Start as an Emergency Physician
Chapter 130
As the chief surgeon, Zhou Yuan must take responsibility at this time - holding the scalpel requires not only superb skills, but also accurate decision-making!
"Check the cause of blood mixing immediately!" Zhou Yuan said in a deep voice.
Now, if the problem of blood mixed flow is not solved, both Xiaoyu and Xiaowen will be in danger of their lives!
"Also, immediately notify the blood bank to prepare another 2000cc of blood!"
The instrument nurse nodded, and immediately passed the news to the blood bank.
The people in the blood bank were confused.
Although the positive blood of type AB is not panda blood, it is also the least of the four blood types. Due to the influence of genetic law and social blood group probability, there are not many AB blood types that do not contain anti-A and anti-B antibodies.
After the blood bank experienced that burn incident before, the storage of type AB positive blood is less, and now it is the off-season for blood, and there are not many people who really come to take the initiative to shed blood, so the 5000cc in the operating room is already the last reserve...
Although AB blood type is a universal blood recipient and can accept blood of three blood types, A.B and O, it is now a dangerous period for surgery, and it is impossible to replace these blood types that may cause adverse reactions.
Tian Liang, the head nurse who was in charge of taking the blood, changed his face and immediately contacted He Jianyi.
He Jianyi thought for a while, discussed a few words with Dean Fang, and then, the official Weibo of Yanjing International Hospital sent out a message.
Began to face the whole city to collect type AB positive blood for Xiaoyu twins.
According to Zhou Yuan's estimate, at least about 3,000cc of blood is needed, in other words, more than ten people who meet the blood standards are needed to donate blood.
As soon as Weibo was issued, a few drivers who had just returned home to see the follow-up of Weibo saw this news and immediately stood up.
"These two little guys are bloodless! But I'm A-blooded!"
"I'm Type AB, I'll go now!"
A spontaneous wave of blood donations quietly arose.
Ten minutes later, the first blood donor came to the hospital.
Although it is not AB blood type, any blood type is precious in the off-season of blood.
Today, when the concept of unpaid blood donation is not popular, being able to collect a little more blood can give more hope to those who may have lost too much blood and need blood transfusion in the future.
People rushed to the hospital one after another, and in the end, nearly 100 citizens came to the hospital to donate blood, and the blood for the Xiaoyu twins for surgery was finally enough.
The steaming blood bag was quickly sent into the operating room.
At this time, Zhou Yuan finally found out the cause of blood mixing.
A clot appeared in Xiao Yu's neck vein.
These blood clots blocked the blood vessels, causing the brain to be unable to pump blood down normally, so that the blood from Xiaoyu's cerebral blood vessels easily entered Xiaowen's body.
At this point, Zhou Yuan breathed a sigh of relief.
He had mastered carotid endarterectomy before and knew the location and characteristics of the blood vessels in the neck.
The difficulty of clearing the clot is much smaller than that of membrane peeling, which is not a problem for Zhou Yuan.
Of course, it is the same on Xiao Yu, whose body is already extremely weak.
Zhou Yuan cautiously opened the knife.
Lu Chenxi and the others stared at Zhou Yuan, not daring to make a sound at all, for fear of disturbing Zhou Yuan.
A few minutes later, the jugular vein is exposed in the surgical field.
Zhou Yuan glanced at Lu Chenxi and said, "Block the vein." "
This is to prevent the pipe from suddenly being unblocked, causing the pressure to disappear all at once and blood spurting.
Soon, Zhou Yuan's cleanup was completed.
Anastomosis, sutures.
After skillfully operating, Zhou Yuan regained blood circulation.
On the other side, the anesthesiologist's face gradually improved.
"The patient's blood pressure has stabilized!"
Zhou Yuan nodded: "Start blood transfusion immediately!"
Xiaoyu's body lost a lot of blood, coupled with the bleeding from surgery, and now his body needs blood support.
After the clot removal of the jugular vein, the eyes were again on the instruments in the operating room, quietly waiting for the results.
Three minutes later, Xiaoyu and Xiaowen's heart rates both rose, although their heart rates were still in a very low state, but at least they were out of danger.
The crisis was temporarily lifted, and after Zhou Yuan asked the nurse to help wipe his sweat, he started the challenge again.
Soon, Zhou Yuan's face became solemn again.
An extremely difficult decision appeared before him.
Xiao Wen's body was now in a weakened state because of the impact of the blood infused into Xiao Yu's body before, and some organs were even damaged due to the large amount of blood pouring in.
At this time, if the separation of the shared veins is carried out according to the original idea, Xiaowen's situation will become very dangerous, and it can even be said that he can hardly get off the operating table.
The only way to do it is... One of the key shared veins was stripped and assigned to Xiaowen, so that Xiaowen had better physiological conditions.
However, this is bound to have an adverse impact on Xiaoyu.
At this time, it was impossible for Zhou Yuan to ask Xiaoyu Xiaowen's parents how to choose, and all emergencies on the operating table could only rely on the decisive ability of the chief surgeon.
Zhou Yuan closed his eyes, thought for a moment, and finally decided to choose to keep Xiaowen!
He has full confidence in his own technique, which can maximize Xiaowen's chances of survival and reduce the impact on Xiaoyu at the same time!
"Scalpel. Zhou Yuan's voice sounded again.
When the people in the operating room heard this sound, they felt like they had been given a cardiac injection, and they instantly calmed down.
Xiao Xuebo stared at Zhou Yuan in the position of the main knife in a daze.
A doctor in his twenties, but with such leadership skills, decisiveness, atmosphere, and self-confidence...
Everyone in the operating room trusted him, and when everyone didn't know what to do, he gave a series of instructions, and successfully solved the crisis and pulled the patient back from the ghost door.
Even, even Xiao Xuebo has been affected, as long as there is Zhou Yuanzai's operation, he is not worried at all now - because this man will always turn the tide when it is most dangerous!
Time passed.
More than half an hour later, Zhou Yuan successfully peeled off a shared artery and assigned it to Xiaowen.
By this time, the operation had already lasted a full six hours.
Zhou Yuan had been staring at the microscope for six hours.
However, this is nothing to Zhou Yuan.
In the hospital, any surgeon with a little fame can insist on a high-intensity operation for up to ten hours.
What's more, Zhou Yuan is still young.
"Separate the patient's two brains. Zhou Yuandao.
After the separation of the IA shared blood vessels was completed, it was necessary to use a soft medical film to separate the separated brains of Xiaoyu and Xiaowen.
Otherwise, there is a risk that the blood vessels will stick back together. Once glued together, the blood vessels cannot be torn apart like the threads, and can only be finely separated again.
"Complete the separation. Xiao Xuebo said.
Then, everyone quietly waited for Zhou Yuan's next instructions. _
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