I can see the status bar

Chapter 705 Epic Healing (3)

The second operation took five hours.Liu Pingchuan stood alone in the operating room for nearly eight hours—from five o'clock in the afternoon to one o'clock in the morning.

High-intensity surgery is extremely labor-intensive.Emergency surgery is more difficult than ordinary elective surgery.It is as difficult for surgeons to perform surgery without sufficient image detection as it is to drive an F1 car without glasses for high myopia.

Liu Pingchuan is not young anymore.Although he said that Zheng Guo may not be able to bear it, in fact, his physical condition is not as strong as that of a good young man who has just entered the clinic.On the way, Sun Li'en asked Hu Jia to deliver glucose to Liu Pingchuan twice in a row, and with the help of other divine surgeons in the middle, he barely finished the whole operation.

The epic operation came to an end.And Sun Lien himself was quite tired.Open the status bar and keep observing the status of the surgeons below, and at the same time direct my girlfriend to send glucose water to replenish their strength-this job is almost as exhausting as the next operation.

It's just that the result of the surgery performed by the physician usually ends in the reimbursement of several lives.Sun Li'en's on-the-spot command made the group of professors performing the surgery stably display their due strength.At least Zhang Junyi was pushed out of the operating room alive.This alone is enough for all the doctors who participated in the operation to be proud.

One that was almost smashed into mud was snatched out of Lord Yan's hand abruptly.Although people have not yet fully stepped through the gate of hell and returned to the human world, at least they have already stepped on half of their feet in the human world.

This level of achievement can be called a "miracle".What's even more commendable is that such a miracle is not granted by some invisible god or by accident that cannot understand the law.This is entirely the result of the dedicated efforts of the doctors of the Fourth Hospital.

Surgeons have done the best they can.Next, it depends on what the biochemical magicians in the intensive care medicine department can do.

For such a serious patient, light transfer is a great science. In the ICU, a separate ward directly opposite the nurse's desk was specially set aside for him, and Wu Faxian, director of the Department of Critical Care Medicine, personally led a team to escort the patient.The road from the operating room to the transfer elevator was cleared in advance by property managers and guards.To minimize the transfer time, and control all possible accidents during the transfer process - there must be no obstacles between the operating room to the transfer elevator, and from the transfer elevator to the designated ward of the ICU.

If surgical treatment is the cumulative result of continuous precise decision-making on the lesion with a scalpel, then medical treatment is based on the present and constantly tries to prevent the deterioration of the dominoes by predicting the development of the disease before the disease develops to the next step .

For Zhang Junyi now, stabilizing the internal environment is the overriding priority.Although an autologous blood salvage machine was used, doctors still transfused Zhang Junyi with a large amount of blood during the rescue and operation.This reality also means that in Zhang Junyi's body, a considerable part of the blood does not belong to him.

Massive blood transfusions can cause many serious problems.One of the most immediate consequences is DIC.Since the transfused blood products are mainly plasma and suspended red blood cells, Zhang Junyi's almost completely replaced blood system will lack sufficient coagulation substances.And he has multiple wounds all over his body, so he will inevitably consume a large amount of blood clotting substances in his body.Such "supply and demand imbalance" will lead the human body to fall into the death spiral of DIC.The blood in the capillaries clots incorrectly, and other parts that need to clot bleed profusely because of a lack of clotting substances.

This situation is particularly fatal to Zhang Junyi.He didn't even think that there was room for rescue like other patients—whether it was internal hemorrhage of the liver, fragile arachnoid hemorrhage, or pulmonary embolism... In short, once Zhang Junyi had symptoms of DIC, even if it was only a slight aura of DIC, It is possible to die in Huangquan directly.

It is precisely because the doctors in the intensive care medicine department understand this situation that they are particularly concerned about Zhang Junyi.Along the way, they almost saved all the work that could be saved, just to send Zhang Junyi to the ICU ward as soon as possible.If Zhang Junyi's skull base fractures, thoracic and lumbar fractures required special transport tools to be transported to the ICU bed, the transport time would have been much shorter.

In order to save time, the Department of Critical Care Medicine began to intervene on Zhang Junyi's internal environment in the operating room.In the separation and storage of blood products, a certain amount of sodium citrate is added to almost all blood products in order to prevent blood products from failing due to coagulation.

Sodium citrate itself is non-toxic to humans.They will be metabolized by the mitochondria in the liver through the tricarboxylic acid cycle into carbon dioxide and water that are harmless to the human body.

However, the metabolic rate of sodium citrate has an upper limit. When the infusion rate of sodium citrate accompanying blood transfusion exceeds the metabolic capacity of the liver, it may cause metabolic alkalosis, hypokalemia, and hypocalcemia. various serious consequences, including

In order to correct this problem, the Department of Critical Care Medicine of the Fourth Hospital decided to work closely with the blood transfusion doctors in the operating room.During the operation, they conducted multiple arterial blood gas analyzes on Zhang Junyi, and infused 25ml of 10% calcium gluconate before and after to combat the hypocalcemia caused by sodium citrate.Arginine hydrochloride and potassium chloride were also used to manage metabolic alkalosis and hypokalemia.

The work of the intensive care department started before the transfer, and after the transfer, there is still no sign of the end of the work.

"We don't have time to discuss with you right now. If we have any questions, we'll talk about them after we're done." Sun Lien changed into an isolation suit and entered the ICU, but the doctors and nurses in the ICU had no intention of talking to Sun Lien at all.The ICU doctor who often met with Sun Lien said something bluntly and then turned to get busy with the treatment. He seemed very anxious.

Sun Li'en's admission to the ICU is considered to be a high opinion of the critical care medicine department.In fact, if it weren't for Sun Li'en's ability to present his own observations before the ICU doctors noticed major changes in the patient's vital signs, he wouldn't have received this level of preferential treatment.

Knowing that his appearance was actually an obstacle to the work of intensive care doctors, Sun Lien deliberately found a place where he would not be in the way.He tried to stand on tiptoe, trying to let his eyes pass through the doctors and nurses walking back and forth, and saw Zhang Junyi lying on the hospital bed.

He wanted to make sure of Zhang Junyi's current situation, and also wanted to see if there was anything he could do.

Sun Li'en's attempt was rewarded very quickly. From the densely packed and lengthy status bar on Zhang Junyi's head, he saw a status that was gradually darkening.Clearly, this is a recent situation that is getting worse.

This state is "acute alcohol intoxication".

(End of this chapter)