C226

"Empress, I report to Empress that the combination of the Emperor's blood and the blood of several guards with the same blood type as the Emperor seems a little strange."

Ji Tian Ning raised her head in a rush and couldn't help but be stunned. She had asked the military doctor to cross over the blood to determine if it could be transferred. However, at this time, after cross over, there was unexpectedly a blood clot.

Cross matching is an important basis to determine whether or not blood transfusion can be performed. Blood transfusion should be prohibited if agglutination occurs between the red blood cells of the donor and the serum of the recipient (on the main side). The main side does not agglutinate, the second test (donor serum and recipient red blood cells) agglutination, when necessary can be a small, slow blood transfusion.

On the basis of blood group identification, cross matching test further proves that there is no antigen-antibody reaction of blood type incompatibility between recipient and donor to ensure the blood transfusion safety of recipient, which is a necessary procedure for blood transfusion.

In this backward era of medical treatment, Ji Tianning paid particular attention to these matters. This was because the moment something went wrong, it would result in the loss of a person's life.

Red blood cells contain only the A agglutinogen, or type A; those with the B agglutinogen are called type B; those with both A and B agglutinins are called type AB; those without both are called type O.

People with different blood types have different lectins in their serum, i.e., do not contain lectins against the agglutinogen of their own red blood cells. The sera of type A humans contain only anti-B agglutinin; those of type B humans contain only anti-A agglutinin; those of type AB humans contain no anti-A and anti-B agglutinin; and those of type O humans contain both anti-A and anti-B agglutinin.

Crossmatch can be used to check whether the blood type is detected incorrectly, and whether there are some other agglutinins or lectins in the red blood cells or serum between the transfusion patients, which is enough to cause the red blood cell agglutination.

"Could it be that his blood is of a rare blood type?"

Ji Tian Ning raised his arm and cut it open, dripping a few drops of blood onto the military doctor.

Her blood type was the Rare RhYX blood type, and she suspected that the same was true of the Fire Reversal Scale blood type.

Blood type A, B, O, AB, this is the traditional ABO blood type classification. As the research goes further, people find that besides ABO blood type, there can be other blood type classification.

Rh blood group is the most significant blood group after ABO blood group is found, and it is also one of the most complex blood group systems. Blood transfusions with incompatible Rh blood types can be life-threatening, and are classified as Rh positive x and negative x, with very few negative x blood types.

Rh blood group testing is important in lc, second only to the ABO system.

Blood transfusions that do not match Rh blood type may endanger the life of the patient; pregnancies that do not match Rh blood type between mother and child may result in stillbirth, premature delivery, and hemolytic disease of the newborn.

If the Rh negative X is injected into the Rh positive X blood (especially after multiple transfusions), Rh antibodies may be present in the Rh negative X blood. If the Rh negative X blood is transferred later, agglutination may occur, resulting in hemolytic x transfusion reaction.

If a Rh-negative woman is pregnant with a Rh-positive fetus, the red blood cells of the fetus take the opportunity to enter the mother, which can also stimulate the mother to produce an Rh antibody, which, even after the first transfusion, can cause a hemolytic x transfusion reaction.

When the military doctor went to do the examination, Ji Tian Ning first removed the left kidney of the fire reverse scale and then sewed it up. If the reverse scale really did have the Rh-X blood type, then she didn't have time to test if there were more guards who had this rare blood type, so she could only use her own blood to transfusion the reverse scale.

Therefore, she had to deal with her wounds as soon as possible and transfused the Fire Reversal Scale blood as soon as possible. Otherwise, the Fire Reversal Scale would become very dangerous.

"An Ling Cyan Mist, call for more people. Let the military doctor test whose blood matches his, his blood type is very rare."

The reverse fire scale had lost too much blood, and the blood transfusion alone was clearly not enough. It could only be used for a short period of time. Her blood transfusions would stabilize the Fire Reversal Scale after the operation, and more people would need to do blood transfusions for the Fire Reversal Scale.

She quickly sewn up the abdomen of the reverse fire scale and cut open the X portion of the reverse fire scale. This was what she was most worried about. If the arrow penetrated her chest and hit her heart, the reverse fire scale would become very dangerous.

No wonder the crystal skull didn't show any illusions or prophecies. It was probably because when the crystal skull was ambushed, the reverse fire scale had already discovered that something was wrong. It twisted its body with all of its might or used its weapons to block it.

The arrow was shot from the heart of the reverse fire scale, but it didn't hurt the heart. Instead, it went slightly sideways and pierced a piece of lung.

As a result, although the injuries were serious, they didn't injure the internal organs, making them much easier to deal with. It was just that the crossbow had pierced the blood vessel, so he had lost too much blood.

Ji Tian Ning hastily drew out the crossbow arrow from her chest and began treating her wounds. At the same time, he instructed the military doctor to deal with the blood that had just been drawn out from the reverse fire scale. At this time, the blood had to be transferred to the reverse scale. Otherwise, if the reverse scale lost too much blood, the operation might not be able to finish.

However, since the fire reverse scale was Rh's rare yin x blood, she could only use autotransfusion to stabilize the fire reverse scale and complete the operation.

Autotransfusion is when the patient needs a blood transfusion, inject the patient's own pre-stored blood, or blood loss recovery.

