Medical road

Embolism is a disease named because fat, thrombus, etc. block blood vessels, causing the corresponding organ to be ischemia.The most common fat embolism is a super dangerous disease.This disease is really at the same time, in a race with death, one more second is one second less, and the outcome is often different.

A doctor who can rescue patients with embolism usually has to work in relevant departments of the hospital for at least ten years before they can 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 factors once enter the circulatory system.

The first thing is allergies, large-scale allergies, and then because these foreign bodies stimulate the blood vessel wall, the blood vessels begin to tremble like a cow avoiding the gadfly. This is the blood vessel spasm. Once the spasm, the orderly pulsation of the blood vessels will change. Become a disco.

The blood vessels began to jump around, which directly caused the blood to not flow smoothly, and then multiple organ ischemia.

When multiple organs are ischemic, the heart begins to increase its horsepower until the heart fails.A series of problems resulted in a complete breakdown of body functions.

Just like dominoes, if doctors can effectively stop the deterioration of body function in an early stage, they may be able to correct it. If the organs fail to compensate and the organs begin to fail, then there will be nothing wrong with the gods.

This disease develops not only rapidly, but also violently, just like a flood that broke through a dam.

Zhang Fan quickly put on the surgical gown. The chief surgeon in Istanbul gave Zhang Fan a grateful look. Although he didn't speak, the gratitude in his eyes could be seen.

He actively moved away from the position of the chief knife.At this time, doctors from China have replaced the medical team in Istanbul.

"Positive oxygen pressure, directly incise the organs if necessary. Lao Cheng, the breathing cycle is up to you." Zhang Fanhe and Doctor Xiang have already begun to explore the uterus, but Zhang Fan must do two things at once. He not only has to do surgery, Also preside over the rescue.

The sweat on his forehead has slowly leaked out.

"Brother, dexamethasone 40mg is directly injected intravenously. Hydrocortisone is injected into the intravenous channel for maintenance." The hormone input is to suppress allergies. Allergies must be suppressed, otherwise allergies all over the body will not need to be rescued. , Allergies can kill people.

"Yes!" In the medical rescue, after the superior doctor gives the order, the subordinate doctor or the executive doctor must give feedback. Whether you can hear it clearly and whether it can be done, you must give feedback as soon as possible.

"Head nurse, 1mg of atropine is added to papaverine, and injected intravenously every ten minutes. Aminophylline is used in the upper limb channel, and 250mg is added to 25% glucose!"

"Yes!" Although the head nurse usually seems to be flirting, which is a small means of survival in the workplace, he can become a head nurse in a major operating room of a tertiary hospital, not to mention skilled, and very quick at hand.

At the critical moment, the patient whose blood pressure could not be measured, this plump woman, did not say that the needle went into the blood vessel once more, this is the skill, this is the technique!

"Dextrose, dopamine into the pot, 20 drops, walking in the lower limb passage."

"Yes!"

"Louanthoside C, 0.4mg into 50% sugar, static push!" This is an extract of traditional Chinese medicine, which is fast in treating heart failure and has low toxicity.

"Furosemide 40mg, upper extremity static push."

"Yes!" This is a diuretic, not only to prevent lung edema, but also to protect kidney failure.Because once the body is ischemic, the body will directly supply the contracted blood to the brain, and the kidneys are very prone to failure due to ischemia.

Therefore, often many times, doctors' choices are very difficult.The choice is too difficult!Which organ is not important, liver?kidney?It's the brain, none of them are unimportant.

"250ml of 5% sodium bicarbonate, walking on the lower limbs."

"Yes." This is a weak alkaline solution. If the body is ischemic, carbon dioxide will be stored and the pH in the body will be acidified, which becomes acidosis, which is electrolyte disorder.

When this thing is disordered, the internal environment of the body collapses. The body fluids and circuits of the human body all work in a neutral environment. Once the acid-base balance is unbalanced, there will be a problem. It is important to correct shock and to correct the acid-base balance. Often the two brothers came in front and back.

Here all must go hand in hand. It’s nothing like you first and me, that is to say, whether it is breathing cycle, shock, or electrolyte disorder.

They must be corrected immediately.Once there is an unresolved one, all things are in vain. This is the bucket effect of the human body.

"Antibiotics, ornidazole, cephalosporin, doubled in large doses." Amniotic fluid is not only nutritious, but also bacteria.For the first time, I didn't need to suppress it with antibiotics. When the shock, circulation, and electrolytes were resolved, I looked back and found that I was infected and then my body collapsed again.

Really, the amniotic fluid embolism is too much.

While Zhang Fan gave an oral doctor's advice loudly, he and Xiang Doctor seized the time to explore the uterus in the abdominal cavity.

At this time, there was only one person's voice in the surgical cart, and that was the chief surgeon Zhang Fan.

The doctors and nurses in Istanbul went out three or four, and they called the herdsmen to take blood tests.The chief surgeon looked at Zhang Fan blankly, listening to the words that he didn't understand.

There was regret in his eyes.Healers, no healer wants his patients to die unexpectedly.Otherwise, he would definitely not be the name of a doctor.

That is, the incidence of amniotic fluid embolism is very low.Otherwise, the number of humans would never be so high.Many doctors have worked in obstetrics all their lives, and they may not be able to meet them once.

However, if you encounter it once, it is estimated that you will never forget it.The chief surgeon in Istanbul is a professor of the Hepatobiliary Department of their National Hospital.At this time, he had already regretted death in his heart, but there was no regret medicine in the world.

The amniotic fluid embolism this time, fortunately, happened when the child had already been taken out, otherwise the danger level would have doubled.

After the medicine was infused into the patient, Zhang Fan also started the hysterectomy.The bleeding can no longer be controlled. Although the patient has entered a state of shock, the uterus must be removed as soon as possible to achieve complete hemostasis.

According to the current medical statistics, about 1,600 pregnant women die every day in the world, and about 500 of them die because of hemorrhage.

Amniotic fluid embolism is not common, but postpartum hemorrhage is too common.Now that the patient's body is in an ischemic state, Zhang Fan must perform hysterectomy quickly and without bleeding as much as possible in order to save the patient's life.

"Victory line O, keep the line short!" Zhang Fan said to the equipment nurse for the first time.

Although the uterus needs to be removed, because the cesarean section was performed, the uterus must be closed first to relieve the bleeding before the hysterectomy.

Zhang Fan took the nurse's needle holder and started stitching quickly.At this time, there is no need to suture layer by layer. There is only one requirement, and it must be sutured quickly and firmly to stop bleeding.