Medical road

Surgery has a saying that when encountering a patient with severe bleeding, the doctor must be calm, calm and calm, and must not panic.However, there is a but, one is bleeding in pregnant women, and the other is bleeding in young children.

These two situations are too special.Regardless of whether your doctor is calm or not, whether your doctor is not alarmed or not, when it is clearly improved, perhaps the next second, there will be a major collapse of the body, and within seconds, the patient will die.

The accident of a pregnant woman is because all the organs are compensated during the original pregnancy. So, a pregnant woman who is going to give birth will have 30% more cardiac blood output than before she was pregnant.

This is already the limit of organ compensation. When an accident occurs, the various organs can no longer compensate.In other words, there is no reserve of organs and no reserve army.

As for young children, because their organs are not yet fully developed and cannot compensate if they want to compensate, they often have sudden accidents.There is no way for doctors to prevent such a sudden accident.

"Dean, you should prepare the operating room first. Once there is a chance, there is a chance for surgery..." Zhang Fan couldn't bear to let Ouyang's heart be torn again, so he directly spent Ouyang.

People's hearts changed, and Zhang Fan didn't want to hurt the old lady again.

Ouyang Qing nodded with tears, and after squeezing Zhang Fan's small arm with his dry hands like chicken feet, he took the phone and walked out.As a series of calls went out, the hospital began to cooperate.

The main force of each department began to rush to the emergency department.Especially the pediatric doctors, who are somewhat qualified, are here.

Rescue, especially bleeding rescue, the best way is to rescue and correct shock while performing surgery to stop the bleeding, but now the blood on the child's body surface is stopped, but the child’s weak heart is like a bird's egg hanging on the edge of a cliff. , There is a possibility of falling at any time.

With the entry of the directors of Cardiology, Pediatrics, and Pediatrics, Ren Li took over Zhang Fan's leading position in the rescue. At this time, it is no longer a bleeding problem.

The heart, kidneys, liver, gastrointestinal tract, and electrolytes are all hanging on the line. To say something bad, the rescue now is like an ordinary person buying a lottery ticket. No one is sure.

"The operating room is ready!" Suddenly Ouyang felt much older. She was no longer a steel company. She was no longer a steadfast leader standing on the roof of the car, but an old woman.

"Well, dean, you can contact the parents of your children. You may need authorization from the parents of your children later." Zhang Fan stood by the expert group and wanted to spend Ouyang again.

"The child's parent can no longer come, so let's try our best to help. If there is a problem, I will be responsible."

"Ok?"

"The injured person reported that the child's mother and her concubine not only used drugs but also sold drugs. The injured person was originally a drug addict. The police have confirmed the situation."

"Hey!" Zhang Fan was not talking, but he let out a long sigh.

"Something inferior to a beast, the child is innocent, so pitiful." Ouyang gritted his teeth and said.The child's face was like a centipede lying on his stomach. It was stitched up by the ENT doctor, passing from the left cheek to the right lip.

"Director, the child is dead, and ventricular fibrillation has occurred."

"Quickly, get ready for electrocardioversion." Ren Li said with a grimace.At the moment she gave the order, a male doctor in her heart was holding a defibrillator to prepare for defibrillation.

What is the defibrillator? It is actually like two irons for ironing clothes, connected to the instrument.This instrument can instantly generate an appropriate amount of current, and then correct ventricular fibrillation through this current.

When using this instrument, the patient must not be connected to the ground or have metal connections, otherwise the child will become a conductor. The huge current can directly electrocute a person, and no one can touch the child.

And what is ventricular fibrillation is very simple.Just the heart started beating wildly.The beating of the heart is rhythmic, bouncing and bouncing, and the blood can be like a child sucking on the breast (a) head, one by one, it flows smoothly throughout the body.

But when the heart beats wildly, a vortex occurs in the blood. This vortex is terrible. It can consume the beating energy of the heart and make the blood unable to get out.

Just as the body of an old car turbulence occurs when it starts, this turbulence is like ventricular fibrillation of the heart.

And once ventricular fibrillation occurs, if it cannot be corrected immediately, the brain will immediately become hypoxic, and then the brain will give instructions to the heart: Give me a faster beat, I will almost die.

Then the heart speeds up and beats wildly. Just a few beats like this will cause the heart to suffer from heart failure.

When ventricular fibrillation occurs, without defibrillator and other relevant rescue equipment, you can punch the apex of the heart, with one hand on the heart, and the other on the back of the hand that is above the heart.But this kind of thing, unprofessional people can't do it at all.

"Boom! Boom! Boom!" The whole body of the child vacated by the defibrillator on the bed like a rag doll.

With the correction of the defibrillator, the expert group, Zhang Fan, and Dean Ouyang's eyes were fixed on the ECG monitoring. As long as the ECG is still chaotic, the child probably has no chance.

And at this time, the child immediately entered the triad of death (hypothermia, acidosis, coagulopathy).If the heart is not cardioverted, the rescue can only be declared a failure.

Bang!Bang!Bang!With the end of the defibrillator, the ECG of the monitor is finally normal.All the people present breathed a sigh of relief. The sweat of the pediatrics director was all down. At this time, everyone was so nervous that they didn't dare to breathe.

What is the moment of life hanging, this is the moment of life hanging.Doing with all your strength may not be effective. Human life is not as good as a dandelion in the wind at this moment.

"Has the blood gas analysis come out? Quickly, call the laboratory." Ren Li urged loudly, and she was also anxious. At this time, no one dared to say whether the child had acidosis.

One by one examinations were transmitted to the emergency center through the computer at the fastest speed. The blood PH has dropped. In this case, the electrolytes are almost all at the critical value, but in this case, the blood volume cannot be supplemented and nothing is used. .

The heart rate has just recovered, but at this time the monitor immediately started to alarm, and the heart rate was almost gone!There are two words for the heart, heart rate, which is popularly referring to the number of times the heart beats, and heart rhythm refers to whether the heart beats in a regular manner.

If the law is chaotic, it won't work, and the rate won't work."Push the fast adrenaline directly, not directly apical injection!" Ren Li was anxious.

Every member of the expert group is not nervous. At this moment, everyone's adrenaline is swelling, and Ouyang is also nervous, the old lady clings to Zhang Fan's arm tightly.

She is also an expert in cardiology, how could she not know the degree of danger now.

Wave after wave, the doctors from the city hospital teamed up to tug of war with death.However, now the god of death has the upper hand.

"Director Li, open the chest!" Zhang Fan saw that the medical treatment has come to an end. The child may die within minutes and seconds. Now the surgeon can only rely on the operation of the knife. He said to the director of cardiothoracic surgery.

Zhang Fan is not sure whether it will work or not.

"Dean..." After explaining to Director Li, Zhang Fan turned his head and glanced at Ouyang. Ouyang understood what Zhang Fan meant.

"Let's go, she died because of her bad life. If you live, God opens your eyes and pity her. I will sign and take responsibility for all the responsibilities!" The old lady became calm at this time and said quietly looking at Zhang Fan.

"Open your chest!"