When Ji Tian Ning had extracted the blood from the reverse fire scale, she had placed it in a container. At that time, she had only placed it in case something happened, as autotransfusion had many advantages.

It can avoid diseases transmitted through blood, need not test blood type and cross matching test, can avoid hemolysis, fever and allergic reaction caused by antibody antigen immune reaction produced by allogeneic blood transfusion. It can avoid the error accident caused by allogeneic blood transfusion, and can stimulate the regeneration of red blood cell, make the patient's hematopoiesis speed faster than before operation, autotransfusion can alleviate the contradiction of blood source tension.

She only had the inspiration by chance. Seeing that the reverse flame scale had lost too much blood, she thought about the autotransfusion.

He didn't expect that his unintentional preparations would save the life of the reverse scale. If it hadn't collected the reverse scale's blood, and if it didn't have a blood type that could transfusion it, then the reverse scale wouldn't have been able to survive the operation.

At this moment, the reverse fire scale's breathing was weak to the point where it was barely breathing. It was in a deep coma and could be in danger of losing its life at any moment. Because he did not have an instrument, he was unable to see the soul-stirring data.

Wu De and An Ling felt their hearts clench. They had personally seen Ji Tian Ning remove a kidney from the body of the reverse scale, but none of them dared to make a sound.

Looking at Ji Tian Ning's exhausted face, who was focused on performing the operation on the reverse scale, they understood that the pressure on Ji Tian Ning was much greater than theirs. At this moment, no one dared to disturb Ji Tian Ning. The silence in the tent was such that everyone's breathing could be heard.

The only sound that could be heard was the occasional sound from the surgical instruments, causing everyone's heart to jump into their throats.

Autotransfusion, anticoagulation, and filtration were performed and then returned to the patient. They can be divided into autotransfusion in trauma, autotransfusion in operation and autotransfusion in operation.

Hemorrhage from the abdominal or thoracic cavity, such as rupture of the spleen or rupture of an ectopic pregnancy. For large operations with a blood loss of more than 100 ml, such as macrovascular surgery, open-heart surgery under cardiopulmonary bypass, lobectomy, etc., autotransfusion can be used.

Drainage and blood transfusion after operation is a new technique developed in recent years. It must be performed with strict aseptic operation. Generally, the drainage and blood transfusion can only be done within 6 hours after operation. The total amount of autologous blood loss should be limited to 3500 ml, and the amount should be replenished with fresh frozen plasma or polyplatelet plasma.

Due to the circumstances, Ji Tian Ning couldn't care too much about the rarity of the reverse scale blood type. All he could do was try his best to process the blood from the reverse scale and channel it back into his blood vessels.

Compared with allogeneic blood transfusion, autotransfusion has the advantage of saving blood, compensating the deficiency of blood source, avoiding the diseases caused by allogeneic immunity and blood transfusion, and reducing patients' medical expenses.

The blood that had been lost returned to the blood vessels of the reverse scale. The breath of the reverse scale and the faint heartbeat gradually increased with the return of the blood. His vital signs also gradually improved.

For those that were unable to suppress the bleeding, Ji Tian Ning simply used the infusion tube to connect the bleeding area to the blood vessels, allowing the blood to flow back into the reverse fire scale blood vessels.

As more and more blood returned to its body, the reverse scale's complexion became slightly better, and its breathing became heavier. Ji Tian Ning used his stethoscope to listen. The heart rate of the reverse fire scale gradually increased, turning towards a normal direction.

He let out a long breath. By using this method of autotransfusion, he could make the reverse scale last until the operation was completed. This would help him recover from his injuries.

However, before she came, the reverse fire scale had already lost too much blood. Even after she arrived, she had already collected the blood and sent it back, she still couldn't change how the reverse fire scale had lost too much blood.

Out of the three crossbow bolts, the one that had pierced the abdomen was the most serious, and the other two were not fatal. The most troublesome thing was that the reverse scale had lost too much blood. At this moment, the military doctor had already sent Ji Tian Ning and the reverse scale blood over. The blood had not agglomerated yet, meaning that the reverse scale blood was a very rare blood type.

On one hand, he used an autotransfusion method to stabilize the condition of the reverse scale and maintain the operation. At the same time, he hastily used the fastest speed to sew up the wound.

Ji Tian Ning had rushed here early in the morning and had been busy all this time. It was already afternoon and her entire body was drenched in sweat.

The two military doctors and the two imperial doctors didn't know much about modern medicine so it was extremely difficult for them to be her assistants. Most of the assistants and nurses still needed her to do what they needed to do personally.

Although she had been involved in many major operations before, the medical conditions and equipment were extremely advanced, and there were many doctors and assistants.

At this moment, she was picking the beam by herself, and this was indeed an extremely serious test. With her talent and the advantage of being involved in multiple large surgeries, she was finally able to sew up the last wound on the reverse scale.

He couldn't care too much now. If he didn't transfused the Fire Reversal Scale in time, even though he had already operated on it and took out three crossbow bolts, he still wouldn't be able to escape danger.

Ji Tian Ning took out the needles and blood vessels that she had used before. Originally, these should have all been first-time use items. However, in this era where she didn't have these tools, she could only use them multiple times after disinfection.

As she fed her own blood to the reverse scale, her own dark red blood slowly flowed out of her blood vessels and into the blood vessels of the reverse scale.