Chapter 1244: Chapter 1247: No Need to Wait for Chen Cang?
“Na: Wang Dong!”
“Hospital number!”
“Bed number!”
“Blood type…”
…
Blood transfusions are very strict, as the saying goes: “Check three tis, match eight tis, miss none!”
After all… As a crucial approach for intravenous blood administration, a single lapse of attention can turn this therapeutic asure into a thod of killing!
Of course, under outdoor conditions, it’s not possible to carry out strict verification.
And yet, in cases where patients are experiencing massive hemorrhage without tily replenishnt, universal blood can be used for prompt supplentation.
After the careful three-check, eight-match process by the nurses and the blood transfusion staff, Wang Dong received an ergency blood transfusion!
Most people know that blood types are classified into the ABO system.
Why is it classified like this?
It is actually due to the different antigen types carried on the surface of red blood cells in human blood, such as antigens A, B, H (the H antigen is for Type O blood).
Most of these antigens are positive, and when cross-used, reactions from antagonistic antibodies can easily lead to what’s called a transfusion reaction, endangering life.
However, apart from the ABO system, there is also another system known as the Rh blood group system.
This system is independent of the ABO system, and it has various antigens, but the most important one is the D antigen. Those with the D antigen are Rh(D) positive, and naturally, those without the D antigen are Rh(D) negative.
Panda blood is Rh(D) negative blood. Since it lacks the D antigen, it doesn’t trigger an immunologic response in others during a transfusion, allowing it to slip in quietly.
How should we understand antigens?
They can be regarded as identifiers for antivirus software.
Right!
It’s like sneaking into the village unnoticed, without the need for gunfire.
Those carrying antigens are akin to the ones firing guns, whereas those without antigens are in disguise.
So, when the gunners are among gunners, there will inevitably be a noisy battle.
That’s roughly the idea.
How formidable panda blood is, just blending in without waging any battle.
But…
Panda blood is also pitiable; it can only receive transfusions from panda blood. If others bring in their guns (carry the D antigen), they’ll start attacking you directly.
This is why Rh negative blood can be transfused to Rh positive individuals, but Rh positive blood cannot be transfused to others.
Panda blood is also called donor blood!
At this mont, there was no ti to send Wang Dong to the radiology departnt for examination, and it was urgent to proceed with an exploratory laparotomy.
The danger of inserting a tal tube into the liver is actually more complicated than stabbing it with a sharp knife.
Although in the short term, a tal tube piercing the liver results in greater blood loss than a knife would cause because the tube creates a relatively closed environnt that prevents massive, rapid blood loss leading to death.
However, the closed environnt ford by the tal tube can cause necrosis of the liver in the enclosed area, and due to prolonged bleeding-induced ischemia and hypoxia, the necrosis of the liver will accelerate more quickly.
The surgery is urgent!
“Blood transfusion departnt, continue preparing blood! Estimate 8000 milliliters!”
“Urge the laboratory departnt.”
“Intubate the trachea, increase the oxygen flow!”
“Correct electrolyte and acid-base balance disturbances!”
…
At this very mont, Chen Cang feels even issuing dical orders is a waste of ti, wishing he had the ability to do the work of many!
Ma Yuehui is hurriedly getting in touch with the dical affairs departnt.
The greatest danger of liver injury is hemorrhagic shock, especially during a liver resection for severe liver trauma, which usually involves significant blood loss and varying degrees of shock, requiring aggressive anti-shock and resuscitation treatnt.
Once shock sets in, the outco of resuscitation treatnt becos very uncertain.
Studies have shown: Over 90% of patients in shock for more than half an hour die, and there are nurous case reports indicating a direct positive correlation between the mortality rate and the duration of shock.
Simply put, the longer the shock lasts, the greater the possibility of death.
Since it’s Sunday, there aren’t many people on duty.
After inviting the Hepatobiliary Surgery for a consultation, communication was promptly established with Yu Yonggang.
Because it’s still unclear where exactly the patient is injured.
The liver, as a large organ, varies in danger depending on which region is damaged!
Chen Cang possesses remarkable liver surgery skills!
But he still can’t guarantee that he can successfully complete the surgery.
After making all the preliminary preparations, Chen Cang heard the nurse say that the patient’s family had arrived at the entrance.
Seeing that the patient’s condition had stabilized, Chen Cang quickly asked the nurse to hand over the critical illness notification and inford consent form and rushed out.
Chen Cang never omits anything that needs to be communicated.
As ti ticks away, more and more people quickly arrive.
Yu Yonggang, accompanied by the director of Hepatobiliary Surgery Gao Huarong, went directly into the operating room.
At this ti, the surgery has not yet begun.
Seeing that the patient’s blood pressure has sowhat recovered but still sowhat dangerous.
“Where is the injury?” Gao Huarong asked directly.
Ma Yuehui shook his head: “There was no ti for any examinations; the patient was sent directly to the operating room.”
Gao Huarong nodded: “How much blood loss?”
Ma Yuehui replied directly: “Around 2000, supplented with 500 blood and 500 milliliters of fluids.”
Hearing Ma Yuehui, Gao Huarong was startled for a mont, glanced at the monitor, and looked at the blood pressure: “2000 milliliters? The blood pressure is controlled this stable?!”
“Was lactated Ringer’s solution given?”
The ergency departnt doctor on duty for the surgery shook his head: “No, Professor Chen said it was probably not near the hepatic veins and there was no need for lactated Ringer’s solution.”
When Gao Huarong heard ‘Professor Chen’, he hesitated for a mont. Which Professor Chen?
Yu Yonggang hurriedly said: “Director Gao, it’s Chen Cang!”
Hearing Chen Cang, Gao Huarong gave an ‘oh’, and nodded his head.
“Was this assessnt of blood loss also made by Professor Chen?”
Ma Yuehui nodded: “Correct, all the dical orders were given by Chen Cang, the patient is relatively stable now.”
Curious, Gao Huarong took a careful look, still sowhat inquisitive.
“What dical orders were given, and what was used?”
The ergency doctor on this side was quite young, only in his thirties, but he really admired Chen Cang.
“Opened three venous access paths, then prepared blood, transfused blood, administered fluids, oxygen, corrected electrolyte and acid-base imbalance, protected kidney function, preventing the occurrence of kidney failure… the dications used were…”
After finishing, Gao Huarong imdiately gave a thumbs up.
“Impressive!”
“This Professor Chen is truly formidable.”
“To be able to maintain the patient’s vital signs temporarily with these dications, and crucially, to consider preventing renal failure, this clinical thinking is highly experienced.”
Hearing Gao Huarong’s words, Yu Yonggang nodded: “Where’s Professor Chen?”
“Went out to get the family’s signature.”
Gao Huarong hesitated for a mont: “Prepare for the surgery!”
“Not waiting for Professor Chen?”
“Not waiting for Chen Cang?”
“No need to wait for Chen Cang?”
…
The sa question voiced in unison, everyone was stunned.
They didn’t know why they would say such things.
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