Chapter 1244

"Name Wang Dong!"

"Inpatient number!"

"Bed number!"

"Blood type..."

……

Blood transfusion is very strict. The so-called three checks and eight pairs are indispensable!

After all... Blood transfusion is an important means of intravenous blood supply. If you don't pay attention, this treatment will become a killing technique!

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

However, the patient has massive bleeding. If there is no timely supplement, general blood can be used to supplement in time.

After the nurses and the staff of the blood transfusion department checked eight pairs closely, Wang Dong was urgently transfused!

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

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 H antigen).

Most of these antigens are positive. When cross used, the reaction of different antigens and antibodies is easy to cause the so-called blood transfusion reaction and endanger life.

However, in addition to ABO typing, there is also an Rh blood group system.

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

Panda blood is Rh (d) negative. Because this blood type has no D antigen, it will not stimulate the other party's resistance when giving blood transfusion, and can sneak in quietly.

In fact, how to understand antigen?

It can be regarded as identifying anti-virus software.

Um!

Just sneak into the village and don't shoot.

Those with antigen are shot, and those without antigen are disguised.

In this way, if the shooter and the shooter are together, they must fight with each other.

That's almost what I mean.

People's panda blood is powerful. Just get in and don't fight with you.

But

Panda blood is also poor. Only panda blood can be transfused for blood transfusion. People who shoot in (with D antigen) will directly take the initiative to hit you.

This is that RH negative can give RH positive blood transfusion, but RH positive can't give others blood transfusion.

Panda blood is also called dedication blood!

At this time, Wang Dong had no time to send him to the radiology department for examination. He must open the abdomen for exploration as soon as possible.

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

Although in a short time, the amount of bleeding after the iron pipe penetrates 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 very large scale and short time.

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

Surgery is imminent!

"Blood transfusion department, continue to prepare blood! It is estimated that 8000 ml!"

"Urge the laboratory."

"Endotracheal intubation, increase oxygen flow!"

"Correct electrolyte and acid-base balance disorder!"

……

At this moment, Chen Cang feels that even giving medical orders is a waste of time. He wants to have three heads and six arms!

Old ma is in a hurry to contact the medical department.

The biggest risk of liver injury is hemorrhagic shock, especially when hepatectomy is required for severe liver trauma, the amount of bleeding is generally large and accompanied by varying degrees of shock, so anti shock and resuscitation treatment should be actively carried out.

In case of shock, resuscitation treatment is actually the most resigned.

Studies show that more than 90% of patients with shock for more than half an hour die, and a large number of cases have been reported. The mortality is positively correlated with the time of shock.

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

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

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

Because we still don't know where the patient is injured.

As a large organ, the risk of liver damage in different regions is also different!

Chen Cang has excellent liver surgery ability!

But he still can't guarantee the success of his operation.

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

Seeing that the patient's situation was also stable at this time, Chen Cang quickly asked the nurse to hand over the critical notice and informed consent and ran out.

It's time to explain. Chen Cang will never pull down.

With the passage of time, more and more people came soon.

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

At this time, the operation has not yet begun.

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

"Where was it damaged?" Gao Huarong asked directly.

Ma Yuehui shook his head: "it's too late to do any examination. Send it directly to the operating room."

Gao Huarong nodded: "how much bleeding?"

Ma Yuehui said directly, "around 2000, 500 blood and 500 ml of liquid were added."

Hearing the old horse's words, Gao Huarong was stunned. He glanced at the monitor and looked at his blood pressure: "2000 ml? How stable is the blood pressure control?"

"Did you give Ringer's lactate?"

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

Gao Huarong listened to Professor Chen and hesitated for a moment. Which Professor Chen is Professor Chen?

Yu Yonggang hurriedly said, "director Gao, it's Chen Cang!"

Gao Huarong heard Chen Cang and nodded.

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

Ma Yuehui nodded: "yes, all the doctor's orders were given by Chen Cang. The patient's situation is still stable."

Gao Huarong looked at it curiously, but he couldn't help being curious.

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

The emergency doctors here are not old, only in their thirties, but they really worship Chen Cang.

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

After that, Gao Huarong immediately thumbed up.

"Great!"

"Professor Chen is really powerful."

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

Hearing Gao Huarong say so, Yu Yong just nodded: "where's Professor Chen?"

"I went out to sign for my family."

Gao Huarong hesitated for a moment: "prepare for the operation!"

"Don't you wait for Professor Chen?"

"Can't wait for Chen Cang?"

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

……

With a few words in one voice, everyone was stunned.

They don't know how they can say such words.