Path of Medicine With a System

Generally speaking, when it comes to rescuing patients, the relevant department is responsible for any disease, but this person looks like a compound injury. Judging by the color of the blood, it is estimated that a large vein was damaged after puncturing the rectum and entering the pelvic cavity. It can be considered that the luck is not so bad, if it is a large artery, such a long time, acute heart failure would have lost blood and died!

Fluid resuscitation for patients with massive bleeding is a very necessary means, but what kind of fluid resuscitation is the best, the clinical debate has not yet been resolved! The principle requires that the electrolyte concentration of the liquid is similar to that of normal plasma; the osmotic pressure and osmotic volume are similar to those of whole blood; The literature in the past 20 years believes that early fluid resuscitation crystalloid is better than colloid, the former includes glucose and electrolytes, and the latter includes plasma, plasma substitutes and whole blood.

To put it simply, it is a matter of endless debate whether to transfuse blood first or balance fluid first when resuscitating patients with shock, let alone others.

This kind of internal organ bleeding must be rescued from shock while performing surgery, actively looking for bleeding points, and then stopping the bleeding. Only by stopping the bleeding first can there be hope of saving his life.

Without Ouyang, this operation is controversial. In the past, the director of the anorectal department would not be involved in this kind of thing. One more thing is worse than one less thing. Anyway, this kind of thing is carried out by general surgeons. He was happy to fuck his hemorrhoids.

But when Zhang Fan underwent a major operation for rectal cancer in the anorectal department, he couldn't sit still. His authority was almost destroyed by Zhang Fan. Good job. Now it has been rumored that he is just as good as cutting his ass off!

There is no way to bear it. He was still counting on the doctor below to raise a wife for him, "Get ready for surgery!" He looked at the patient being rescued, and was the first to make a sound. He thought it over, he would only perform surgery on his anorectal part when he opened his stomach.

The director of general surgery and the director of urology didn't say anything, he was embarrassed! No one set up the stage, the director of the medical office saw that the posture was wrong, and quickly contacted Ouyang. The boss is not the second child, and there is no strong superior. I really can't handle these directors with eyes on the top of their heads.

When the rescue was being carried out at the hospital and the operation was being prepared, the family members of the wounded in the harbor had long been overwhelmed. They were looking for someone everywhere. There was nothing they could do.

The family is big and the business is big, so there are many internal affairs. I hope that he will live, some hope that he will die, and some hope that he will not be alive. It's not surprising, money touches people's hearts! If it belongs to a small family, as long as they have the ability, they will definitely use their strength in one direction.

The phone of the patient's bodyguard kept ringing, and so did the phone of the frontier boss. What a mess, the people in the wounded family are playing games! In the game between surgery and hospital transfer, for a boss of this level, his wife may not be able to decide!

Ouyang came down with the phone, and the superiors also greeted him, but they didn't give orders directly. They just said, do your best. This is an attitude. The leader's phone calls are very particular, must, must, and try, all represent different levels of concern.

After Ouyang entered the emergency department, several directors of the surgery also spoke.

"How to do it? Who will come?" Ouyang asked. The level of attention of the leaders is different, so she also cares about the doctor's business. She doesn't want to put any pressure on the doctors. The identity of the patient has not been disclosed.

"Dean, this is an anorectal trauma, and I'm the one to handle it! But considering the heavy bleeding, I'm requesting assistance from other departments," said the director of the anorectal department.

"Okay!" Ouyang said after looking at him. Then he said to the directors of general surgery and urology: "Get ready for surgery." A few simple sentences confirmed the matter.

The director of anorectal surgery doesn't have much face, and his level is mediocre, so he can't invite the director of general surgery and urology, who is probably an ordinary deputy high-ranking officer, to assist. But enough, in fact, this operation looks dangerous, as long as the abdominal cavity is opened quickly, and the bleeding point is found,

Except for the requirement on speed, the others are not difficult, and it is not a very difficult operation that requires lymphatic cleaning and reconstruction.

While they were discussing the operation, the cardiology director of the emergency department was not idle. He had to hang his life first before the operation could be performed. What is hanging a life is to first ensure the circulation, the oxygen in the circulation!

Zhang Fan doesn't like gossip, and he doesn't like to be curious about the intrigue of several directors. What he cares about is the disease, and what he cares about is rescue. The director of the heart, an expert from a provincial hospital, even though she was squeezed out to a municipal hospital back then, her shock resuscitation technique was considered second in the municipal hospital, and no one dared to recognize her as the first! That's the qualification!

