Chapter 266: Who is coming let me try!

Chapter 266 Who Comes? let me try!
In general, the rescue of patients is the responsibility of which department is responsible for any disease. However, at first glance, this person is a compound injury. Looking at the color of this blood, it is estimated that the large vein was damaged after entering the and entering the pelvis. It can be regarded as no luck to the apex, if the aorta, for such a long time, acute total heart failure will lose blood and hang up!
Fluid resuscitation is a very necessary method for patients with major hemorrhage, but which fluid resuscitation is better first, and the clinical debate has not yet reached results! The principle requires that the electrolyte concentration of the liquid is similar to normal plasma; the osmotic pressure and osmotic volume are similar to that of whole blood; and the principle of being able to achieve maximum expansion and optimal oxygenation with the least amount of liquid. The literature over the past 20 years has suggested that early liquid resuscitation crystal fluids are superior to colloidal fluids, the former including glucose and electrolytes, and the latter including plasma, plasma substitutes, and whole blood.
To put it simply, at the time of shock rescue, it is a matter of controversy whether blood transfusion or equilibrium fluid transfusion first, let alone other things.
This internal organ bleeding must be rescued from shock while undergoing surgery, actively looking for bleeding points, and then stop bleeding. Only by stopping the blood first can we be regarded as hopeful.
Ouyang was absent. This operation was controversial. In the past, the director of the anorectal department would not be involved in such things. One thing is worse than one thing. Anyway, this kind of thing is carried in the front. He was happy to dry his hemorrhoids.
But when Zhang Fan had a major rectal cancer operation in the anorectal department, he couldn't sit still. His authority almost destroyed Zhang Fan. Now he won't find this place, and it is estimated that he won't Good job. Now it has been rumored that he is the level of a cut!
There is no way to bear it. He also counted on the doctor below to give him his grandmother, "Ready for surgery!" He looked at the rescued patient and made the first sound. He thought about it and opened his stomach to perform only an anorectal operation.
The general director and the urinary director did not squeak, he was embarrassed! No one set up a platform, and the director of the medical department immediately contacted Ouyang when he saw the posture was wrong. Boss is not a bird second child, there is no strong superior, really can not hold these eyes of the director above the head.
Rescue at the hospital. When preparing for surgery, the wounded's family in the harbor had already turned around and looked for people. Now they can only care for relationships, find people, go to people with energy, otherwise the injured are far away. They have nothing to do.
Home is big, and there are so many internal things. I hope he lives, I hope he lives, and I hope he lives half dead. It is not surprising that money is moving! If it is a small family, as long as it has the ability, it will definitely exert its strength in one direction.
The patient's bodyguard's phone rang, and the border boss's phone rang. What a mess, the people in the wounded's family are playing! The game between surgery and hospital transfer, this level of boss, his wife may not be the master!
Ouyang came down with the phone, and the senior leaders also said hello, and did not directly order, just one sentence, doing their best. This is an attitude. Leaders' telephones are very particular. They must, must, and do their best, all represent different levels of attention.
After Ouyang entered the emergency department, several directors of the surgical practice also spoke.
"How to do it? Who is up?" Ouyang asked. With different levels of leadership attention, she also cared about the doctor's business, and did not want to give the doctors any pressure. The patient's identity was not disclosed.
"Dean, this is an anorectal trauma. I am the main knife handle! However, considering the situation of major bleeding, I apply for assistance from other departments." The director of the anorectal department said.
"Okay!" Ouyang said after looking at him. Then he said to the general and urinary director, "Prepare for surgery." The matter was ascertained in just two sentences.
The anorectal director's face is not big, the level is average, and the director of the general and urinary department is also invited. It is estimated that it is an ordinary vice high to assist. However, it is enough. In fact, this operation looks dangerous. As long as the abdominal cavity is quickly opened to find the bleeding point, except for the speed requirements, the other is not difficult, and it is not a very difficult operation such as lymphatic cleaning and reconstruction.
Just as they discussed the operation, the director of the emergency department's heart was not idle. He had to hang his life before he could perform the operation. What is hang life is to protect the circulation and the oxygen in the circulation first!
