630 Death
There is a saying in surgery that when encountering a patient with severe bleeding, the doctor must be calm and calm, and must not panic. However, there is a but, one is a pregnant woman bleeding, and the other is a young child bleeding.
These two situations are so special. No matter whether your doctor is calm or not, no matter whether your doctor is calm or not, when things are obviously getting better, maybe the next second, the body will suddenly collapse, and the patient will die in seconds.
Pregnant women have accidents because all their organs are compensating during pregnancy. In other words, for a pregnant woman who is about to give birth, her heart blood output will be 30% greater than before she was pregnant.
This is already the limit of organ compensation. If an accident occurs, each organ will no longer be able to compensate. In other words, the organs have no reserves and no reserve army.
As for young children, because their organs are not yet fully developed, they cannot compensate even if they want to, so they often suffer from various sudden accidents. Doctors have no way to prevent such sudden accidents.
"Dean, please 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 apart again, so he sent Ouyang out directly.
People's hearts change people's hearts, Zhang Fan doesn't want the old lady to get hurt again.
Ouyang held back tears and nodded. He squeezed Zhang Fan's forearm with his hands as dry as chicken claws and walked out with the phone. As the calls came one after another, the hospital began to coordinate.
The main staff from various departments began to rush to the emergency department. Especially the pediatric doctors, all with some qualifications came.
The best way to rescue, especially for bleeding, is to correct the shock and perform surgery to stop the bleeding. But now the blood on the child's body 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 pediatric critical care, Ren Li took over Zhang Fan's leading position in the rescue. Now, 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 operation is like ordinary people buying lottery tickets. No one is sure.
"The operating room is ready!" Ouyang suddenly felt like she had aged a lot. She was no longer a steel company, she was no longer a resolute commander standing on the roof of the car, but an old woman.
"Well, Dean, please contact the child's parents. You may need authorization from the child's parents later." Zhang Fan stood beside the expert group and wanted to send Ouyang out again.
"The child's parents can't come anymore. Let's do our best to rescue him. If there is any problem, I will be responsible."
"Um?"
"The person who hurt someone reported that the child's mother and her mistress not only took drugs, but also sold drugs. The person who hurt people was originally a drug addict. The police have implemented the situation."
"Hey!" Zhang Fan didn't speak, but let out a long sigh.
"Things that are worse than animals, the child is innocent. It's so pitiful." Ouyang gritted his teeth and said. The child's face was like a centipede lying on its face. The doctor from the Department of Otology was suturing it, from the left cheek to the right.
under the lips.
"Director, the child is dying. He has ventricular fibrillation."
"Quick, prepare for cardioversion." Ren Li said with a livid face. The moment she gave the order, a male doctor in her heart took a defibrillator and prepared to defibrillate.
What does a defibrillator look like? It's actually like two irons connected to a device. This device can instantly generate an appropriate amount of current, and then use this current to correct ventricular fibrillation.
When using this instrument, the patient cannot be connected to the ground or have metal connections, otherwise the child will become a conductor, and the huge current can directly electrocute people to death, and no one can come into contact with the child.
What is ventricular fibrillation? It's very simple. It means that the heart starts beating wildly. The beating of the heart is rhythmic, bouncing and bouncing, and the blood energy is like a child sucking breast (a) head, beat by beat,
Flows smoothly throughout the body.
But when the heart beats wildly, the blood will form a whirlpool. This whirlpool is very scary. It can consume the pulsating energy of the heart and prevent the blood from being pumped out.
Just like when an old car starts moving, the body of the car will vibrate. This movement is like ventricular fibrillation of the heart.
And once ventricular fibrillation occurs, if it cannot be corrected immediately, the brain will immediately be deprived of oxygen, and then the brain will send instructions to the heart: beat me faster, I will almost die from suffocation.
Then the heart accelerates and beats wildly. After just a few beats, the heart will suffer from heart failure. Once it fails, it will die and it will be impossible to escape.
When ventricular fibrillation occurs and there is no defibrillator or other related rescue equipment, you can punch the apex of the heart with one hand on the heart and one hand on the back of the hand above the heart. However, this kind of thing is difficult for unprofessional people to do.
Can't play at all.
"Bang! Bang! Bang!" The child was hit by the defibrillator on the bed like a rag doll, and his whole body was vacated.
As the defibrillator was corrected, the expert team, Zhang Fan and Dean Ouyang kept their eyes on the ECG monitoring. As long as the ECG was still out of order, the child would probably have no chance.
And at this time, the child will soon enter the triad of death (hypothermia, acidosis, coagulation dysfunction). If the heart continues to be arrhythmic, the rescue can only be declared a failure.
Bang! Bang! Bang! With the end of the defibrillator, the electrocardiogram on the monitor finally became normal. Everyone present breathed a sigh of relief, and the director of pediatrics was sweating. At this time, everyone was so nervous that they did not dare to take a big breath.
What is a life-threatening moment? This is a life-threatening moment. Even if you try your best, it may not be effective. Human life at this moment is not as good as a dandelion in the wind.
"Did the blood gas analysis come out? Hurry, call the catalytic laboratory." Ren Li urged loudly. She was also anxious. At this time, no one dared to say whether the child had acidosis.
One by one, the examinations were sent to the emergency center through the computer as quickly as possible. The blood pH has dropped. In this case, the electrolytes are almost at the critical value. However, in this case, the blood volume cannot be replenished, and nothing is of use.
.
The heart rhythm has just recovered, but at this time, the monitor started to alarm directly, and the heart rate was almost gone! There are two words for heart, heart rate, which in common terms refers to the number of times the heart beats, and heart rhythm, which refers to whether the heart is regular.
beat.
It won't work if the rhythm is messed up, and it won't work if the rate is gone. "Push epinephrine directly. If it doesn't work, just inject it into the apex of the heart!" Ren Li was worried.
None of the members of the expert team were nervous. At this moment, everyone's adrenaline was pumping. Ouyang was also nervous. The old lady grabbed Zhang Fan's arm tightly.
She is also an expert in cardiology. How could she not know the level of danger now?
One after another, doctors from the city hospital teamed up to fight the god of death. However, now the god of death has gained the upper hand.
"Director Li, open the chest!" Zhang Fan saw that the internal medicine treatment had come to an end. The child might die in a matter of seconds. Now the only option was for the surgeon to operate. He said to the director of cardiothoracic surgery.
Zhang Fan is not sure whether it will work or not.
"Dean..." After explaining to Director Li, Zhang Fan turned his head and glanced at Ouyang, who understood what Zhang Fan meant.
"Come on, it's her fate that's bad if she dies, but God pity her if she's alive. I'll sign and take all the responsibilities!" The old lady calmed down at this time and looked at Zhang Fan quietly and said.
Chapter completed!