Chapter 377

Chapter 378 cytokine release

At two o'clock in the afternoon, the excision of the big neck disease took only ten minutes. All the nurses began to admire Chen Qun's foresight and prepared blood transfusion equipment and a lot of hemostatic gauze in advance.

Although several large blood vessels on the tumor have been clamped by Chen Qun with titanium forceps in advance, the blood flowing out of the tumor has long exceeded the blood loss of normal people. Three and a half liters of blood were pumped out of the three suction tubes, not counting the blood removed by the hemostatic gauze hemostatic stick.

There is only five and a half liters of blood in the normal human body. He lost at least four liters of blood here. The huge tumor, like a blood bag, dragged on his waist. No wonder other doctors did not dare to perform this operation.

Chen Qun was snatched back to the laboratory, there is no place to toss a few top students, this time is mixed into Chen Qun's surgical team, began to act as an assistant. They were most interested in the removal of such a large tumor. Naturally, they did not hesitate to use their identity as a member of the team to drive other residents away.

Originally, Chen Qun specially informed his girlfriend. As a result, Miss Dongfang said that he had something to do these days. He was busy picking up his old man and didn't have time to come. Let Chen Qun heart a knot in one's heart, think for a long time, feel don't know how to face girlfriend that reputation bad father, finally had to be ostrich, turn a blind eye to.

Chen Qun took a look at the patient's blood pressure, frowned slightly, "and then prepare 20 units of concentrated red blood cells, add low-temperature fresh frozen plasma and platelets."

He was more and more vigilant. Now he is a real great master of hemostasis and dissection. He also practiced twice in advance, which led to four liters of bleeding. If you switch to other doctors, you can't cope with the massive bleeding of various blood vessels in the tumor, and the operation would have failed.

However, the current situation of the operation has exceeded the symptoms of his practice. On the diagnostic panel of the corner of the eye, a new symptom gradually emerged - systemic pro-inflammatory cytokine release.

Before I could see it clearly, all kinds of alarms came out of my ears.

"Normal breathing!"

"There was no massive hemorrhage or acute blood loss!"

Zhou Lin, an assistant, and Zhao Xue, an instrument nurse, reported the situation as soon as possible.

"It should be distributive shock, it should be checked immediately, ready for shock resuscitation!"

Looking at the computer simulation system, Qi Hong also gave her conclusion and diagnosis.

Chen Qun Cai deeply felt what kind of things he could do and how many miracles he could create with this system plug-in. Because in many cases, there are seven or eight or even more than ten reasons for the conditions during the operation. Even experienced surgeons have misjudgments, which often means that the operation fails.

"No, it should be a cytokine storm. Look at the seventh number on the monitor. The WBC index has increased by two percentage points in ten seconds. It should be the systemic immune system that produces an anti-inflammatory response to massive bleeding. "

Huang Haitao, who watched the big screen in the observation room next door, gave another answer.

As soon as he said it, academician Yang Koizumi, who looked sleepy beside him, immediately began to sing against him.

"I think it's a post embolism syndrome caused by cutting off the tumor's blood supply system. It needs immediate intra-arterial injection of ricardine, plus 100 ml of methylprednisolone, and antibiotics at the same time."

Faced with Yang Xiaoquan's unquestionable authority, Chen Qun chose to fight back.

"Mr. Yang, this time I agree with Mr. Huang. You see, the leukemia index has increased by another percentage point in two seconds. Clamping the aorta immediately and slowing down the speed of tumor blood supply will naturally slow down the release of cytokines

Yang Xiaoquan stood up and yelled.

"Stupid boy, I'm afraid you've lost your head. Don't you know that if there is no blood supply from the aorta, the patient's brain will die! No matter how successful your operation is, people will die! "

Chen Qun gave an answer without any hesitation.

"I encountered this problem once, and we found a suitable solution, that is, once every few minutes, which can ensure that the patient has enough oxygen supply to the brain, and can also carry out the operation. I'll finish the removal in the next ten minutes. No.10 scalpel, hemostatic forceps! "

Chen Qun turned around and started the operation with a strong sense of reason, ignoring Yang Xiaoquan. However, I know that Yang is always kind enough to remind him, but I don't know that he is a man with plug-in. I knew what caused the disease. I just simulated an operation again and found the right way to deal with it.

Just because of the urgency of time, Chen Qun speeded up the separation of connective tissue and nerve tissue, gave up his favorite blunt separation, and directly used sharp instrument dissection to cut the remaining tangled tendons such as membrane nets and fibers.In less than three minutes, the tumor connected to the neck, leaving only two large and small blood vessels, one up and one down, close to each other at a distance of one millimeter.

"Crane arm preparation, Qi Hong, you are responsible for cutting these two blood vessels with scissors. I will immediately suture the incision of the front incision. Slow down, one by one. Pincers, tweezers

Chen Qun takes the black scissors handed over by Zhao Xue and without hesitation inserts the biggest "big scissors" into the hands of Er Zhu Qi Hong.

At first, the female Xueba was slightly stunned. In the twinkling of an eye, she was slightly pleased to know that Chen Qun had deliberately given himself the opportunity to perform the main operation. Half of it was to train her surgical skills, and the other half was to stop bleeding and suture as soon as he said. Otherwise, the front end of the two blood vessels had been clamped by him with two titanium forceps, and there would be no massive bleeding.

She quickly put the scissors a little longer than the palm of her hand on her thumb and middle and ring fingers. She felt that even if she wore gloves, there was a cold breath from the special steel equipment, which inspired her spirit, and all kinds of messy ideas disappeared. Calm down, gently cut the thumb's thick and thin upper blood vessel into two.

Chen Qun's needle holding forceps immediately took over, like a butterfly flying, and immediately sutured the blood vessel with a half purse string. The whole stitching time is no more than 50 seconds, as if it had been stitched countless times.

This is a wonderful change after he upgraded his sewing skill to a great master. No matter how fast he is, it gives people a sense of ease and freedom, and makes everyone feel that he is not in a hurry, but has some spare power.

"Cut the remaining one, and cut it directly against the tip of my needle!"

Chen Qun indicated the position with the tip of a needle. Qi Hong took the biggest "little scissors" in the toolbox and gave it a slight click, which was almost inaudible. It came from her heart. Let her involuntarily had a kind of impulse, want to continue to use this sharp extremely small scissors to continue to what, and then click to cut a few more comfortable.

This feeling, this feeling, is more beautiful than any sound.

For a moment, the female Xueba suddenly understood why she liked to listen to the sound of tearing silk in ancient times. Maybe, after the operation, I will borrow this pair of scissors to cut all kinds of cloth and paper in the dormitory. And then find Zhao Xueding to make a pair of scissors for cutting things.

Qi Hong just came up with this strange idea, and knew that she should have been under too much pressure for a long time. She needed something to relieve her pressure. This pair of scissors just provided a channel for her to vent, and she couldn't help laughing.