I can see health

Chapter 454 Unexpected Thank You Value

In the operating room, Fan Yujing's hands trembled slightly.

Endoscopic interventional surgery bleeding, which is one of the most serious complications!

Rao Fan Yujing has rich surgical and clinical experience, and she rarely encountered such cases before!

However, she immediately stabilized her mind, kept the bronchoscope as fast as possible at the bleeding site, and kept the airway open.

smooth.

At this time, the bronchoscope must not be pulled out.

Because of bleeding, not the most fatal!

Bleeding leads to airway blockage and suffocation, which is the most fatal!
……

In Lu Chen's eyes, the patient's life value continued to decline, and it was a trend of three minus signs!

He has moved into action, changing the patient from a supine to a lateral position.

This position can ensure the ventilation of the healthy side lung and avoid suffocation.

Fan Yujing's face was full of seriousness. She was holding the bronchoscope in both hands, constantly sucking blood, trying to keep the airway unobstructed.

However, it is not enough to just suck out the blood without solving the fundamental problem!
Excessive bleeding will lead to shock and life-threatening!

"Lu Chen, ask the nurse to get vasopressin, and then inform Director Wu! Please consult the thoracic surgery department and the ICU department!" Fan Yujing immediately issued the doctor's order.

At this moment, Lu Chen moved!
He first ran out of the operating room, notified the nurse, and then immediately returned to the operating room.

At this moment, Fan Yujing was already sweating profusely.

She concentrated, holding the bronchoscope and sucking blood while trying to stop the bleeding.

However, no matter how hard she tried, everything seemed to be in vain.

The blood oozing out of the operation area seems to have never decreased.

……

At this time, Lu Chen's expression turned serious, and he looked around the operating room.

Next to the operating table, there is a first-aid kit.

He immediately opened the first-aid kit and took out a tube of norepinephrine.

In addition, Lu Chen also saw a medical refrigerator in the operating room.

Going forward, he opened the refrigerator, and he took out ice salt water (-2℃~-4℃ salt water) from it.

Fan Yujing also noticed Lu Chen's movements, and a hint of surprise and surprise flashed in her eyes.

"Lu Chen, can you prepare ice salt water and norepinephrine?"

Lu Chen nodded slightly, the movements of his hands were not slow at all.

He got ice saline, about 100ml, and added 4g of norepinephrine to it.

Iced saline lowers the temperature of the gastric mucosa, and norepinephrine has a strong vasoconstrictor effect.

The mixture of the two causes gastric mucosal blood vessels to constrict and reduce blood flow, so as to achieve the purpose of hemostasis.

Soon, Lu Chen prepared the liquid.

He took the syringe and came to Fan Yujing.

Fan Yujing understood immediately, took the syringe, and injected the mixture of iced saline and norepinephrine through the hole of the bronchoscope!
"Let the patient change the side lying position!" Fan Yujing reminded.

By changing the position, the fluid and bronchial bleeding mucosa can be fully mixed.

Lu Chen nodded slightly and helped the patient change the side lying position.

……

At this time, a nurse rushed in with an ECG monitor in hand.

Walking into the house, she immediately connected the ECG monitor to the patient, measured the patient's blood pressure, and opened the vein.

Lu Chen didn't take any time off either.

He closely monitored the changes in the patient's consciousness, respiration, heart rate, and blood pressure, and paid attention to whether the patient had symptoms of asphyxia such as cyanosis, irritability, and profuse sweating.

Once these situations occur, Lu Chen is ready to intubate the trachea immediately.

……

Time passed by every minute.

Lu Chen and Fan Yujing stared at the console screen.

Once the drug treatment of ice saline is ineffective, surgical treatment may be necessary!

This is very traumatic to the patient!

The bronchial mucous membrane was continuously washed with iced saline, and then Fan Yujing pulled it out and injected fresh iced saline.

Repeatedly like this, the blood in the operation area is reduced visible to the naked eye.

"Observe for another half an hour!"

Although the bleeding stopped, Fan Yujing didn't dare to be careless at this time.

Once the bleeding in the surgical area is not completely stopped, the previous scene may have to be repeated.

At this moment, Lu Chen looked at the life value above the patient's head.

The trend of three minus signs has slowly turned into a minus sign at some point.

The declining health has finally stopped the downward trend.

Lu Chen breathed a sigh of relief.

……

After half an hour.

After close observation, the patient's condition tended to be stable.

There is no more bleeding in the operation area, the blood pressure is stable, and the foreign body in the bronchus has also been removed.

Iced saline and norepinephrine have also been discontinued.

This drug should not be used too much, otherwise it will backfire and cause damage to the bronchial mucosa and gastric mucosa, causing bleeding.

……

For Fan Yujing, this accident was one of the few bleeding complications she had encountered since she was an interventional doctor in bronchoscopic surgery.

Before the operation, Fan Yujing never thought that this patient would have such serious complications.

Generally speaking, massive hemorrhage caused by tumors in the trachea, metal foreign bodies, etc. is more common.

In cases like this patient, the risk of bleeding is extremely low!
Basically negligible!
"It's too dangerous!" Fan Yujing glanced at Lu Chen with lingering fear.

After this accident, she began to re-examine the student in her group.

It turned out that the "hearsay" was true, and Lu Chen's fearlessness in the face of danger left a deep impression on her.

Calm, calm, and the key is his solid basic skills.

If it wasn't for Lu Chen's cooperation, this accident might not have been so easy!

……

After dealing with the patient well, the next step is how to communicate with the patient's family.

Surgical accidents are sometimes unavoidable.

No matter how skilled the performer is, there will always be unexpected things happening.

What doctors can do is to fully explain the risks to patients and their families before surgery.

Do everything possible during the operation to avoid risks.

Close monitoring after surgery to avoid complications!

……

Fortunately, before the operation, Lu Chen had communicated with the patient and his family many times.

The risk of surgical bleeding has also been written into the medical records.

Fan Yujing also re-communicated before the operation, and the patients and family members could understand this.

However, Fan Yujing knew very well that this time it was because she and Lu Chen took care of it in time.

Once, the bronchial hemorrhage does not stop, or turn to surgical treatment.

At that time, it is unknown what the attitude of patients and family members will be.

"Congratulations, I got +5 thank you from Fan Yujing!"

Lu Chen was surprised, but it seemed reasonable that the patients and their families did not give him any gratitude.

Instead, Fan Yujing, the teacher who has always been indifferent to him, gave him 5 points of gratitude!
(End of this chapter)