Start From Emergency Doctor
Chapter 76
Chapter 76
Aortic bleeding can lead to death within two to five minutes, not to mention the first-time mother who is already in poor health!
and……
Aortic bleeding during the operation is the most difficult to deal with!
On the one hand, the pressure of the aorta is high, it is easy to block or compress, once the improper force is applied, it is extremely easy to cause the rupture of the blood vessel.
On the other hand, bleeding occurs here, and it is difficult to reveal the bleeding site.
Zhou Yuan couldn’t take care of so much. He quickly stepped forward and put his hand directly into his chest.
The perfect compression hemostasis played a role at this moment.
The finger quickly felt the beating blood vessel near the heart, avoiding the weakest middle section of the ascending aorta, and gently pressed it down on the thicker left side of the aortic wall.
The bleeding rate gradually slowed down, and the blood in the abdominal cavity no longer rose.
“Blood sucked out.”
Zhou Yuan felt that the bleeding had stopped and said immediately.
Everyone was shocked by Zhou Yuan’s pressure to stop the bleeding.
“Aortic bleeding can you compress it with bare hands?” He Jianyi was like seeing a ghost.
The previous operations were all small blood vessels, and even some were bleeding from the veins. Zhou Yuan stopped the bleeding with his bare hands.
but……
Can the aorta be compressed with bare hands to stop bleeding?
This is too scary! Are you going to hang up?
On the other side, the anaesthetist’s face turned pale at this moment and shouted:
“The patient’s blood pressure dropped and his heart rate dropped rapidly! Now the heart rate is less than 40!”
“Blood transfusion! Let the blood bank prepare for blood supply!”
Take the mother’s physical condition and bleeding volume at the beginning The 1000cc blood prepared before the operation is definitely not enough!
Zhou Yuan didn’t talk nonsense, and continued: “Aortic blocking clamp!”
In this operation, he is the main surgeon. He certainly can’t press the aorta to act as a human-shaped hemostatic forceps. He must use instruments to replace hemostasis as soon as possible.
Director Lin leaned over, holding the aortic blocking forceps in his hand, making it difficult.
The use of aortic blocking forceps can indeed stop bleeding, but the choice of position is particularly difficult, too high will affect the subsequent placement of the ascending aortic decompression drainage tube, too low and blocking the position, hindering the aortic incision.
Zhou Yuan guessed the reason for the embarrassment of Director Lin, and said silently: “Pinch my hand.”
“Ah? Can you stop the bleeding by clamping your hand?” Director Lin was taken aback for a moment.
“Pinch my hand, I’ll find a position.” Zhou Yuan’s face was black.
The bleeding has stopped, and Director Lin’s IQ has also become lower?
Zhou Yuan urged. After feeling the aortic blocking forceps in his hand, he carefully freed up two fingers and placed the blocking forceps in the position he had found.
“Huh. It’s done.” Zhou Yuan sighed slightly.
I glanced at the blood transfusion bag, and sure enough, 1000cc of blood was not enough.
“Have you sent the blood from the blood bank? Hurry up!” Zhou Yuan shook his head and said.
“Dr. Zhou, the patient is Rh-negative AB blood. This 1000cc of blood is the entire reserve of our blood bank…” The instrument nurse’s voice rang.(Read more @ wuxiax.com)
Zhou Yuan’s face changed.
The so-called Rh-negative blood is commonly known as panda blood. In my country, more than 99% of Rh blood types are positive, Rh-negative blood types are extremely rare, and AB type is even rarer.
“The patient needs at least 800 milliliters of blood!” The anesthesiologist urged again.
Zhou Yuan clenched his fists tightly.
The nearest blood bank is Renhe Hospital. There may also be a reserve of Rh-negative AB blood, but… the patient can’t wait so long!
and many more……
blood bank!
Zhou Yuan thought of something and hurried out of the operating room.
