Chapter 1245 Don't You Have to Wait for Chen Cang?

"Name Wang Dong!"

"Hospital number!"

"Bed No!"

"blood type……"

...

Blood transfusion is very strict, as the saying goes, three checks and eight pairs are indispensable!

After all... blood transfusion is an important means of giving blood through veins. If you don't pay attention, this treatment method will become a murder method!

Of course, there is no way to strictly verify in outdoor situations, etc.

However, if the patient has major bleeding and cannot be replenished in time, universal blood can be used to replenish it in time.

After the nurses and the staff of the blood transfusion department conducted three checks and eight pairs, Wang Dong was given an emergency blood transfusion!

Most people know that blood types are divided into ABO blood types.

Why is it so classified?

In fact, it is the different antigen types carried on the surface of red blood cells in human blood, such as antigens A, B, and H (type O blood is H antigen).

Most of these antigens are positive. When cross-used, the reaction of different antigens and antibodies can easily lead to the so-called blood transfusion reaction, which is life-threatening.

But in addition to the ABO classification, there is also an Rh blood group system.

This is a system independent of the ABO blood type. There are various antigens on it, but the most important is the D antigen. Those with D antigens are Rh(D) positive, and those without D antigens are naturally Rh(D) positive. ) is negative.

And panda blood is Rh (D) negative. Because this blood type has no D antigen, when other blood transfusions are given, it will not provoke the other party's resistance, and it can be mixed in quietly.

In fact, how to understand the antigen?

It can be regarded as identifying antivirus software.

Um!

Is to quietly enter the village, do not shoot.

Those with antigens are shot, and those without are camouflaged.

In this way, the shooter and the shooter are together, and they will definitely fight.

That's pretty much what it means.

The panda blood is very powerful, just mix in, and I won't fight with you.

but……

Panda blood is also pitiful. Blood transfusions can only be transfused with panda blood. People who shoot in (with D antigen) will directly hit you.

This is Rh negative can give Rh positive blood transfusion, but Rh positive can not give blood to others.

Panda blood is also called dedication blood!

At this time, it was too late for Wang Dong to send him to the radiology department for examination, and he had to open the abdomen for exploratory surgery as soon as possible.

The danger of iron tube inserted into the liver is actually more complicated than that of a sharp knife pierced into the liver.

Although in a short period of time, the amount of bleeding after the iron tube is pierced 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 of bleeding on a large scale in a short period of time.

However, because of the closed environment formed by the iron tube, the liver in the middle area will be necrotic, and the degree of necrosis of the liver will also increase due to ischemia and hypoxia caused by prolonged bleeding.

Surgery is imminent!

"Department of blood transfusion, continue to prepare blood! Expected 8000 ml!"

"Hurry up the inspection department."

"Intubation, increase the oxygen flow!"

"Correct Electrolyte and Acid-Base Balance Disorders!"

...

At this moment, Chen Cang felt that it was a waste of time to even issue a doctor's order. He wished he had three heads and six arms by himself!

The old horse is in a hurry to contact the medical department.

The greatest risk of liver injury is hemorrhagic shock, especially when liver resection is required for severe liver injury, the bleeding volume is generally large and accompanied by different degrees of shock, and anti-shock and resuscitation treatment should be actively performed.

Once in shock, resuscitation treatment is actually the most resigned.

Studies have shown that more than 90% of patients with shock for more than half an hour die, and there are also a large number of case reports that the fatality rate is positively correlated with the duration of shock.

Simply put, the longer the shock, the greater the chance of death.

Since it was Sunday, there were not many people on duty.

After inviting the Department of Hepatobiliary Surgery for consultation, he also got on the phone with Yu Yonggang in time.

Because it is still unclear where the patient is injured.

The liver is a large organ, and the risk of damage to different areas is also different!

Chen Cang has a good liver surgery ability!

But he still can't guarantee his own successful completion of the operation.

After making 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 also stabilized, Chen Cang quickly asked the nurse to hand over the critical illness notice and informed consent and ran out.

What should be explained, Chen Cang will never pull it down.

As time passed by, more and more people came.

Yu Yonggang brought Gao Huarong, director of hepatobiliary surgery, directly into the operating room.

At this time, the operation has not yet started.

Although the patient's blood pressure has recovered somewhat, it is still dangerous.

"Where is the damage?" Gao Huarong asked directly.

Ma Yuehui shook his head: "I didn't have time to do any inspections, so I sent it directly to the operating room."

Gao Huarong nodded: "How much bleeding?"

Ma Yuehui said directly: "Around 2000, 500 blood was added, plus 500 ml of liquid."

Hearing the old horse's words, Gao Huarong was stunned for a moment, glanced at the monitor, and looked at the blood pressure: "2000 ml? Is the blood pressure controlled so stable?!"

"Did you give Lactated Ringer's?"

The doctor on duty in the emergency department who came to the operation here shook his head: "No, Professor Chen said that there should be no damage to the proximal hepatic vein, and there is no need to give lactated Ringer's solution."

When Gao Huarong heard Professor Chen, he hesitated for a moment. Who is Professor Chen?

Yu Yonggang said quickly, "Director Gao, it's Chen Cang!"

After Gao Huarong heard Chen Cang, he snorted and nodded.

"Is this amount of bleeding also assessed by Professor Chen?"

Ma Yuehui nodded: "Yes, all the doctor's orders were ordered by Chen Cang, and the patient's condition is relatively stable now."

Gao Huarong took a closer look at it curiously, but couldn't help but feel a little curious.

"What doctor's order was given and what was used?"

The emergency doctor here is young, only in his thirties, but he really admires Chen Cang.

"Three venous channels were opened, and then blood preparation, blood transfusion, fluid infusion, oxygen supply, correction of electrolyte and acid-base balance disorders, protection of renal function, and prevention of renal failure... The drugs used are..."

After speaking, Gao Huarong immediately gave a thumbs up.

"amazing!"

"This Professor Chen is really amazing."

"It is possible to use these drugs to temporarily maintain the patient's vital signs, and the key is to take into account the prevention of renal failure. This clinical thinking is really old-fashioned."

Hearing what Gao Huarong said, Yu Yong just nodded: "Where's Professor Chen?"

"Go out and sign for the family."

Gao Huarong hesitated for a moment: "Prepare for surgery!"

"Aren't you waiting for Professor Chen?"

"Aren't you waiting for Chen Cang?"

"Don't you need to wait for Chen Cang?"

...

A few words in unison, everyone was stunned.

They also don't know how they would say such a thing.