Chapter 519

Embolism is a disease named after the corresponding organ ischemia due to the blockage of blood vessels by fat and thrombosis. The most common fat embolism is a super dangerous disease. This disease is really a race with death at the same time, one more second and one less second, and the outcome is often different.

A doctor who can rescue patients with embolism often has to work in relevant departments of the hospital for at least ten years to make effective rescue measures.

Amniotic fluid embolism is a boss level disease in embolization. Because this embolism is related to the complex components of amniotic fluid, once various hormones and factors enter the circulatory system.

The first is allergy, large-scale allergy, and then because these foreign bodies stimulate the blood vessel wall, the blood vessels begin to shake like cattle avoiding Gadfly. This is the spasm of blood vessels. Once spasm occurs, the orderly pulsation of blood vessels becomes disco.

Blood vessels begin to jump, which directly causes the inability of blood to flow smoothly, and then multiple organ ischemia.

As soon as multiple organs are ischemic, the heart begins to beat with more horsepower until heart failure. A series of problems lead to the complete collapse of body functions.

Just like dominoes, if doctors can timely and effectively stop the deterioration of physical function at an early stage, they may be able to correct it. If organ compensation fails and organs begin to fail, there is no way for immortals to come down.

The disease develops not only rapidly, but also violently, just like a flood breaking through a dam.

Zhang Fan quickly put on his surgical suit. The chief surgeon in Istanbul looked at Zhang Fan with gratitude. Although he didn't speak, the gratitude in his eyes can be seen.

He actively gave way to the position of the main knife. At this time, Chinese doctors have taken over the medical team in Istanbul.

"Positive pressure oxygen, direct incision of organs if necessary. Lao Cheng, it's up to you. " Zhang Fan and Xiang doctor have begun to explore the uterus, but Zhang Fan must use two things at once. He not only needs surgery, but also presides over the rescue.

The sweat on my forehead has slowly seeped out.

"Elder martial brother, dexamethasone 40mg Direct static push. The intravenous channel was hung with hydrocortisone for intravenous drip maintenance. " The purpose of hormone input is to suppress allergies. Allergies must be suppressed, otherwise there is no need to rescue allergies all over the body, and allergies can kill people.

"Yes!" In medical rescue, after the superior doctor gives instructions, the subordinate doctor or executive doctor must give feedback. If they can hear clearly and do it, they must give feedback at the first time.

"Head nurse, atropine 1mg, add papaverine (a) and inject it intravenously every ten minutes. Take aminophylline in the upper limb channel, 250mg into 25% glucose! "

"Yes!" Although the head nurse usually seems to be flirting around, which is a small means of survival in the workplace, she can become the head nurse in the major operating room of the third class hospital. She is skilled and very agile.

At the critical moment, the patient whose blood pressure can not be measured, this plump woman, the needle enters the blood vessel, and she doesn't say to prick it once more. This is the ability, this is the technology!

"Dextran, dopamine into the pot, 20 drops, walking in the lower limb channel."

"Yes!"

"Hairy anthocyanin C, 0.4mg, 50% sugar, static push!" This is a traditional Chinese medicine extract, which is used to treat heart failure with fast effect and low toxicity.

"Furosemide 40mg, upper limb static push."

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

Therefore, often, doctors' choices are very difficult. It's too hard to choose! Which organ doesn't matter, liver? Kidney? Or the brain, nothing is unimportant.

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

"Yes." This is a weak alkaline solution. When the body is ischemic, carbon dioxide will be stored and the pH value in the body will be acidified, resulting in acidosis, that is, electrolyte disorder.

Once this thing is disordered, the internal environment in the body will collapse. The body fluids and circuits of the human body work in a neutral environment. Once there is an acid-base imbalance, there will be a problem. It is important to correct shock, and it is also important to correct the acid-base balance. Often these two brothers enter the door with their front and rear feet.

We must go hand in hand here. There's nothing you can do before me, that is, whether it's respiratory circulation, shock or electrolyte disorder.

Must be corrected at the first time. Once one is not solved, all things are futile, which is the bucket effect of the human body.

"Antibiotics, ornidazole and cefaclor, double, enter in large doses." Amniotic fluid not only has nutrition, but also bacteria. For the first time, there was no need to suppress antibiotics. When the shock, circulation and electrolyte were solved, looking back, the infection occurred, and then the body collapsed again.

Really, amniotic fluid embolism is ridiculous.

Zhang Fan, while loudly giving oral medical advice, hurried to the doctor to explore the uterus in the abdominal cavity.

At this time, there was only one voice in the operating car, that is Zhang Fan, the main knife.

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

There was regret in his eyes. Doctors, no doctor wants his patients to die unexpectedly. Otherwise, he will never be able to assume the name of 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 may not meet them once.

However, if it happens once, it will be unforgettable forever. The chief surgeon in Istanbul is a professor in the hepatobiliary Department of their national hospital. At this time, he had long regretted death, but there was no regret medicine in the world.

Fortunately, the amniotic fluid embolism occurred when the child had been taken out, otherwise the risk would be doubled.

When the drug was injected into the patient, Zhang Fan also started hysterectomy. The bleeding can no longer be controlled. Although the patient has entered a state of shock, the uterus must be removed at the first time to achieve complete hemostasis.

According to the current medical statistics report, about 1600 pregnant women die every day in the world, of which about 500 die from massive bleeding.

Amniotic fluid embolism is uncommon, but postpartum hemorrhage is too common. Now the patient's body is in an ischemic state. Zhang Fan must perform hysterectomy quickly and as far as possible without bleeding in order to save the patient's life.

"O vicho line, turn back and shorten the line!" Zhang Fan said to the instrument nurse for the first time.

Although the uterus should be removed, because of caesarean section, the uterus must be closed first to reduce the bleeding before hysterectomy.

Zhang Fan took the nurse's needle holder and began to sew quickly. At this time, there is no need to suture layer by layer. As a requirement, we must suture quickly and firmly to stop bleeding at the first time.