Since 1981 Health School

  Chapter 300 Autologous Blood Recovery Machine

  The B-ultrasound doctor has been called back to the hospital urgently. At this time, he hastened to check and nodded: "It's an ectopic pregnancy, the bleeding is heavy, and an operation is needed immediately."

  It's a real hammer.

  The operating room has been prepared long ago, and all the medical staff are also on standby for possible rescue tonight.

  In the operating room, Zhao Qiaoer had been anesthetized, sterilized, and sterile towels were spread. Director Yu of the obstetrics and gynecology department was the first assistant, and the surgical director was the second assistant, but Chen Qi, the chief surgeon, was nowhere to be seen.

  The nurse taking the blood pressure test shouted anxiously: "The blood pressure has been dropping, and now it is only 60/30."

  The patient's stomach is still swollen, and the internal bleeding is obviously continuing, and the speed is not slow.

  Director Bian stomped his feet: "There must be a problem with this person's blood coagulation function, otherwise how could he fall so fast, oops, where did Chen Qi go?"

  Director Yu saw that three vein channels had been opened, and a large amount of fluid was being injected, so he became anxious:

   "How much blood is stored in our hospital now? It's not enough to just infuse the blood. If the blood is diluted too much, it will also cause multifunctional organ failure and death."

  The two chief directors were in a hurry, and a group of small doctors and nurses in the operating room were even more confused.

  There has never been a record of rescuing a live ectopic pregnancy in the history of the Fourth Hospital, which makes everyone not very confident. They feel that this 0 record may not be broken today.

   At the critical moment, the door of the operating room opened, and Chen Qi was seen pushing a strange machine into the operating room.

  Why is it strange? Because the whole body of this machine was covered with newspapers, it was impossible to see what it was, but Director Bian was sure that it was definitely not the machine in the operating room of the Fourth Hospital.

  Chen Qi can't help it. This "blood recycling machine" that is necessary for every operating room in future generations is still a "black technology" in Huaguo in 1984.

  The mechanism of the machine may be clear, but what's the matter with your shiny LCD screen?

  So in order to reduce unnecessary troubles, Chen Qi had to paste up this "blood recycling machine" with newspapers, making it difficult for people to see the specific structure and usage of the machine.

  The patient is taking risks, and he, Chen Qi, is also taking risks.

   But it is impossible not to take this risk, because it is related to a human life, he can't just watch a little girl die in front of his eyes, and he is obviously capable of saving her.

  The operation of ectopic pregnancy is not complicated, and it can be solved directly with laparoscopic surgery without surgery in future generations.

   It is nothing more than finding the place of ectopic pregnancy, because the rupture is here, and the bleeding can be stopped by directly removing the lesion.

  Some people will say, since the operation is so simple, why is the death rate still so high?

  The so-called ectopic pregnancy means that the gestational sac is planted in the wrong place, outside the uterine cavity, and there is not enough space and layers of nutrients outside the uterine cavity to supply the growth of the gestational sac.

   Especially when the embryo grows in the interstitium of the fallopian tube, due to the rich blood supply in the interstitium, it will cause massive intra-abdominal hemorrhage when it ruptures.

   In one sentence, the cause of death of patients with ectopic pregnancy is massive bleeding.

   Therefore, during the rescue, it is necessary to give the patient a large amount of blood transfusion to ensure the blood supply, so that the doctor has time to remove the lesion to stop the bleeding. This is a key step in the rescue.

  The current situation in the fourth hospital is that the stock of type B blood in the whole hospital is only 400ml, but an ectopic pregnancy bleeding is at least 1000ml or more. The problem is that the human body has a total of more than 4000ml of blood.

   Therefore, in the rescue of ectopic pregnancy, if it is more serious, it is possible to change the blood of the whole body once or twice.

The blood stock in the fourth hospital is not much. In the middle of the night, I urgently asked for help from the People's Hospital and the second hospital. They reported it to the first level, and then conveyed it to the next level. Then the driver was found from home and sent to the fourth hospital dozens of kilometers away. .

  The day lily is cold.

   Moreover, even if it is the People's Hospital, the blood inventory of the Second Hospital will not be too much, and there is no "central blood station" these days.

  In the 1980s, when a large amount of blood was needed, they went directly to large enterprises, or directly pulled out the soldiers, and then collected blood on the spot.

  Under the premise of not being able to obtain a large amount of blood, there is only one way for Zhao Qiaoer to suffer from ectopic pregnancy bleeding, which is to collect her own blood, recycle it and inject it into her own body.

   This is safe and affordable, and it is also a commonly used method in later generations when surgical bleeding occurs.

   And it's easy to use, all you need is a fully automatic "blood recycling machine". Others don't have it, but Chen Qi has it, but this is a risky one.

  An ordinary doctor would not take risks for a strange patient. If this matter is revealed, the superiors will investigate, and some things cannot be explained clearly.

   But Chen Qi is not an ordinary doctor, he belongs to the second-order doctor, and his thinking cannot be judged by common sense.

