Chapter 243

Such a patient would not have survived in the past.

The massive gastrointestinal bleeding alone is enough to be fatal, not to mention the other complications.

"Mom, don't scare me, can you hear me?"

"Xiaoqin is waiting for you to go home and play with her, mom, please say something."

The ward was filled with a pungent smell of blood, and the family members' heartbreaking cries broke the hearts of the listeners.

But the patient was unconscious at this moment, his face was pale, his body was cold, and even his breathing pattern had changed.

"Doctor, please save my mother, she has suffered all her life, and just when she was about to enjoy happiness with me, this happened. I can't live without my mother."

Seeing that the patient couldn't be woken up, the family members were completely panicked. She was at a loss and could only pin her hopes on the medical staff who were doing emergency rescue.

Faced with the family members' pleading, everyone felt bad. There was no time to comfort them, and the patient's condition had already fallen to the bottom.

"Director Xiao, the patient's blood pressure has never risen, and the use of pressor drugs has not worked."

The blood pressure on the monitor has been hovering around dozens, and the effect is very poor regardless of rapid fluid replacement or medication.

"Lin Gaoyang, has the emergency department handed over the shift? Has the blood been drawn?"

The patient is bleeding too much, and conservative treatment to prevent the blood pressure from dropping is already the limit.

If you want to raise blood pressure, the most effective measure is to replenish blood volume, that is, rapid blood transfusion.

"Boss, the emergency department has drawn blood routine, Mei Bingai, and blood type."

Lin Gaoyang hurriedly handed over the test sheet.

"Emergency hemoglobin 110g/L?"

Seeing the value of the test sheet, Xiao Chenguang frowned.

"Yes, I saw it drawn. At that time, the patient was in good condition except for the pain in the liver area. Who knew now..."

Hemoglobin reflects the patient's blood volume, and the normal value for women is 110-150g.

Although 110g/L is a bit low, it is also within the normal range. How long has it been? Half an hour? Judging from the patient's severe anemia, it is estimated that the current hemoglobin is less than 30g.

"Draw another cross-matched blood and send it to the blood transfusion department, start the emergency plan for massive blood transfusion, notify the operating room, and prepare the table."

At this moment, the hemostatic drug has been used, temporarily relieving the patient's symptoms of heavy bleeding, but the rupture of blood vessels caused by portal hypertension, given the patient's current condition, drug treatment alone is a drop in the bucket.

Surgery is the only way to survive.

"Family members, listen to me..."

Xiao Chenguang told the family members about the emergency surgery plan, and the latter had no idea at this moment, and the whole person was confused.

Seeing that the family members did not respond, Xiao Chenguang knew that she was scared silly.

But as the only family member of the patient now, he must make a decision immediately.

"Look at her current state!"

Xiao Chenguang lifted the patient's clothes and saw that her abdomen was swollen, with severe ascites, and a mass on the skin surface of the upper abdomen on both sides, which was an enlarged spleen and a hardened liver.

"Why did it suddenly swell like this?!"

Not only the family members were shocked, but also the medical staff present.

What kind of disease is this? The disease progresses so violently. A person who was fine just now suddenly becomes like this.

"Do it, do it now, doctor, I will listen to you no matter how you arrange it."

The family member finally came to her senses at this time. The current situation made her understand that if the patient did not have surgery, she might not survive tonight.

"Gao Yang, give her a preoperative talk and sign the informed consent form for surgery."

"Notify the blood transfusion department and send the transfused blood directly to the operating room."

"During the transportation process, bring the rescue box and directly draw adrenaline for standby."

Seeing that the family members agreed to the operation, Xiao Chenguang immediately made preoperative preparations.

This operation is not easy, and the patient has had liver cirrhosis for several years and has never been treated before.

Traditional surgery has large incisions and long operation time, and it is very likely that he will not be able to get off the stage.

He decisively chose to do laparoscopic surgery.

"Boss, even if the condition is so serious, can we still do laparoscopic surgery?"

When Lin Gaoyang looked at the name of the surgery on the informed consent form, his expression froze.

Surgery name: laparoscopic splenectomy + pericardial vascularization.

He could understand vascular resection, but why did he have to remove the spleen? Wasn't he bleeding due to liver problems?

"If the laparoscopy is used well, emergency surgery can be performed naturally."

"Splenectomy can reduce bleeding, prevent blood from being damaged, and relieve the patient's symptoms of hepatic encephalopathy."

The key to this operation is to stop bleeding + improve symptoms. In order to ensure the safety of the operation, Xiao Chenguang called people and directly called Liu Tie and Li Wenxia over.

On the stage, the blood transfusion department had already sent a full box of red blood cells.

Compared with the shortage of blood in later generations, which could only rely on blood donations from patients' families, compared with alternative supplies, blood products at this time were still sufficient.

Two people checked, three parties checked, and red blood cells were hung up on the tour. With the use of standard blood transfusion devices, the patient's blood pressure was gradually rising.

"Xiao Xiao, you are really busy all day long."

Liu Tie skillfully anesthetized the patient with a gas mask, established tracheal intubation, and connected the ventilator.

Originally, he was not on duty today. He just put his wife and children to sleep at home, prepared a plate of peanuts, and just wanted to have a drink and watch the national football game.

Then Xiao Chenguang called.

Helplessly turned off the TV, tiptoed out of the house, and rushed to the hospital without stopping.

"There is no other way. This operation is quite difficult. After thinking about it, I decided to ask you to go for insurance."

Xiao Chenguang said truthfully.

At this moment, Li Wenxia, ​​who had already installed the laparoscopic instruments, echoed: "Director Xiao, if there is such a thing in the future, just call me directly. I like to do surgery the most."

"You like to do surgery with Xiao Xiao."

Liu Tie ruthlessly exposed Li Wenxia's little thoughts.

After this, Li Wenxia, ​​who always had something to say, dared not speak for a moment.

"Look, you are still shy. Take out the momentum you used to fight me before and take Xiao Xiao down, otherwise you will have no chance in the future."

"???" Xiao Chenguang.

Looking at Liu Tie's ulterior motives, Xiao Chenguang instantly remembered eating in the cafeteria before, as if they were hiding something from him.

"Director Xiao..., the laparoscopy is ready, are you going to the stage?"

Li Wenxia quickly changed the subject and stopped Liu Tie from speaking.

Seeing this, Liu Tie did not expose it. He adjusted the ventilator. At this moment, the patient's vital signs were relatively stable under the maintenance of large doses of pressor drugs.

Lin Gaoyang, who was in the first assistant position, had already spread the sheets, disinfected, and waited for the operation to begin.

"Okay, start the operation."

"Brother Liu records the operation time, Wenxia opens the gas cylinder, the pressure is 2.5L, Gaoyang prepares the puncture needle, and sets up the puncture card."

Xiao Chenguang put on the surgical gown and sterile gloves. When he stepped onto the main operating position, his whole momentum suddenly changed.