When a doctor opened a plug-in

"Name Wang Dong!"

"Hospital number!"

"Bed No!"

"blood type……"

...

Blood transfusion is very strict, as the so-called three checks and eight pairs, one is indispensable!

After all... blood transfusion is an important method of giving blood through veins, if one is not careful, this kind of treatment will become a murderous technique!

Of course, there is no way to conduct strict verification in outdoor situations.

However, if the patient has heavy bleeding and cannot be supplemented in time, he can use universal blood to supplement it in time.

After the nurses and the blood transfusion staff performed rigorous three checks, 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 types of antigens carried on the surface of red blood cells in human blood, such as antigens A, B, and H (type O blood is the H antigen).

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

But in addition to ABO typing, there is also a 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. The D antigen is Rh (D) positive, and the D antigen is naturally Rh (D). ) Negative.

Panda blood is Rh(D)-negative. Because this blood type does not have D antigen, when other blood is transfused, it will not stimulate the opponent's resistance, and can be mixed in quietly.

In fact, how do you understand antigens?

It can be regarded as identifying anti-virus software.

Ok!

Just enter the village quietly, not to shoot.

The one with the antigen is the one who shoots, and the one without the antigen is the one in disguise.

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

That's almost what it means.

Other pandas have a lot of blood, so just mix them in and don't fight with you.

but……

Panda blood is also pitiful. Blood transfusion 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, Wang Dong was too late to send to the radiology department for examination, so he must open the abdomen for exploratory surgery as soon as possible.

The risk of inserting an iron tube into the liver is actually more complicated than piercing a sharp knife into the liver.

Although in a short period of time, the amount of bleeding after the iron pipe is pierced into the liver is as large as that of a sharp knife. This is because the iron pipe forms a relatively closed environment, so that it will not die of bleeding in a short time on a large scale.

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

The operation is imminent!

"Blood transfusion department, continue to prepare blood! Expected to be 8,000 ml!"

"Using the laboratory."

"Tracheal intubation, increase oxygen flow!"

"Correct electrolyte and acid-base balance disorders!"

...

At this moment, Chen Cang felt that even giving a doctor's order was a waste of time, and he wanted to have three heads and six arms alone!

Lao Ma is hurriedly contacting the medical department.

The greatest risk of liver injury is hemorrhagic shock, especially when liver resection is required for severe liver injury. Generally, hemorrhage is large and accompanied by varying degrees of shock. Anti-shock and resuscitation treatment should be actively carried out.

Once shock, resuscitation treatment is actually the most resigned.

Studies have shown that more than 90% of patients who have been in shock for more than half an hour die, and a large number of cases have reported that the fatality rate is positively correlated with the duration of shock.

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

Because it is Sunday, there are not many people on duty.

After inviting the hepatobiliary surgery for consultation, he also called Yu Yonggang in time.

Because it is not yet clear 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 good liver surgery ability!

But he still can't guarantee that he can successfully complete the operation.

After making all the preliminary preparations, Chen Cang heard the nurse say that the patient's family was at the door.

Chen Cang saw that the patient's condition had stabilized at this time, and hurriedly asked the nurse to pass the critical illness notice and informed consent and ran out.

Chen Cang would never pull down what should be explained.

As time passed by, more and more people soon arrived.

Yu Yonggang took 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 was it damaged?" Gao Huarong asked directly.

Ma Yuehui shook his head: "It's too late to do any examinations, so I will send it directly to the operating room."

Gao Huarong nodded: "How much bleeding?"

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

Hearing what the old horse said, Gao Huarong was taken aback for a moment, glanced at the monitor, and checked his blood pressure: "2000 ml? The blood pressure control is so stable?!"

"Did you give Ringer lactate solution?"

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

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

Yu Yonggang said quickly: "Director Gao, it is Chen Cang!"

After Gao Huarong heard Chen Cang, he gave an oh and nodded.

"This amount of bleeding was also assessed by Professor Chen?"

Ma Yuehui nodded: "Yes, all the doctor's orders are from Chen Cang, and the patient's condition is fairly stable now."

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

"What medical advice 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, prevention of renal failure... The medicine used is..."

After speaking, Gao Huarong immediately gave a thumbs up.

"amazing!"

"Professor Chen is really amazing."

"These drugs can be used to temporarily maintain the patient's vital signs, and the key is to take into account the prevention of kidney failure, which is clinical thinking and true."

Hearing Gao Huarong say this, Yu Yonggang nodded: "Where is Professor Chen?"

"Go out and sign for the family."

Gao Huarong hesitated for a moment: "Get ready for surgery!"

"Don't wait for Professor Chen?"

"Don't wait for Chen Cang?"

"Don't wait for Chen Cang?"

...

A few words in unison, everyone was stunned.

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