medical road high rise

Chapter 132 Patient with Abdominal Bleeding ([-])
Chapter 132 Patients with Abdominal Bleeding ([-])*
This is not only serious, it is simply fatal. Apart from seeing such a fast-spilling radiography in the training room, this is the first time Qin Feng has seen it in reality.

The speed of contrast agent diffusion means that the blood flow in the patient's abdominal cavity is extremely fast. Normally, the blood flow velocity is uniform. This extremely fast flow velocity proves that the blood in the blood vessels in the patient's cavity is constantly overflowing, which is what we commonly call bleeding.

Qin Feng estimated that the amount of this speed is at least 1500ml. You must know that the human body only has 5000ml of blood, and it will be gone when it runs out.

"Quickly prepare 2500ml of red blood cells and [-]ml of plasma." Qin Feng reacted quickly and roared.

The itinerant nurse rushed to prepare red blood cells and plasma.

"Ready for surgery."

"Brother Qin, how are you going to do this operation?" Zhao Qi felt his scalp tingling.

"Intracavitary surgery, surgery is too late." Qin Feng said.

"Uh-huh."

This is not because Qin Feng wants to show off his skills or what, but what does the accumulation of blood in the abdominal cavity of more than 1500ml mean?It means that the color of the cavity is all blood red, not to mention finding the blood vessels, there is no operative field at all.

The suction speed of the aspirator may not be able to keep up with the bleeding speed of the patient.

Therefore, Qin Feng is relatively confident in using intracavitary surgery.

"Brother Qin, there are still risks of endovascular surgery. Are you preparing the chimney support method?" Zhao Qi asked.

Qin Feng nodded. The chimney stent method is a relatively well-known hemostatic interventional embolization method to prevent internal leakage.

It is a relatively common surgical procedure to prolong the anchoring distance of the proximal end and isolate the endoleak by implanting a CUFF stent at the proximal end of the patient.

"But the patient's blood flow is not stable, the chimney operation is too long, will it be..." Zhao Qi suddenly closed his mouth.

The most taboo thing on the operating table is that before the operation starts, some people will sing bad news, especially the assistant position.

Doctors are very superstitious. Saving people is a fight against death. There are not a few doctors who burn incense and worship Buddha.

operating room.

"I'm going, this contrast agent!" The emergency doctor was stunned, the speed at which the contrast agent diffused was indeed a bit outrageous.

The head of the medical affairs department narrowed his eyes, held the phone in his hand, thought for a while and decided to put down the phone.

As far as the patient is concerned, it is useless to change any doctor from the Second Hospital, and there are very few people who can do it.

You must know that the director of the medical department was also a partial interventional doctor before he took up this position. The Second Hospital started from interventional doctors. Most of the doctors are interventional doctors, and the director of the medical department is the same.

Looking at this situation, the patient's bleeding volume obviously exceeded everyone's estimate.

"We are going to contact the family members. This operation should not be possible." The chief of the medical affairs department has seen many operations and knows what can be done and what can't be done.

If you don't have a steelyard in your heart and wait until the operation is over before dealing with it, the problem will be big.

The duty of the director of the medical department is not only to take the blame, but also to avoid risks.

The emergency doctor responded, and the director of the medical affairs department said that there should be no problem, and the patient's condition should be hopeless.

It's just that neither of them interrupted Qin Feng's attempt. They are both doctors and know how important trying is to a doctor's self-confidence.

Before it was changed, the director of the medical affairs department must have stopped it directly, and just prepared the black flat car.

But now, the director of the medical affairs department sees Qin Feng differently. Apart from Qin Feng's life-saving grace to him, there is also Qin Feng's future investment.

Qin Feng is not destined to be a hidden dragon staying in Taoshi, who can soar into the sky at any time.

"Brother Qin, start the operation now, without waiting for the plasma to come?"

"When the blood plasma comes over, the patient will become a dead person." Qin Feng said unhappily.

I didn't see that the patient's bleeding volume was already so large, and he was still waiting for the plasma to come.

Qin Feng's gaze towards the patient became firm. This was Qin Feng's first attempt, a combination of interventional embolization and abdominal surgery.

Diagrams about the structure of the abdominal cavity and blood vessels emerged in his mind one by one, while Zhao Qi was activating the interventional equipment and the interventional consumables package.

Qin Feng opened his eyes again, and he probably had a preliminary treatment idea in his mind.

That is to send the balloon into the blood vessel first, perform a preliminary blockage of the blood vessel, and then shrink the aorta, so as to solve the bleeding problem of the patient.

As for the accumulation of blood in the abdominal cavity, aspiration can be done later.

However, this method is an attempt by Qin Feng, and no doctor has used this method so far.

If you want the balloon to prevent it instantly, you first need to place a stent to fix the blood vessel wall, otherwise the balloon will not be able to enter the designated position smoothly.

As for the blood vessel that was bleeding, Qin Feng had already found it. It was a rupture of the abdominal aorta, most likely due to a rupture of an aortic aneurysm.

"Which artery will be punctured?" Zhao Qi asked.

Puncture is the most important step in interventional surgery, which means that the interventional approach and where the guide wire and catheter enter will be faster.

"Subclavian artery."

This is one of the best and fastest routes to the aorta that Qin Feng judged through diagrams, and the other is the brachial artery, but the brachial artery is much less maneuverable than the subclavian artery, and is not suitable for chimney stents.

Zhao Qi succeeded in the puncture. As a doctor from a high school, Zhao Qi perfectly completed the task assigned by Qin Feng.

Qin Feng took a look at Zhao Qi's piercing and had to admit that Zhao Qi still had two brushes.

"I'll do the guide wire, you can do the catheter." Qin Feng said.

Zhao Qi nodded, the guide wire is like the vanguard, the situation encountered is the most difficult, the catheter only needs to advance along the route of the guide wire.

Moreover, Zhao Qi did not have much confidence in getting Zhao Qi to reach the designated position with the guide wire, so it would be better for Qin Feng to come.

"Director Wang, do you think Qin Feng's operation will be successful?" the emergency doctor suddenly asked.

"How is it possible! In this case, their embolization won't have much effect at all. The stent can only balance the flow of blood, and it can't embolize at all." The chief of the medical affairs department shook his head.

"But I see Dr. Qin looks very confident."

The director of the medical affairs department shook his head and didn't speak. In fact, even if Qin Feng is sure to perform this operation, the patient may not have so much time for Qin Feng to perform this operation.

No matter how perfect the operation is, no matter how powerful it is, if the final result is not good, everything will be useless.

According to the calculations in the head of the medical department, the patient would lose blood and die in an hour at most.

Can Qin Feng complete this operation within an hour?
Difficult, especially difficult, is the abdominal bleeding with a normal amount of bleeding. It takes the doctor more than an hour just to suture it, not to mention that Qin Feng is still in the trial stage.

(End of this chapter)