When a doctor opened a plug-in

Autologous blood transfusion is an emergency rescue method!

There are many contraindications, but few applicable ones.

The requirements for patients are very high, as are the requirements for injuries.

In the current situation of relatively sufficient blood in blood banks, there are fewer and fewer medical institutions and individuals using autotransfusion.

but!

It is undeniable that autologous blood transfusion can greatly reduce the possibility of blood transfusion syndrome.

After all, this is your own blood, not the blood of others!

Tao Jun is in good physical condition, but the amount of bleeding has exceeded expectations at this time, and he must need blood transfusion to meet his own needs.

At this time, it is too late to do so much consideration.

Think about it more, people are gone!

Here, Xiao Ke was actually panicked.

Autotransfusion is still a scene she has seen on TV, where she has met in life!

The blood in the abdominal cavity has passed through the simple "filter" made by Chen Cang and Xiaoke to complete 500 ml of blood, and the blood transfusion has begun.

And here, to be on the safe side, Chen Cang decided to keep nearly 300 ml more!

At this time, there is still blood in the abdominal cavity!

One can imagine how much blood did Tao Jun shed?

Thanks to his tall and burly figure, otherwise, this more than 1,000 milliliters of blood would have long been used by ordinary people.

The blood is drawn here, but Chen Cang needs to stop the bleeding immediately!

surgery?

It must be impossible.

Whether it is liver resection, liver repair, or more subtle spleen repair, a good surgical environment is needed!

This is not the same as vascular repair, because the blood vessels in the spleen and liver are all relatively subtle and strange.

Whether it is repairing the proximal hepatic vein or repairing small blood vessels in the spleen, Chen Cang is not sure!

Generally speaking, compared to this kind of closed liver injury, it is stab wound and cut lighter!

Closed injuries are relatively troublesome!

[Broken Liver: King-level boss!Comminuted rupture of the liver, more than 60% of the parenchymal rupture, multiple vascular injuries, and proximal hepatic vein injuries...]

Chen Cang's expression suddenly changed!

The situation seems even more difficult than imagined!

Comminuted liver rupture is a kind of liver injury with extremely high mortality. The disease is complicated and the fatality rate is high. The main danger is hemorrhagic shock and secondary infection!

After seeing this liver, it was Chen Cang who also had a cold back, oozing cold sweat!

Can it be saved?

Do not!

Must be saved!

Here, Chen Cang swallowed and forced himself to calm down. However, facing such a patient, Chen Cang had no idea!

After all, not only a ruptured liver, but also a ruptured spleen awaits Chen Cang!

[Broken spleen: Lord-level boss, spleen capsule laceration combined with irregular splenic parenchymal laceration... It is recommended to stop bleeding in time!

The liver is bleeding at this time, and the spleen is no exception!

Hemostatic forceps ligation?

This is impossible to accomplish. With the help of the Eye of Precision, Chen Cang can clearly see that these livers are not yet necrotic, and the surrounding small blood vessels are constantly supplying blood even if the liver and spleen are ruptured.

It's better to be dying than to die!

But how to stop the bleeding?

At this time the car has started to use, it is estimated that it will not take long to return to the hospital, or it may take a long time...

Chen Cang's eyes kept scrutinizing the damaged liver carefully, looking for the place where hemorrhage was serious, and the place that needed to stop bleeding.

A few seconds!

Chen Cang said to Xiao Ke, "Give me some yarn pads!"

Xiao Ke nodded quickly, and handed it over.

Chen Cang took the gauze pad and stretched out his hand slightly harder, pressing it against the ruptured liver.

Compression to stop bleeding may be the easiest way to stop bleeding.

But if you find the right place, the effect is very obvious and the bleeding is less.

After hemostasis was successful, Chen Cang pressed his left hand, and then stared at the spleen. There were two more gauze pads, and he pressed directly to stop the bleeding.

At this moment, the bleeding became slow, and there was not much blood in the abdominal cavity.

However, this is not the answer!

The operation must be completed as soon as possible!

Chen Cang looked at the scarlet [liver] and [spleen] names.

Seeing that the above tissue is slowly changing color, this is a change caused by gradual ischemia.

just……

Chen Cang found the difference!

It seems that the man has experienced two liver injuries.

For the first time, only the central rupture of the liver and the true rupture of the liver occurred, and there will be no comminuted liver damage like now.

However, no significant liver tissue rupture occurred!

But now some tissues in the liver have been faintly dissected. Although the liver parenchyma will not be damaged, but... the distal end of the dissected tissue is losing vitality due to the blood flow disorder of the liver tissue!

This kind of tissue can only be removed...

In this way, the patient obviously experienced two injuries.

Suddenly, Chen Cang thought of what the firefighter had just said, and suddenly reacted...

After Xiao Ke was finished, Chen Cang hurriedly asked him to call the hospital to prepare rescue items, open the green channel, and start the operation quickly!

ten minutes later!

The car finally stopped at the entrance of the emergency department. The moment the door opened, Chen Cang's face was full of sweat!

Tao Jun was covered by a sterile drape.

Yu Yonggang had already entered the operating room at this time, and in the room was the leader of the second group, his expression suddenly changed when he saw Chen Cang's appearance!

"Opened?"

Chen Cang nodded!

"The situation is urgent, I have to open my stomach!"

"The patient suffered a severe comminuted rupture of the liver, plus multiple hepatic portal vein injuries, and a ruptured spleen... The bleeding volume was as high as 1200 ml and 500 ml of autologous blood transfusion!"

"The blood pressure is 9065mmHg now! The vital signs are stable and I need to prepare for surgery immediately!"

Hearing Chen Cang's words, everyone was stunned.

Everyone is an emergency department, and we know that these few words are not so simple to say, but the thrills and rescues along the way!

Moreover, this situation can be delivered safely!

Visible Chen Cang's level!

"Hurry up, move carefully, prepare blood tests, contact the unit and family members, and sign the medical department... quickly prepare for the operation!"

Team 2 leader Hou Rong quickly deployed!

"Hold it up! Don't move! Doctor Chen, let go first, stop the bleeding and wait!"

Chen Cang nodded!

Seven or eight men worked hard together, and it took a lot of effort to push the patient down.

After that, emergency rescue work began!

At this time, the entire emergency department is like a tightened law, running quickly.

After some preparations, Tao Jun was rushed to the operating room.

Hou Rong, the leader of the second group, also hurriedly took several members of the rescue team at this time, preparing to perform surgery on the patient!

"Dr. Chen, take a break, and we can do the operation!"

After Chen Cang heard this, he said worriedly: "The patient's liver is comminuted rupture, plus the damage to the proximal hepatic vein... may require JHVI surgery."

When Hou Rong heard this, he was stunned!

No matter where JHVI is, it is a problem!

Because of the special anatomy and the difficulty in handling, the injury of the proximal hepatic vein is still one of the most difficult problems in the field of liver surgery.

Chen Cang washed his face here, threw away the disposable surgical gown, and said directly: "I will do JHVI surgery!"