Chapter 929 I Will Do It

Autologous blood transfusion is an emergency rescue method!

There are many contraindications, but very few indications.

The requirements for the patient are very high, and the requirements for the injury are also very high.

In the current situation of relatively sufficient blood in blood banks, there are fewer and fewer medical institutions and individuals using autologous blood transfusion.

but!

It is undeniable that autologous blood transfusion can greatly reduce the possibility of transfusion syndrome.

After all, this is your own blood, not someone else's blood!

Tao Jun is in good health, but at this time, the amount of bleeding exceeded expectations, and he must need blood transfusions to meet his own needs.

At this point, it was too late to think so much.

Think again, no one is there!

Here, Xiao Ke was actually very panicked.

Autologous blood transfusion is still a scene she has seen on TV, where has she encountered it in her life!

The blood in the abdominal cavity has completed 500 ml of blood through the simple "filter" made by Chen Cang and Xiao Ke, and the blood transfusion is started.

And here, just to be on the safe side, Chen Cang decided to retain nearly 300 ml more!

At this time, there is still blood in the abdominal cavity!

It is conceivable that how much blood did this Tao Jun bleed?

Thanks to his tall and burly stature, otherwise, the more than 1,000 milliliters of blood would have been tossed by ordinary people long ago.

Blood is drawn here, but Chen Cang needs to stop the bleeding immediately!

Operation?

Certainly not possible.

Whether it is liver resection, liver repair, or more subtle spleen repair, a good surgical environment is needed!

This is not the same as vascular repair, because the blood vessels inside the spleen and liver are all relatively small and strange.

Whether it is near-hepatic vein repair surgery or spleen repair of small blood vessels, Chen Cang is not sure!

Generally speaking, compared to this closed liver injury, it is a lighter stab wound and a cut!

Closed injuries are relatively troublesome!

[Broken liver: king-level boss! Liver comminuted rupture, more than 60% parenchymal rupture, multiple vascular injury, near hepatic vein injury...]

Chen Cang's expression changed suddenly!

The situation seems to be more difficult than imagined!

Comminuted liver rupture is a kind of liver injury with extremely high mortality. The condition is complex and the fatality rate is high. The main dangers are hemorrhagic shock and secondary infection!

After seeing this liver, Rao is Chen Cang, and his back is also cold, and cold sweat is oozing out!

Can it be saved?

Do not!

Must be rescued!

Here, Chen Cang swallowed and forced himself to calm down, but facing such a patient, Chen Cang had no idea in his heart!

After all, not only the liver rupture, but also the spleen rupture awaits Chen Cang!

[Broken spleen: Lord-level boss, laceration of the spleen capsule combined with irregular laceration of the spleen parenchyma... It is recommended to stop the bleeding and repair it in time! 】

At this time, the liver is bleeding, and the spleen is no exception!

Hemostat ligation?

This could not be done. With the help of the Eye of Precision, Chen Cang could clearly see that these livers were not yet necrotic, and the surrounding small blood vessels continued to supply blood even if the liver and spleen were ruptured.

Dying is better than dying!

But how to stop the bleeding?

At this time, the car has started to run, and it is estimated that it will take a long time to return to the hospital, and it may take a long time...

Chen Cang's eyes were constantly scrutinizing the damaged liver, looking for the place of heavy bleeding and the part that needed key hemostasis.

Good for a few seconds!

Chen Cang said to Xiao Ke, "Give me some gauze pads!"

Xiao Ke nodded quickly, and directly reached out and handed it over.

Chen Cang took the gauze pad, stretched out his hand a little harder, and pressed it on the place where the liver ruptured and bleeds.

Compression to stop bleeding may be the easiest way to stop bleeding.

But if you find the right place, the effect is also very obvious, and the bleeding is less.

After the hemostasis was successful, Chen Cang pressed his left hand well, then stared at the spleen, and two more gauze pads, pressing directly to stop the bleeding.

At this moment, the bleeding became slower, and there was not a lot of blood in the abdominal cavity.

However, this is not the way to go!

The surgery must be done ASAP!

Chen Cang looked at the scarlet [Liver] and [Spleen] names.

Looking at the tissue above is slowly discoloring, which is the change caused by gradual ischemia.

only……

Chen Cang found the difference!

It appears that the man experienced two liver damages.

For the first time, only the central rupture of the liver and the true rupture of the liver occurred, and there was no such shattering liver injury as it is now.

However, no significant liver tissue disconnection occurred!

But now some tissues in the liver have been vaguely severed. Although the liver parenchyma is not damaged, the distal end of the severed tissue is losing its vitality due to the obstruction of the blood supply of the liver tissue!

This tissue can only be excised...

In doing so, the patient clearly experienced two injuries.

Suddenly, Chen Cang thought of the words of the fire officers and soldiers just now, and immediately reacted...

After Xiao Ke was done, Chen Cang hurriedly asked him to call the hospital, prepare rescue items, open the green channel, and start the operation quickly!

ten minutes later!

The car finally stopped at the emergency door. The moment the door opened, Chen Cang's face was covered in sweat!

Tao Jun was covered with sterile drapes.

Yu Yonggang had already entered the operating room at this time, and the room was the leader of the second group. When he saw Chen Cang's appearance, his face changed suddenly!

"Have your stomach opened?"

Chen Cang nodded!

"The situation is urgent and I have to open my abdomen!"

"The patient suffered severe comminuted rupture of the liver, multiple hepatic portal vein injuries, and rupture of the spleen... The amount of bleeding was over 1,200 ml, and the autologous blood transfusion was 500 ml!"

"The blood pressure is now 90/65mmHg! The vital signs are stable, and the operation needs to be prepared immediately!"

Hearing Chen Cang's words, everyone was stunned.

We are all emergency personnel, and know that these words are by no means so simple, but the thrill and rescue along the way!

Moreover, this case can be delivered safely!

It can be seen that Chen Cang's level!

"Hurry up, transfer carefully, prepare blood tests, contact the unit and family members, sign the medical department... Quickly prepare for the operation!"

Hou Rong, the leader of the second group, quickly deployed!

"Stand up! Don't move! Doctor Chen, let go first and stop the bleeding for a while!"

Chen Cang nodded!

Seven or eight men worked together, and it took a lot of effort to push the patient down safely.

After that, emergency rescue work began!

At this time, the entire emergency department is like a tightened law, running fast.

After some preparations, Tao Jun's side has been quickly sent to the operating room.

Hou Rong, the leader of the second group, also hurriedly brought several members of the rescue team at this time to prepare for the operation on the patient!

"Dr. Chen, you can rest for a while, we can do the surgery!"

After hearing this, Chen Cang said worriedly, "The patient's liver has a comminuted rupture, and the injury to the proximal hepatic vein...may require JHVI surgery."

When Hou Rong heard this, he was stunned!

No matter where JHVI is, it is a problem!

Due to the special anatomical site and difficult handling, juxtahepatic vein injury is still one of the most difficult problems in the field of liver surgery.

Chen Cang washed his face, threw the disposable surgical gown, and said directly, "I will do JHVI surgery!"