I can see the status bar

Chapter 580 Asking For Help
To put it bluntly, in the whole of Bolitanvia, even in several nearby countries, and even in the entire southeastern region of Africa, there is no one with better surgical ability than Chen Tianyang.If the areas that need surgery are concentrated in the liver and gallbladder area, Chen Tianyang said that he is the strongest in the entire African region, and no one will jump out to express dissent—Professor Smith, the director of general surgery at the Slender University Hospital in South Africa, communicated with Chen Tianyang Yes, he highly admired Chen Tianyang's ability.

Splenectomy is also one of the treatment contents of traditional hepatobiliary and pancreatic surgery.After a year of surgery in Politanvia, Chen Tianyang, who had never had a single splenectomy so far, suddenly regained his spirits. He leaned over to look at the images on the B-ultrasound, and immediately performed thousands of splenectomies by himself. The experience of a spleen made a judgment, "The bleeding is at least 800cc, and if the injury is above grade [-], a partial resection or even a total resection must be performed."

The medical team did not bring the collection and purification equipment needed for autologous blood transfusion.Although the hemorrhage pollution caused by spleen rupture is less, it is an ideal source of autologous blood transfusion.But it's hard for a clever woman to cook without rice, and Chen Tianyang could only look at the blood drawn from the old man's stomach and sigh, "It would be much more convenient if it could be transfused back."

The operating room is preparing for the operation as quickly as possible. Due to equipment limitations, the anesthetist can only perform unilateral tracheal intubation first—the usual bilateral intubation and unilateral ventilation functions are now a luxury. .Sun Lien himself was dragged by Hu Jia to carry out pre-operative disinfection and instrument inspection.The atmosphere in the operating room was tense.
"Family members and entourage have completed blood tests, and [-] people can donate blood—quick tests for malaria, hepatitis B, and AIDS have been done." In the medical team, except for the ophthalmology department, almost all departments with more than one person have provided support to the operating room Doctors, even gynecologists were there to help prepare for the operation—she came on stage as the second assistant.When the second assistant arrived in the operating room, he also brought good news, "The work of the outpatient clinic has basically stopped now, and the doctors who are free are all preparing for blood collection."

Direct transfusion has many disadvantages, the most obvious of which is its limited infusion rate.The standard practice of direct blood transfusion is to draw 5ml of blood from the donor at a time through a syringe prefilled with 3.8ml of 45% sodium citrate solution, and then inject it into the vein of the patient who needs blood transfusion.In such an operation, the speed of blood drawing is limited, and the speed of blood transfusion is also limited.It takes at least 400 minutes to complete a 10ml blood transfusion.

10ml blood transfusion in 400 minutes is by no means slow in normal times, even faster than the 5~10ml/min of general blood transfusion treatment.But when rescue blood transfusion is needed, this speed is absolutely not enough—the maximum speed of pressurized blood transfusion can reach about 100ml per minute, and no matter how skilled the medical staff are for direct blood transfusion, the upper limit of physical speed of 20ml/min cannot be accepted. breakthrough.

In a hospital assisted by the department of blood transfusion medicine, Chen Tianyang might dare to ask the doctors to open two or more venous accesses at the same time, and perform multi-channel pressurized rapid blood transfusion for patients.But in Bolitanvia, in the poor conditions of the Seventh Bureau camp, Chen Tian would definitely not dare to do it if he gave Chen Tian three more guts.There is no professional blood transfusion doctor in charge, if there is a blood transfusion reaction in the process of direct blood supply from multiple people, there is no need for surgery - this person is dead.

The Grand Wizard needed two surgeries to survive, the first being hemothorax and rib fractures to address major issues.The second one is the abdominal spleen rupture operation that may start at any time - if active bleeding is found in the middle of the hemothorax treatment, the chest operation must be stopped at any time, and an emergency laparotomy will be performed to remove part of the hemothorax. Most of the spleen and hemostasis.

Both surgeries were the most urgent emergency surgeries, and both were fatal injuries.Liu Tangchun first confessed, and Chen Tianyang also realized that it was impossible for him to take care of two surgeries at the same time no matter what.The doctor of the medical team who was supposed to be in charge of the first aid was moved by him to the position of the mobile operation. If an emergency laparotomy is needed during the operation, Dr. Huang from the Second Hospital of Song'an Province will be the chief surgeon for the hemothorax.

