Doctor: In The Beginning, He Dug Out His Heart With His Bare Hands, Frightening Fang Xiaoran
043: Difficult To Stop Bleeding
Just when everyone thought that this world-class difficult operation that had been performed for more than 10 hours was about to end successfully.
Something unexpected happened.
"The blood pressure is starting to drop again!"
Han Bing shouted loudly.
"this........"
Lin Yi shouted in panic
“Some suture needles are bleeding out! What should I do now?
However, Shen Hao had long expected this problem to occur.
Because those who have simulated surgery in the surgical simulation space have encountered this situation more than once before.
In the end, we have to try our best to solve the problem. There will be times of success and times of failure.
So I didn’t show too much panic.
"Calm down! No matter where the bleeding seams are, you should stay calm at this time!"
Shen Hao yelled at Lin Yi, who had been undergoing surgery for six hours straight.
But Lin Yi soon calmed down,
Start suturing the bleeding point again.
["How could this be! Are we going to fall short just when we are about to see the dawn of victory?"]
There was an uproar in the auditorium
["It's so difficult that failure happens right here!"]
["Don't worry, these two surgeons are still making repairs!"]
"How could this happen? It's about to end successfully?"
Fang Xiaoran asked Fang Qingzhu worriedly
Fang Qingzhu said
"Actually, this phenomenon is quite normal. After all, this heart requires nearly a thousand stitches. The tissue is in a state of edema and has been affected by many surgeries. The texture has become very brittle and difficult to eat. Now The heart is beating and it’s torn apart! But don’t worry too much, I believe the two of them can handle it!”
operating room
Shen Hao and Lin Yi sutured the bleeding again.
"Biogasket!"
The nurse quickly gave the Shang Biogasket to Shen Hao and Lin Yi
The two immediately used interrupted sutures and used biogaskets to keep each anastomosis secure.
Han Bing also continued to manually push blood, plasma, and platelets.
The slow bleeding stopped temporarily.
Blood pressure returned to normal levels again,
The dawn of victory appeared again.
"How is it! Are you closing your chest now or what?"
Lin Yi asked
Shen Hao thought for a while and said
"It seems we have to postpone the closure of the chest! Get ready for ecmo!"
Everyone was shocked when Shen Hao said this.
["So now, is this operation a success or a failure? The chest is no longer closed? Could it be that the bleeding can't be stopped?"]
["It's considered 99% successful. The last 1% is the key to completely stopping bleeding in the heart."]
Cao Nuoya from Seili Hospital in the auditorium saw that everyone had questions and expressed his opinion.
["It seems that he realized that there is no point in continuing to sew up like this. After all, the texture of the heart is too brittle and it tore apart in one beat. I think he wants to use ecmo to assist the circulation of the heart to reduce the pressure on the heart. He is thinking of other ways. To stop the bleeding"]
Sure enough, it didn't take long for the bleeding to stop.
A few more places started to ooze blood.
Shen Hao thought about several experiences in the surgical simulation space,
Even if you sew like this, you won't be able to stop the bleeding.
It is better to use ecmo to assist circulation.
Then use gauze to compress the heart to stop bleeding.
Soon the ecmo was connected and the cycle started.
"It seems we have to use the most primitive method."
"gauze!"
The nurse brought a large amount of gauze and handed it to Shen Hao and Lin Yi.
The two picked up the gauze and began to press it on the bleeding surface of the heart.
After a while, it really worked.
The falling blood pressure was finally maintained
After filling 25 pieces of gauze in Xiaojun’s chest,
The bleeding was finally under temporary control.
At the same time, Han Bing was very tired during this period.
Continuously replenish plasma and platelets to maintain blood pressure balance
She looked at the current results and said
"If we can maintain a balance between blood transfusion and bleeding, Xiaojun's blood pressure can be maintained!"
Give your heart a little more time to recover,
Shen Hao nodded
"That's all we can do! After so many surgeries, Xiaojun's coagulation condition is so bad now that he needs to continue to supplement with things that help coagulation. Leave the chest open for now and send him to the ICU for observation for a few days with ecmo attached. The situation will get better. Get up"
At this time, Fang Xiaoran was already greeting Xiaojun at the door of the operating room.
"It's up to you and Xiaojun to fight together in the next period of time!"
The big guy in the operating room handed Xiaojun into Fang Xiaoran's hands.
Under everyone's gaze, Xiaojun was escorted by Fang Xiaoran and many nurses.
He was sent to the ICU with his chest open and connected to ECMO and various monitoring instruments.
So far, the operation, which lasted 20 hours and involved more than 20 people, is finally over.
[Although it is not certain that the operation was successful so far, it is not easy to get off the operating table under such circumstances]
["This surgery will definitely go down in history! It's so exciting. I hope this little guy can survive this test."]
["What's wrong? What's wrong? Is the operation over?"]
Many people are already waiting in this auditorium and are almost asleep.
["The following part was really thrilling, but the bleeding was finally stopped temporarily even with ECMO on"]
["Oops! This time is too long. I really can't stand it anymore. I haven't watched it. I'll look back and see if I can see the video."]
Because this time is too long,
Whose operation takes more than 20 hours?
"Oh my god! I can hardly walk!"
Lin Yi sat down outside the operating room.
I took a bottle of glucose and poured it into my mouth.
"This must be the longest time I've ever spent in an operating room in my career."
"Me too"
....
"How could you not record such a special day?"
Several nurses sighed with emotion and took out their mobile phones to record this moment.
"Doctor Han! Why are you leaving so quickly? Let's summarize and chat for a while!"
Shen Hao looked at Han Bing walking awkwardly and shouted to her
"Let's talk about your sister. If someone has three urgent needs, I have to go and solve them!"
After Shen Hao and Lin Yi took care of themselves a little more,
I met Xiaojun’s mother and frankly explained Xiaojun’s current situation.
"Xiaojun's mother, Xiaojun is still in a critical period now. The first thing to do is to give his heart a full rest so that he can recover his function before the ECMO can be removed. The second thing is to stop the bleeding. Now Xiaojun's coagulation function is so poor that it is difficult to stop the bleeding. We can only do our best to supplement these things for him. If these two points can be restored, Xiaojun will be able to overcome the difficulty!"
I saw Xiaojun’s mother nodded.
"I understand this! Thank you for the hard work of the two doctors who performed the nearly 20 hours of surgery! You have created a miracle for Xiaojun, and now he has to rely on the care of himself and the doctors in the ICU."
[PS: Just beg for flowers, evaluation tickets, and monthly tickets as long as they are data. Get ready for more updates]
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