No one dared to say anything sarcastic, and no one dared to watch the fun from the sidelines. In times of crisis, everyone wants to lend a hand. He couldn't help but get agitated, and it was natural to rush out. After all, he was also a doctor. Such thoughts did not need to be thought deeply in the brain, and almost became a professional reaction. When he saw that the situation was not going well, when it seemed that someone was going to die, if he didn't rush out now, when would he wait?
Rush. Just after taking two steps, the scene in his field of vision suddenly changed 180 degrees, and the reflection in his brain turned into an emergency brake that also did not require any brain reaction. In an instant, he almost fell off his horse.
Chichichi, the sound of the man in the yellow sweater braking his white sneakers.
Seeing the yellow sweater blocking his sight, Zhiyuan, the young man who was no longer dozing off, was so frightened that his pupils shrank. This time, the sleepyhead rushed to the sky: Damn, are you slapping yourself in the face?
Rushing out and then slamming on the brakes is clearly an act of slapping yourself in the face.
The man in yellow sweater took a deep breath to calm his pounding heart.
Right now his heart rate might be exceeding that of the patient.
Looking at the patient's blood pressure on the monitoring instrument, it finally stopped dropping, leading to the stabilization of other vital values.
Previously, the patient's blood pressure dropped one level at a time, just like the rope on the guillotine being tightened around the patient's neck step by step, which was heartbreaking to watch.
...
...
"Is it stable?" asked the man in yellow sweater.
Although the instrument value is equivalent to a kind of evidence that will not deceive people, whether the value can remain stable for a long time or just looks good for a moment depends on whether the measures to produce the effect are logically clear, feasible and can stand the test.
In medicine, the fight against death relies on science, not theology.
The doubts in the eyes of the man in the yellow sweater cannot be said to be groundless: You want to plug the bloody hole inside with just one finger?
First of all, it should be made clear that for hemorrhage, it is not doctors but ordinary people who can think of blocking the bleeding hole at the first time. From this point of view, it is not a bad idea to use the doctor's fingers to block the bleeding. This is exactly the first aid measure that Director Wu took at the beginning.
The problem is that before doctors can seal the wound, they must know whether the bleeding blood vessel can be sealed with one finger and where the blood vessel is ruptured. All these require doctors to perform an open abdominal exploration. Even an experienced doctor like Dr. Wu must open the patient's internal organs and use his eyes to personally inspect the location of the blood vessel bleeding before making the decision. Otherwise, it would be a waste of effort.
As you can imagine, the bleeding area of the blood vessel may be large. For example, we have talked about the case of aortic dissection. If the whole blood vessel is in trouble, what is the use of plugging it with a finger? What the doctor needs to do is to replace the blood vessel and establish extracorporeal circulation first. For this reason, the first thing to do during the operation is to block the blood vessel before plugging the hole.
If the patient is bleeding from the abdominal aorta and the vascular occlusion is done, the descending aorta can be occluded by thoracotomy. However, since the patient's chest cavity was injured and two steel bars were inserted, it was necessary to quickly open the chest in the emergency room and face the highly complex situation in the chest cavity. Not to mention whether one doctor alone could do it, it was estimated that several doctors would be in a mess.
At this point, we can imagine how serious the patient's condition was and how difficult it was to save him. No wonder they thought that even if they could guess where the patient was bleeding, it would be useless because they would not be able to stop the bleeding immediately.
As mentioned above, it is not possible to perform a rapid chest cavity blockade or anterior thoracic blockade for the time being. Are there any other options?
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