Returning to ’90s, She Became Famous in Major Surgical Fields Chapter 1473: 【1473】Various hemostasis
Chapter 1473 [1473] Various hemostasis
The electric knife could not get in, and the doctor could not see it, so the thod of electrocoagulation to stop bleeding was the first to be rejected.
In surgery, what to do with massive bleeding, block the source of the bleeding arteries and veins. In the current situation, doctors are not prepared to perform thoracotomy on the child until the last resort, making it impossible to do so. If you want to block the artery without opening the chest, there is another thod, which is commonly used in interventional surgery to embolize the artery. This is an interventional procedure in breathing.
There is no such intervention in the National Association for Respiratory Surgery, which is also why the National Association for Respiratory dicine is called a weak departnt. Technically, it does not reach the height of gastroenterology and cardiovascular dicine, and the treatnt of many diseases of the sa disease cannot be compared with the traditional history and famous cardiothoracic surgery.
The most painful thing about the Departnt of Respiratory dicine is that he did not perform such an operation, and the Cardiovascular dicine Departnt of his hospital was planning to grab the business. Last ti, the Departnt of Cardiovascular dicine had prepared for pulmonary artery thrombolysis. Not to ntion Guozhi, who is well-known in the field of cardiovascular interventional surgery, his pulmonary interventional surgery technology is far better than that of the National Association of Internal dicine.
Back to the current case, intervention is impossible. There is no interventional surgery equipnt such as an imaging machine in the dental operating room, and they do not carry out interventional surgery.
You can't use new technology, you can only use old technology. Sotis the most primitive technology is the most reliable. Because many new technologies are just developed on the basis of old technologies.
In surgery, teaching dical students to stop bleeding, the first step is not to teach surgery, nor to use any hemostatic drugs, but compression to stop bleeding. The human body has its own coagulation chanism to stop bleeding on its own. Compression hemostasis is the doctor's use of the body's own blood coagulation chanism to make the blood vessel break smaller and blood flow slowed down, buying ti for these coagulation substances such as platelet fibrin to coagulate at the break to form a thrombus to stop bleeding and reduce the thrombus from running around and unneeded. place to go.
The first patient Xie Wanying ca to China to help rescue was using compression to stop bleeding. Compression hemostasis is not limited to on-site ergency first aid. In surgery, doctors often use compression to stop bleeding.
For example, the balloon ntioned before in endoscopic surgery and interventional surgery. The balloon is a magic weapon for doctors and has many uses. It can be used to dilate the lun, dilate the inner diater of the digestive tract and the inner diater of the blood vessel to clear the blocked narrow mouth.
What is another function of balloon? Xie Wanying had seen it when she went to practice at the Second General School of Foreign Studies. The three-lun and two-capsule tube was compressed to stop the bleeding.
Now, can I use a three-lun two-capsule tube to cut a section to stop the bleeding? No, the tube is too thick. The human digestive tract is much thicker than the trachea, let alone the trachea of children. It doesn't matter, the principle is general. Make a similar balloon yourself.
So I thought of sterile gloves. Gloves are made into balloons to stop bleeding. There is a precedent in the surgical circle, which is in obstetrics. Obstetrics common water bladder hemostasis. The doctor injects normal saline into sterile gloves to tie it up into a spherical water sac, and puts it into the uterus of the bleeding mother to compress the bleeding uterine wall to stop the bleeding.
Obstetricians no longer need such rudintary self-made tools. dical device manufacturers produce various obstetric hemostatic balloons for doctors to choose from according to clinical needs. Moreover, when this thod was first invented, doctors did not use sterile gloves and water bladders, but catheters and condoms.
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