  Seeing the puzzled eyes of everyone in the operating room, Chen Qi just explained lightly:

   "This machine is a trial machine of a scientific research institution in the province. It can recover the patient's own blood, filter it, and then infuse it back into your body. It is still kept secret, so please don't disclose it after the operation.

  In case it is spread out and known to hidden secret agents abroad, then this leading technology will be mastered by those hostile countries abroad. This is the core technology of our country and must be kept secret. We cannot be the country’s sinners! "

  Everyone in the operating room became serious when they heard that state secrets were involved.

  This year, the propaganda of enemy agents has been defending against the enemy all day long, describing the dire situation abroad, so the domestic people are still very vigilant, and they understand the serious consequences of leaking secrets, so they must not be sloppy.

  Those special years have already made people timid.

   Although Director Bian and Director Yu were puzzled, this explanation made sense. After all, Chen Qi knew too many people in the province, so it was normal for someone to open a back door for him.

  Director Bian asked: "Deputy Chen, then you have to hurry up and operate quickly."

   "No, Director Yu will be the chief surgeon for this operation, and you will help me, I will be in charge of this machine today. We don't have enough stored blood, so we can only rely on the patient's own blood to recycle."

   Nonsense, only he can operate this machine, plus it must be kept secret, it is impossible for him to let people touch this black technology.

  Director Yu didn't say anything after hearing it, and went directly to the position of the chief surgeon, preparing for the operation.

  Chen Qi handed the attraction head to Yang Tihao, the second assistant on top, and instructed:

   "When the abdominal cavity is opened for a while, a lot of blood will flow out. Your job is to **** up all the blood. Don't waste it. This is the key to saving lives."

   After Chen Qi prepared the anticoagulant with 500ml of normal saline and 2000U of heparin, he focused on:

"let's start."

  The sound of the blood recovery machine running immediately sounded.

  Director Yu cut a small hole in the peritoneum with a knife, and Yang Tishun immediately inserted the suction head in and began to **** the blood in the patient's abdominal cavity.

  Blood quickly entered the blood recovery machine along with the drainage tube, and began the process of layer-by-layer filtration, separation, cleaning, and purification.

  When a bag of clean blood was prepared, Chen Qi immediately handed it to the nurse, and reinfused it back into the patient as quickly as possible.

  Three hours later, when Director Yu finished the last stitch, everyone in the operating room couldn't help cheering.

   This is the first time in the history of the Fourth Hospital that the rescue of an ectopic pregnancy was successful. This not only saved a life, but also symbolized that the overall medical level and surgical level of the Fourth Hospital have reached a new level.

  Director Yu is also excited, the old lady is so proud. As the director of obstetrics and gynecology, the success of ectopic pregnancy operation is 0, which has always been a pain in her heart.

  Although there are objective reasons of one kind or another, she always wonders if her surgical skills are really bad?

  Once a "demon" arises, it is fatal to a clinician, because her lack of self-confidence will lead to the failure of the operation at the critical moment.

  Today, she was finally elated, and she felt so refreshed that she really wanted to laugh out loud.

  Chen Qi was also smiling while guarding the machine, but his work was not finished yet, and he had to continue to filter the blood, so he just ordered:

   "Then, Yang Tihao, take out the diseased fallopian tube cut off by Director Yu and show it to the patient's family members, so that they can take a closer look at the gestational sac inside. Don't say that we are spreading rumors to slander their daughter."

  Director Bian was also very proud, "Yes, take it out and let them take a closer look. Really, the family education is not strict!"

  Yang Tihao also nodded heavily: "Alright, it's time to slap them in the face, haha~~~~"

  Everyone in the operating room also laughed, everyone was in a good mood, and the previous grievances could finally be washed away.

  Yang Tihao pushed open the door of the operating room, and the Zhao family immediately surrounded him:

   "Doctor, how is my daughter?"

   "How is my little sister?"

  Zhao Wei was standing on the outside at this time, his heart was about to jump out, he was indescribably nervous, he didn't know whether he was worried about his daughter's life, or whether his daughter had done something shameless.

   Soon, the answer to the mystery was revealed.

  Yang Tihao glanced at the group of parents unhappily, and brought the dishes in his hands to the family members:

   "Look, this is the fallopian tube that was cut off during the operation just now, and this dark red thing is the gestational sac, so our previous diagnosis of the patient's ectopic pregnancy was established, and we did not misdiagnose it."

  Yang Tihao didn't curse anyone at all, but it was a bolt from the blue to the Zhao family.

  Ectopic pregnancy? Does that mean that Zhao Qiaoer is indeed pregnant? Really do that kind of scandal?

  Zhao Wei felt dizzy, and was supported by the eldest son.

  Mother Zhao was about to howl again just now, but her youngest son covered her mouth, signaling not to cry.

  Zhao Wei stabilized his body, and winked at the elder son next to him, who nodded to acknowledge acceptance.

   "Doctor, the lights here are too dim, we can't see clearly, I want to go to the place with bright lights to have a closer look."

  Yang Tihao curled his lips contemptuously: "Nao, take it with you, look carefully."

  Zhao Qiaoer's eldest brother took the bowl containing the fallopian tubes and gestational sac, walked out slowly, and then disappeared...

  (end of this chapter)