One day in early autumn, at 2 pm 19 pm, Tian Yan, a female patient, was carried by her relatives and sent to the emergency room of the Central Hospital. At the moment, Tian Yan is in a state of severe shock, her pulse is undetectable, her face is pale, she is delirious, and her delicate breathing is erratic. She has arrived in do or die. Family statement said that the patient Tian Yan had been suffering from progressive pain in the lower abdomen for more than 6 hours, but due to various reasons, he was delayed to be sent here for treatment. Upon inquiry, the patient had no history of trauma, and the examination found that his lower abdomen was highly filled. According to the critical condition, the doctor on duty made a decisive decision, picked up the syringe, conducted the fastest abdominal puncture and exploration, and determined the massive hemorrhage in the cavity, which was extremely dangerous.
Patient Tian Yan is seriously ill, and the only way out is to go all out to gain time for surgery as soon as possible, so as to have a glimmer of hope to turn the corner. The medical staff are well aware that death is approaching the patient at the speed of minutes and seconds. At this moment, the backbone is the people's doctor, the patient's family has long been distracted, and the doctor is the master of life! With the medical skill and scientific research strength of this hospital, it only takes time to treat such patients!
When the patient's life is dying, the hospital leader who got the information first clearly instructed: "Life first, rescue first, regardless of any other factors such as medical expenses! One second can't be delayed, and every link must bite the time tightly, and every second counts! " As a result, the life green channel of critically ill patients was urgently started, and the green channel instructions tied to life were quickly transmitted to relevant departments of the hospital, medical technology and clinical departments. In order to compete for time efficiently, the strategy of "dividing the soldiers into two ways and proceeding at the same time" was adopted. The first way is to transport the patient to the operating room in the intensive care unit, and the second way is to rush to the operating room to prepare for the operation by elite soldiers such as obstetrics and gynecology, surgical anesthesiology and surgery. According to the routine, patients have to go through pre-examination, triage, registration, examination, payment, hospitalization and other processes. However, the life time here is tight, and the "routine" is no longer allowed to take up a minute! The green channel of life that has been started is free from all intermediate procedures, and the green light is open to Tian Yan in all directions!
The nurse in charge of the emergency room is the first to receive patients. Based on her rich nursing knowledge, she realized that her condition was critical. Without any hesitation, she quickly sent the patient to the emergency room of obstetrics and gynecology. The emergency room doctor who had been waiting at the door took the patient and made an emergency treatment. The director of surgical anesthesiology who heard the news saw this situation and quickly picked up the phone: "Operating room? Start the multifunctional anesthesia machine immediately, the sooner the better! " At the same time, the director of anesthesiology and the attending physician of anesthesiology who rushed to meet the patients, together with other medical staff, pushed the emergency bed and strode to the elevator of the operating building. The elevator staff who have received the emergency signal from the green channel have already advised others to climb the stairs, lower the elevator to the ground floor for standby, and send the patients directly to the door of the operating room like a through train. The medical staff didn't have time to change the special diagnosis and treatment bed for surgery, so they rushed into the operating room door directly with the emergency bed and rushed through the corridor of the operating room to enter the third operating room. All this, that is, it takes only 6 minutes for the patient to arrive at the emergency room of the hospital and enter the operating room. At this time, the multifunctional anesthesia machine in the third operating room has just started the preheating self-inspection and entered the working state.
The patient Tian Yan entered the operating room with zero blood pressure and zero oxygen saturation, and his condition worsened. The nurses and anesthesiologists waiting in the operating room went all out, some of them had endotracheal intubation, and some of them were connected with monitoring instruments and devices. In a very short time, the patient's life was placed under the monitoring and protection of high-tech automation system, and the preoperative matters such as cleaning the surgical site that the patient could only do after arriving were done well.
The operation is in a state of war, and life and death are at stake. Patients either come back to life or die on the operating table, and the latter is exactly the taboo of doctors. However, a doctor with a sacred mission would never think of retreating under such circumstances. The patient's critical moment is the time when the doctor's career is sublimated, and no matter how big the risk is, it is also true for the patient's life. The chief surgeon and the deputy chief physician of obstetrics and gynecology held up a small scalpel, which made him feel heavy. But at this time, the surgeon is particularly confident, because all the people involved in the early stage, including hospital leaders, administrative directors of obstetrics and gynecology, and related medical and technical departments, have formed a strong rescue lineup around patients.
At 2: 30 sharp, the scalpel without hesitation fell steadily and cut off the first knife. At this time, the patient only entered the operating room for 5 minutes. The scalpel continued to cut deep into the abdominal cavity, only to see a stream of blood gushing out, further exposing the surgical field of vision, only to see the whole abdominal cavity filled with blood and blood clots. Immediately after the surgeon assisted in the exploration and confirmed that other organs were in good condition, try to recover uncontaminated blood. At this time, it was clear that Tian Yan's bleeding volume reached 4,500 ml, while the total blood volume of normal people was about 4,000-5,000 ml. In other words, the patient's blood is almost exhausted, which is obviously the total amount of bleeding when the patient is imported from the outside and continues to overflow to the inside. This is an important way to save his life while importing.
The next operation is the key to race against time, that is, whether the culprit of bleeding can be caught as soon as possible. With long-term clinical experience and superb technology, the chief surgeon led his assistants to break away from the routine, cooperate with each other, adopt both offensive and defensive methods, accurately judge after opening the abdominal cavity, and directly perform the operation of "corpus luteum rupture and massive hemorrhage", which quickly captured the patient's corpus luteum rupture area, that is, the massive hemorrhage incision, and performed a series of surgical steps such as clamping, anastomosis, repair and so on with skillful and quick actions, and stitched up the bleeding mouth, thus completely overcoming the culprit of massive hemorrhage. It took only 5 minutes and 30 seconds from the first cut to the conquest of the culprit of bleeding.