The principles and methods of early fluid resuscitation are particular, that is: early, rapid, and sufficient volume expansion is the key to the success of shock rescue.

Ren Li calmly stood in front of the hospital bed, crossed her hands, hugged her arms, and gave the oral doctor's order without thinking, "Establish four intravenous infusion channels, quickly infuse 1500ml of balanced salt solution, 500ml of dextran 70 (medium molecular dextran), and use the infusion Pump to expedite the infusion."

Then he looked at the ECG monitor and ordered directly: "Manually measure blood pressure! Quick." The nurse was too busy, so Zhang Fan stepped forward and took the blood pressure monitor, and quickly started to measure blood pressure. At this time, speed is important. Not a moment for grace.

"70/30mmhg. The pulse is fine and fast." Zhang Fan reported while measuring. "Blood transfusion, 300ml of venous whole blood pressurized and rapid intravenous infusion. Put dexamethasone into the pot." Ren Li continued, Ren Li also worked hard! This rescue method is a bit dangerous! Once you get it wrong, it will be a big deal!

This kind of person is not short of money, and he released a hundred thousand when he was admitted to the hospital! awesomeness.

"The blood pressure has risen, but the pulse is still fast. The director can operate!" Zhang Fan said to Ren Li.

"Okay, the rest is up to your surgeons." The principle of this first aid is also very simple. In layman's terms, there is a fish in the bowl and a hole is broken in the bottom of the bowl. You must keep adding water at a certain speed, not only to ensure the safety of the fish. The amount of water needed must be maintained so that it cannot overflow all at once! Then continue to maintain this balance, waiting for surgical hemostasis treatment.

This is skill!

Pushing the hospital bed and carrying a fixed liquid rack, the nurse quickly left the emergency department and ran to the special elevator for surgery. The anorectal director went out in high spirits, and he was about to enter the operating elevator.

"Which is the chief surgeon?" A lady who looked like an assistant stopped the director of the anorectal department.

"Ok?"

"Which of you is the chief surgeon?" The bodyguard translated. In Hong Kong, people with powerful families like this don't necessarily choose assistants for office work, and their old-fashioned British-oriented families reject Mandarin the most.

They either speak English or the local dialect! And it also flaunts a certain identity by speaking English!

"This is our chairman, the chairman with a net worth of more than four billion yuan, are you sure?" This woman didn't know whether it was intentional or not, but she just said one sentence, and the anorectal director was overwhelmed, and she didn't dare to enter the elevator! I guess this woman is an undercover agent!

Others don't know if they are in a hurry or not. The boss of Bianjiang must be in a hurry. He can't understand things in the business field, but he can tell from his expression that the relationship is not small or the interests involved are not small.

"President Ou, I'm a friend of the Secretary-General. Please help me out! I'll make up for you later!" Boss Bianjiang was scared to death. At this time, saying such words to threaten the doctor is clearly to ruin the situation!

Ouyang, who was about to lose his temper, stopped his anger and looked at the boss in the frontier. The boss was a man of about 1.8 meters, half bent, and looked down at the old lady who was a little over 1.6 meters in prayer.

Ouyang looked at the director of the anorectal department who was a little dazed, and said, "Say, tell her loudly!" Ouyang couldn't bear to scare a woman before the operation!

"I! I!" The director of the anorectal department's tone was a bit incoherent! The pot in Ouyang's stomach is boiling, it's too disappointing! Isn't it great to have a lot of money!

The people who came from their age are very contradictory. At present, many of the old-fashioned wealthy consortiums in Huaguo belong to their generation, but it is also their generation who can really say that they look down on the rich!

Ouyang glanced contemptuously at the director of the anorectal department, then looked back at a group of doctors who had just come out of the emergency department and said, "Whoever is sure, stand up! Don't be looked down upon! I can't afford to lose this person!"

"Me!" The director of urology!

"Me!" the director of the general surgery.

"Me!" the deputy director of urology.

"Me!" The deputy director of general surgery!

"Dean! Directors don't need to work, I'll do it!" Zhang Fan stood at the edge of the crowd and said loudly.

"Okay, it's you! Let the young doctor go!" Ouyang said!

When the frontier boss heard that the youngest doctor was on the job, he immediately softened! Paralyzed! Thousands of llamas fly by in my heart!

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