I Can See Health

Remember [new] in one second! In the operating room, Fan Yujing's hands were trembling slightly.

Massive bleeding during endoscopic interventional surgery is one of the most serious complications!

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

However, she immediately calmed down and tried her best to keep the bronchoscope suctioning quickly at the bleeding site to keep the airway open.

smooth.

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

Because heavy bleeding is not the most fatal!

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

…

In Lu Chen's eyes, the patient's health continued to decline, with a trend of three minus signs!

He was already moving, moving the patient from the supine to the side position.

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

Fan Yujing's face was full of solemnity. She held the bronchoscope with both hands, constantly sucking blood, trying to keep the respiratory tract open.

However, just sucking out the blood without solving the fundamental problem is not enough!

Excessive bleeding can cause the body to go into shock and be life-threatening!

"Lu Chen, ask the nurse to get pituitaryin, and then notify Director Wu! Then ask the thoracic surgery department and ICU department for consultation!" Fan Yujing immediately gave the medical order.

At this time, Lu Chen moved!

He ran out of the operating room, notified the nurse, and then immediately returned to the operating room.

At this moment, Fan Yujing was sweating profusely.

She concentrated on using the bronchoscope to aspirate blood while constantly trying to stop the bleeding.

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

The blood seeping out of the surgical area seems to have never decreased.

…

At this time, Lu Chen looked around with a stern expression and looked around the operation 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 operation room.

He walked forward, opened the refrigerator, and took out ice salt water (-2c~-4c salt water).

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

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

Lu Chen nodded slightly, and his hand movements were not slow at all.

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

Ice saline reduces the temperature of the gastric mucosa, and norepinephrine has a strong vasoconstrictive effect.

The mixture of the two causes gastric mucosal vasoconstriction and reduced blood flow to achieve 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 ice saline and norepinephrine through the hole of the bronchoscope!

"Ask the patient to change his side-lying position!" Fan Yujing reminded.

By changing the position, the fluid can be fully mixed with the mucous membrane of the bronchial bleeding.

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

…

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

Entering the room, she immediately connected the patient's heart rate monitor, measured the patient's blood pressure, and opened intravenous access.

Lu Chen was not idle at the side either.

He closely monitors changes in the patient's consciousness, breathing, heart rate and blood pressure, and pays attention to whether the patient has cyanosis, restlessness, profuse sweating and other symptoms of asphyxiation.

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

…

Time passed by minute by minute.

Lu Chen and Fan Yujing stared at the console screen.

Once medical treatment with ice salt water is ineffective, surgical treatment may be necessary!

This is very traumatic for the patient!

Ice salt water continuously flushes the bronchial mucosa, and then Fan Yujing withdraws it and injects fresh ice salt water.

By repeating this process, the blood in the surgical area is reduced visibly to the naked eye.

"Observe for another half hour!"

Although the bleeding stopped, Fan Yujing did not 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 again.

At this time, Lu Chen looked at the health value on the patient's head.

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

The declining health value finally stopped the downward trend.

Lu Chen breathed a sigh of relief.

…

Half an hour later.

After close observation, the patient's condition became stable.

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

Ice-cold saline and norepinephrine have also been discontinued.

This medicine cannot be used too often, otherwise it will be counterproductive, causing damage to the bronchial mucosa and gastric mucosa, and causing bleeding.

…

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

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

Generally speaking, massive bleeding caused by intratracheal tumors, metal foreign bodies, etc. is more common.

In cases like this patient’s, the risk of bleeding is extremely low!

Basically it can be ignored!

"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 weren't for Lu Chen's cooperation, this accident might not have been so easy to handle!

…

After handling the patient well, the next step is how to communicate with the patient’s family.

Surgical accidents are sometimes inevitable.

No matter how skilled the artist is, unexpected things will always happen.

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

Do your best during the surgery and avoid risks.

Monitor closely after surgery to avoid complications!

…

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

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

Fan Yujing also communicated again before the operation, and the patient and family members could understand this.

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

Once the bronchial bleeding does not stop, surgical treatment may be required.

By then, it remains to be seen what the attitude of patients and their families will be.

"Congratulations, I received +5 gratitude points from Fan Yujing!"

What surprised Lu Chen, but seemed reasonable, was that the patient and family members did not give him any gratitude.

Instead, the teacher Fan Yujing, who had always been indifferent to him, gave him 5 points of gratitude!