Chapter 340

Wu Shiyu, who also changed his aseptic clothes, stood in the corridor outside the operating room. Through the small window on the door, he could see the situation inside.

There are three operating rooms in this corridor. Two of them have rescue teams working on ECMO for Gu Jun and Xue ba.

In addition to the washing table, there is also a row of rest chairs beside the corridor. Several screens are hung on the opposite wall to broadcast the images taken by several cameras above and beside the operating table in real time. Some backup medical staff and incantation personnel are in a state of preparation and can enter the operating room at any time.

Uncle egg, Zhang Huohuo are also sitting on the chair, although still looking at the screen, they are already exhausted.

Not only did they experience everything on the island, but it took a lot of effort to keep doing chest compressions. They and others had been pressing for more than two hours in turn. In fact, they had exhausted the last bit of strength very early. If it was not for their will, they would not have been able to maintain this period of time.

"Uncle egg, when it rains! What's the situation? " At this time, Lou Xiaoning came from the front hall, peacock and ink green followed.

They only knew that ECMO was done here, and Deng Ximei, who had spontaneous heartbeat and respiration, had some imaging examinations first, and then transferred to intensive care unit.

"They're still doing catheterization to open access." "Ah Jun opened his mouth and found the blood vessel Good job. That's it. Great Complete puncture and catheterization! "

The doctors and nurses in the corridor were slightly excited, and the command center also raised their spirits. This step was very smooth, which was a good start.

Lou Xiaoning went to Wu Shiyu and looked at the small window on the door with his left eye. He saw that the operating table was surrounded by medical staff.

From the cracks in those blue clothes, we can see Gu Jun on the operating table, connected with blood bags, drops, ECG monitors, anesthesia machines and other equipment. There are nurses doing chest compressions for him, doctors are treating his limb injuries, and of course, some doctors are doing puncture and catheterization.

In the operating room, Gu Jun is usually the one standing by the operating table to work hard, rather than like now.

"Alas." Lou Xiaoning can't help but sigh. What a nice person, but now, and Xue Ba are also

At this time, the sound of Luo De, the chief surgeon of ECMO team, heard from the loudspeaker on the screen: "the equipment is pre flushed."

Some personnel in the operating room are specially responsible for the operation and adjustment of those ECMO equipment, whose parameters are numerous and constantly changing. The interaction of multiple systems of cardiopulmonary ECMO must be understood by the personnel who have received corresponding training, and they should keep an eye on them and adjust them at any time. These are the difficulties of ECMO.

After the equipment was pre flushed, Luo De, the chief surgeon, immediately connected the endovascular catheter with the connecting tube. Everyone inside and outside the operating room were nervous at the moment, and ECMO began to operate!

ECMO has two main ways of bypass: one is to draw blood out through vein, oxygenate and pump into another vein. This is V-V bypass, which is suitable for patients with no risk of cardiac arrest; the other is via venous bleeding and finally sent back to the artery, which is V-A bypass, which is suitable for patients with cardiopulmonary function problems and cardiac arrest risk.

However, if the patient's heart completely stops beating for more than three hours under ultrasound diagnosis, it is easy to produce thrombosis and pulmonary edema due to the retention of cardiopulmonary blood under V-A mode. Therefore, thoracotomy should be performed immediately for the patient, and a-a-a bypass mode should be used instead of catheterization.

What the rescue team did for Gu Junxian was the V-A mode.

Uncle Gu, the red blood tube from their blood screen

Venous blood is dark red because of its low oxygen content, but now it is too dark, almost blackening, as if it is about to solidify

Uncle egg suddenly did not have that excitement, some blankly secretly breathed a breath, looking at the blood, do the doctor's heart know.

It's not a life of death. Ah Jun's life is ninety-nine. Now it's not just cardiopulmonary resuscitation and intracranial problems. His organs should have suffered from severe hypoxic ischemic damage, and all kinds of complications are just around the corner

On the corridor, many medical staff are sighing to themselves, but these sighs are stacked together, and everyone can hear them.

At the same time, after oxygenation of the equipment, the venous blood returned to Gu Jun through the arterial catheter, completing the first cycle.

After ECMO was successfully connected, the team stopped pressing Gu Jun's chest. Even if the patients can recover their heart rate, it is uncertain how long it will take. Some people will jump again as soon as they connect with ECMO, while others will take several hours or dozens of hours

But now on the screen of ECG monitor, Gu Jun's heart still can't see autonomous movement. Once the chest pressing stops, it will be a straight line.

"Half an hour to go." Uncle egg said, "ah Jun can have a little heartbeat, so you don't have to open your chest..."

CT equipment has already been transported into the operating room. In this ECMO state, the rescue team made brain CT for Gu Jun, and diagnosed massive intracranial hemorrhage. Craniotomy should be carried out immediately, because thoracotomy seems to be imperative, and open reduction of fractures is at the back.On the other hand, Xueba did not have cerebral hemorrhage and fracture, and ECMO was also successful, but the blood condition was worse than Gu Jun, and the organs were damaged more seriously.

"Oh, no, no more." Uncle egg stood up and called Wu Shiyu and others, "we can't help here. Let's go out and blow the wind on the deck."

Uncle Dan is mainly afraid that Wu Shiyu can't stand it. Even he can't stand watching ah Jun open his head and chest. Ah Jun will be shaved, his scalp cut, his skull drilled and his skull sawed open

"Uncle egg, I'm ok." Wu Shiyu said, "I want to stay here. I feel that he can see it. This can give him more power to support."

"All right, all right." Uncle egg is not forced to stay here. It's hard to leave. Follow her will.

Lou Xiaoning and peacock didn't go. They all sat on the chairs, looking at the operation on the screen, and talking with each other.

But it was at this time, close to Gu Jun's heart completely stopped for three hours.

One situation made the operating room excited, the command center was excited and excited, and all of them suddenly stood up in the corridor.

"There's a heartbeat! The patient has spontaneous heartbeat response! "

The screen of that ECG monitor is no longer just a dead straight line, but has a little weak ups and downs. Gu Jun's heart is beating again.

"This guy has a good heart Lou Xiaoning said excitedly, "you can't accept it."

"Don't open your chest. It's good. It's great." Uncle Dan also said repeatedly that although CPR doesn't mean that ah Jun has survived, it definitely means that he has this opportunity. Moreover, he has avoided an open chest operation and more complications, "great Xue team, Xue team, you can learn something... "

"Hoo..." Wu Shiyu took a long breath and sat down in the chair. "I thought I could see what he had in mind later."

"What else?" The voice of master Tong came out from the walkie talkie, "can there be my old man?"

There is a little smile in the suffering of the people. It is true that this battle has not been won yet, and it will be a long time to go.

But now, they see hope.

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