Zhang Fan does not love gossip, and he is not curious about the intrigue of several directors. He cares about disease and cares about rescue. The director of the heart and the expert of the provincial hospital, even if she was dumped to the municipal hospital that year, her shock and resuscitation operation recognized herself as the second in the city hospital, and no one dared to recognize the first! That's the qualification!
The principles and methods of early fluid resuscitation are particular about: Early, rapid, and adequate volume expansion is the key to successful shock rescue.
Ren Li stood calmly in front of the hospital bed, her hands crossed, her arms crossed, and she gave an oral medical order without thinking. The pump speeds up the infusion. "
Then he looked at the ECG monitoring and directly ordered: "Manual blood pressure measurement! Fast." The nurse was too busy, a bit busy, Zhang Fan stepped forward and took the sphygmomanometer to quickly start measuring blood pressure. At this time, pay attention to speed. It's not a moment of grace.
"70 / 30mmhg. The pulse is fine." Zhang Fan reported while measuring. "Blood transfusion, venous whole blood compression and rapid intravenous infusion of 300ml. Dexamethasone into the pot." Ren Li continued, Ren Li also worked hard! This rescue method is a bit dangerous! Once you are not sure, it is a big deal!
This kind of person is not short of money. When he was admitted to the hospital, he put a hundred thousand people! awesomeness.
"The blood pressure has risen, and the pulse is still very fast. The director can operate!" Zhang Fan said to Ren Li.
"Okay, the rest depends on your surgery." The principle of this first aid is also very simple. In plain terms, there is a fish in the bowl, and a hole has been broken in the bottom of the bowl. It must be maintained at a certain rate to add water. Need water, but also keep it from overflowing all at once! This balance was then maintained, waiting for surgical hemostasis.
That's the skill!
The nurse pushed the bed, carrying a fixed liquid stand, quickly exited the emergency department and ran to the elevator for surgery. The director of the anorectal was out of the air and he was about to enter the surgical elevator.
"Side doctor?" An assistant lady stopped the director of the anorectal department.
"Ok?"
"Who are you doctors?" The bodyguard translated. In the harbor, people with such strong family members may not choose assistants for office work, and they tend to reject the old-fashioned family in the United Kingdom.
They either speak English or speak local dialect! And also speak English as a certain identity!
"This is our chairman, the chairman of more than 4 billion net worth, are you sure?" This woman did not know whether it was intentional or unintentional. Anyway, it was a sentence. The director of the anorectal bower was afraid to enter the elevator! Presumably this woman is undercover!
Others are anxious and do not know, the frontier boss must be anxious, and things in the business field cannot be understood, but he also knows that his relationship is not small or the interests involved are not small.
"President Ou, I'm a friend of the Secretary-General, please help me! I'll be there to support you!" The frontier boss was frightened to death. At this time, he threatened the doctor with such words.
Ouyang, who was about to swell, stopped the anger, looked at the frontier boss, the man whose boss was a few meters tall, half bent down, and looked down at the old lady who was a little past six meters.
Ouyang looked at the awkward director of the anorectal department and said, "Say, tell her loudly!" Let a woman frighten her before the operation. Ouyang couldn't bear it!
"I! I!" The director of the anorectal department was a little incoherent! The pots in Ouyang's stomach are all open, so frustrating! Is more money great?
The people who came from which era are very contradictory. Many of the old-fashioned wealthy consortiums in Huaguo are their generation, but it is their generation who really can look down on wealthy people!
Ouyang glanced scornfully at the director of the anorectal department and looked back at a group of doctors who had just come out of the emergency department and said, "Who is sure, stand up! Don't look down on me! I can't afford to lose this person!"
"I!" Director of Urology!
"I!" The general director.
"I!" Deputy Director of Urology.
"I!" Deputy director of Pu Wai!
"Dean! I don't have to work for the directors, I'll do it!" Zhang Fan stood loudly at the edge of the crowd.
"Okay, it's up to you! Let the young doctor go!" Ouyang said!
When the frontier boss listened to the youngest doctor, he went straight! Paralyzed! Thousands of camels fly by my heart!
Maybe they are all sleeping!
(End of this chapter)