As long as the antifibrinolytic drug is hung in the ward and she sees it, she can immediately associate it with the patient's laboratory blood indicators.
However, she was not a clinical doctor in her previous life, so she did not understand the use of it and needed to look up more information. Xie Wanying admitted: "It is not in the books, I went to the library to check the journals. There are such statistics showing that, as you just said, the fibrinolytic function of patients' blood is hyperactive after extracorporeal circulation."
The key point here is: "The fibrinolytic effect is the result of the mutual checks and balances between the plasminogen activator tPA and the plasminogen activator inhibitor PAI in the patient's body."
Geng Yongzhe held his breath as he listened to her, because this was also a point he was not very familiar with, and he was not able to do the in-depth research she had done in the pre-rebirth laboratory.
"From the first to the twelfth hour after surgery, the patient's tPA may be elevated, and PAI will gradually decrease within twelve hours and can be maintained at a low level for seventy-two hours. The amount of postoperative bleeding is related to the decrease in PAI. If the PAI drops too much, the amount of postoperative bleeding will increase. This sudden drop in PAI usually occurs within the first hour after surgery. Therefore, it is recommended that antifibrinolytic therapy should be performed on the day after heart valve replacement and coronary artery bypass grafting surgery, and anticoagulant therapy should be performed as soon as possible after 24 hours to adapt to the patient's postoperative changes in the body. I guess this is what made Teacher Du hesitate when he stood here after the operation."
The surgeon may have a deeper understanding of the coagulation function of the patient's blood by witnessing it with his own eyes during the operation. Du Yeqing did not give the patient antifibrinolytic drugs for the time being, probably based on this consideration.
Huh? Geng Yongzhe was shocked by the heavy bullet thrown out by her tail: Is this why he is standing here after the surgery?
Usually, if the operation goes smoothly and the patient's indicators are good at the end, there is no need for the surgeon to personally accompany the patient to the ward after the operation. There are other assistants, young doctors, who will help the surgeon run errands and notify him if there is anything.
Contrary to the usual practice, Du Yeqing personally accompanied the patient back to the ward and stood in the ward for a while before leaving.
...
...
The first thing Geng Yongzhe could think of was whether this patient had asked Du Yeqing to upgrade his service because of his 20 million VIP donation.
The result was: I was extremely wrong.
Yes, he is a teacher and a big shot, why bother to put on airs in the ward. The family members can't see outside, and the patient is not awake, so there is no need to put on a show. The basis of a doctor's every move is technical requirements, not other things.
It can be seen that the teachers privately commented that Xie was a worm in the boss's stomach. It seems that they not only meant that Xie's technical level was close to that of the boss, but also pointed out that Xie's self-perception of the profession of doctor was very similar to that of the boss.
Geng Yongzhe's face turned pale and he suddenly became a little nervous. When Xie was talking to him, his eyes were different from his. They were not staring at the numbers on the monitor, but at the outflow in the drainage tube and drainage bottle.
This was the key point of postoperative observation for this patient, but he was way off base.
For patients who are really bleeding and in shock, it is too late to save them until their heart rate and blood pressure go wrong. The data prediction in the early stage of heavy bleeding is the focus of doctors' control, and it should be judged in advance based on other indicators. Not to mention, this patient is in a state of sedation and ventilator, and the heart rate and blood pressure, with the assistance of drugs and machines, cannot accurately reflect the patient's internal state.
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