Doctor Started a Plug-in

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Autotransfusion is an emergency rescue method!

There are many contraindications, but there are very few applicable symptoms.

The requirements on the Patient are very high, and the injuries are also very high.

In the current situation of relatively sufficient blood in blood banks, there are fewer and fewer medical institutions and individuals using autologous blood transfusion.

but!

It is undeniable that autologous blood transfusion can greatly reduce the probability of blood transfusion syndrome.

After all, you are your own blood, not the blood of others!

Tao Jun is in good health, and at this time, the amount of bleeding exceeds expectations, and blood transfusion must be needed to meet his own needs.

At this time, it is too late to do that many considerations.

Think about it again, people are gone!

Here, Xiao Ke was really panicked.

The autologous blood transfusion is the scene she has seen on TV, where have you met in life!

The blood in the abdominal cavity has completed 500 ml of blood through a simple “filter” made by Chen Cang and Xiao Ke, and blood transfusion has begun.

Here, for the sake of insurance, Chen Cang decided to retain another 300 ml!

At this time, there is still blood in the abdominal cavity!

It is conceivable, how much blood did this Tao Jun give?

Thanks to his tall and burly figure, otherwise, the more than 1000 milliliters of blood would have tossed ordinary people long ago.

Blood is drawn here, but Chen Cang needs to stop bleeding immediately!

surgery?

It’s definitely impossible.

Whether it is liver resection or liver repair, or more subtle spleen repair, you need a good surgical environment!

This is not the same as blood vessel repair, because the blood vessels inside the spleen and liver are all subtle and strange.

Whether it is near hepatic vein repair surgery or spleen repair small blood vessels, Chen Cang is not sure!

Generally speaking, compared to this closed liver injury, it is less stab and cut!

Closed injuries are relatively troublesome!

[Broken Liver: King-level boss! Hepatic comminuted rupture, parenchymal rupture exceeds 60%, multiple blood vessels injury, near hepatic vein injury…】

Chen Cang suddenly complexion changed!

The situation seems even harder than imagined!

Comminuted liver rupture is a liver injury with a very high mortality rate. The condition is complicated and the mortality rate is high. The main risks are hemorrhagic shock and secondary infection!

After seeing this liver, Rao was Chen Cang, and his spine became cold, and cold sweats exuded!

Can it be saved?

Do not!

Must be saved!

Here, Chen Cang swallowed and forced himself to calm down. However, in the face of such a patient, Chen Cang had no idea!

After all, not only the liver rupture, but also the spleen rupture awaiting Chen Cang!

[Broken spleen: boss boss, splenic capsule laceration combined with irregular splenic parenchyma… It is recommended to stop bleeding and repair in time! 】

At this time the liver is bleeding, and the spleen is no exception!

Hemostatic Forceps ligation?

With this impossible completion, with the help of the eye of precision, Chen Cang can clearly see that these livers have not been necrotic, and the surrounding small blood vessels continuously provide blood even if the liver and spleen rupture.

With a dying breath, it is better than death!

But how to stop bleeding?

At this time, the car has already started to exercise. It is estimated that it will not take long to return to Hospital, or it may take a long time…

Chen Cang’s eyes continuously examined the damaged liver, looking for areas of major bleeding and areas that required critical hemostasis.

Good for a few seconds!

Chen Cang said to Xiao Ke, “Give me some gauze pads!”

Xiao Ke quickly nodded and reached over directly.

Chen Cang took the gauze pad, stretched out his hand slightly, and pressed it where the liver ruptured and bleed.

Compressing hemostasis is probably the easiest way to stop bleeding.

But if you find the right place, the effect is very obvious, and there is less bleeding.

After hemostasis succeeded, Chen Cang pressed with his left hand, and then stared at the spleen with two gauze pads, pressing directly to stop hemostasis.

Bleeding in this brief moment has become slow, and there is not much blood in the abdominal cavity.

However, this is not the way to go!

The operation must be completed as soon as possible!

Chen Cang looked at the scarlet [liver] and [spleen] names.

Seeing that the tissue above is slowly changing color, this is a change caused by gradual ischemia.

just……

Chen Cang found the difference!

It seems that the man experienced 2 liver injuries.

For the first time, there was only a central liver rupture and a true liver rupture, not as comminuted liver injury as it is now.

However, not at all, obvious liver tissue breakage occurred!

However, some tissues of the liver are now looming, although the liver parenchyma is not damaged, but… the distal end of the chopped tissue is losing vitality due to liver tissue blood flow dysfunction!

This kind of tissue can only be removed…

As a result, Patient apparently experienced 2 injuries.

Suddenly, Chen Cang thought of the firefighters and soldiers just now, and immediately reacted…

After Xiao Ke was busy, Chen Cang quickly asked him to call Hospital quickly to prepare the rescue item, open the green channel, and start the operation quickly!

ten minutes later!

The car finally stopped at the emergency door. The moment the door opened, Chen Cang’s face was covered with sweat!

Tao Jun was covered by sterile towels.

Yu Yonggang has entered the Operation Theatre at this time, and the room is the leader of 2 groups. He saw Chen Cang’s appearance, and the complexion changed suddenly!

“Abdomen open?”

Chen Cang nodded!

“The situation is urgent and you have to open your belly!”

“Patient suffered severe comminuted liver rupture, plus multiple hepatic portal vein injuries, spleen rupture… bleeding volume up to more than 1200 ml, autologous blood transfusion 500 ml!”

“Now the blood pressure is 9065mmHg! The lifeform sign is stable and you need to prepare for surgery immediately!”

Hearing Chen Cang’s words, everyone suddenly froze.

Everyone is an emergency medical staff, knowing that these words are not so simple to say, but thrilling and rescue along the way!

Moreover, this situation can be safely delivered!

Visible Chen Cang level!

“Hurry up, transfer carefully, prepare blood test, contact the unit and family members, the medical department signs… quickly prepare for surgery!”

The team leader Hou Rong quickly deployed!

“Hold it up! Don’t mess up! Dr. Chen, you let go first, stop the bleeding and wait!”

Chen Cang nodded!

7 The 8 men worked hard together, and after a lot of effort, they pushed the Patient down.

After that, emergency rescue work began!

The entire emergency department at this time is like a tightening law, running fast.

After some preparations, Tao Jun has been quickly sent to the Operation Theatre.

Hou Rong, the leader of the 2 teams, also quickly took some members of the rescue team to prepare for the operation on the Patient!

“Dr. Chen, you rest for a while, we will do the surgery!”

After hearing this, Chen Cang said worriedly: “Patient’s comminuted rupture of the liver, plus injury to the hepatic veins…may require JHVI surgery.”

Hou Rong was shocked when he heard it!

No matter where JHVI is, it is a problem!

Because of the special anatomical location and difficult handling, the recent hepatic vein injury is still one of the most difficult problems in the field of liver surgery.

Chen Cang washed his face here, threw a disposable surgical gown, and directly said: “I will do JHVI surgery!”