Autologous blood transfusion is an emergency rescue method!

There are many contraindications, but few applicable symptoms.

It has high requirements for patients and high requirements for injuries.

With the current relatively sufficient blood in the blood bank, fewer and fewer medical institutions and individuals using autologous blood transfusions are used.

but!

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

After all, you are your own blood, not someone else’s blood!

Tao Jun was in good health, and the amount of bleeding exceeded expectations at this time, and blood transfusions must be needed to meet his own needs.

At this time, there was no time to think so much.

Think about it more, there is no one else!

Here, Xiao Ke was actually very panicked.

Self-blood transfusion is still a scene she has seen on TV, and where have she encountered it in her life!

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

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

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

It is conceivable how much blood this Tao army has produced?

Fortunately, he was tall and burly, otherwise, the more than 1,000 milliliters of blood would have been tossed by ordinary people long ago.

But Chen Cang needs to stop the bleeding immediately!

Operation?

It is certainly impossible.

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

This is different from vascular repair, because the blood vessels inside the spleen and liver are all subtle and strange.

Whether it is proximal hepatic vein repair surgery or spleen repairing small blood vessels, Chen Cang is not sure!

Generally speaking, compared to this closed liver injury, it is lighter in stab wounds and cuts!

Closed damage is relatively troublesome!

[Broken liver: King-level boss! Hepatic rupture, parenchymal rupture exceeds 60%, multiple vascular damage, near-hepatic vein damage...]

Chen Cang's face suddenly changed!

The situation seems to be even more difficult as imagined!

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

After seeing this liver, even Chen Cang felt cold on his spine and cold sweat oozed out!

Can it be saved?

No!

Must be saved!

On this side, Chen Cang swallowed and forced himself to calm down. However, facing such a patient, Chen Cang was not sure!

After all, not only is the liver rupture, but the spleen rupture waiting for Chen Cang!

[Broken spleen: Lord-level boss, spleen envelope lacerations and irregular spleen parenchymal lacerations... It is recommended to stop bleeding and repair in time!]

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

Hemostatic forceps ligation?

This is impossible. With the help of the Eye of Accuracy, Chen Cang could clearly see that these livers have not yet been necrotic, and the surrounding small blood vessels are constantly providing blood even if the liver and spleen rupture.

It's better to be dying than to die!

But, how to stop the bleeding?

The car has started to be used at this time. It will probably not take long to return to the hospital, and it may take a long time...

Chen Cang's eyes kept carefully examining the broken liver, looking for places where heavy bleeding was needed and where key hemorrhage was needed.

It's good for a few seconds!

Chen Cang said to Xiao Ke: "Give me a few yarn pads!"

Xiao Ke nodded quickly and reached out and handed over.

Chen Cang took the yarn pad, reached out and pressed it slightly, and pressed it to the place where the liver ruptured and bleeding.

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

However, if you find the right place, the effect will be very obvious and there will be less bleeding.

After successfully stopping the bleeding, Chen Cang pressed his left hand, then stared at the spleen, and two more yarn pads, pressed directly to stop the bleeding.

The bleeding became slower at this moment, and there was no more bleeding in the abdominal cavity.

But this is not a solution after all!

The surgery must be completed as soon as possible!

Chen Cang looked at the scarlet [liver] and [spleen] name.

Seeing the tissue above is slowly changing color, this is a change caused by gradual ischemia.

only……

Chen Cang discovered the difference!

It seems that the man experienced two liver injuries.

The first time, there was only a rupture of the central liver and a true liver rupture, so there would be no comminuted liver damage like now.

However, no obvious liver tissue breakdown occurred!

However, some tissues in the liver have been vaguely broken. Although the liver parenchyma will not be damaged,... the distal end of the broken tissue is losing vitality due to liver blood circulation disorders!

This tissue can only be removed...

In this case, the patient obviously experienced two injuries.

Suddenly, Chen Cang thought of the words of the firefighters just now and immediately reacted...

After Xiao Ke finished his work, Chen Cang quickly asked him to call the hospital to prepare for rescue items, open the green channel, and start the operation quickly!

Ten minutes later!

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

Tao Jun was covered up by sterile towels.

Yu Yong had just entered the operating room at this time, and the team leader of Group 2 was in the room. When he saw Chen Cang's appearance, his face changed!

"Have you opened your stomach?"

Chen Cang nodded!

"The situation is urgent, I have to open my stomach!"

"The patient suffered severe liver comminuted rupture, coupled with multiple hepatic portal vein injuries, spleen rupture... The bleeding volume is as high as 1,200 ml, and autologous blood transfusion is 500 ml!"

"Now your blood pressure is 90/65mmhg! Your vital signs are stable, and you need to prepare for surgery immediately!"

When everyone heard Chen Cang's words, they were stunned.

Everyone is an emergency department staff, and I know that these words are not as simple as saying them, but rather a thrilling and rescue along the way!

Moreover, this situation can be delivered safely!

It can be seen that Chen Cang’s level is!

"Hurry up, be careful with transfer, prepare for blood tests, contact the unit and family, and sign the medical department... prepare the surgery quickly!"

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

"Relax steadily! Don't move around! Doctor Chen, let go first and stop the bleeding for a while!"

Chen Cang nodded!

Seven or eight men worked together and took a lot of effort to help the patients steadily push them down.

After that, emergency rescue work began!

The entire emergency department is like a tightening rule at this time, running quickly.

After some preparation, Tao Jun was quickly sent to the operating room.

At this time, Hou Rong, the leader of the second group, quickly led several members of the rescue team to prepare for surgery on the patient!

"Doctor Chen, you take a break and we'll do it for the surgery!"

After hearing this, Chen Cang said worriedly: "The patient's liver rupture, coupled with damage to the near-hepatic vein, may require jhvi surgery."

When Hou Rong heard this, he was stunned!

No matter where jhvi is, it is a difficult problem!

Because of the special anatomical location and difficulty in handling, near-hepatic venous injuries are still one of the most difficult problems in the field of liver surgery.
Chapter completed!