There is a saying in surgery that when encountering a patient with massive bleeding, the doctor must remain calm and collected, and must not panic. But, here is a but, one is bleeding in pregnant women, and the other is bleeding in young children.
These two situations are too special. No matter whether your doctor is calm or not, no matter whether your doctor is calm or not, when he is obviously getting better, maybe the next second, his body will suddenly collapse, and the patient will die in seconds.
Pregnant women have accidents because all their organs are compensating during pregnancy. In other words, a pregnant woman who is about to give birth will have 30% more blood output from her heart than before she was pregnant.
This is already the limit of organ compensation. In the event of an accident, various organs can no longer compensate. In other words, there is no reserve of organs and no reserve army.
As for young children, because their organs are not yet fully developed, they cannot compensate even if they want to, so they often suffer from various sudden accidents. Doctors have no way to prevent such a sudden accident.
"Dean, please prepare the operating room first. Once there is a chance, there is a chance for surgery..." Zhang Fan couldn't bear to let Ouyang's heart be torn apart again, so he sent Ouyang out directly.
People change people's hearts, and Zhang Fan didn't want the old lady to get hurt again.
Ouyang held back tears, nodded, squeezed Zhang Fan's small arm with his hands as dry as chicken feet, and walked out with the phone. As phone calls went out one after another, the hospital began to coordinate.
The main staff from various departments began to rush to the emergency department. Especially pediatric doctors, all with some qualifications are here.
The best way to rescue, especially for bleeding, is to correct the shock and perform surgery to stop the bleeding. But now the blood on the child's body has stopped, but the child's weak heart is like a bird's egg hanging on the edge of a cliff. , there is a possibility of falling at any time.
With the entry of the directors of cardiology, pediatrics, and pediatric critical care, Ren Li took over Zhang Fan's leading position in the rescue. At this time, bleeding was no longer a problem.
The heart, kidneys, liver, gastrointestinal tract, and electrolytes are all hanging on the line. To put it bluntly, the current rescue is like ordinary people buying lottery tickets, no one is sure.
"The operating room is ready!" Ouyang suddenly felt like she had aged a lot. She was no longer a steel company, she was no longer a resolute commander standing on the roof of the car, but an old woman.
"Well, Dean, please contact the child's parents. You may need authorization from the child's parents later." Zhang Fan stood beside the expert group and wanted to send Ouyang out again.
"The child's parents can't come anymore. Please try your best to rescue him. If there is any problem, I will be responsible."
"Um?"
"The person who hurt someone reported that the child's mother and her mistress not only took drugs, but also sold drugs. The person who hurt people was originally a drug addict. The police have implemented the situation."
"Hey!" Zhang Fan didn't speak, but let out a long sigh.
"Things that are worse than animals, the child is innocent. It's so pitiful." Ouyang said through gritted teeth. The child's face looked like a centipede lying on its side. The ENT doctor was suturing it from the left cheek to under the right lip.
"Director, the child is dying. He has ventricular fibrillation."
"Quick, prepare for electrical cardioversion." Ren Li said with a livid face. The moment she gave the order, a male doctor in her heart took a defibrillator and prepared to defibrillate.
What does a defibrillator look like? It's actually like two irons for ironing clothes, connected to the instrument. This instrument can generate an appropriate amount of current in an instant, and then use this current to correct ventricular fibrillation.
When using this instrument, the patient cannot be connected to the ground or have metal connections, otherwise the child will become a conductor, and the huge current can directly electrocute people, and no one can come into contact with the child.
What is ventricular fibrillation? It’s very simple. It's just that the heart starts beating wildly. The beating of the heart is rhythmic and bouncing, and the blood can flow smoothly to the whole body like a child sucking a breast (a).
But when the heart beats wildly, the blood will form a whirlpool. This whirlpool is very scary. It can consume the heart's pulsating energy and prevent the blood from being pumped out.
Just like when an old car starts moving, the body of the car will tremble. This turbulence is like ventricular fibrillation of the heart.
And once ventricular fibrillation occurs, if it cannot be corrected immediately, the brain will immediately be deprived of oxygen, and then the brain will send instructions to the heart: beat me faster, I will almost die from suffocation.
Then the heart accelerates and beats wildly. After a few beats, the heart will suffer from heart failure. Once it fails, it will die and it will be impossible to escape.
When ventricular fibrillation occurs and there is no defibrillator or other related rescue equipment, you can punch the apex of the heart with one hand padding the heart and the other hand hitting the back of the hand above the heart. However, this kind of thing cannot be done by unprofessional people.
"Bang! Bang! Bang!" The child was like a rag doll on the bed being hit by the defibrillator, and his whole body was vacated.
As the defibrillator was corrected, the expert team, Zhang Fan and Dean Ouyang kept their eyes on the ECG monitoring. As long as the ECG was still messy, the child would probably have no chance.
And at this time, the child immediately entered the triad of death (hypothermia, acidosis, and coagulopathy). If the heart continues to arrhythmia, the rescue operation will be declared a failure.
Bang! Bang! Bang! With the end of the defibrillator, the EKG on the monitor finally returned to normal. Everyone present breathed a sigh of relief, and the director of pediatrics was sweating. At this time, everyone was so nervous that they didn't dare to take a big breath.
What is a life-threatening moment? This is a life-threatening moment. Trying your best to do something may not be effective. Human life at this moment is not as good as a dandelion in the wind.
"Did the blood gas analysis come out? Quick, call the catalytic laboratory." Ren Li urged loudly. She was also anxious. At this time, no one dared to say whether the child had acidosis.
One by one, the examinations were sent to the emergency center through the computer as quickly as possible. The blood pH has dropped. In this case, the electrolytes are almost at the critical value. However, in this case, the blood volume cannot be replenished, and nothing is of use. .
The heart rhythm had just recovered, but at this time, the monitor started to alarm directly, and the heart rate was almost gone! There are two words for heart, heart rate, which generally refers to the number of times the heart beats, and heart rate, which refers to whether the heart beats regularly.
It won't work if the law is chaotic, and it won't work if the ethics is gone. "Push epinephrine directly, not directly into the apex of the heart!" Ren Li was anxious.
None of the members of the expert team were nervous. At this moment, everyone's adrenaline was pumping. Ouyang was also nervous. The old lady was holding Zhang Fan's arm tightly.
She is also an expert in cardiology. How could she not know how dangerous it is now?
Wave after wave, doctors from the city hospital formed a team to play tug-of-war with the God of Death. However, now Death has gained the upper hand.
"Director Li, open the chest!" Zhang Fan saw that the internal medicine treatment was over. The child might die in a matter of seconds. Now the only option was for the surgeon to operate. He said to the director of cardiothoracic surgery.
Zhang Fan is not sure whether it will work or not.
"Dean..." After explaining to Director Li, Zhang Fan turned his head and glanced at Ouyang. Ouyang understood what Zhang Fan meant.
"Come on, it's her fate that's bad if she dies, but God pity her if she lives. I'll sign and take all the responsibilities!" The old lady calmed down at this time and looked at Zhang Fan quietly and said.
"Open the chest!"
