"Name Wang Dong!"

"Hospital number!"

"Bed number!"

"blood type……"

...

Blood transfusion is very strict. As the saying goes, three checks and eight pairs are indispensable!

After all... Blood transfusion is an important means of blood supply intravenously. If you don’t pay attention, this treatment method will become a killing method!

Of course, there is no way to conduct strict verification when outdoors or other situations.

However, if the patient has severe bleeding and has no timely replenishment, general blood can be used to replenish it in time.

After the nurse and blood transfusion department staff carefully checked and eight times, Wang Dong was given an emergency blood transfusion!

Most people know that blood types are divided into abo blood types.

Why are they so classified?

In fact, it is the different types of antigens carried by the red blood cells on the surface of human blood, such as antigens a, b, and h (type o blood is an h antigen).

Most of these antigens are positive. When cross-used, reactions of different antigen antibodies can easily cause the so-called blood transfusion reaction and threaten life.

But in addition to abo typing, there is also a rh blood type system.

This is a system independent of the abo blood type, with various antigens on it, but the most important thing is the d antigen. Those with d antigen are rh(d) positive, while those without d antigen are naturally rh(d) negative.

Panda blood is negative for rh(d). Because this blood type does not have a d antigen, it will not inspire the other party's resistance when transfusions to other blood, and can quietly get in.

In fact, how do you understand antigens?

It can be regarded as an antivirus software.

Um!

Just go into the village quietly and don’t want to shoot.

Those who carry antigens are shot, and those who don’t carry are pretending.

In this way, the shooting person and the shooting person must fight a fight.

That's about it.

The pandas are so bloody, so I just want to sneak in and don’t fight with you.

but……

Panda blood is also pitiful. Blood transfusions can only be transfusions of panda blood. Those who shoot in (with D antigen) will directly attack you.

This is that rh negative can give blood transfusions to rh positive, but rh positive cannot give blood transfusions to others.

Panda blood is also called blood donation!

At this time, Wang Dong had no time to send him to the radiology department for examination, and he had to conduct a laparotomy as soon as possible.

The danger of inserting an iron tube into the liver is actually more complicated than stabbing a sharp knife into the liver.

Although in a short period of time, the amount of bleeding after the iron tube pierces into the liver is large, such as a sharp knife, this is because the iron tube forms a relatively closed environment so that it will not die of bleeding in a very large scale in a short period of time.

However, because the closed environment formed by the iron tube will cause the liver to be necrotic in the middle area, and the degree of liver necrosis will also increase due to ischemia and hypoxia caused by long-term bleeding.

Surgery is imminent!

"The blood transfusion department, continue to prepare blood! It is estimated to be 8,000 ml!"

“Urgent the laboratory.”

"Transtracheal intubation, increase oxygen flow!"

“Correct the disorder of electrolytes and acid-base balance!”

...

At this moment, Chen Cang felt that even giving doctoral instructions was a waste of time, and he wished he could have three heads and six arms alone!

Lao Ma was hurriedly contacting the medical department.

The greatest risk of liver damage is hemorrhagic shock, especially when severe liver trauma requires hepatic resection. Generally, the amount of bleeding is large and accompanied by different degrees of shock. Anti-shock and resuscitation should be actively treated.

Once shocked, resuscitation treatment is actually the most destined.

Studies have shown that more than 90% of patients who have been in shock for more than half an hour have died, and a large number of cases have also reported that the mortality rate is positively correlated with the shock time.

To put it simply, the longer the shock, the greater the possibility of death.

Because it's Sunday, there are not many people on duty.

After inviting the hepatobiliary surgery department for consultation, he also made a phone call with Yu Yonggang in time.

Because I still don’t understand where the patient is injured.

As a large organ, the risk of damage in different areas is also different!

Chen Cang has excellent liver surgery capabilities!

But he still couldn't guarantee that he could complete the operation successfully.

After making all the preliminary preparations, Chen Cang heard the nurse say that the patient's family had arrived at the door.

Seeing that the patient's condition had stabilized at this time, Chen Cang hurriedly asked the nurse to hand him a critical illness notice and an informed consent form and ran out.

Chen Cang will never pull down what he should explain.

As time passed by minute by minute, more and more people came soon.

Yu Yonggang took Gao Huarong, director of hepatobiliary surgery, directly into the operating room.

At this time, the operation had not yet begun.

Although the patient's blood pressure has recovered a little, it is still a bit dangerous.

"Where was the damage?" Gao Huarong asked directly.

Ma Yuehui shook her head: "I didn't have time to do any examination, so I sent it to the operating room."

Gao Huarong nodded: "How much bleeding?"

Ma Yuehui said directly: "About 2,000, 500 blood was replenished, plus 500 ml of liquid."

Hearing Lao Ma's words, Gao Huarong was stunned, looked at the monitor, and looked at his blood pressure: "2000 ml? Is the blood pressure controlled so stable?!"

"Did you give Lactate Ringer?"

The doctor on duty at the emergency department who came to the operation shook his head: "No, Professor Chen said there should be no near-hepatic vein damage, and there is no need to give Lactate Ringer fluid."

When Gao Huarong heard Professor Chen, he hesitated for a moment. Which Professor Chen is Professor Chen?

Yu Yonggang quickly said, "Director Gao, it's Chen Cang!"

After hearing Chen Cang, Gao Huarong said oh and nodded.

"This amount of bleeding was also evaluated by Professor Chen?"

Ma Yuehui nodded: "Yes, all the doctor's orders were given by Chen Cang, and the patient's condition is still stable now."

Gao Huarong looked carefully curiously, but couldn't help but feel a little curious.

"What doctor's order was given and what was used?"

The emergency doctor here is not very old, only in his thirties, but he really admires Chen Cang.

"Three venous channels were opened, and then blood was prepared, blood transfusion, fluid infusion, oxygen was given, correction of electrolytes and acid-base balance disorders, protect renal function, and prevent renal failure... The medicine used was..."

After saying that, Gao Huarong immediately gave a thumbs up.

"amazing!"

"This Professor Chen is really amazing."

"There can be used to temporarily maintain the patient's vital signs, and the key is to consider preventing renal failure, which is a clinical thinking and true master."

Hearing Gao Huarong say this, Yu Yonggang nodded: "Where is Professor Chen?"

"Go out and sign the family."

Gao Huarong hesitated for a moment: "Prepare for the operation!"

"Don't you wait for Professor Chen?"

"Don't you wait for Chen Cang?"

"Don't you have to wait for Chen Cang?"

...

Everyone was stunned by the few words that spoke in unison.

They didn't know how they could say such things.
Chapter completed!