Plague Doctor

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Wu Shiyu, who also changed to a sterile suit, stood in the corridor outside the operating room. Through the small window on the door, he could look inside.

There are three operating rooms in this corridor, and two of them have rescue teams working hard, doing ECMO for Gu Jun and Xue Ba.

In addition to the hand-washing table beside the corridor, there is also a row of rest chairs. There are several screens hanging on the opposite wall. The images taken by several cameras above and next to the operating table are broadcast in real time. Some substitute medical personnel and curse personnel are in the state of preparation and can enter the operating room at any time.

Uncle Egg and Zhang Huohuo were also sitting on the chairs. Although they were still looking at the screen, they were already exhausted.

It ’s not just going through everything on the island. It ’s a lot of effort to continue to do chest compressions. They and others have alternately pressed for more than 2 hours. In fact, they exhausted the last trace of energy very early, if there is still willpower Therefore, this period of time cannot be maintained at all.

“Uncle Egg, Shiyu! What’s the situation?” At this time, Lou Xiaoning hurried from the front hall, followed by Peacock and Moqing.

They only know that ECMO is doing this, and Deng Ximei, who has independent heartbeat breathing, first performs some imaging examinations before transferring to the intensive care unit.

“Everyone is still making blood vessels. Open the tube to open the channel.” Uncle Egg responded softly, staring at the image on the screen without blinking. “A Jun opened his mouth and found the blood vessels … good kind , That’s it, it’s awesome … complete the puncture tube placement! “

The doctors and nurses in the hallway were a little excited, and the command center was also refreshing. This step was very smooth, and it was a good start.

Lou Xiaoning walked to Wu Shiyu, and looked at the small window on the door with his left eye. He saw that the operating table was surrounded by medical staff.

From the gaps in those blue clothed clothes, I saw Gu Jun on the operating table, connected with blood bags, drip, etc., as well as a bunch of equipment such as electrocardiogram monitors and anesthesia machines. A nurse was giving him chest compressions. Some doctors dealt with trauma to his limbs, and of course, some doctors are doing puncture catheterization.

In the operating room, Gu Jun is usually the one who is standing by the operating table and working hard, not like now.

“Alas.” Lou Xiaoning couldn’t help sighing. What a wonderful person, but now it is so, and Xue Ba is also …

At this time, the screen speaker heard the voice of the doctor of the ECMO team, Luo De, “The equipment is pre-charged.”

Some personnel in the operating room are specifically responsible for the operation and adjustment of those ECMO equipment. Their parameters are numerous and constantly changing. The interaction between the heart-lung-ECMO systems must be understood by trained personnel, and they must be stared at any time and adjusted at any time. , These all are the difficulties of ECMO.

After the equipment was pre-rushed, the chief surgeon Luo De immediately connected the inner catheter of the blood vessels and the connecting tube. Everyone in the operating room and outside was nervous at the moment, and ECMO began to operate!

ECMO has 2 main types of diversion, one is to drain the blood through a vein and pump it into another vein after oxygenation. This is a VV diversion, suitable for cases without the risk of cardiac arrest; the other is transvenous bleeding , And finally sent back to the artery, which is VA bypass, suitable for cases with heart and lung function problems and risk of cardiac arrest.

However, if the patient’s heart completely stops beating for more than 3 hours under the diagnosis of ultrasound, thrombosis and pulmonary edema are likely to occur due to the cardiopulmonary blood retention in the VA mode, so the patient must immediately undergo thoracotomy and change the tube to the heart. AAA transfer mode.

The rescue team gave Gu Jun the first thing to do is the VA model.

Uncle Egg, they saw the dark red blood coming out of the catheter from the screen. That was the blood of Gu Jun within the body …

The venous blood is dark red because of its low oxygen content, but now his blood is too dark, almost black, as if it is about to stick and solidify …

Uncle Egg suddenly lost his excitement, exhaling in a daze, looking at the blood and knowing what to do as a doctor.

It ’s not nine deaths and still alive. Ajun this time is 90 nine deaths and still alive. Now it is not just a cardiopulmonary resuscitation and intracranial problem, his organ functions should have been severely damaged by hypoxic-ischemic damage, and various complications are just in sight …

Many medical staff in the corridor secretly sighed, but these sighs are stacked together and everyone can hear it.

At the same time, the venous blood returned to Gu Jun within the body through the arterial catheter after being oxygenated by the device, completing the first cycle.

After the ECMO successfully connected, the team pressed Gu Jun’s chest to stop. Even if the patient can recover the heartbeat because of this, it may not be as long as it takes. Some people jump again as soon as they connect to ECMO, and some people have hours, tens of hours …

And now on the screen of the ECG monitor, Gu Jun’s heart is still not self-active, and the chest compressions stop, it is a straight line.

“There is still half an hour.” Uncle Egg said, “A Jun can have a little heartbeat, so he doesn’t need to open his chest …”

The CT equipment has already been transported into the operating room. In this ECMO state, the rescue team gave Gu Jun a cranial CT to confirm the diagnosis of massive intracranial hemorrhage. Craniotomy should be performed immediately, because thoracotomy seems to be imperative, and those fracture reduction and open reduction are ranked behind.

On the other hand, Xue Ba did not have cerebral hemorrhage and fractures, and ECMO did well, but the blood condition was worse than Gu Jun, and the damage to various organs was heavier.

“Hey, don’t look at it anymore.” Uncle Egg stood up and called Wu Shiyu and the others. “We can’t help here, go out on the deck and blow it.”

Uncle Egg is mainly afraid that Wu Shiyu ca n’t stand his spirits, so he ca n’t stand even if he looks at Ajun ’s craniotomy and chest open. Ajun will be shaved, cut his skin, drill holes in his skull, and then put his skull saw……

“Uncle Egg, I’m okay.” Wu Shiyu said, “I want to stay here, I feel he can see it, which can give him more support.”

“Okay, okay.” Uncle Egg is not reluctant, staying here is uncomfortable, and walking away is also uncomfortable, come as she wants.

Lou Xiaoning and Peacock did not leave either of them. Everyone sat on a chair, looking at the operation on the screen, and talking one after another.

But it was at this time, near the time when Gu Jun heartbeat stopped completely for 3 hours.

One situation caused excitement in the operating room, invigorated the command center, and suddenly they all stood up in the corridor.

“There is a heartbeat! The patient has an autonomous heartbeat reaction!”

In the screen of the ECG monitor, there was no longer just a straight line of silence, but with a slight fluctuation, Gu Jun’s heart beat again.

“This guy really has a good heart!” Lou Xiaoning said excitedly, “It will not work if you don’t accept it.”

“No need to open the chest, good thing, great thing.” Uncle Egg also said repeatedly, although the cardiac resuscitation does not mean that A Jun is alive, it definitely means this opportunity, and avoiding a chest surgery, avoiding more Complications, “Great … Team Xue, Team Xue, you can learn a little …”

“Hu …” Wu Shiyu took a long breath and sat down on the chair. “I thought I could see what he had in his heart later.”

“What else can I have?” Tong Ye’s voice came from the intercom. “Can I still have my old one?”

Everyone smiled a little bitterly, but it is true that this battle has not been won and it will take a long time.

But now, they see hope.