Chapter 313
Xiao Chenguang tried to get the patient treated as quickly as possible.
He put on sterile gloves and asked Qi Tiancheng to tear open the material package and take out the blood filtration puncture tube from it.
He began to check.
Compared with the U17 puncture tube commonly used in later generations, the materials in front of him were still a bit crude.
But it is better to have it than not.
At this time, Qi Tiancheng, who was assisting on the side, saw that the patient's hair in the puncture area was quite lush.
First, he was afraid that it would affect the puncture effect, and second, there was a risk of infection.
Qi Tiancheng immediately found a spare bag, took out the razor inside, and shaved the hair around the skin clean, like white snow.
Then he began to disinfect with iodine tincture, making full preparations for Xiao Chenguang's next puncture operation.
"Have you often done deep vein puncture before?"
Seeing Qi Tiancheng's skilled auxiliary work, Xiao Chenguang couldn't help but ask one more question.
"I have done some, but this kind of tube today is the first time." Qi Tiancheng answered truthfully.
"It's not difficult. Just pay more attention to the direction of the blood vessels and the puncture angle."
"Yes."
Although Xiao Chenguang has not yet operated, the moment he put on the isolation suit, Qi Tiancheng instinctively felt obedient.
It was just like the state of question and answer when he followed the teacher to the stage in the past.
Soon, the puncture needle was held in Xiao Chenguang's palm. Looking at the needle that was obviously thicker than usual, Qi Tiancheng's heart was pounding.
However, Xiao Chenguang looked normal. The puncture needle in his hand was directly inserted into the femoral vein through the skin, and half of the long needle was inserted into it, which made Qi Tiancheng's eyelids jump.
One shot hit the blood.
"Prepare heparin and flush the lumen."
Xiao Chenguang pulled out the needle core and continued to insert the guide wire. His hands did not slow down, pulling back, cutting, and expanding the skin.
A catheter that was almost as thick as the femoral vein was placed in the patient's blood vessels without any damage.
There was no bleeding, let alone subcutaneous hematoma.
The size of Xiao Chenguang's incision fits tightly with the deep vein catheter.
The force was moderate and the length was accurate.
The tube was not blocked or folded inside, and it was extremely smooth.
The speed was even faster than expected, and the operation was completed in almost the blink of an eye.
"Uh..."
Qi Tiancheng was stunned.
Originally, he wanted to study Xiao Chenguang's deep vein placement skills, but before he could come to his senses, the operation was over.
"Who can understand this speed?"
Qi Tiancheng complained in his heart, but his hands were not slow, and he had already poured heparin saline into the treatment bowl.
He even had an illusion that if he was a few seconds slower, he might have even sutured and fixed it here.
The next second, Xiao Chenguang's voice came.
"Fixed, put on the film."
"!!!" Qi Tiancheng.
...
Facing his shocked expression, Xiao Chenguang calmly took off his gloves and threw them into the yellow trash can beside him.
He turned sideways to Dr. Liu, who had just turned on the machine and was installing the blood filtration tube according to the instructions, and sighed slightly.
"The blood filter has four pumps and two lines. The arterial end draws blood, the venous end returns blood, and the blood is purified through the blood filter."
Xiao Chenguang's voice sounded from behind Dr. Liu, obviously startling her.
"You are not inserting a line..."
Dr. Liu hadn't finished speaking when she saw that the patient lying on the bed had two more lines at the root of his thigh.
At this moment, he was pouting, as if he was anxiously waiting for the arrival of the blood filter.
"?!!"
Dr. Liu stared, unbelievable.
She had witnessed with her own eyes how difficult it was to insert this tube.
Fang Jie, her superior in the ICU, inserted the tube for an hour under the guidance of the expert for the first time before he could barely insert it.
Later, the blood filter was forced to be removed from the machine after a few hours because the machine kept alarming. Later, it was found that the line was blocked inside and blood could not be pumped out.
Otherwise, the expert would have emphasized it during the training.
The indwelling of the CRRT line is the most realistic reflection of a doctor's deep vein puncture level.
If the installation is not good and the technology is not up to standard, the blood filter will keep alarming, the treatment cannot be done, the patient suffers, and unnecessary losses are incurred.
But if the installation is good, the machine will not only run smoothly, but even if it lasts for several days, no matter how the patient moves, it will not alarm.
This is the highest level of deep vein puncture.
"But he installed it so quickly, can the blood filter run normally?"
Doctor Liu was a little worried, but Xiao Chenguang's operation next dispelled her idea.
Since the blood filter introduced by the Central Hospital is a purely imported foreign-funded machine, both the screen and the buttons are all in English.
Many installation operations can only rely on the process in the manual, just like reading pictures, installing little by little.
If the operation is improper, it is easy to cause the instrument to malfunction.
After all, it is a million-dollar equipment, and everyone usually coaxes it like a baby, for fear of problems.
But now, Xiao Chenguang, who is beside her, doesn't care about these at all.
His hands are windy and he installs quickly.
Dr. Liu couldn't understand the buttons, but Xiao Chenguang skillfully operated them and quickly installed the whole device and put it in standby mode.
"Go online and record the patient's data."
"Blood flow rate 120ml/minute, front replacement 2000ml/hour, total dehydration 5000ml, dehydration 300ml per hour..."
When numbers that they couldn't understand came out of Xiao Chenguang's mouth.
At this moment, they understood.
People brought patients to the Central Hospital for referral, not because of the treatment level here, nor because the level was poor and they couldn't cure the disease.
But because they liked the equipment that the Central Hospital bought at a high price, and even the staff of their own hospital didn't know how to use it.
This made them feel like the stupid son of a landlord, who could only watch the fun from the side...
...
In the emergency room of the Central Hospital, a shocking scene appeared at this time.
A machine that was rotating in an orderly manner was placed next to the bed, and was continuously performing continuous blood purification treatment on the patient through the femoral vein tube on the leg.
The tube was unobstructed, and the machine was running quietly without making any sound.
Half an hour later, the patient gradually showed signs of waking up.
Acidosis was corrected, and blood pressure and heart rate returned to normal.
All the indicators checked were gradually improving.
The replaced waste liquid was full of accumulated toxins and was thrown into a trash can nearby.
Another half an hour passed.
The patient completely woke up.
She opened her eyes and blinked constantly. She could follow the doctor's instructions to make fists, raise her hands, and stretch her fingers.
This was a stark difference from the coma and respiratory depression she had just experienced.
The blood purification treatment was effective.
This made Qi Tiancheng and Dr. Xiao Liu, who had been guarding the patient, completely excited.
window._taboola = window._taboola || ; _taboola.push({ mode: 'thumbs-feed-01', container: 'taboola-below-article-thumbnail---300x250', placement: 'Below article thumbnail - 300x250', target_type: 'mix' });