Chapter 929: :I can do it

Autologous blood transfusion is an emergency rescue method!
There are many contraindications, but there are few applicable indications.
High requirements on patients and high requirements on injuries.
In the current situation of relatively abundant blood in the blood bank, there are fewer and fewer medical institutions and individuals using autologous blood transfusion.
But!
It is undeniable that autotransfusion can greatly reduce the possibility of transfusion syndrome.
After all, this is your own blood, not the blood of others!
Wu Taojun was in good physical condition, and at this time the amount of bleeding exceeded expectations, and blood transfusion was needed to meet his own needs.
At this time, it is too late to do so much consideration.
Think again, people are gone!
Here, Xiao Ke was actually very panicked.
Autologous blood transfusion is still the scene she has seen on TV, where has she met in life!
500The blood in the abdominal cavity has passed 500 ml of blood through a simple "filter" made by Chen Cang and Xiao Ke, and blood transfusion is started.
Here, for the sake of insurance, Chen Cang decided to keep an additional 300 ml!
At this time, there is still blood in the abdominal cavity!
I can imagine how much blood this Tao Jun had shed?
I must have lost his stature, otherwise, the more than 1,000 milliliters of blood would have tossed out ordinary people.
抽 Here is blood drawn, but Chen Cang needs to stop bleeding immediately!
Surgery?
It is definitely impossible.
Whether it is liver resection or liver repair, or more subtle spleen repair, a good surgical environment is required!
This is not the same as repairing blood vessels, because the blood vessels in the spleen and liver are all subtle and strange.
Whether it is near hepatic vein repair or the spleen repairing small blood vessels, Chen Cang is not sure!
Generally speaking, compared with this closed liver injury, it is lighter than stab wounds and cuts!
Closed injury is relatively troublesome!
[Broken liver: King-level boss! Liver comminuted rupture, parenchymal rupture of more than 60%, multiple vascular injury, near hepatic vein injury ...]
Cang Cang suddenly changed his face!
The situation seems more difficult than imagined!
Comminuted liver rupture is a type of liver injury with extremely high mortality. The condition is complex and the mortality rate is high. The main danger is hemorrhagic shock and secondary infection!
After seeing this liver, Rao is Chen Cang, and his back is cold, his sweat is seeping out!
Can I save it?
Do not!
I must rescue!
Here, Chen Cang swallowed and forced himself to calm down, but in the face of such patients, Chen Cang didn't know it!
After all, not only liver rupture, but also spleen rupture is waiting for Chen Cang!
[Broken spleen: boss boss, splenic capsule laceration combined with irregular splenic laceration ... It is recommended to stop bleeding and repair in time! 】
The liver is bleeding at this time, and the spleen is no exception!
Hemostatic forceps ligation?
This can't be done. With the help of Eye of Precision, Chen Cang can clearly see that these livers have not died, and the surrounding small blood vessels continue to provide blood even if the liver and spleen are ruptured.
Breathing is better than dead!
But how to stop bleeding?
At this time, the car has begun to exercise, it is estimated that it will not take long to return to the hospital, and it may take a long time ...
沧 Cang Cang's eyes kept on scrutinizing the damaged liver, looking for the place of major bleeding, and the key hemostatic site was needed.
Good for a few seconds!
Chen Cang said to Xiao Ke, "Give me some gauze pads!"
Xiao Xiaoke nodded quickly and reached out his hand directly.
沧 Chen Cang took the gauze pad, stretched out his hand slightly, and pressed it on the place where the liver broke and bleeding.
Oppression of hemostasis is probably the easiest way to stop bleeding.
But if you find the right place, the effect is also very obvious, and there is less bleeding.
成功 After the hemostasis was successful, Chen Cang pressed his left hand, then stared at the spleen, and then two gauze pads, pressing the hemostasis directly.
At this moment, the haemorrhage became slow, and there was not much blood in the abdominal cavity.
But this is not the way to go!
The operation must be completed as soon as possible!
Chen Cang looked at the scarlet [liver] and [spleen] names.
Looking at the tissue above it is slowly discoloring, which is a change caused by gradual ischemia.
Just ...
Cang Cang found a difference!
It seems that men have experienced two liver injuries.
For the first time, only the central liver rupture and true liver rupture occurred, and it will not cause comminuted liver damage as now.
However, no significant liver tissue disconnection occurred!
But now some tissues of the liver have been faintly detached. Although it is not possible to damage the liver parenchyma, but ... the distal end of the detached tissue is losing vitality due to the impaired blood flow of the liver tissue!
This kind of tissue can only be removed ...
In this case, the patient obviously experienced two injuries.
Suddenly, Chen Cang thought of the words of the fire officers and soldiers, and immediately responded ...
After Xiao Xiaoke was busy, Chen Cang quickly asked him to call the hospital, prepare rescue items, open the green channel, and quickly start surgery!
ten minutes later!
The car finally stopped at the emergency door. The moment the door opened, Chen Cang was sweating!
Wu Taojun was covered with sterile drapes.
Tong Yuyong had already entered the operating room at this time, and the room was the leader of the second group. When he saw Chen Cang's appearance, his face suddenly changed!
"Opened?"
Cang Cang nodded!
"The situation is urgent and you have to open your belly!"
"The patient suffered severe comminuted liver rupture, plus multiple liver and portal vein injuries, spleen rupture ... the amount of bleeding was as high as 1,200 ml, and 500 ml was autotransfused!"
"Now the blood pressure is 90 / 65mmHg! The vital signs are stable and you need to prepare for surgery immediately!"
I heard Chen Cang's words, and everyone was choked. UU reading book www.uukanshu.com
Everyone is an emergency staff, and I know that these words are by no means so simple, but they are thrilling and rescue along the way!
Moreover, this situation can be delivered safely!
I can see Chen Cang level!
"Hurry up, transfer carefully, prepare a blood test, contact the unit and family members, sign the medical department ... Quickly prepare for surgery!"
Hou Rong, the leader of the second group, quickly deployed!
"Lift up! Don't mess around! Dr. Chen, let go first, wait for the hemostasis!"
Cang Cang nodded!
Twenty-eight men worked hard together and it took a lot of effort to push the patient down.
After that, emergency rescue work began!
The entire emergency department is now fastened like a fastened law.
After some preparation, Tao Jun's side has been quickly taken to the operating room.
Hou Rong, the team leader of the second group, also rushed to take several members of the rescue team at this time, preparing to perform surgery on the patients!
"Dr. Chen, just take a break, we'll do the surgery!"
沧 Chen Cang heard it and said worriedly: "Patients with comminuted rupture of the liver, and injury near the hepatic veins ... may require JHVI surgery."
When Hou Rong heard it, he suddenly stopped!
JHVI is a problem no matter where it is!
Because of the special anatomical site and the difficulty in handling, near hepatic vein injury is still one of the most difficult problems in the field of liver surgery.
Cang Cang washed his face and threw a disposable surgical gown, and said directly, "I will do JHVI surgery!"