Low-molecular-dextran amino acid injection was different from glucose saline in that it was colloidal and necessary for transfusions.
Many people did not like to use low-molecular-dextran because of the possibility of allergies.
However, since the plasma and red blood cells had not been delivered yet, injecting low-molecular-dextran amino acid injection with glucose saline was the right choice.
As for allergies …
Rather than pay attention to such a small possibility, it was better to treat hemorrhagic shock first.
"Rush the blood. Get a doctor to the blood transfusion department and wait!" Zheng Ren continued to give orders.
The blood transfusion doctor did not know if the patient's condition was normal, critical, or dying. If they waited in line, the patient would be dead by the time the blood arrived.
Under normal circumstances, a nurse would be the one to collect blood. There was not enough for a nurse to do it.
A doctor would go to the blood transfusion department and explain the situation. Everything would be rushed so that the blood could be transfused before Miao Xiaohua died.
Zheng Ren did not have much time left. This was the only way.
Most importantly, it was daytime and they had enough manpower.
Zheng Ren removed his sterile gloves and took out his phone to make a call. His voice was slightly hoarse. "Gastroenterology, rescue. Coming right away."
With that, he hung up.
Low-molecular-dextran amino acid injection was hung up. A nurse stood by the side and pressurized the bag with a pressurized blood transfusion device to inject more fluid in a short period of time.
Zheng Ren began the physical examination. Miao Xiaohua's stomach was swollen, probably full of blood. She had lost consciousness and there was no way to find out where the bleeding was.
The System was such a pig trotter!
Zheng Ren cursed in his heart.
When he first received the System's blessing, he had been smug. It was a superpower. However, when faced with one critically ill patient after another, Zheng Ren felt powerless.
Why didn't you tell me where the bleeding point was?! A diagnosis of ruptured pancreatic pseudocyst and hemorrhagic shock was definitely not enough.
An exploratory laparotomy had to have a purpose. If they searched every possible location, Miao Xiaohua would probably be dead.
A few minutes later, Su Yun rushed to the gastroenterology resuscitation room.
He took a glance at the room and roughly understood the situation. He came to Zheng Ren's side and asked in a low voice, "What disease?"
"Ruptured pancreatic pseudocyst," Zheng Ren said.
Su Yun was speechless.
The rarer the disease, the more difficult it was to deal with because there was less clinical experience.
Once the rare disease flared up, the possibility of being saved was next to nothing.
"Can you tell which blood vessel is broken?" Su Yun seemed to know everything and immediately asked the main point of the matter.
"I don't know." Zheng Ren shook his head but immediately made up his mind. "Let's go to the interventional radiology room. We'll do an angiogram and perform laparotomy to stop the bleeding."
"…"
This was the second time Su Yun was speechless today.
Although he was extremely talented and had graduated from the top hospital in the country, Su Yun had never experienced the surgical method of starting the surgery directly after the angiogram.
Interventional radiology was a hybrid operating theater, but no one had ever performed a surgery before. It seemed like no one had any experience in this area.
"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.
Glancing at the ECG monitor beside Miao Xiaohua, Su Yun and the doctors and nurses from the gastroenterology department got to work.
Transferring Miao Xiaohua from the gastroenterology resuscitation room to the interventional radiology room was extremely risky. There was a 30% chance that Miao Xiaohua's heart would stop midway.
Perhaps 30% did not seem like a high number, but in the eyes of the medical staff, it was an unbearable possibility.
When Chu Yanzhi heard the news, she rushed over with the equipment for tracheal intubation.
In less than ten minutes, fresh frozen red blood cells were delivered. The endotracheal tube was ready and the 10 U red blood cells were warmed up by the gastroenterology doctors and nurses as they rushed to the emergency building.
Fortunately, the medical elevator was empty at the moment, so the trip went smoothly.
He trotted all the way. Apart from a slight pause when he changed the red blood cell bag, he basically did not waste any time.
When they arrived at the interventional radiology room, Miao Xiaohua's blood pressure was no longer detectable.
Chu Yanran, who had already prepared the anesthesia, injected Miao Xiaohua immediately and prepared for the surgery.
Old Chief Physician Pan rushed to the hospital upon hearing the news. Although she was a hospital nurse, without the consent of a family member, Old Chief Physician Pan still followed the normal procedure and found a staff member from the medical administration division to complete the legal formalities from the hospital's perspective.
Xie Yiren followed the stretcher trolley all the way back. As usual, she changed her clothes and scrubbed in.
When she stood in front of the instrument table, tears welled up in her eyes.
Fortunately, the concept of sterility had fused into the deepest part of her soul. She subconsciously avoided the instrument table, which prevented the instrument table from being contaminated and the need to open another surgical bag.
It was not because the surgical bag was precious, but because time waited for no one.
This was the first hybrid surgery in Sea City General Hospital, or even in Sea City itself.
There was no communication, but everyone had a tacit understanding.
Old Chief Physician Pan stood outside and gave instructions, handling various chores and organizing every step.
The operating room matron put on a lead apron and entered the operating room to prepare the surgical equipment while they were performing the interventional radiology.
Although Miao Xiaohua's heart did not stop, the ECG monitor showed atrial fibrillation. Due to the need to administer medication at any time, Chu Yanran and the nurses also put on lead aprons and entered the operating room to be on standby.
This was a completely different surgical method from the past. It had not been rehearsed and there was no contingency plan before this.
However, everyone worked together and in less than twenty minutes, they were ready to start.
While Su Yun put on the lead apron and scrubbed in, Zheng Ren disinfected, placed a sterile surgical drape, and performed the puncture.
At the same time, Xinglin Garden's live broadcast room started again.
[Asking for updates before watching. It's boring to watch surgeries all the time. Requesting for the god to sing a song.]
[Go watch it on other streaming sites. There are plenty of pretty girls, but you insist on watching it here.]
[That's right. Your illness is serious. You should get treatment as soon as possible.]
A few comments appeared at the beginning of the live broadcast.
Since the recording of the postoperative surgery had been canceled, those who had been following the live broadcast account knew that they had to watch the case first to gain more information. If it was a rare surgery, they would be able to learn more.
There were surprisingly few comments today. Most people chose to turn off the comments and refuse to communicate, focusing on the surgery.
However, when everyone saw the case, they all fell silent.
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