Chapter 322: Chen Cang, come here!(1/2)
Xia Gaofeng looked solemn and asked, "How is the treatment now? Have you had blood transfusion?"
When Wu Peng saw Xia Gaofeng coming in, he immediately breathed a sigh of relief. This person was their backbone and quickly explained: "Director, he has been continuously replenishing fluids and has also undergone blood transfusions. Now his blood pressure continues to rise, or he will fall as soon as it rises!"
Wu Peng's words made everyone feel sad.
This is a manifestation of active bleeding in the chest cavity.
That is the so-called progressive hemothorax!
Wu Peng's words immediately made everyone understand that the patient's condition was a little more dangerous.
What is progressive bleeding? This means that there must be a rupture of large blood vessels in the chest cavity, otherwise it would be impossible to continue bleeding like this.
Moreover, this progressive bleeding requires immediate chest opening and detection to stop the bleeding.
In this case, there must be someone to stabilize the morale of the army.
And Xia Gaofeng, the chief director of the Department of Cardiology, stood up!
Xia Gaofeng was calm and calm, with a serious expression, but there was no panic. After carefully examining the patient's various situations, he made a series of arrangements in an orderly manner and said to Wu Peng: "How much does the chest drainage? I'll give me the chest radiograph."
While taking out the chest x-ray from the bag, Wu Peng replied to Xia Gaofeng: "The chest drainage has exceeded more than 300 milliliters!"
"But after the chest is drawn out, the blood accumulation in the chest cavity increases rapidly!"
Xia Gaofeng looked at the x-ray with a serious expression, and the shadow of the pleural cavity on the x-ray continued to grow!
"No solidification, right?"
Wu Peng nodded: "No!"
Xia Gaofeng knew it: "Prepare for surgery immediately, and cut off the chest to detect and stop bleeding!"
Wu Peng was stunned: "Director Xia...isn't you waiting for thoracic surgery?"
Xia Gaofeng pointed at the patient in the rescue room and asked back: "Who is waiting for him?"
The saying "Who is waiting for him" made Chen Cang feel his heart tremble.
...
...
At this moment, you must cut off the chest to stop bleeding, replenish blood volume in time, and correct shock!
The ability and level of a hospital can best be seen in the handling of emergency patients.
Shortly after the consultation phone call, the doctors in the cardiac surgery, orthopedics, cardiology, respiratory, and thoracic surgery were all in place!
“Venous access is established!”
"The fluid replenishment is completed!"
...
All work is in an orderly manner.
At this time, a sudden news made everyone lose their minds.
"The patient is suffocated!" said the nurse who was paying attention to the patient's condition suddenly.
With this trembling voice sounded, everyone present couldn't help but feel a little cold.
asphyxia……
This is not good news.
Suffocation for more than a certain period of time will cause hypoxia in the body. When the brain is hypoxia for more than a few minutes, it will face irreversible brain damage and even hypoxia in various organs.
The human body is like it is composed of countless living organisms, and oxygen is their nutrients. Their weak bodies will starve to death after a few minutes.
It is manifested in the necrosis of tissues and organs of the human body.
asphyxia?
Why is this happening?
Is it a foreign object obstruction in the oral cavity?
For example, secretions?
Or phlegm?
Blocked airway?
Or it's...
A terrifying idea appeared in everyone's mind.
Tracheal rupture?
Accompanied by chest bleeding.
The blood is blocked from the respiratory tract!
If it is a second person, it will be a bad thing.
Xia Gaofeng's face changed quickly:
"Suck sputum, clean up foreign objects in the oral cavity!"
"Open your chest immediately to stop bleeding!"
"Repair the ruptured airway!"
...
A series of orders were issued in an orderly manner, and everyone entered the busy and busy work.
The most important thing in this surgery is chest opening and bleeding detection surgery!
A chest opening investigation must be completed within the specified time to quickly stop bleeding blood vessels.
Suture the broken airway!
At this time, a mouthful of phlegm was sucked out.
The patient's breathing recovered again, and everyone couldn't help but breathe a sigh of relief.
But Xia Gaofeng frowned.
wrong!
There should be other reasons for this, not just the phlegm!
Moreover, the patient's blood oxygen saturation is constantly decreasing.
Xia Gaofeng issued instructions quickly.
Although it is not blood entering the trachea,... this possibility cannot be ruled out.
Now it's a mouthful of phlegm. What should I do if there is a lot of blood next time?
The doctor of the thoracic surgery department cooperated with Xia Gaofeng, and Meng Xi gave him help.
Thoracic surgery is a senior attending physician in the grade of 35 or 36 years old.
Soon, the breasts are opened!
I don’t know how many pieces of gauze have been used, and they are piled on the surgical towel next to it, and the blood in the chest cavity has to be washed with a syringe.
Soon, the bleeding opening was found!
There is a contusion and laceration on the aortic arch, and blood is constantly coming out. The sprayed blood can just reach the damaged tracheal mouth, which may be caused by the combined effect of sputum.
Next, the main tool is concentrated on the broken aortic arch!
It takes a short time to stitch it.
This kind of rupture and ligation of blood vessels is too troublesome.
Xia Gaofeng had quick eyes and quick hands, and quickly blocked the blood vessels with his hands, and the amount of bleeding suddenly improved a lot.
The method of stopping bleeding with bare hands.
Next, blood vessel suture is required.
But... the aortic repair and suture time is too short.
It is already difficult for Xia Gaofeng to do it now.
The older you are, the more experience you are, the more you are, but the older you are, you also face various problems caused by aging.
But, who should I do it?
Who will let the stitch?
This is a difficult question.
I glanced at Meng Xi and saw that she shook her head seriously and said, "I can't do it! In a short period of time... I can't sew it well."
Xia Gaofeng glanced at Ge Huai, but when he saw Ge Huai's hesitant eyes, before he could ask, Xia Gaofeng immediately shook his head and denied it!
Turning around and looking at Chen Cang, he said solemnly, word by word: "Xiao Chen! Come and sew it!"
To be continued...