Chapter 534: Deadly

There is a saying in surgery. When encountering a patient with major bleeding, the doctor must be calm and calm, and must not panic. But there is one here, but one is bleeding from pregnant women and the other is bleeding from young children.
These two situations are too special. Regardless of whether your doctor is calm or not, if your doctor is getting better, maybe the next second, there will be a sudden collapse of the body. Within seconds, the patient will die.
The accident of a pregnant woman is because all the organs were compensated during the pregnancy. So, a pregnant woman who is going to give birth immediately has 30% more heart blood output than before she was pregnant.
This is already the limit of organ compensation. In the event of an accident, individual organs can no longer compensate. In other words, the organs have no reserves and no reserve army.
And young children, because the organs have not yet developed and cannot be compensated if they want to compensate, they often have various unexpected accidents. This sudden accident cannot be prevented by doctors.
"Dean, you first prepare the operating room. Once there is a chance, there is a chance for surgery ..." Zhang Fan couldn't bear to let Ouyang's heart be torn again, so he directly sent Ouyang to pay.
People change hearts, and Zhang Fan doesn't want to hurt the old lady again.
Ouyang Qing nodded in tears, his hands like chicken feet pinching Zhang Fan's little arm, and went out with the phone. As the calls went out, the hospital started to interact.
The main force of each department began to rush to the emergency department. In particular, pediatric doctors are here with some qualifications.
Rescue, especially bleeding rescue, the best way is to rescue and correct the shock, and do surgery to stop bleeding, but now the child's current body blood is regarded as stopped, but the child's weak heart is like a bird egg hanging on a cliff It may fall at any time.
With the entry of the directors of Inner Heart, Pediatrics and Pediatrics, Ren Li took over Zhang Fan's rescue lead position. At this time, it is no longer a bleeding problem.
The heart, kidneys, liver, gastrointestinal tract, and electrolytes have all been hung on the wire. To say something bad, the rescue now is like ordinary people buying a lottery ticket, no one is sure.
"The operating room is ready!" Suddenly, Ouyang wanted to grow old. She was no longer a steel company. She was no longer a commander standing on the roof of a car, but an old woman.
"Well, dean, you can contact the parents of the child, and maybe they need the parent's authorization." Zhang Fan stood by the expert group and wanted to spend Ouyang again.
"The parents of the child can't come anymore. Let me do my best. I will be responsible for any problems."
"Ok?"
"The wounded reported that the child's mother and her were not only drug abusers but also drug traffickers. The wounded was originally a drug abuser. The police have implemented the situation."
"Ah!" Zhang Fan did not speak, but sighed long.
"Things that are not as good as animals, children are innocent, so pathetic." Ouyang said with gritted teeth. The child's face was like a puppet lying on his back, which was stitched by a doctor in the facial medicine department, and passed from the left cheek to the right lip.
"Sir, the child is gone, and ventricular fibrillation has occurred."
"Quickly, prepare for cardioversion." Ren Li Tieqing said with a face. The moment she gave her order, a male doctor in her heart was holding a defibrillator to prepare for defibrillation.
What does a defibrillator look like? In fact, it is like two irons for ironing clothes connected to the instrument. This instrument can produce an appropriate amount of current in an instant, and then use this current to correct ventricular fibrillation.
When using this instrument, the patient must not be connected to the ground or metal connections, otherwise the child will become a conductor, a huge current can directly kill people, and no one can contact the child.
What is ventricular fibrillation? It's simple. The heart started beating. The heart's beating is rhythmic, bouncing, and blood can be sucked like a child's head (a), and it flows smoothly throughout the body.
But when the heart is beating, the blood vortex occurs. This vortex is terrible. It can consume the heart's pulsating energy and make the blood unable to beat.
Just like when the old car started to disturb the body, this kind of disturbance is like a ventricular fibrillation of the heart.
And once ventricular fibrillation occurs, if it can't be corrected immediately, the brain will be short of oxygen immediately, and then the brain will give the heart instructions: jump to Lao Tzu faster, Lao Tzu will be choked to death.
Then the heart speeds up and beats a few times, and the heart will fail, and it will die if it fails.
When ventricular fibrillation occurs, without a rescue device such as a defibrillator, you can box according to the apex of the heart, with one hand padding the heart and one hand hitting the back of the hand above the heart. However, this kind of thing, unprofessional people can not play at all.
"Hmm! Hmm! Hmm!" The child's entire body was hit by a defibrillator on the bed like a ragdoll.
With the correction of the defibrillator, the eyes of the expert group, Zhang Fan and Dean Ouyang stared at the ECG monitoring. As long as the ECG is still disordered, the child may have no chance.
And at this time, the child immediately entered the triad of death (hypothermia, acidosis, coagulopathy). If the heart does not recover, the rescue can only declare failure.
Huh! Huh! Huh! With the end of the defibrillator, the monitor's electrocardiogram was finally normal. All the people present were relieved, and the sweat of the pediatric director came down. At this time, everyone was nervous enough to breathe.
What is a life hanging moment, this is a life hanging moment. It is not always effective to do your best, human life is not as good as dandelion in the wind at this moment.
"Did the blood gas analysis come out? Quickly, the phone catalyzed the laboratory." Ren Li urged loudly, and she was also anxious. At this time, if the child had acidosis, no one would dare to say.
The examinations were transmitted to the emergency center through the computer as fast as possible. The blood pH has dropped. In this case, the electrolyte is almost at the threshold, but in this case, the blood volume cannot be made up and nothing is used. .
My heart rhythm has just recovered, but this time the monitor started to report the alarm, and my heart rate was almost gone! The heart has two words, the heart rate. This popular means the number of times the heart beats, and the heart rate is whether the heart beats regularly.
No law, no rate. "Fast adrenaline is pushed directly, not the apex injection!" Ren Li was anxious.
Every member of the expert group is not nervous. At this moment, everyone's adrenaline is bulging, and Ouyang is also nervous. The old lady is holding Zhang Fan's arm tightly.
She is also an expert in cardiology, how could she not know how dangerous it is now.
Wave after wave, the doctors at the city hospital were teaming up to tug of war with death. However, now death has prevailed.
"Director Li, open the chest!" Zhang Fan saw that the medical treatment had come to an end. The child might have died in a matter of seconds. Now he can only rely on the surgeon to move the knife. He said to the director of cardiothoracic surgery.
Whether he can or not, Zhang Fan is not sure.
"Dean ..." After explaining to Director Li, Zhang Fan turned his head to look at Ouyang, and Ouyang understood what Zhang Fan meant.
"Go ahead, her life is bad because she died. God lived and pity her with open eyes. I took responsibility for all the responsibilities!" The old lady calmed down at this time and looked at Zhang Fan quietly.
"Open your chest!"
Chapter One
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And thank you, Dr. Book Surgeon
Materials for this chapter
He told me
(End of this chapter)