Path of Medicine With a System

Embolism is a disease named after fat, thrombus, etc. block blood vessels, resulting in ischemia of the corresponding organs. The most common fat embolism is a super dangerous disease. This disease is really at the same time, racing against the god of death, one second more and one second less, often the outcome is different.

A doctor who can rescue patients with embolism often has to work in the relevant departments of the hospital for at least ten years before he can make effective rescue measures.

And amniotic fluid embolism is a BOSS-level disease among embolisms. Because this kind of embolism is related to the complex composition of amniotic fluid, once various hormones and various factors enter the circulatory system.

The first thing to happen is allergy, large-scale allergy, and then because these foreign objects irritate the blood vessel wall, the blood vessel starts to vibrate like a cow avoiding a gadfly. This is the spasm of the blood vessel. It became a disco.

The blood vessels began to jump, which directly caused the blood to not flow smoothly, and then multiple organ ischemia.

When multiple organs are ischemic, the heart starts beating with increased horsepower until heart failure. A series of problems lead to the overall collapse of body functions.

Just like dominoes, if the doctor can timely and effectively stop the deterioration of the body function at an early stage, maybe it can be corrected. If the organ fails to compensate and the organ begins to fail, then the gods will be fine.

The disease developed not only rapidly but violently, like a flood breaking a dam.

Zhang Fan put on the surgical gown quickly, and the chief surgeon in Istanbul gave Zhang Fan a grateful look. Although he didn't speak, the gratitude in his eyes could be seen.

He took the initiative to get out of the position of the chief knife. At this time, doctors from Huaguo had taken over the medical team from Istanbul.

"Give oxygen under positive pressure, and cut the organs directly if necessary. Lao Cheng, I'll leave the respiratory cycle to you." Zhang Fan and Doctor Xiang have already started to explore the uterus, but Zhang Fan has to focus on two things. He not only needs to do surgery, Also preside over the rescue.

The sweat on his forehead has slowly seeped out.

"Brother, dexamethasone 40mg is directly injected intravenously. The intravenous channel is hung with hydrocortisone intravenous drip for maintenance." The injection of hormones is to suppress allergies. Allergies must be suppressed, otherwise the allergies all over the body will not need to be rescued. , even allergies can kill people.

"Yes!" In medical rescue, after the superior doctor gives an order, the subordinate doctor or the executive doctor must give feedback, whether they can hear clearly and whether they can do it, they must give feedback immediately.

"The head nurse,

Add papaverine 1mg to atropine and inject it intravenously every ten minutes. Use aminophylline in the upper limb passage, 250mg into 25% glucose! "

"Yes!" Although the head nurse usually seems to be flirting around, which is not a small means of survival in the workplace, but to become a head nurse in a major operating room of a tertiary hospital, not to mention skilled, her hands are very agile.

At the critical moment, the patient whose blood pressure could not be measured, this plump woman, did not say that the needle was inserted into the blood vessel more than once, this is the skill, this is the technique!

"Dextran, dopamine into the pot, 20 drops/min, lower limbs walking."

"yes!"

"Olanatoside C, 0.4mg mixed with 50% sugar, static push!" This is a traditional Chinese medicine extract, which is used to treat heart failure with fast effect and low toxicity.

"Furosemide 40mg, upper limb static push."

"Yes!" This is a diuretic, not only to prevent pulmonary edema, but also to protect kidney failure. Because once the body is ischemic, the body will supply the contracted blood directly to the brain, and the kidneys are very easy to fail due to ischemia.

Therefore, often times, the choice of doctors is very difficult. The choice is too difficult! Which organ is not important, the liver? kidney? Or the brain, none of which is unimportant.

"5% sodium bicarbonate 250ml, walking with lower limbs."

"Yes." This is a weak alkaline solution. If the body is ischemic, carbon dioxide will be stored and leaked, and the pH value in the body will be acidified, becoming acidosis, that is, electrolyte disorder.

Once this thing is out of order, the internal environment in the body will collapse. The body fluids and circuits of the human body work in a neutral environment. Once the acid-base imbalance occurs, something will go wrong. It is important to correct the shock, and it is also important to correct the acid-base balance. Often the two brothers entered the door one after the other.

Everything must go hand in hand here, there is no priority, that is to say, no matter whether it is breathing cycle, shock or electrolyte imbalance.

must be corrected immediately. Once one is not resolved, all things are in vain, this is the human body's bucket effect.

"Antibiotics, ornidazole, cefixime double combination, enter in large doses." Amniotic fluid not only contains nutrients, but also bacteria. Antibiotics were not used to suppress it for the first time. After the shock, circulation, and electrolytes were all resolved, I looked back and found that I was infected, and then my body collapsed again.

Really, amniotic fluid embolism is too much.

While Zhang Fan gave oral doctor's orders loudly, he and Doctor Xiang seized the time to explore the uterus in the abdominal cavity.

At this time, there was only one voice in the operating cart, and that was Zhang Fan, the chief surgeon.

Doctors and nurses from Istanbul went out three or four times, and they summoned the nomads to take blood tests. The chief surgeon, on the other hand, looked at Zhang Fan blankly and listened to incomprehensible words.

There was regret in his eyes. Doctors, no doctor wants his patients to die unexpectedly. Otherwise, he would definitely not be able to bear the title of doctor.

That is, the incidence of amniotic fluid embolism is very low. Otherwise, the number of human beings would never be so high. Many doctors have worked in obstetrics for a lifetime, and may not be able to encounter it once.

However, if you encounter it once, it is estimated that you will never forget it. The chief surgeon in Istanbul is a professor of the Hepatobiliary Department of their National Hospital. At this time, he had already regretted to death in his heart, but there is no medicine for regret in the world.

Fortunately, this amniotic fluid embolism happened after the baby was taken out, otherwise the risk would be doubled.

After the drug was injected into the patient's body, Zhang Fan also started a hysterectomy. The bleeding could no longer be controlled. Although the patient had entered a state of shock, the uterus had to be removed immediately to achieve complete hemostasis.

According to the current medical statistics report, about 1,600 pregnant women die every day in the world, and about 500 of them die because of hemorrhage.

Amniotic fluid embolism is uncommon, but postpartum hemorrhage is all too common. Now that the patient's body is in an ischemic state, Zhang Fan must perform a hysterectomy quickly and without bleeding as much as possible in order to save the patient's life.

"Vicryl line No. O, shorten the line back!" Zhang Fan immediately said to the equipment nurse.

Although the uterus was to be removed, because of the caesarean section, the uterus had to be closed first to reduce the bleeding before the hysterectomy could be performed.

Zhang Fan took the nurse's needle holder and quickly started to sew. At this time, there is no need to suture layer by layer. The only requirement is to suture quickly and firmly to stop bleeding at the first time.