Chapter 163 Hybrid Surgery

Low right, the full name is low molecular weight dextran amino acid injection, which is different from sugar saline in that it belongs to colloid and is necessary for infusion.

Many people do not like to use low right, because in rare cases allergies may occur.

But at this moment, when plasma and red blood cells have not been delivered, it is a correct choice to give low molecular weight dextran amino acid injection at the same time as sugar saline.

As for allergies...

Rather than pay attention to such a small possibility, it is better to rescue hemorrhagic shock first.

"To promote blood, go to a doctor, go to the blood transfusion department, and wait!" Zheng Ren continued to give the doctor's orders without hesitation.

Because doctors in the blood transfusion department don't know whether the patient's condition is normal or critical or dying.

Under normal circumstances, nurses go to take blood, so at this time, the amount of nurses is not enough.

A doctor went to the blood transfusion department to explain the situation, and everything went through an expedited procedure so that blood could be transfused before Miao Xiaohua was cool.

There is not much time left for Zheng Ren, so he can only do this.

The main thing is that it is daytime and there are plenty of people.

Taking off the sterile gloves, Zheng Ren took out his mobile phone and dialed, his voice slightly hoarse, "Gastroenterology, rescue, come right away."

When he was done, he hung up the phone.

The low-molecular-weight dextran amino acid injection was hung up, and a nurse stood aside, using a pressurized blood transfusion device to pressurize the bag on the lower right, and infusing more fluid in a short period of time.

Zheng Ren started the physical examination, Miao Xiaohua's stomach swelled up, and it was estimated that her stomach was full of blood. She lost consciousness and had no way of finding out where the bleeding was.

System this big pig's hoof!

Zheng Ren cursed inwardly.

When I first got the blessing of the system power, I was still complacent. This is simply a super ability. However, facing one after another difficult-to-solve critically ill patients, Zheng Ren felt powerless again.

Why don't you tell me where the bleeding is? A diagnosis of hemorrhagic shock from rupture of a pancreatic pseudocyst alone is definitely not enough.

Open abdominal exploration must have a purpose. If you searched all possible locations, Miao Xiaohua would be cold.

A few minutes later, Su Yun quickly rushed to the emergency room of the gastroenterology department.

When I came in, I glanced at it, and I knew the general situation. He came to Zheng Ren and asked in a low voice, "What's wrong?"

"Pseudocyst of the pancreas ruptures and bleeds." Zheng Ren said.

"..." Su Yun was speechless.

The rarer the disease, the more difficult it is to deal with, because there is little clinical experience.

Once you catch up with a rare disease, the chances of being rescued are slim.

"Can you tell which blood vessel is broken?" Su Yun seemed to understand everything, and suddenly asked the point of the matter.

"I don't know." Zheng Ren shook his head, but he immediately made up his mind, "Go to the interventional operating room, have an angiogram, and then open the abdomen to stop the bleeding."

"..."

This was the second time that Su Yun was speechless today.

Although he was extremely talented, and he went back to Haicheng after a graduate degree from the top hospital in the country, Su Yun had never experienced this kind of surgery directly after angiography.

The interventional operating room is a hybrid operating room, but surgery has never been done, and no one seems to have had experience with it.

"you sure?"

"There is no other way."

"Okay." Su Yun didn't question Zheng Ren's decision, he was the perfect assistant at the moment.

Glancing at the numbers on the ECG monitor beside Miao Xiaohua, Su Yun and the doctors and nurses in the gastroenterology department got busy.

To be transferred from the emergency room of the gastroenterology department to the emergency interventional operating room, it is necessary to take a huge risk. The chance of Miao Xiaohua suffering from cardiac arrest in the middle of the road is greater than 30%.

Maybe 30% may not seem high, but in the eyes of medical staff, this is definitely an unbearable possibility.

Chu Yanzhi also heard Xin'er and rushed over with the equipment for tracheal intubation.

In less than ten minutes, when the fresh frozen red blood cells were delivered, the trachea was intubated and the balls were prepared. The 10u red blood cells were warmed by the doctors and nurses of the gastroenterology department and ran wildly towards the emergency building.

Fortunately, there was no one in the hospital elevator at the moment, so it went smoothly.

Running all the way, except for a slight pause when changing the red blood cell bag in the middle, there is basically no delay.

When she came to the interventional operating room, she lifted Miao Xiaohua onto the operating table, but her blood pressure could no longer be measured.

Chu Yanran was ready for anesthesia, and immediately injected Miao Xiaohua with medicine to prepare for the operation.

Director Lao Pan came to hear the news. Although he was a nurse from the hospital, without the knowledge and signature of his family members, Director Lao Pan still followed the normal procedure and called for the staff of the medical department to do everything from the hospital's perspective. Preparation of legal formalities.

The Xie Yi people followed the flat car all the way back, changing clothes and brushing their hands as usual.

Tears welled up in her eyes as she stood in front of the instrument table.

Fortunately, the concept of sterility has been integrated into the deepest part of the soul, and he subconsciously avoided the instrument table, which prevented the instrument table from being contaminated, and the incident of opening another surgical bag.

It's not how precious the surgical kit is, the key is that time waits for no one.

This is the first time to do hybrid surgery, this should be the first hospital in Haicheng, or even the first hybrid surgery in Haicheng.

There was no communication, but everyone was extremely tacit.

Director Lao Pan stood outside to command, handle various chores, and sort out every link.

The head nurse in the operating room simply put on a lead coat, entered the operating room, and prepared surgical instruments when Zheng Ren and the others intervened.

Although Miao Xiaohua's heartbeat did not stop suddenly, the ECG monitor showed atrial fibrillation. Afraid of danger, they need to be given medicine at any time, so Chu Yanran and the nurse also put on lead coats, entered the operating room, and stood by at any time.

This is a completely different surgical method from the past. It has not been practiced, and there is no plan at all before this incident.

But everyone worked together, and in less than 20 minutes, they were ready to open the stage.

While Su Yun was wearing lead clothes and brushing his hands, Zheng Ren began to disinfect, lay down sterile sheets, and puncture.

At the same time, the live broadcast room of Xinglinyuan started live broadcast again.

[Rehearse before watching, saying that it is boring to watch the operation all the time, and ask the great god to come out and sing a song. 】

[Go to other video sites to watch, some are beautiful girls, so come here to watch. 】

[That is, your illness is very serious, and you need to be treated as soon as possible. 】

Just at the beginning, a few barrages flew out.

Because the recording and broadcasting after the operation was cancelled, people who have been following this live broadcast account know that they need to look at the case first and have a little more information. If it is really a rare operation, there will be more gains.

There are surprisingly few bullet screens today. Most people choose to close the bullet screens, refuse to communicate, and concentrate on watching the surgery.

But when everyone saw the case, they all fell silent.

Hybrid surgery, what the surgeon is going to broadcast live today is hybrid surgery!