Diyou, the full name is Low Molecular Dextran Amino Acid Injection. Unlike sugar saline solution, it is a colloid and is necessary for infusion.
Many people don't like to use low right because of the possibility of allergic reactions in rare cases.
But at this moment, when plasma and red blood cells have not yet been delivered, it is the right choice to give low-molecular-weight dextran amino acid injection while giving sugar and saline.
As for allergies…
Rather than paying attention to such a small possibility, it is better to rescue hemorrhagic shock first.
"To urge blood, go to a doctor, go to the blood transfusion department, and wait!" Zheng Ren continued to give the doctor's orders without any hesitation.
Because the doctors in the blood transfusion department don't know whether the patient's condition is normal, critical, or dying. If they wait in line, they might get cold while waiting for the blood to come.
Normally, it is the nurse who takes the blood, so if we let the nurse do it at this time, the amount would not be enough.
A doctor went to the blood transfusion department and explained the situation. Only by expediting the procedure could the blood be transfused before Miao Xiaohua became cold.
There isn't much time left for Zheng Ren, so he can only do this.
The most important thing is that it is daytime and there are enough people.
Taking off his sterile gloves, Zheng Ren took out his mobile phone and dialed. His voice was slightly hoarse, "Gastroenterology, rescue, coming right away."
After saying that, he hung up the phone.
The low-molecular-weight dextran amino acid injection was hung up. A nurse stood aside and used a pressurized blood transfusion device to pressurize the low-right bag and inject more fluid in a short time.
Zheng Ren began to examine her body, and Miao Xiaohua's stomach swelled up, probably full of blood. She lost consciousness and there was no way to find out where the bleeding was.
The system is such a big pig!
Zheng Ren cursed secretly in his heart.
When I first received the blessing of the system's power, I was still complacent. This was simply a super power. But when facing one critical patient after another who was difficult to solve, Zheng Ren felt powerless again.
Damn it, you should tell me where the bleeding point is! A diagnosis of pancreatic pseudocyst rupture and bleeding or hemorrhagic shock is definitely not enough.
A laparotomy must have a purpose. Miao Xiaohua would probably be disappointed if she searched all the possible locations.
A few minutes later, Su Yun quickly rushed to the gastroenterology emergency room.
After coming in and taking a quick look, I knew the general situation. He came to Zheng Ren and asked in a low voice: "What's the disease?"
"Pancreatic pseudocyst ruptures and bleeds," Zheng Ren said.
"..." Su Yun was speechless.
The rarer the disease, the more difficult it is to deal with because there is less clinical experience.
Once a rare disease strikes, the possibility of recovery is slim.
"Can you tell which blood vessel was broken?" Su Yun seemed to understand everything, and suddenly asked the key point of the matter.
"I don't know." Zheng Ren shook his head, but he immediately made up his mind, "Go to the interventional operating room, take an angiogram, and then open the abdomen to stop the bleeding."
“…”
This was the second time today that Su Yun was speechless.
Although he was extremely talented and had studied as a graduate student at one of the top hospitals in the country and returned to Haicheng, Su Yun had never experienced this kind of surgery, which was performed directly after angiography.
The interventional operating room is a hybrid operating room, but surgery has never been performed before, and no one seems to have experience in this area.
"you sure?"
"There is no other way."
"Okay." Su Yun did not question Zheng Ren's decision. He was the perfect assistant at this moment.
Glancing at the numbers on the ECG monitor next to Miao Xiaohua, Su Yun and the doctors and nurses in the gastroenterology department got busy.
If you want to transfer from the emergency room of the gastroenterology department to the emergency interventional operating room, you need to take huge risks. The chance of Miao Xiaohua suffering a cardiac arrest halfway is greater than 30%.
Maybe the figure of 30% does not seem high, but in the eyes of medical staff, this is definitely an unbearable possibility.
Chu Yanzhi also heard Xin'er later and rushed over with the equipment for tracheal intubation.
In less than ten minutes, when fresh frozen red blood cells were delivered, the endotracheal intubation and rubber balls were ready. The 10u red blood cells were warmed by the doctors and nurses of the gastroenterology department and rushed towards the emergency building.
Fortunately, there was no one in the hospital elevator at the moment, so everything went smoothly.
Jogging all the way, except for a slight pause when changing the red blood cell bag, basically no time was wasted.
When they arrived at the interventional operating room and lifted Miao Xiaohua onto the operating table, her blood pressure could no longer be measured.
Chu Yanran was already prepared for anesthesia and gave Miao Xiaohua an injection of medicine immediately to prepare for the operation.
Director Lao Pan came over after hearing the news. Although he was a nurse in the hospital, without the family’s knowledge or signature, Director Lao Pan still followed the normal procedure and found staff from the medical office to do everything from the hospital’s perspective. Preparation for legal formalities.
The Xie Yi people ran back all the way with the flat car, changing clothes and washing their hands as usual.
Tears welled up in her eyes as she stood in front of the equipment table.
Fortunately, the concept of sterility has been integrated into the deepest part of the soul, and I subconsciously avoided the instrument table. This prevented the instrument table from being contaminated and having to open another surgical bag.
It’s not that the surgical kit is precious, the key is that time waits for no one.
This is the first hybrid surgery. This should be Haicheng City No. 1 Hospital, or even the first hybrid surgery in Haicheng City.
There was no communication, but everyone was in perfect agreement.
Director Lao Pan stood outside and directed, handling various chores and sorting out every link.
The head nurse of the operating room simply put on a lead suit, entered the operating room, and prepared surgical instruments while Zheng Ren and others were performing intervention.
Although Miao Xiaohua's heartbeat did not stop, the ECG monitoring showed atrial fibrillation. Afraid of danger and the need to administer medication at any time, Chu Yanran and the nurse also put on lead suits and entered the operating room to be on call at any time.
This is a completely different surgical method from the past. It has not been practiced before, and there was no plan before this incident.
But everyone worked together, and in less than twenty minutes, the stage was ready.
While Su Yun was putting on lead clothing and brushing his hands, Zheng Ren began to disinfect, lay out sterile drape, and perform punctures.
At the same time, the live broadcast room of Xinglin Garden started live broadcast again.
I asked for an update before watching, saying it was boring to watch the surgery all the time, and asked the master to come out and sing a song.
Go to other video websites to watch them. There are many beautiful girls, so you have to watch them here.
That is, your illness is serious and needs to be treated as soon as possible.
Just at the beginning, a few barrages flew out.
Because the post-operative recording and broadcasting has been cancelled, people who have been following this live broadcast account know that they need to read the case first and get more information. If it is really a rare surgery, they can gain more.
There were surprisingly few barrages today. Most people chose to close the barrages, refused to communicate, and concentrated on watching the surgery.
But when everyone saw the case, they all fell silent.
Hybrid surgery, what the surgeon is going to broadcast live today is hybrid surgery!