I can see the status bar

Chapter 921
The problem of the unlucky Huangshan is very "touching". In the eyes of doctors, cases of internal bleeding caused by external force are not uncommon.And patients with DIC due to internal bleeding... Although not too many, there are indeed.

But because of a fall, he fell into a patient at risk of DIC... Anyway, the doctors in the emergency room, who were already dizzy, said they had never seen it.

The results of the blood coagulation test are not too optimistic - after the body temperature rises, the patient's blood is still in a hypercoagulable state.And his blood pressure is not high at the moment - 95/60, and his heart rate has risen to 110 beats per minute.

The results of CT examination showed that there was a puncture injury in Huangshan's right upper lobe of the lung. After the rib penetrated into the lung parenchyma, no other organs were injured.This may be a blessing in misfortune.

The operating room is currently fully occupied.Even anesthesiologists are not enough.If it can be sent to the operating room immediately, the ribs are put back in place and the corresponding hemostatic treatment is given, then there will be no risk or problem later.But the problem is... the emergency building and the operating theaters in the inpatient department are all currently in use - a large number of patients need surgical treatment.However, operations that require high-precision operations—especially neurosurgery and the like—have already taken a long time.And even if the doctors want to rush the time, the precise human body structure does not allow brutal operations at all.

Apart from being patient, separating the delicate brain tissue bit by bit, and then sucking out the cranberry jelly-like blood, the doctors had no other way to complete the operation quickly.

The fastest way to end the operation is to complete the treatment with high quality—to complete the treatment as soon as possible, and strive to complete the treatment at one time.This will reduce the possibility of reworking during surgery.So as to achieve the purpose of "reducing operation time".

Sun Lien is not at ease about the situation in Huangshan.Having experienced several DIC rescues, he knows very well that once this symptom appears, it basically belongs to the situation of hip-hop dancing on a tightrope—without a safety rope, there is a deep abyss under the wire, and there is a large needle sticking out of the ground. Kind of like a thorn trap.

Actively intervene immediately when the patient has a precursor to DIC. This is a set of effective treatment methods summed up by Sun Lien.After all, once the coagulation substances in the patient's body are exhausted, a large amount of heparin injected will inevitably increase the risk of bleeding elsewhere.However, if the amount of heparin is small, it will not be able to dissolve the tiny thrombus that has formed.

The sooner an intervention occurs, the less risk the patient faces.

As for Huangshan, the easiest solution is to perform surgery immediately.By hemostasis or even resection of the lung parenchyma, the purpose of stopping bleeding and relieving emergency hypercoagulation can be achieved.

"Is the operating room full?" After the request for immediate surgery was rejected, Sun Li'en looked at Huang Shan lying on the hospital bed and began to worry.Even if Sun Li'en is a trained doctor, he can't create an operating room out of thin air with a well-trained and perfect surgical team. "When can it be arranged at the earliest?"

After making a few phone calls, the nurse reported a bad news to Sun Lien, "It will take two and a half hours at the earliest before we can have an operating room for you to use."

"This is definitely not possible." Sun Lien frowned and said to Brunn, "every half an hour his condition drags on, the risk is higher. Two and a half hours... this man will die in bed."

"So serious?" Bruen really didn't take Huangshan's situation too seriously. In his eyes, this was just a simple unlucky ghost with a broken rib. "Is it because his blood coagulation index is a little high?"

"Continue to flow, then it won't be higher." Sun Lien turned around twice, and then made up his mind, "Transfer him to the comprehensive diagnosis center, call Mr. Chen, and let him have this operation."

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The comprehensive diagnosis center has its own operating room.This point needs to be praised to Takeda Pharmaceuticals-when they give money, they are really happy.And the configuration is also very luxurious.

The two operating rooms with a cleanliness level of [-] are the same as the teaching operating room in the rescue building. They adopt a two-story transparent design-the [-]-square-meter large operating room has four glass windows that tilt inward, which is convenient for other people who are up for advanced studies. The doctor visits the whole process of the operation.

According to Takeda's plan, the two operating rooms with a cleanliness level of [-] were originally supposed to be compound operating rooms equipped with MRI and CT.However, because the fourth hospital already has a compound operating room, and the construction of related operating rooms needs to be approved by the provincial health and health committee before proceeding.Therefore, the current operating room of the comprehensive diagnosis center is not complete - it just reserves the corresponding space and slide rails, and the installation can be started at any time.

The operating room can be solved, but the chief surgeon is even easier—Chen Tianyang is a top figure in general surgery.Although he is not a doctor who specializes in thoracic surgery, it would not be difficult for him to complete such an operation in a primary hospital with only general surgery.

But the problem is that the Fourth Hospital is not a primary hospital with only general surgery.It is a high-level comprehensive tertiary hospital with detailed divisions.

"I can't do this operation." After Sun Lien sent all the patients to the operating table, Chen Tianyang rushed over to inform Sun Lien of the "unfortunate" news, "Active bleeding in the chest, this is a thoracic surgery operation." If I want to do this operation, that is going beyond the scope of medical practice.”

Although Sun Li'en really wanted to ask "you will still pay attention to this", he still resisted the urge.There is no point in arguing with Chen Tianyang, the key now is how to complete this operation.

"I asked the thoracic surgery department, and they still have two junior doctors on standby." Sun Li'en said eagerly, "Let them come over to be the surgeon, can you guide me?"

"No." Chen Tianyang, the fat white man, shook his head, "Third-level surgery must be performed under the supervision of a senior doctor who is a deputy senior or above in the department. I am not a thoracic surgeon, so I cannot guide it."

This became a dead end. Sun Lien was in a hurry outside the operating room. He really didn't expect that Chen Tianyang, as a dignified second-level professor, would still be unable to handle such a situation.

"Well, don't worry." Seeing Sun Li'en turning around, Chen Tianyang thought for a while and said, "I'll go out and make a call to find someone for you."

"Doctors from other hospitals come to operate...is this not in compliance?" Sun Lien asked with some concern, this kind of behavior is actually commonly known as "throwing knife".Although it is very useful in actual operation, but... after all, it is not in compliance with the rules.

"Flying knives are definitely not allowed. The superiors have issued many notices—no flying knives." Chen Tianyang smiled, and then said, "You must not have visited Liu Tangchun's place often recently. This old thing has found a lot recently Potential stock."

"How can I care about this now." Sun Lien smiled wryly, "Hurry up and talk, what can you do?"

"Wait until I finish the call." Chen Tianyang left a little suspense, then turned around and made a call, "Hello, Dean Liu? Is Xiao Jiang in our courtyard now?"

(End of this chapter)