“Continue to rescue, raise blood pressure and heart rate as soon as possible, I will be back soon!”
Zhou Yuan pushed open the door of the operating room and rushed to the toilet immediately.
“System, how do you use the small blood bank?” Zhou Yuan spoke very quickly.
“Just enter the blood type that needs to be converted.”
Zhou Yuan’s expression became serious.
The blood volume of an ordinary person is about 4000~5000ml, and when the blood loss is 10%, that is, 400~500ml, the body can restore blood volume and normal blood pressure through compensation.
When the blood loss is more than 800 ml, symptoms such as complexion, pale lips, cold sweat on the skin, cold hands and feet will appear. But overall there is no danger to life.
But, Zhou Yuan is the main sword!
In the next ten hours, Chuchu’s mother’s life was in his hands. If he still loses 800ml of blood… can he hold on?
He is just a doctor, not a god.
After hesitating for a moment, Zhou Yuan’s eyes suddenly became firm.
He is indeed not a god.
but……
Doctors are not ordinary people!
In this world, only doctors are robbing death!
“I promised to save your mother no matter what…” Chu Chu’s face appeared in front of Zhou Yuan.
“System, transform Rh-negative AB blood.”
“Conversion volume, 800 ml!”
In the next moment, Zhou Yuan’s face turned pale directly, countless cold sweat came out of his pores, and instantly made his heavy lead clothes soaked…
At the same time, Zhou Yuan had two 400ml blood bags in front of him, and the words “Rh negative AB blood” were written in bold on the outside of the blood bags.
Zhou Yuan laughed. He tried to stand up, but suddenly felt a little weak in his hands and feet, and he was short of breath.
“Damn, I don’t believe it anymore.”
Zhou Yuan made a rare rash, went to the locker room next to him, took two vitality potions in the cupboard, and drank it in one gulp.
In an instant, Zhou Yuan’s mind became clearer.
Zhou Yuan re-washed his hands before the operation, changed the surgical gown, etc., and returned to the operating room.
“Start blood transfusion immediately.” Zhou Yuan’s tone was weak, and he passed the blood bag.
“this is……”
He Jianyi and the others were stunned.
Seeing the blood type marked on the outside of the blood bag, and it was received by Zhou Yuan, everyone looked happy, and without doubt, they quickly entered the patient’s body.
Finally, when the 800 ml blood was about to bottom out, good news came from the anesthesiologist.
“Okay! The patient’s blood pressure has risen and his heart rate has risen!”
Zhou Yuan closed his eyes and let out a long sigh of relief.
“I’ll do the next surgery.” Zhou Yuan squeezed his fist and said.
The stressful operation does not allow everyone to explore where the blood comes from. Everyone only knows that the patient is out of danger, which is enough.
Director Lin and the other director of thoracic surgery stepped aside, Zhou Yuan reached the position of the chief surgeon, and He Jianyi and Lu Chenxi were in place respectively.
Zhou Yuan felt a little dizzy.
“I have a candy in my pocket, help me feed it.” Zhou Yuan said.
As the chief sword, his hand can’t touch other places. Naturally, this kind of thing can only be done by the equipment nurse.
Soon, the equipment nurse touched the candy.
She quickly peeled off the red sugar paper, took off Zhou Yuan’s mask, and fed the sugar into Zhou Yuan’s mouth.
“Wait, don’t lose the candy paper, please put it back in my pocket.” Zhou Yuan stopped the instrument nurse.
The equipment nurse stayed for a while, oh oh twice, and stuffed Zhou Yuan back into his pocket.
Zhou Yuan closed his eyes slightly.
He heard Chuchu’s cry when he moved from Operation Room No. 1 to Operation Room No. 2.
This innocent little girl thought she would be able to save her father and her mother after the operation.
But in fact, what Zhou Yuan did to Chuchu’s father was a donor lung operation…
When he stepped out of the operating room, how would he… face this little girl who put all his hopes on him? .
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