Chapter 533

There is a saying in surgery that when encountering a patient with massive bleeding, the doctor must be calm and calm, and must not panic. However, there are two but, one is maternal bleeding, the other is infant bleeding.

These two situations are too special. Whether your doctor is calm or not, whether your doctor is calm or not, when he has obviously improved, perhaps the next second, there will be a sudden collapse of the body, and the patient will die in minutes and seconds.

The reason for a pregnant woman's accident is that all her organs were compensated during the original pregnancy. So, for a pregnant woman who was about to give birth, her heart blood output was 30% more than before she was pregnant.

This is the limit of organ compensation. In case of accidents, each organ can't compensate. In other words, there is no reserve of organs and no reserve army.

Children, because their organs are not yet developed and perfect, can't compensate if they want to compensate, so they often have all kinds of sudden accidents. Doctors can't prevent this sudden accident at all.

"Dean, please prepare the operating room first. Once there was a chance, there was a chance of surgery... "Zhang Fan couldn't bear to let Ouyang's heart be torn again, so he directly sent Ouyang out.

People change people's hearts. Zhang Fan doesn't want the old lady to get hurt again.

Ouyang held his tears and nodded. His dry hand like a chicken claw pinched Zhang Fan's small arm and went out with the phone. With the phone calls going out, the hospital began to linkage.

The main force of each department began to rush to the emergency department. Especially pediatricians, some qualified doctors have come.

The best way to rescue, especially bleeding rescue, is to correct the shock while doing surgery to stop bleeding. But now the blood on the child's body surface has stopped, but the child's weak heart, like a bird's egg hanging on the edge of a cliff, may fall at any time.

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

The heart, kidney, liver, gastrointestinal tract and electrolytes have been suspended on the line. If you say something bad, the current rescue is like ordinary people buying lottery tickets again. No one is sure.

"The operating room is ready!" Ouyang suddenly wanted to be much older. She was no longer a steel company. She was no longer a firm commander standing on the roof, but an old woman.

"Well, Dean, please contact the child's parents. Maybe you need the authorization of the child's parents later." Zhang Fan stands beside the expert group and wants to send Ouyang out again.

"The child's parents can't come. Try your best to help. I'll be responsible if something goes wrong."

"Huh?"

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

"Hey!" Zhang Fan was not talking, but sighed.

"Animals are inferior to things. Children are innocent. What a pity." Ouyang said gnashing his teeth. The child's face was like a centipede lying on his stomach. The doctor of the Department of facial features was stitching it, and the egg on his left face crossed under his right lip.

"Director, the child is dead. There is ventricular fibrillation."

"Come on, get ready for cardioversion." Ren Li said with a green face. At the moment she gave the order, a male doctor in her heart was preparing for defibrillation with a defibrillator.

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

When using this instrument, the patient cannot have a connection to the earth or a metal connector, otherwise the child will become a conductor. A huge current can directly electrocute people, and no one can contact the child.

And what is ventricular fibrillation? It's also very simple. It's the heart that's starting to beat. The beating of the heart is rhythmic, bouncing, and the blood can flow smoothly to the whole body like a child sucking the head of milk (a).

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

Just as the car body moves when the old car starts, this kind of movement is like ventricular fibrillation of the heart.

Moreover, once ventricular fibrillation occurs, if it cannot be corrected immediately, the brain will immediately lack oxygen, and then the brain will send instructions to the heart: jump faster for me, and I will suffocate.

Then the heart speeds up and jumps around. Just a few times, the heart will have heart failure. Once it fails, it will die and can't run away.

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

"Boom! Boom! Bang! " The child was hit by a defibrillator on the bed like a doll, and his whole body was vacated.

With the correction of the defibrillator, the expert group, Zhang Fan and President Ouyang stared at the ECG monitoring. As long as the ECG is still disordered, the child is estimated to have no chance.

And at this time, the child immediately entered the death triad (hypothermia, acidosis, coagulation dysfunction). If the heart doesn't recover, the rescue can only be declared a failure.

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

What is life hanging moment, this is life hanging moment. All efforts may not be effective. Human life is not as good as dandelion in the wind at this moment.

"Has the blood gas been analyzed yet? Come on, call the lab. " Ren Li urged loudly. She was also worried. No one dared to say whether the child had acidosis at this time.

One by one, the examination was transmitted to the emergency center through the computer as quickly as possible, and the blood pH has decreased. Now, in this case, the electrolyte is almost at the critical value, but in this case, the blood volume can't be made up, and it's useless.

The heart rate has just recovered, but at this time, the monitor starts to alarm directly, and the heart rate is almost gone! The heart has two words, heart rate. This popular means the number of times the heart beats, and the heart rhythm is whether the heart beats regularly.

If the law is out of order, it won't work. If the rate is gone, it won't work“ Fast adrenaline is directly pushed, not directly injected into the apex of the heart! " Ren Li is worried.

Every member of the expert group was not nervous. At this moment, everyone's adrenaline was strong, and Ouyang was nervous. The old lady grabbed Zhang Fan's arm.

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

Wave after wave, the doctors of the city hospital are in a tug of war with death. But now death is in the limelight.

"Director Li, open your chest!" Zhang Fan saw that the treatment of internal medicine had come to an end, and the child might die in minutes and seconds. Now he can only rely on the surgeon to operate. He said to the director of cardiothoracic surgery.

Zhang Fan is not sure whether he can do it or not.

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

"Come on, it's her fate to die. If she lives, God will pity her. I'll sign for all responsibilities! " The old lady calmed down at this time, looked at Zhang Fan quietly and said.

"Open your chest!"