The rescue is synchronized in many places, and the narrative is divided into two ends. At the beginning of the first rescue in the operating room, when the patient lost too much blood and the vein lost elasticity, the two attending anesthesiologists cooperated tacitly and successfully implemented a difficult internal jugular deep vein puncture with solid basic skills, ensuring the continuation of life.
The second rescue time in the operating room begins with stopping bleeding. Although the bleeding stopped, the condition was not optimistic, and all the rescuers were not relieved, but more anxious. Because the patient showed no signs of improvement, all the life indicators reached the critical point of death, and the overall situation was in a critical period. If the patient can't be awakened in the early stage of the second time, all previous efforts will be in vain.
Race against time to save lives is the final decisive battle. At this critical moment, the dean who has arrived at the scene decisively introduced measures such as "adjusting the speed of fluid infusion" and "carrying out two blood transfusions at the same time". However, under the action of a series of emergency measures, patients still can't see the expected progress response, and everyone's heart is tighter.
"Pressurization, blood transfusion!" The firm voice of the surgeon soon turned into a rescue procedure. Under compulsion, a large amount of blood, including autologous blood recovered from the patient's body, is accelerated into the patient's body, especially through deep internal jugular vein transfusion, so that the blood can reach the heart more quickly and directly, and the tired heart can wake up like manna in drought.
The electronic clock in the operating room "tick-tock, tick-tock" went in a hurry and the sound was suffocating. Difficult rescue can be accelerated in the time of catching up with life by strengthening comprehensive measures such as one-way fluid infusion and two-way blood transfusion. ...
The whole rescue scene suddenly became "quiet", almost only the sound of instruments running and the breath of rescuers holding their breath, which was suffocating! In fact, in the high-tech, high-risk, high-responsibility "three highs" industry dealing with life, angels in white, who takes saving lives as his own responsibility, also has psychological timidity. If they watch life step by step from their own hands, but they can't stop the pace of death, their sorrow is beyond words. For heaven's sake, the gods did not give the doctor a "sword" to ensure that the patient would not die, so it is inevitable that there will be helpless flowers. Facing the end of life, the doctor is the first to be injured!
Medicine is benevolence. At this moment, in the thrilling operating room, under the cover of "quiet", the broad "benevolence" is in a decisive life-and-death contest with corpus luteum rupture, massive hemorrhage and acute abdomen, which is known as the "youth killer"!
Deciding yin and yang is a matter of minutes, and time and life fight at the end. ...
"Blood pressure is rising!" Two nurses who have been staring at the monitoring screen suddenly trembled with excitement and reported in unison. Rock-breaking! A report is like a sunrise in Feng Ming. The highly nervous and depressed mood of the medical staff suddenly relaxed, relieved and suddenly enlightened. For everyone, the nurse's report is undoubtedly the most beautiful voice in the world. This inspiring voice solemnly declares that the patient Tian Yan's life has entered a benign reversal!
"Look, the patient's lips!" The anesthesiologists shouted in surprise, only to see that Tian Yan's bloodless, paper-white lips were covered with ruddy, and the field staff were surprised, thinking that this ruddy color was the most beautiful and bright color in the world!
After a while, the heart rate and other vital indicators on the monitor showed that the pulse became clearer and more regular, just like a beating harmonious note, knocking out a wonderful symphony of new life. With the symphony, Tian Yan gradually woke up and opened her eyes to see this beautiful world again.
"alive, saved!" Passion and happiness will fill the whole rescue scene. The head nurse, who is usually very strict, showed a bright smile and made a relieved expression. A little nurse jumped out of the operating room like an angel to convey the good news of successful operation. At the door of the anxious operating room, Tian Yan's relatives suddenly burst into tears and cried with the voice of the "savior" ...
A new flower of life has blossomed in the operating room. This is the unique magic and pride of the medical profession, and it is the scientific wisdom and conscience of medical staff, which makes flower of life bloom magically again!
In view of the critical condition, the surgeon decided to let Tian Yan observe in the operating room for a long time after the anesthesia of tracheal intubation was released. As a matter of fact, good control of anesthesia procedure has enabled Tian Yan to get out of anesthesia quickly after closing the abdominal cavity and ending the operation, but she still has no strength to speak. Suddenly, Tian Yan's lips moved slightly, and the careful anesthesiologist immediately listened to the past.
"Save ..." The faint voice obviously wanted to say "help", but Tian Yan seemed to have tried her best and only said one word. The word "save" is enough to show her great desire for life.
The anesthesiologist can no longer control his emotions. His eyes were burning and filled with tears at once. He was a little incoherent with excitement and whispered in Tian Yan's ear, "Are you okay? No ... It doesn't matter ..."
Tian Yan seemed to understand, nodded, and a glittering and translucent tear rolled out. ...
The day after the operation, the anesthesiologist and the surgeon gently walked to the door of Tian Yan's ward. Although Tian Yan is weak, she looks relaxed. Her husband bowed in her ear, and the couple talked slowly and softly, as if they had endless words.
Looking at the sweet looks of Mr. and Mrs. Tian Yan, both the anesthesiologist and the surgeon showed a knowing smile on their faces ...