Chapter 166: line with translation of chapter title

Low dextran, full name low molecular weight dextran amino acid injection, unlike saline it is a colloid and is necessary in infusion.

Many people dislike using low dextran because in extremely rare cases it may cause an allergy.

But at this moment, with plasma and red blood cells not yet arrived, infusing low molecular weight dextran amino acid injection together with saline is a correct choice.

As for allergies…

Rather than worry about such a tiny possibility, it's better to first treat hemorrhagic shock.

【"Hurry up with blood, go get a doctor, to the Blood Bank/Department and wait!" Zheng Ren, without hesitation, continued to give orders.】

Because the doctors in the Blood Bank/Department don't know whether the patient's condition is ordinary, severe, or critical, if we queue, by the time the blood arrives the person might already be dead.

Normally a nurse goes to get blood, so letting a nurse go now the amount would be completely insufficient.

A doctor going to the Blood Bank/Department, explaining the situation, and using an emergency procedure is the only way to transfuse blood before Miao Xiaohua dies.

Zheng Ren has little time left; he can only do this.

The most important thing is that it's daytime now, and staff are plentiful.

After removing sterile gloves, Zheng Ren took out his phone, dialed out, his voice slightly hoarse: "Xiao Hua Nei Ke, emergency, come immediately."

Having said that, he hung up the phone.

The low molecular weight dextran amino acid injection was hung up, with a nurse standing aside using a pressure infusion device to pressurize the low dextran bag, delivering more fluid in a short time.

Zheng Ren began the physical exam; Miao Xiaohua's abdomen was distended, likely full of blood. She had lost consciousness, and there was no way to determine the source of bleeding.

System, you big pig's trotter!

Zheng Ren silently cursed to himself.

When he first received the system's power boost, he was smug, thinking it was a superpower; but facing one after another difficult critically ill patient, Zheng Ren again felt powerless.

Damn it, tell me where the bleeding point is! Just a diagnosis of a ruptured pancreatic pseudocyst hemorrhage and hemorrhagic shock is absolutely not enough.

Even an exploratory laparotomy needs a purpose; if we had to check every possible location, Miao Xiaohua would likely die.

A few minutes later, Su Yun rushed quickly to the Xiao Hua Nei Ke emergency room.

After entering and taking a glance, he knew the general situation. He came to Zheng Ren's side and asked softly, "What's the disease?"

【"Ruptured pancreatic pseudocyst hemorrhage." Zheng Ren said.】

【"..." Su Yun was speechless.】

The rarer the disease, the harder it is to handle, due to lack of clinical experience.

Once a rare disease flares up, the chance of saving the patient is minuscule.

【"Can you tell which blood vessel is broken?" Su Yun seemed to understand everything, immediately asking the crux of the matter.】

【"I don't know." Zheng Ren shook his head, but he immediately made up his mind: "Go to the Interventional surgery room for imaging, then do an open abdomen to stop bleeding."】

【"..."】

This was Su Yun's second time being speechless today.

Although extremely talented, having studied at the nation's top hospital and returned to Haicheng, Su Yun had never experienced this kind of procedure where imaging is followed directly by opening the surgical field.

The Interventional surgery room is a Hybrid Operating Room, but no one has ever performed open surgery there, and it seems no one has experience in this regard.

【"Are you sure?"】

【"There's no other way."】

【"Okay." Su Yun did not question Zheng Ren's decision; at this moment he was the perfect assistant.】

After glancing at the numbers on the ECG monitor beside Miao Xiaohua, Su Yun and the gastroenterology doctors and nurses sprang into action.

To transfer from the gastroenterology emergency room to the emergency Interventional surgery room entails great risk; Miao Xiaohua has a greater than 30% chance of cardiac arrest en route.

Perhaps 30% doesn't look high, but to medical staff it is an absolutely unbearable risk.

Chu Yan zhi also heard Xin'er afterward, rushing over with endotracheal intubation equipment.

Within ten minutes, when the fresh frozen red blood cells arrived, endotracheal intubation had already been done and a bag prepared; the gastroenterology doctors and nurses warmed 10u of red blood cells with their bodies and sprinted all the way to Jizhen Da Lou.

Fortunately, the medical elevator was empty at the moment, making things fairly smooth.

They jogged the whole way, with only a brief pause when swapping the red blood cell bag, basically not losing any time.

Arriving at the Interventional surgery room, they lifted Miao Xiaohua onto the operating table; blood pressure could no longer be measured.

Chu Yanran had already prepared anesthesia; at First Time she administered medication to Miao Xiaohua, preparing for surgery.

Director Pan rushed over upon hearing the news; although he is a hospital nurse, in the absence of family knowledge and signature, Director Pan still followed normal procedure, summoning staff from the Medical Department to prepare all legal formalities from the hospital's perspective.

Xie Yiren followed the stretcher all the way back, as usual, changing clothes and washing hands.

When she stood before the instrument table, tears welled up.

Fortunately, the aseptic concept had become ingrained deep in the soul; instinctively she avoided the instrument table, thus preventing contamination of the instrument table and the need to open another surgical pack.

It's not that the surgical pack is so precious; the key is that time waits for no one.

Performing hybrid surgery for the first time, this should be Haicheng Shi Yiyuan, even the first hybrid surgery in Haicheng.

Without any communication, everyone was extremely in sync.

Director Pan stood outside directing, handling various miscellaneous matters, sorting out each step.

The Head Nurse simply put on lead clothing, entered the Operating Room, and prepared the surgical instruments while Zheng Ren and the team performed the interventional procedure.

Although Miao Xiaohua's heart had not stopped, the ECG Monitor showed atrial fibrillation. Fearful of danger, needing to administer medication at any moment, Chu Yanran and the nurses also donned lead clothing, entered the Operating Room, and stood by.

This surgical method is completely unlike anything before, never rehearsed, and there was no contingency plan prior to this.

But everyone worked together, and in less than twenty minutes they were ready to open the surgical field.

While Su Yun donned lead clothing and scrubbed, Zheng Ren began disinfecting, laying out sterile drapes, and performing the puncture.

At the same time, the live stream room of Xinglin Yuan started broadcasting again.

【Please urge updates before watching, as finding surgery boring, they demand the expert to come out and sing a song.】

【Go to other video sites to watch; there are plenty of pretty girls, no need to come here to watch.】

Exactly, your illness is serious; you need to get treated early.

Just at the start, a few bullet comments flew out.

Because the post-operative recording was cancelled, everyone who has been following this live-stream account knows to first look at the case, gather more information; if it really is some rare Shou Bing, they would gain more.

Today's bullet comments are surprisingly few; most people chose to turn off bullet comments, refuse interaction, and focus on watching the Shou Bing.

But after everyone had looked at the case, they all fell silent.

Hybrid surgery, today the surgeon's live broadcast is of a hybrid surgery!