Chapter 520: Full collapse

Chapter 520: Total Collapse
Embolism is a disease named because the blood vessels are blocked by fat, thrombus, etc., and the corresponding organ ischemia is caused. The most common fat embolism is a super-dangerous disease. This disease is really at the same time, racing with death, one second less and one second, often endings are different.
A doctor who can rescue patients with embolism often needs to work in hospital-related departments for at least ten years to make effective rescue measures.
Amniotic fluid embolism is a BOSS level disease in embolism. Because this embolism is related to the complex components of amniotic fluid, various hormones and various factors once enter the circulatory system.
First, allergies, large-scale allergies, and then because these foreign objects stimulate the walls of blood vessels, the blood vessels begin to tremble like cows avoiding burdocks. This is where the blood vessels spasm. Once the spasms, the orderly pulse of the blood vessels changes. Become a disco.
The blood vessels started to jump, which directly caused the blood to fail to flow smoothly, and then was multi-organ ischemia.
As soon as multiple organs are ischemic, the heart begins to beat more horsepower until heart failure. A series of problems have led to the complete collapse of physical function.
Just like dominoes, if the doctor can stop the deterioration of physical function in an early and effective way, maybe he can correct it. If the organ compensation fails and the organ starts to fail, then the gods will be okay.
The disease is not only developing rapidly, but also violently, just like a flood that broke a dam.
Zhang Fan quickly put on the surgical gown. The doctor in Istanbul gave Zhang Fan a grateful look. Although he didn't speak, the gratitude in his eyes could be seen.
He actively gave way to the position of the main knife. At this time, doctors in Huaguo have replaced the medical team in Istanbul.
"Positive pressure is given to oxygen, and the organ is cut directly when necessary. Lao Cheng, the breath is broken. It is up to you." Zhang Fanhe has begun to explore the uterus, but Zhang Fan must use it with one heart and one. Also preside over the rescue.
The sweat on his forehead has slowly leaked out.
"Brother Shi, dexamethasone 40mg is directly and statically pushed. Intravenous channels are hung by hydrocortisone intravenous drip." The hormone input is to suppress allergies. Allergies must be suppressed, otherwise the whole body allergies do not need to be rescued. , Allergies can be lethal.
"Yes!" In the medical rescue, the lower doctor or executive doctor must give feedback after giving instructions from the superior doctor. Whether he heard it clearly or not, he must give the first feedback.
"Head nurse, add 1mg of atropine to opiate (a), and intravenously every 10 minutes. Aminophylline is taken in the upper limb channel, 250mg is added to 25% glucose!"
"Yes!" Although the head nurse usually seems to come and go, which is a small means of survival in the workplace, she can become the head nurse of the major operating room of the top three hospitals. She is skilled and does not say that she is very numb under her hands.
At a critical moment, the patient whose blood pressure can not be measured, this plump woman, did not say that the needle was inserted more than once, this is the skill, this is the technology!
"Dextrose, dopamine into the pot, 20 drops / min, walking in the lower limb channels."
"Yes!"
"Mauroside C, 0.4mg with 50% sugar, push it quietly!" This is a traditional Chinese medicine extract, used to treat heart failure quickly, with low toxicity.
"Fursemide 40 mg, upper limbs push quietly."
"Yes!" This is a diuretic, not only to prevent lung edema, but also to protect against kidney failure. Because once the body is ischemic, the body directly supplies the constricted blood to the brain, and the kidney is very vulnerable to ischemia.
So, often times, doctors have very difficult choices. The choice is too difficult! Which organ is not important, the liver? kidney? Still the brain, none of which is unimportant.
"250ml of 5% sodium bicarbonate, walking on the lower limbs."
"Yes." This is a weak alkaline solution. When the body is ischemic, carbon dioxide will be stored, and the pH value in the body will be acidified, which will become acidosis, that is, electrolyte disorders.
As soon as this thing is disordered, the internal environment in the body collapses. The body's fluids and circuits work in a neutral environment. Once the acid-base imbalance occurs, a problem occurs. It is important to correct shock and correct the acid-base balance. Often the two brothers came in front and back.
Here you have to go hand in hand. It doesn't matter if you go before me, that is to say, regardless of breathing cycle, shock or electrolyte disturbance.
Must be corrected right away. Once one is not resolved, everything is in vain, and this is the bucket effect of the human body.
"Antibiotics, Ornidazole, Cefacir, are combined in large doses." Amniotic fluid is not only nutritious but also bacteria. I didn't use antibiotics for the first time. When shock, circulation and electrolytes were all resolved, I looked back and became infected. Then my body collapsed again.
Really, the amniotic fluid embolism is too much.
Zhang Fan shouted the oral doctor's order, and at the same time, he explored the uterus in the abdominal cavity with the doctor.
At this time, there was only one person's voice in the surgery car, and that was the main knife, Zhang Fan.
Doctors and nurses in Istanbul went out three or four, and they called herders to take blood for tests. The surgeon doctor looked at Zhang Fan blankly, listening to words he couldn't understand.
There was regret in his eyes. Healers, no one wants their patients to die unexpectedly. Otherwise, he would never be able to act as a doctor.
That is, the incidence of amniotic fluid embolism is very low. Otherwise, the number of humans will never be so high. Many doctors have worked in obstetrics all their lives and may not be able to come across it once.
However, if you encounter it once, it is estimated that eternal life will be unforgettable. The main expert in Istanbul is a professor of hepatobiliary medicine in their national hospital. At this time, he regretted his death long ago, but there is no regret medicine in the world.
Fortunately, the amniotic fluid embolism happened because the child had been taken out, otherwise the danger would be doubled.
After the drug was introduced into the patient, Zhang Fan also started a hysterectomy. There is no way to control the bleeding. Although the patient has entered a state of shock, now the uterus must be removed to achieve complete hemostasis.
According to the current medical statistics report, about 1,600 pregnant women die every day in the world, and about 500 of them die due to major bleeding.
Amniotic fluid embolism is uncommon, but postpartum hemorrhage is too common. Now that the patient's body is in an ischemic state, Zhang Fan must do a hysterectomy quickly and without bleeding as much as possible to save the patient's life.
"No. O Weiqiao line, turn the line back short!" Zhang Fan said to the equipment nurse as soon as possible.
Although the uterus is removed, because a cesarean section is performed, the uterus must first be closed to reduce bleeding before the hysterectomy can be performed.
Zhang Fan took the nurse's needle holder and quickly started suture. At this time, there is no suture layer by layer, and it is a requirement that the blood must be quickly and firmly sutured to stop bleeding.
(End of this chapter)