If the spleen was to be cut, it would have to be done by Chen Tianyang.

Liu Tangchun was kept by Chen Tianyang, responsible for monitoring the patient's vital signs together with the anesthetist, and organizing blood transfusion for rescue when necessary.Sun Li'en also failed to escape - he was the second assistant, and was responsible for exposing the surgical field with the hook during the operation.

Sun Li'en, who got the task, was excited for a while, as a doctor in the emergency department, he still had time to pull the hook.But Hu Jia next to him asked worriedly, "Aren't you dizzy?"

"Don't be dizzy or dizzy, don't worry." Sun Lien shook his head hastily, what a joke, if the emergency doctor gets dizzy, it's better to switch to administration as soon as possible.

All noise returned to silence within 5 minutes.It was very rare for Chen Tianyang to close his eyes and be silent for more than ten seconds before the operation started. Anyone with a discerning eye could see that Chen Tianyang was a little bit unwilling.If Tongxie or Ningyuan No. [-] Hospital has enough advanced equipment and a relatively complete blood bank preservation system, and a group of experienced medical staff, the risk of this operation can be reduced to a very low level.

But this is in Politanvia.Chen Tianyang had no choice but to accept direct blood transfusion from person to person. He could only interrupt the scheduled splenectomy and mobilize all the forces he could mobilize to the operating room so that the old man in front of him could be sent safely to the hospital. Get off the operating table——As for whether to adopt the surgical plan that will cause the least damage to the patient, and whether to shorten the patient's recovery time as much as possible, Chen Tianyang has no choice at all.

He opened his eyes, and whispered to Hu Jia beside him, "Let the operating room next door send the patient back to the ward, and then call Willis over—let him observe the operation."

After finishing speaking, Chen Tianyang stretched out his hand and said in a deep voice, "Record, the operation begins!"

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Four hours had passed, and although it was known that the doctors of the medical team were doing their best to carry out a rescue operation, there was no way to allocate manpower to receive the treatment, but the local residents who came to ask for help with their families were still standing by. Camp gate.They have been tortured by the disease for a long time, as long as they have the opportunity to get treatment, they are willing to continue to wait.

As for the knights of the illustrated horse team - all members of their blood type O have already donated blood according to the quota of 400ml.Eleven knights with type AB blood also readily decided to donate blood after hearing that their blood could save lives—this batch of whole blood will also be stored in the temporary blood bank of the Seventh Bureau Camp.The rarest blood type in Africa is AB type. In order to get enough whole blood for [-] units of patients scheduled for liver transplantation today, the medical team tried every means.In the end, enough blood was collected from the Chinese workers of the Seventh Bureau.Now that they can get eleven units of type AB whole blood at one go, the doctors of the medical team are also very happy.

"Osama, the first group of people who went in has returned." The young wizard sat in the wilderness with the fire crackling in front of him, which was a trick to drive away mosquitoes when the tribe was resting. "They saw the great wizard." A young man who looked a little tired said excitedly to the young wizard, "The great wizard was cut open by outsiders, and we were deceived!"

"That is the medical skill of outsiders. Just like our prayers, it is a technology for healing." The young wizard shook his head, "You are too anxious, Urn."

"I have sent people back to notify the tribe." Wu En said still excitedly, "They cut open the chest of the great wizard, and drew blood from the warrior's body to perform evil witchcraft! Osama, the blood can only be used in You know how to curse!" He said angrily, "I will summon the warriors of the whole clan, if the great wizard dies at the hands of outsiders, then let them pay with their lives!"

The young wizard stood up silently, and then slapped Wu En in the face.

"Your father once came to the great wizard to see a doctor because of cold and fever, and the great wizard prayed for him for three days and three nights." The young wizard's face was gloomy, and he asked loudly, "but then your father died. You Do we have to gather all the warriors in the tribe now and kill the great wizard to compensate him?!"

"No wizard can cure all diseases, and doctors from outsiders can't cure all diseases." Osama pulled out the saber from the saddle and put it directly on Wu En's neck, "The great wizard injured It is very serious, and no wizard can bring him back. Outsiders are our only hope - find out who we are, we have come to ask for help!"

(End of this chapter)