Chapter 2 The race against death
The group members are already waiting here.
The leader of Kang Hong's group is Chang Qiu, deputy director of general surgery, a chief physician in his fifties, and an experienced female doctor. In the same group, there are deputy chief physician Wei Jun and attending physician Gu Xiujie.
Gu Xiujie is Kang Hong's superior doctor. Kang Hong followed him as soon as he entered the hospital and was considered his disciple.
Kang Hong told the team leader Chang Qiu about the basic situation of the injured and the initial diagnosis results of the emergency department.
He said to Chang Qiu anxiously: "There is a very troublesome thing. The patient has RH-negative Ab blood type. There are only two bags of blood reserved in the blood bank. Moreover, the patient has plate-shaped abdominal symptoms, pain refusal to press, and suspected intestinal rupture. If this is the case, the internal bleeding may have been contaminated by feces and cannot be reborn with autologous blood."
Chang Qiu's expression suddenly became solemn.
She is fifty years old this year. After years of hard work, the vicissitudes of life have made her eyes full of wrinkles.
She had experienced countless storms and rescued countless critically ill patients, but this time, she felt the burden on her shoulders bearing the extra weight, and her heart was completely suspended.
It hasn't been a long time since I was overwhelmed.
This time she couldn't help but worry.
The liver has a very rich blood supply. It has a dual blood supply. On the one hand, it receives arterial blood from the heart and supplies oxygen. On the other hand, it collects venous blood from the digestive tract through the hepatic portal vein to provide nutrition.
It is precisely because of the abundant blood supply that once the liver is damaged, bleeding is terrible.
Blood transfusion is the top priority for treating such patients.
Without blood transfusion, no matter how skillful the operation is, it will be in vain. Before you can complete the operation, the patient will die of blood.
Now, the patient actually has super panda blood, rh negative ab blood type.
This type of blood type is very rare. Even if Chang Qiu has performed tens of thousands of surgery, he has never encountered a patient with such a blood type.
This is the first time.
I encountered this today. Moreover, it was a serious liver laceration that needed blood supply the most.
There are only two bags of blood reserved, 600 milliliters, which is the last life guarantee for the wounded.
Before the operation began, the old lady was already on the verge of life and death.
If there is not enough blood preparation, the old lady may not be able to get off the operating table and must find more blood preparation!
She said to Haiyin: "You should contact the medical department and the hematology department immediately, please contact the central blood station and other hospitals, and collect it from the whole society if necessary."
Haiyin nodded: "Okay Director-General."
Wei Jun shook his head: "The probability of one in 100,000 is too difficult. The key is that time is too tight. If you really can't find blood, then it's his life."
Chang Qiu sighed: "Give me a critical illness notice!"
"OK."
Chang Qiu turned around and entered the operating room, and the others followed him in.
Haiyin filled out a critical illness notice and came outside the operating room.
There are multiple operating rooms in the General Surgery Center, and several seriously injured people have been sent here to carry out rescue.
At this moment, there were more than a dozen people in the waiting room outside the gate of the operating area, all of whom were patients' families. He rushed over and waited outside the door, each of whom was extremely anxious, and a few were crying constantly.
When the nurse came out, they hurriedly surrounded him.
Haiyin had just met Mei Shuyun in the emergency room. When she saw her on the phone with a bandage wrapped around her head, she called her over: "Doctor Kang asked you to contact your relatives and friends. Has anyone found the RH negative ab blood type?"
Mei Shuyun shook her head anxiously: "I called, but I said it was not this type of blood type. I have never heard of it."
"Your grandma has never been sick before? - a disease that needs a blood test?"
"She used to live in the countryside. She just picked her up to the provincial capital and encountered this damn car accident. We have never heard her say anything about r...h...that's blood type. The doctor said just now, but I didn't remember it either."
"Rh negative ab blood type, also known as super panda blood. Only one out of 100,000 people with this blood type is very rare. If you can't find it, your grandma will definitely die! - Don't blame me for being serious. The situation is very critically critical now. This is a notice of critical illness."
Mei Shuyun was dumbfounded, and took the critical illness notice with trembling hands and asked: "Can my blood be used?"
"You go to our nurse station, and they will draw blood tests for you."
Then, Haiyin called the medical department and hematology department to go.
Mei Shuyun cried in anger. While walking towards the nurse, she took out her cell phone to call her parents. She had already called her before and told her about the car accident, but she had never mentioned the blood type.
The phone was quickly connected, and her mother's voice was very anxious: "How is grandma?"
"I have already entered the operating room, but the nurse said that grandma's blood type is very rare. Only one out of 100,000 people has this blood type. Currently, there are only two bags of blood that can be found in the hospital. We need to ask relatives and friends if they have this blood type. We also said that if they cannot find this blood, grandma will... be dangerous..."
"Rare blood type? What blood type?"
"What is the name of RH negative ab blood type, also known as super panda blood. I want to send it to WeChat Moments for help."
"Okay, okay, please post it on Moments quickly, your dad and I will also send it. By the way, you can take a photo of your grandma's medical record or diagnosis certificate to me. If you have a credential, I will ask on WeChat."
Mei Shuyun agreed, hung up the phone, and quickly took a photo of her grandmother’s medical records during the emergency room and sent them to her mother.
She walked to the nurse station of general surgery and told the nurse about the situation. The nurse immediately conducted a blood test for her, and then said, "I'm sorry, your blood type does not match your grandma, so you can't give him a blood transfusion."
Mei Shuyun was very disappointed and tears were rustling. At this time, she saw the WeChat message sent by her father and mother for help.
After reading it, she felt that the diagnosis was not enough, so she took a selfie with her mobile phone. There was gauze wrapped around her head and blood stained on her body. A paragraph of text was added below:
"Dear buddies and sisters, old men: My grandma and I went out on a bus and encountered a traffic accident. My grandma was seriously injured and was being rescued. She needed a large amount of blood transfusion. My grandma's blood type is very rare. The doctor said it was RH-negative Ab blood type, and only one out of 100,000 people was there. The hospital was not prepared enough blood, and the situation was very critical. Please help with kind young men with this blood type. General Surgery Department of Provincial Third Hospital. Mei Shuyun kowtowed to you."
In general surgery operating room.
Every medical staff is very nervous because the patient has a rare blood type and only two blood bags are prepared for blood. The operation must be completed before use.
This is a race against death.
The anesthesiologist has completed general tracheal intubation. The patient is lying on his back, and the instrument nurse Bai Xiaoman and the circuit nurse have completed all preoperative preparations.
Kang Hong stood in Sansuke's position, holding the suction device, he was responsible for attracting blood from bleeding in the abdominal cavity, clearing blood clots, etc.
This is Kang Hong's first major operation, and he is a little nervous.
The operation begins.
Chang Qiu held a scalpel in his hand and steadily cut the right ribs below the limbus into the abdominal cavity.
Second assistant Gu Xiujie used a hook to open the incision to expose the artery field.
After a look, I was shocked. The amount of bleeding was even greater than what the emergency department predicted, at least more than one thousand milliliters.
Moreover, there was a stinky smell of feces in the abdominal cavity, and some feces were also seen in the blood, indicating that the intestines had been ruptured, and the bleeding in the abdominal cavity had been contaminated and could not be used.
The situation has become unprecedentedly serious.
As a Sansuke, Kang Hong was responsible for sucking blood and effusion. He didn't need the command of the main surgeon, so he picked up the suction device and sucked blood.
Chapter completed!