a sigh of relief.

Anaphylactic shock came and went violently, the patient's vital signs had stabilized, and his blood pressure had risen.

In fact, anaphylactic shock, just a few minutes of golden time, if you are rescued, you will be alive, and if you are not rescued, you will never wake up.

The blood bag and transfusion tube were sealed in case the cause could be found.

Although he encountered such a dangerous accident, Director Tian did not panic in the whole process, and he once again confirmed that his vital signs were stable, which further verified his judgment.

"Go on!"

The doctors in the audience have experienced the rollercoaster of life and death just now, and their mood has not yet calmed down, and now the operation is actually continuing, and the professor is really a professor, and he has the demeanor of a general.

The anterior wall of the anterior column of the acetabulum was reduced and fixed, followed by the iliac wing, then the sacral fracture, and finally the sacroiliac joint separation.

Any single fracture here is a difficult operation, let alone several places mixed at the same time.

The iliac wing fracture is reduced and fixed, the sacral fracture is reduced and fixed, and finally the sacroiliac joint is reduced and fixed!

The rest was in Director Tian's hands, even in the face of the complex venous plexus near the sacrum, with the cooperation of the two, only a small amount of blood came out.

Perspective, reset fixed perfectly.

Flush and place the drain.

Director Tian began to stitch up, and Yang Ping cut the threads.

"Anaphylactic shock, so dangerous just now! Director Han and I have met during surgery before. Director Tian completely forgot about Director Miao's existence just now, and then he remembered to explain.

Director Miao had palpitations, as if waking up from a dream, but fortunately, Director Tian was doing it. Think about it, if you are doing it, what kind of anaphylactic shock, death arterial hemorrhage, one of them, let yourself drink a few pots, not to mention that the two appear at the same time, you can deal with it.

Fortunately, the professor was invited to do it, and I was afraid! The surgical gown on the back was a big piece wet.

"After the operation, he was sent to the ICU for monitoring for at least 24 hours, and the fracture bleeding was not much, mainly for the follow-up monitoring and treatment of sensitive shock." Director Tian commanded.

The doctors who observed were all glad for the rescue they had just experienced, the calmness on the professor's stage, the accurate judgment of the condition, the decisive rescue, the risk to continue the operation, and finally saved the day.

Enough to reminisce for a lifetime.

It would be nice if I were so powerful.