Start as an Emergency Physician
Chapter 74
Aortic hemorrhage can lead to death within two to five minutes, not to mention a junior mother who is already in poor physical condition!
And......
Intraoperative aortic hemorrhage is the most difficult to manage!
On the one hand, the pressure of the aorta is high, which can be easily blocked or compressed, and once the force is not applied properly, it is extremely easy to cause blood vessel rupture.
On the other hand, bleeding occurs here, and it is difficult to reveal the site of bleeding.
Zhou Yuan couldn't care about so much, quickly stepped forward and directly put his hand into his chest.
Perfect pressure hemostasis came into play in this moment.
The finger quickly felt the beating blood vessels at the proximal end, avoided the weakest middle of the ascending aorta, and gently pressed down on the left side of the thicker wall of the aorta.
The rate of bleeding gradually slows down, and the blood in the abdominal cavity no longer rises.
"Blood sucks out. "
Zhou Yuan felt that the bleeding had stopped, and immediately said.
Everyone was shocked by Zhou Yuan's oppression to stop the bleeding.
"Can you compress the aortic bleeding with your bare hands?" He Jianyi was like seeing a ghost.
The previous surgeries were all small blood vessels, and even some were just venous bleeding, but Zhou Yuan stopped the bleeding with his bare hands.
But......
Can the aorta be compressed with bare hands to stop bleeding?
This is also terrifying!
On the other side, the anesthesiologist's face turned white at this moment, and he exclaimed:
"The patient's blood pressure has dropped, his heart rate has dropped rapidly! Now his heart rate is less than 40!"
"Blood transfusion! Let the blood bank prepare the blood supply!"
Based on the physical condition of the mother at the beginning and the amount of bleeding. The 1000cc of blood prepared before the operation is definitely not enough!
Zhou Yuan didn't talk much nonsense and continued: "Aortic occlusion forceps!"
He was the chief surgeon in this operation, and he must not always press the aorta as a humanoid hemostat, and must replace the hemostasis with instruments as soon as possible.
Director Lin came over, holding the aortic occlusion forceps in his hand, and he was in trouble.
The use of aortic occlusion forceps can indeed stop the bleeding, however, the choice of location is particularly difficult, as it is too high to affect the subsequent placement of the ascending aortic decompression drain, and too low to block the position and prevent the aortic incision.
Zhou Yuan guessed the reason for Director Lin's embarrassment, and said silently: "Clamp my hand." "
"Huh, can you stop the bleeding by clamping your hand?" Director Lin was stunned for a moment.
"Hold my hand, I'll find a place. Zhou Yuan's face darkened.
The bleeding stopped, and Director Lin's IQ also became lower?
Zhou Yuan urged, and after feeling the aortic blocking forceps in his hand, he carefully freed up two fingers and placed the blocking forceps in the position that he had already found.
"Whew. It's done. Zhou Yuan breathed a sigh of relief.
I glanced at the blood transfusion bag, and sure enough, 1000cc of blood was not enough.
"Did you send the blood from the blood bank?" Zhou Yuan shook his head and said.
"Dr. Zhou, the patient has Rh AB blood, and this 1000cc of blood is all in our blood bank..."
Zhou Yuan's face changed.
The so-called Rh blood, commonly known as panda blood, is positive for more than 99% of Rh blood types.
"The patient needs at least 800 milligrams of blood!" the anesthesiologist urged.
Zhou Yuan clenched his fists tightly.
The nearest blood bank is Renhe Hospital, and Xu also has a blood reserve of Rh AB blood type, but... Patients can't wait so long!
Wait a minute......
Blood bank!
Zhou Yuan thought of something and hurriedly walked out of the operating room.
"Continue to rescue, raise blood pressure and heart rate as soon as possible, and I'll be back soon!"
Zhou Yuan pushed open the door of the operating room and immediately rushed to the toilet.
"System, how to use the small blood bank?" Zhou Yuan spoke quickly.
"Just enter the blood type you want to transform. "
Zhou Yuan's expression became solemn.
The blood volume of ordinary people is about 4000~5000 ml, and when the blood loss is 10%, that is, 400~500 ml, the body can restore blood volume and normal blood pressure through compensation.
When the blood loss is more than 800 ml, symptoms such as pale complexion, pale lips, cold sweat on the skin, and cold hands and feet will occur. But overall it is not life-threatening.
But, Zhou Yuan is the main knife!
In the next ten hours, Chu Chu's mother's life was in his hands, and if he had to lose 800 ml of blood... Will you be able to hold on?
He's 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 aren't ordinary people either!
In this world, only doctors are robbing people with death!
"I promised to save your mother no matter what..."Chu Chu's face appeared in front of Zhou Yuan.
"System, transformation of Rh AB blood. "
"Conversion volume, 800 ml!"
The next moment, Zhou Yuan's face turned pale directly, and countless cold sweats came out of the pores, instantly soaking the heavy lead clothes on his body.
At the same time, Zhou Yuan had two more 400 ml blood bags in front of him, and the outside of the blood bags was written in bold "Rh AB blood"
Zhou Yuan smiled, he tried to stand up, but suddenly felt a little weak in his hands and feet, and even his breathing was a lot shorter.
"Damn, I still don't believe it. "
Zhou Yuan made a rare rude sentence, went to the dressing room next to him, took two vitality potions placed in the cabinet, and drank them in one gulp.
In an instant, Zhou Yuan's mind cleared up a lot.
Zhou Yuan washed his hands before the operation, changed his surgical gown, etc., and returned to the operating room.
"Immediately start the blood transfusion. Zhou Yuan's tone was a little weak, and he handed over 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 came through Zhou Yuan's hand, everyone was overjoyed, did not suspect it, and hurriedly entered it into the patient's body.
Finally, when the 800 ml of blood was about to bottom out, good news came from the anesthesiologist's side.
"That's it! The patient's blood pressure is up, and his heart rate is up!"
Zhou Yuan closed his eyes and let out a long sigh of relief.
"I'll do the next surgery. Zhou Yuan clenched his fists and said.
The intense operation did not allow everyone to ask where the blood came from, and everyone only knew that the patient was out of danger, and that was enough.
Director Lin and another director of thoracic surgery got out of the way, Zhou Yuan went to the position of the chief surgeon, and He Jianyi and Lu Chenxi were in place.
Zhou Yuan felt a little dizzy.
"I have a candy in my pocket, help feed it. Zhou Yuandao.
As the chief surgeon, his hand can't touch other places, and this kind of thing can only be done by the instrument nurse.
Soon, the instrument nurse touched the candy.
She quickly peeled off the red candy wrapper, took off Zhou Yuan's mask, and fed the sugar into Zhou Yuan's mouth.
"Wait, don't throw away the candy wrapper, please put it back in my pocket. Zhou Yuan stopped the instrument nurse.
The instrument nurse was stunned for a moment, oh oh twice, and stuffed it back into Zhou Yuan's pocket.
Zhou Yuan closed his eyes slightly.
Earlier, when he was going from operating room 1 to operating room 2, he heard Chu Chu's cry.
This innocent little girl thought that she would be able to save her father and her mother by having surgery.
But in fact, what Zhou Yuan did for Chuchu's father was surgery on a donor lung...
By the time he walked out of the operating room, he... How do you face this little girl who pins all her hopes on herself?_
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