Start with the emergency physician
Chapter 074
Aortic bleeding can lead to death within two to five minutes, not to mention the first mother who is already in poor physical condition!
And……
Intraoperative aortic bleeding is the most difficult to manage!
On the one hand, the pressure of the aorta is high, it is easy to block or compress, and once the force is improper, it is extremely easy to lead to blood vessel rupture.
On the other hand, bleeding occurs here, and it is difficult to reveal the bleeding site.
Zhou Yuan couldn’t care so much, quickly stepped forward and directly put his hand into his chest.
The perfection level of pressure to stop bleeding played a role in this instant.
The finger quickly felt the beating blood vessel at the proximal end, avoided the weakest midsection of the ascending aorta, and gently pressed down on the left side of the thicker aortic wall.
The bleeding rate gradually slows down, and the blood in the abdominal cavity no longer rises.
“Blood sucks out.”
Zhou Yuan felt that the bleeding stopped, and immediately said.
Everyone was shocked by Zhou Yuan’s oppression to stop the bleeding.
“Can you also compress 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 vein bleeding, and it was nothing for Zhou Yuan to stop the bleeding with his bare hands.
But……
Can the aorta also be compressed with bare hands to stop bleeding?
It’s also terrifying! Is it on!
On the other side, the anesthesiologist’s face turned white at this time and shouted:
“The patient’s blood pressure drops and his heart rate drops rapidly! Now the heart rate is less than 40! ”
“Blood transfusion! Let the blood bank prepare the blood supply! ”
Based on the physical condition of the first mother and the amount of bleeding. The 1000cc of blood prepared before surgery is definitely not enough!
Zhou Yuan didn’t say much nonsense and continued: “Aortic blocking forceps! ”
This operation is the main knife, and he must not always press the aorta as a humanoid hemostatic forceps, and must replace the bleeding with instruments as soon as possible.
Director Lin came over, holding the aortic blocking forceps in his hand, and became difficult.
The use of aortic occlusion forceps can indeed stop bleeding, but the choice of location is particularly difficult, too high will affect the next placement of ascending aortic decompression drainage, too low and block the position, hindering the aortic incision.
Zhou Yuan guessed the reason for Director Lin’s embarrassment, and said silently: “Hold my hand.” ”
“Huh? Can clamping your hand stop bleeding? Director Lin was stunned for a moment.
“Hold my hand, I’ll find a spot.” Zhou Yuan had a black face.
The bleeding stopped, and Director Lin’s IQ also became lower?
Zhou Yuan urged, and after feeling the aortic blocking forceps on his hand, he carefully freed up two fingers and placed the blocking forceps in the position he had already found.
“Phew. 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 the blood from the blood bank come over?” Urge! Zhou Yuan shook his head and said.
“Dr. Zhou, the patient is Rh AB blood, and this 1000cc of blood is all our blood bank…” the voice of the instrument nurse sounded.
Zhou Yuan’s face changed.
The so-called Rh blood, commonly known as panda blood, more than 99% of Rh type is positive.Rh blood type is extremely rare, and AB type is even rarer.
“The patient still needs at least eight hundred millimeters of blood!” The anesthesiologist urged again.
Zhou Yuan clenched his fists desperately.
The nearest blood bank is Renhe Hospital, and Xu also has a Rh AB blood bank, 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, I will be back immediately!”
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’s speech was fast.
“Just enter the blood type that needs to be transformed.”
Zhou Yuan’s expression became solemn.
When the blood volume of ordinary people is about 4000~5000 ml, and the blood loss is 10%, that is, 400~500 ml, the body can restore blood volume and normal blood pressure through compensation.
When blood loss is more than 800 ml, symptoms such as pale face, pale lips, cold sweat on the skin, cold hands and feet will occur. But overall there is no danger to life.
But, Zhou Yuan is the main knife!
In the next ten hours, the life of the first mother was in his hands, if he had to lose 800 ml of blood… Can it hold on?
He is only a doctor, not a god.
After hesitating for a moment, Zhou Yuan’s eyes suddenly became firm.
He is indeed not God.
But……
Doctors are not ordinary people either!
In this world, only doctors are robbing people with death!
“I promised to save your mother no matter what…” Chuchu’s face appeared in front of Zhou Yuan.
“System, transforming Rh AB blood.”
“Conversion volume, 800 ml!”
The next moment, Zhou Yuan’s face directly turned pale, and countless cold sweats drilled out from the pores, instantly soaking the heavy lead clothes on his body.
At the same time, Zhou Yuan had two more blood bags of 400 milliliters in front of him, and the outside of the blood bags was written in black with “Rh AB blood” written
Zhou Yuan smiled, he tried to stand up, and suddenly felt a little weak in his hands and feet, and even his breathing was a lot faster.
“Damn, Lao Tzu still doesn’t believe it.”
Zhou Yuan burst out a rare rough 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 re-washed his hands before surgery, changed his surgical gown, etc., and returned to the operating room.
“Start the blood transfusion immediately.” 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 was from Zhou Yuan’s hand, everyone was overjoyed, did not suspect, and quickly entered the patient’s body.
Finally, when the 800 ml of blood was about to bottom, there was good news from the anesthesiologist.
“That’s it! The patient’s blood pressure rises and the heart rate rises! ”
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 intense surgery does not allow everyone to explore where the blood comes from, everyone only knows that the patient’s life is out of danger, and that is enough.
Director Lin and another director of thoracic surgery gave way, Zhou Yuan reached the position of the main knife, 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 main knife, his hands cannot touch other places, and this kind of thing can naturally only be done by the instrument nurse.
Soon, the instrument 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 throw away the sugar paper, trouble put it back in my pocket.” Zhou Yuan stopped the instrument nurse.
The instrument nurse froze 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 moving from operating room one to operating room two, he heard the first cry.
This simple little girl thought that her surgery would definitely save her father and her mother.
But in fact, what Zhou Yuan did for Chuchu’s father was surgery on donor lungs…
When he got out of the operating room, he… And how to face this little girl who pinned all her hopes on herself? _
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