Six Hundred and Thirty Dead
There is a saying in surgery that when encountering a patient with massive bleeding, the doctor must remain calm and calm, and must not panic. But, there is a but here, one is bleeding from pregnant women, and the other is bleeding from young children.
These two situations are too special. Regardless of whether your doctor is calm or not, no matter whether your doctor is calm or not, when you are obviously getting better, maybe in the next second, there will be a sudden collapse of the body, and within seconds, the patient will die.
The accidents of pregnant women are because all the organs are compensating during the original 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 not pregnant.
This is already the limit of organ compensation. If an accident occurs, various organs can no longer compensate. In other words, there is no reserve of organs, no reserve army.
As for young children, because their organs are not yet fully developed, they cannot compensate even if they want to, so various sudden accidents often occur. There is no way for doctors to prevent such a sudden accident.
"Dean, you should 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 again, so he directly paid Ouyang.
People change people's hearts, and Zhang Fan doesn't want the old lady to get hurt again.
Ouyang nodded with tears in his eyes, squeezed Zhang Fan's small arm with his dry hand like a chicken's claw, and walked out holding the phone. With the phone calls going out one after another, the hospital began to link up.
The main force of each department began to rush to the emergency department. Especially the pediatric doctors, who have some qualifications are here.
Rescue, especially bleeding rescue, the best way is to correct the shock while doing surgery to stop the bleeding, but now the child's blood on the body surface 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 Pediatrics, Ren Li took over Zhang Fan's leading position in rescue. At this time, bleeding is no longer a problem.
The heart, kidneys, liver, gastrointestinal tract, and electrolytes are all on the line. To put it bluntly, the current rescue is like buying a lottery ticket for ordinary people, and no one is sure.
"The operating room is ready!" Ouyang suddenly felt a lot older, she was no longer a steel company, she was no longer a firm commander standing on the roof of a car, but an old woman.
"Well, Dean, you should contact the parents of the child. You may need the authorization of the parents later." Zhang Fan stood beside the expert group, wanting to send Ouyang out again.
"The child's parents can't come anymore,
Do your best to save me, I am responsible for any problems. "
"Ok?"
"The injured person reported that the child's mother and her concubine not only took drugs, but also sold drugs. The injured person was originally a drug addict. The police have already confirmed the situation."
"Hey!" Zhang Fan did not speak, but let out a long sigh.
"Things that are not as good as animals, children are innocent, so pitiful." Ouyang gritted his teeth and said. The child's face looked like a centipede lying on its stomach. It was stitched up by a doctor of the facial features department, from the left cheek to the right lip.
"Director, the child is dying and has ventricular fibrillation."
"Quick, get ready for cardioversion." Ren Li said with a livid face. The moment she gave the order, a male doctor in her heart was ready to defibrillate with a defibrillator.
What is a defibrillator like? In fact, it is like two irons for ironing clothes, connected to the instrument. This instrument can generate an appropriate amount of current in an instant, and then correct ventricular fibrillation through this current.
When using this instrument, the patient should not be connected to the ground or have metal connections, otherwise the child will become a conductor, and the huge current can directly electrocute the person to death, and no one should come into contact with the child.
And what is ventricular fibrillation, it is also very simple. It's just the heart started beating wildly. The beating of the heart is rhythmic, bouncing and bouncing, and the blood can flow smoothly to the whole body just like a child sucking a nipple.
But when the heart is beating wildly, the blood will form a vortex. This vortex is terrible. It can consume the beating energy of the heart and prevent the blood from pumping out.
Just like the turbulence of the car body when an old car starts, this turbulence is like the ventricular fibrillation of the heart.
And once ventricular fibrillation occurs, if it cannot be corrected immediately, the brain will immediately lack oxygen, and then the brain will send instructions to the heart: tell me to beat faster, and I will almost suffocate to death.
Then the heart beats faster and faster, just a few times like this, the heart will fail, and it will die when it fails, unable to run away.
When there is ventricular fibrillation and there is no defibrillator and other related rescue equipment, you can punch according to the apex of the heart, put one hand on the heart, and hit the back of the hand above the heart with one hand. But this kind of thing, unprofessional people can't play at all.
"Boom! Boom! Boom!" The child was beaten by the defibrillator on the bed like a rag doll, and his whole body vacated.
With the correction of the defibrillator, the expert team, Zhang Fan and the dean Ouyang stared at the ECG monitoring. As long as the ECG is still in disorder, the child probably has no chance.
And at this time, the child immediately entered the triad of death (hypothermia, acidosis, coagulation dysfunction). If the heart is not cardioverted, the rescue can only be declared a failure.
Boom! Boom! Boom! With the end of the defibrillator, the monitor's EKG was finally normal. All the people present breathed a sigh of relief, and the director of the pediatric department was sweating. At this time, everyone was so nervous that they dared not take a deep breath.
What is a hanging moment, this is a hanging moment. All efforts may not be effective. Human life is not as good as a dandelion in the wind at this moment.
"Did the blood gas analysis come out? Quickly, call the catalytic laboratory." Ren Li urged loudly, and she was also anxious. No one dared to say whether the child had acidosis at this time.
The examinations one by one were sent to the emergency center as quickly as possible through the computer. The pH of the blood has dropped. In this case, the electrolytes are almost always at the critical value, but in this case the blood volume cannot be replenished, and nothing is useful .
The heart rate had just recovered, but at this time the monitor immediately started to alarm, and the heart rate was almost gone! There are two words for the heart, heart rate, which in layman's terms refers to the number of times the heart beats, and heart rhythm refers to whether the heart beats in a regular manner.
It won't work if the law is messed up, and it won't work if the rate is gone. "Hurry up and push the adrenaline directly, not directly inject it into the apex of the heart!" Ren Li was anxious.
None of the members of the expert group was nervous. At this moment, everyone's adrenaline was pumping, and Ouyang was also nervous. The old lady was holding onto Zhang Fan's arm tightly.
She is also an expert in cardiology, how could she not know the degree of danger now.
Wave after wave, the doctors of the city hospital teamed up to tug-of-war with the god of death. Now, however, the Grim Reaper has gained the upper hand.
"Director Li, open the chest!" Zhang Fan saw that the internal medicine treatment had come to an end, and the child might die in a matter of seconds. Now the only thing left to do was the surgeon. He said something to the director of the cardiothoracic surgery department.
Whether it will work or not, Zhang Fan is not sure.
"Dean..." After explaining to Director Li, Zhang Fan turned his head and glanced at Ouyang. Ouyang understood what Zhang Fan meant.
"Let's go, it's her bad life if she dies, and if she lives, God will open his eyes and pity her. I will sign and take responsibility for all the responsibilities!" The old lady calmed down at this time, looked at Zhang Fan quietly and said.
"Open the chest!"