I Can See Health

   Chapter 454 Unexpected gratitude

In the operating room, Fan Yujing's hands trembled slightly.

  Hemorrhage in endoscopic interventional surgery is one of the most serious complications!

  Rao is Fan Yujing with rich surgical and clinical experience, and has rarely encountered such cases before!

   However, she immediately stabilized her mind and tried to keep the bronchoscope as fast as possible at the bleeding site to keep the airway open.

   Smooth.

   At this time, the bronchoscope should never be pulled out.

   Because of heavy bleeding, it is not the most deadly!

   Bleeding leads to blockage of the airway, causing suffocation, which is the most deadly!

  …

   In Lu Chen's eyes, the patient's life value continued to decline, and it was a trend of three minus signs!

   He has already started to move the patient from supine to side.

   This position can ensure ventilation of the unaffected lung and avoid suffocation.

  Fan Yujing's face was full of dignified colors. She held the bronchoscope in both hands, constantly attracting blood, trying to keep the airway open.

   However, it is not enough to just **** out the blood without solving the underlying problem!

   Excessive bleeding can lead to body shock and life-threatening!

   "Lu Chen, ask the nurse to get vasopressin, and then notify Director Wu! Please consult the Department of Thoracic Surgery and ICU again!" Fan Yujing immediately issued a doctor's order.

   At this moment, Lu Chen moved!

   He first ran out of the operating room, notified the nurse, and immediately returned to the operating room.

   At this moment, Fan Yujing was sweating profusely.

   She concentrated, holding the bronchoscope while aspirating blood, while trying to stop the bleeding.

   But, no matter how she tried, it all seemed to be in vain.

   The blood oozing out of the surgery area seems to have never been reduced.

  …

   At this time, Lu Chen's expression froze, and he looked around the operation room.

  Beside the operating table, there is a first aid kit.

   He immediately opened the rescue kit and took out a norepinephrine from it.

   In addition, Lu Chen also saw a medical refrigerator in the operating room.

   stepped forward, opened the refrigerator, and took out ice brine (-2℃~-4℃ brine).

  Fan Yujing also noticed Lu Chen's movements, and a hint of surprise and surprise flashed in her eyes.

   "Lu Chen, will you mix ice water and norepinephrine?"

  Lu Chen nodded slightly, his hands were not slow at all.

   He got the ice brine, about 100ml, and added 4g of norepinephrine to it.

  Ice saline reduces the temperature of the gastric mucosa, and norepinephrine has a strong vasoconstrictive effect.

   The combination of the two makes the gastric mucosa vasoconstriction and reduces blood flow to achieve the purpose of hemostasis.

   Soon, Lu Chen prepared the liquid.

   He took the syringe and came to Fan Yujing.

  Fan Yujing immediately understood, took the syringe, and injected the mixture of ice saline and norepinephrine through the hole of the bronchoscope!

   "Let the patient change the lateral position!" Fan Yujing reminded.

  By changing the position, the fluid and the mucosa of the bronchial bleeding can be mixed well.

  Lu Chen nodded slightly and helped the patient to change the side lying position.

  …

   At this time, a nurse rushed in with an ECG monitor in his hand.

   Walking into the house, she immediately connected the ECG monitor to the patient, measured the patient's blood pressure, and opened the venous channel.

  Lu Chen didn't sit still.

   He closely monitored the changes of the patient's consciousness, respiration, heart rate and blood pressure, and paid attention to whether the patient had suffocation symptoms such as cyanosis, restlessness, and profuse sweating.

   Once these situations occur, Lu Chen is ready to intubate the trachea immediately.

  …

   Time passed by minute by minute.

  Lu Chen and Fan Yujing stared at the console screen.

  Once the medical treatment of ice saline is ineffective, then surgery may be necessary!

   This is a great trauma to the patient!

  The bronchial mucosa was continuously flushed with ice saline, and then Fan Yujing pulled it out and injected fresh ice saline.

   Repeatedly, the blood in the operation area was reduced visible to the naked eye.

   "Observe for another half an hour!"

  Although the bleeding stopped, Fan Yujing didn't dare to be careless at this time.

   Once the bleeding operation area does not completely stop the bleeding, the previous situation may have to be repeated.

   At this time, Lu Chen looked at the health on the patient's head.

   The trend of three minus signs has slowly turned into a minus sign at some point.

   The constantly declining health value finally stopped the downward trend.

  Lu Chen breathed a sigh of relief.

  …

   After half an hour.

   After close observation, the patient's condition became stable.

   There is no more bleeding in the operation area, blood pressure is stable, and the foreign body in the bronchus has been removed.

  Iced saline and norepinephrine have also been discontinued.

  This medicine should not be used too much, otherwise it will backfire, causing damage to the bronchial mucosa and gastric mucosa, resulting in bleeding.

  …

   For Fan Yujing, this accident is one of the few bleeding complications she has encountered since she was an interventional doctor for bronchoscopy.

  Before the operation, Fan Yujing never thought that this patient would have such a serious complication.

   In general, intratracheal tumors, metal foreign bodies, etc., cause massive hemorrhages are more common.

   Like this patient's case, the risk of bleeding is extremely low!

   is basically negligible!

   "Too dangerous!" Fan Yujing glanced at Lu Chen with lingering fears.

   After this accident, she began to re-examine the student in her group.

   It turned out that the "anecdote" was true, and Lu Chen's fearlessness in the face of danger left a deep impression on her.

  Calm, calm, the key is his solid basic skills.

   If it wasn't for Lu Chen's cooperation, this accident might not have been so easy to survive!

  …

   After dealing with the patient, the next step is how to communicate with the patient's family.

   Surgical accidents are sometimes unavoidable.

  No matter how skilled the artist is, unexpected things will always happen.

   What doctors can do is to fully explain the risks to patients and their families before surgery.

   Do everything possible to avoid risks during the operation.

  Strict monitoring after surgery to avoid complications!

  …

   Fortunately, Lu Chen had communicated with patients and their families many times before surgery.

   The risk of surgical bleeding was also recorded in the medical record.

  Fan Yujing also communicated again before the operation, and the patient and family members can understand this.

   However, Fan Yujing knew very well that this time it was because she and Lu Chen dealt with it in time.

  Once, the bronchial bleeding does not stop, or it is converted to surgery.

   At that time, it is unknown what the attitude of the patients and their families will be.

   "Congratulations, get +5 thanks from Fan Yujing!"

   surprises Lu Chen, but it seems reasonable that the patient and family members did not give him any gratitude.

   On the contrary, Fan Yujing, the teacher who has always been indifferent to him, gave him 5 points of thanks!

   (end of this chapter)