Chapter 1247: : Don't you have to wait for Chen Cang?

"Name Wang Dong!"
"Hospital number!"
"Bed No!"
"blood group……"
...
Blood transfusion is very strict, as the so-called three checks and eight pairs are indispensable!
After all ... Blood transfusion is an important way to give blood to the veins. If you don't pay attention, this treatment will become a killing method!
Of course, there is no way to strictly verify in outdoor situations.
However, when the patient has a major bleeding without timely supplementation, he can use general blood to supplement in time.
After the nurses and the staff of the blood transfusion department closely checked three pairs, Wang Dong was urgently transfused here!
Most people know that blood type is divided into ABO blood type.
Why is it so typed?
In fact, it is the different types of antigens carried on the surface of red blood cells in human blood, such as antigens A, B, and H (O type blood is H antigen).
Most of these antigens are positive, and when cross-used, the reaction of different antigens and antibodies can easily cause the so-called blood transfusion reaction, which is life-threatening.
But in addition to ABO typing, there is also an Rh blood group system.
This is a system that is independent of the ABO blood type. There are various antigens on it, but the most important is the D antigen. The one with the D antigen is Rh (D) positive. ) Negative.
The panda blood is Rh (D) negative. This blood type does not have D antigen, so when other blood is transfused, it will not stimulate the other party's resistance, and it can mix in silently.
In fact, how to understand antigen?
Can be regarded as anti-virus software.
Ok!
Just quietly enter the village, don't shoot.
Those with antigens were shot, and those without were disguised.
In this way, the gunman and the gunman will definitely fight together.
This is almost what it means.
If the blood of the panda is so bad, just mix it in, and do n’t fight with you.
but……
Panda blood is also pitiful. Blood transfusion can only lose panda blood. People who come in with a gun (with the D antigen) will directly hit you.
This is that Rh negative can give Rh positive blood transfusion, but Rh positive can not give blood transfusion to others.
Panda blood is also called dedication blood!
At this time, Wang Dong was too late to send to the radiology department for examination, and he must have an open abdominal exploratory surgery as soon as possible.
The danger of inserting an iron tube into the liver is actually more complicated than a sharp knife piercing the liver.
Although a short period of time, the amount of bleeding after the iron tube penetrates into the liver is as large as that of a sharp knife. This is because the iron tube forms a relatively closed environment, so that it will not die from bleeding on a large scale in a short time.
However, due to the closed environment formed by the iron tube, liver necrosis in the middle area will be caused, and the degree of liver necrosis will also increase due to ischemia and hypoxia caused by prolonged bleeding.
Surgery is imminent!
"Blood transfusion department, continue to prepare blood! Expected 8000 ml!"
"Urgent inspection department."
"Intubation, increase oxygen flow!"
"Correct electrolyte and acid-base balance disorders!"
...
At this moment, Chen Cang felt that it was a waste of time even to give a doctor's advice, and wished that one person had three heads and six arms!
Lao Ma hurriedly contacted the medical department.
The greatest risk of liver injury is hemorrhagic shock, especially when severe liver trauma requires liver resection, generally the amount of bleeding is large and accompanied by different degrees of shock, anti-shock and resuscitation should be actively pursued.
Once shocked, resuscitation treatment is actually the most fateful thing.
Studies have shown that more than 90% of patients with shock for more than half an hour die, and a large number of cases have reported that the mortality rate is positively correlated with the duration of shock.
Simply put, the longer the shock, the greater the probability of death.
Because it is Sunday, not many people are on duty.
After inviting the Hepatobiliary Surgery for consultation, Yu Yonggang also had a phone call in time.
Because it is not clear where the patient was injured.
As a large organ, the liver has different risk of damage in different areas!
Chen Cang has good liver surgery ability!
But he still can't guarantee that he can successfully complete the operation.
After all the preliminary preparations, Chen Cang heard the nurse say that the patient's family had arrived at the door.
Seeing that the patient's condition had stabilized at this time, Chen Cang hurriedly asked the nurse to hand out the critical notice and informed consent form and ran out.
Chen Cang never pulls down what should be explained.
As time went by one minute and one second, more and more people soon came.
Yu Yonggang took Gao Huarong, director of hepatobiliary surgery, directly into the operating room.
At this time, the operation has not yet begun.
Although the patient's blood pressure has recovered somewhat, it is still dangerous.
"Where was it damaged?" Gao Huarong asked directly.
Ma Yuehui shook his head: "It's too late to do any inspections and send it directly to the operating room."
Gao Huarong nodded: "How much bleeding?"
Ma Yuehui directly said: "About 2000, supplemented with 500 blood, plus 500 ml of liquid."
Hearing the words of the old horse, Gao Huarong suddenly looked at the monitor and looked at the blood pressure: "2000 ml? Is the blood pressure controlled so stable ?!"
"Did you give lactated Ringer?"
The doctor on duty in the emergency department who followed the operation shook his head: "No, Professor Chen said that there should be no damage to the nearby hepatic veins, and there is no need to give lactated Ringer's solution."
Upon hearing Professor Chen, Gao Huarong hesitated for a moment. Which Professor Chen is Professor Chen?
Yu Yonggang quickly said: "Director Gao, it's Chen Cang!"
After Gao Huarong heard Chen Cang, he nodded and nodded.
"The amount of bleeding was also evaluated by Professor Chen?"
Ma Yuehui nodded: "Yes, all the medical orders are given by Chen Cang, and the patient is still in a stable condition."
Gao Huarong looked at it curiously, but still couldn't help but be a little curious.
"What medical advice was given and what was used?"
The emergency doctors here are not very young, only in their thirties, but they really adore Chen Cang.
"Three venous channels were opened, and then blood preparation, blood transfusion, infusion, oxygen supply, correction of electrolyte and acid-base balance disorders, protection of renal function, prevention of renal failure ... The drugs used are ..."
After speaking, Gao Huarong suddenly raised his thumb.
"amazing!"
"This Professor Chen is really powerful."
"You can use these drugs to temporarily maintain the patient's vital signs, and the key is to be able to consider preventing kidney failure. UU reads the book www.uukakanshu.com this clinical thinking and the truth."
Hearing Gao Huarong saying this, Yu Yonggang nodded: "What about Professor Chen?"
"Go out and sign the family."
Gao Huarong hesitated for a moment: "Prepare for surgery!"
"Don't wait for Professor Chen?"
"Don't wait for Chen Cang?"
"Don't wait for Chen Cang?"
...
A few words in unison, everyone froze.
They did not know how they would say such things.
n.

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