Autotransfusion is an emergency rescue method!
There are many contraindications, but few applicable diseases.
High requirements for patients and injuries.
At present, when the blood in the blood bank is relatively sufficient, there are fewer and fewer medical institutions and individuals using autologous blood transfusion.
But!
It is undeniable that autotransfusion can greatly reduce the possibility of transfusion syndrome.
After all, this is your own blood, not someone else''s blood!
Tao Jun is in good health. At this time, the amount of bleeding exceeded expectations. He must need blood transfusion to meet his own needs.
At this time, it is too late to think so much.
Think again, there are no people!
Here, Xiao Ke is actually very flustered.
Autotransfusion is still the scene she saw on TV. Where did she meet in life!
The blood in the abdominal cavity has completed 500 ml of blood through the simple "filter" made by Chen Cang and Xiao Ke, and began blood transfusion.
Here, for the sake of insurance, Chen Cang decided to keep nearly 300 ml more!
At this time, there is still blood in the abdominal cavity!
It can be imagined that how much blood did the Tao army shed?
Thanks to his tall and burly figure, otherwise, the more than 1000 ml of blood would have lost ordinary people.
Blood is drawn here, but Chen Cang needs to stop bleeding immediately!
operation?
It must be impossible.
Whether it is liver resection or liver repair, or more subtle spleen repair, it needs a good operating environment!
This is different from vascular repair, because the blood vessels in the spleen and liver are all subtle and strange.
Chen Cang is not sure whether it is near hepatic vein repair or spleen repair of small blood vessels!
Generally speaking, compared with this closed liver injury, it is less stabbing and cutting!
Closed injury is relatively troublesome!
[damaged liver: king boss! Smashed liver rupture, parenchymal rupture of more than 60%, multiple vascular injuries, near hepatic vein injuries...]
Chen Cang suddenly changed his face!
The situation seems to be even harder than expected!
Comminuted liver rupture is a kind of liver injury with high mortality. The condition is complex and the mortality rate is high. The main risk is hemorrhagic shock and secondary infection!
After seeing this liver, Rao is Chen Cang, his back is cold, and bursts of cold sweat exudes!
Can you save it?
no
Must be saved!
Here, Chen Cang swallowed his saliva and forced himself to calm down. However, in the face of such a patient, Chen Cang had no bottom in his heart!
After all, not only liver rupture, but also spleen rupture is waiting for Chen Cang!
[damaged spleen: Lord boss, splenic capsule laceration combined with irregular splenic parenchyma laceration... 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?
This cannot be done. With the help of precision eyes, Chen Cang can clearly see that these livers are not necrotic, and the surrounding small blood vessels are constantly providing blood even if the liver and spleen are ruptured.
Dying is better than dead!
But how to stop the bleeding?
At this time, the car has started to run. It is estimated that it will not take long to return to the hospital, or it may take a long time
Chen Cang''s eyes kept carefully examining the damaged liver, looking for the place of massive bleeding and the place where key hemostasis was needed.
A few seconds!
Chen Cang said to Xiao Ke, "give me some yarn mats!"
Xiao Ke nodded quickly and handed it directly.
Chen Cang took the gauze pad, stretched out his hand and pressed it slightly on the place where the liver ruptured and bled.
Compression hemostasis is probably the simplest way to stop bleeding.
But if you find the right place, the effect is also very obvious, and there is less bleeding.
After the hemostasis was successful, Chen Cang pressed his left hand, then stared at the spleen with two more gauze pads and directly pressed to stop the bleeding.
At this moment, the bleeding became slow, and the blood accumulation in the abdominal cavity was not much.
However, this is not the way!
The operation must be completed as soon as possible!
Chen Cang looked at the scarlet names of [liver] and [spleen].
Looking at the above tissue is slowly changing color, which is a change caused by gradual ischemia.
Just
Chen Cang found a difference!
It seems that the man experienced two liver injuries.
For the first time, only the central rupture of the liver and the true rupture of the liver occurred, which would not lead to such comminuted liver injury as now.
However, there was no obvious disconnection of liver tissue!
But now some liver tissues have been vaguely severed, although it will not damage the liver parenchyma, but... The distal end of the severed tissue is losing its vitality because of the blood circulation disorder of the liver tissue!
This kind of tissue can only be removed
In this way, the patient obviously experienced two injuries.
Suddenly, Chen Cang thought of what the fire officers and soldiers had just said and immediately reacted
After Xiao Ke finished his work, Chen Cang hurriedly asked him to call the hospital to prepare the rescue items, 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 full of sweat!
Tao Jun was covered by a sterile towel.
Yu Yonggang had entered the operating room at this time, and the room was the leader of group 2. When he saw Chen Cang''s appearance, his face suddenly changed!
"Open?"
Chen Cang nodded!
"The situation is urgent and I have to open my stomach!"
"The patient has severe comminuted liver rupture, plus multiple hepatic portal vein injuries and spleen rupture... The amount of bleeding is more than 1200 ml and autologous blood transfusion is 500 ml!"
"Now the blood pressure is 9065mmhg! The vital signs are stable and we need to prepare for the operation immediately!"
Hearing Chen Cang''s words, everyone was stunned.
We are all emergency personnel. We know that these words are not so simple to say, but thrilling and rescue all the way!
Moreover, this situation can be delivered safely!
Visible Chen Cang level!
"Hurry, transfer carefully, prepare blood test, contact the unit and family members, and sign by the medical department... Quickly prepare for the operation!"
Group leader Hou Rong quickly deployed!
"Hold it steady! Don''t move! Dr. Chen, let go first, stop bleeding and wait a minute!"
Chen Cang nodded!
Seven or eight men worked together and wasted a lot of effort to push the patient down safely.
After that, the emergency rescue work began!
At this time, the whole emergency department is like a tightened law, running fast.
After some preparation, Tao Jun has been quickly sent to the operating room.
Hou Rong, leader of the second group, also hurried to take several members of the rescue team to prepare for the operation on the patient!
"Dr. Chen, take a break. We''ll just come for the operation!"
After hearing this, Chen Cang said with concern: "the patient''s liver is comminuted and ruptured, plus the injury near the hepatic vein... May need jhvi surgery."
Hou Rong was stunned when he heard this!
Wherever jhvi is, it is a problem!
Because of the special anatomical site and difficult treatment, the injury of near hepatic vein is still one of the most difficult problems in the field of liver surgery.
Chen Cang washed his face, threw away his disposable surgical suit and said directly, "I can do jhvi surgery!"