Rebirth 78, the beginning of the marriage was broken off by the female educated youth

DIC!

The occurrence of this situation means that blood clots have formed in tiny blood vessels throughout the body, and this situation will directly consume a large amount of coagulation factors and cause secondary hyperfibrinolysis!

What are the direct consequences?

That is systemic bleeding!

This is one of the most dangerous complications in obstetrics!

If DIC occurs, the mortality rate is extremely high!

When the three words "DIC" popped into Li Xiangnan's mind, he couldn't help but be shocked!

Xu Qiluo, if this situation really happens and the treatment and rescue cannot keep up, what will happen?

death!

When these two words kept flashing in front of Li Xiangnan's eyes, a slight cold sweat appeared on his forehead!

Ye Heng's face, Qin Ruobai's face, and Guo Qian's face naturally appeared in front of him!

We can’t let this happen!

Absolutely not!

"Is it a transfusion reaction or circulatory collapse caused by DIC itself?"

Gui Jing is an experienced obstetrician and gynecologist. After Cao Xiaodong summarized the possible situations, he immediately asked the key question!

However, these words instantly cast a shadow over the emergency room!

Originally everyone thought that as long as blood transfusions were continued, Xu Qiluo could stabilize his current condition!

But now, unexpectedly, it seems like another powder keg has been ignited!

Xu Qiluo had just been transferred from the Sixth Cotton Mill to Nianwei Hospital. The light of hope that had ignited in everyone’s hearts had just lit up when it was suddenly poured with a bucket of cold water!

"This is not a simple transfusion reaction!"

However, the calmest person who wanted Xu Qiluo to recover the most was Li Xiangnan. After carefully analyzing the data from the monitor, his brain was working rapidly.

"Look at these data. This is most likely DIC's consumptive hypocoagulable phase combined with hyperfibrinolysis, causing microcirculatory impairment and leading to circulatory failure! Fang Yu, stop transfusing banked blood immediately! Switch to fresh frozen plasma and cryoprecipitate! At the same time, replenish coagulation factors and fibrinogen!"

As soon as these words were spoken, everyone in the rescue room was shocked!

Thus……

"Give another small dose of heparin intravenously!"

Li Xiangnan hasn’t finished speaking yet!

"what?"

"Dean, why are you pushing for heparin at this time?"

Doctors continued to express their confusion.

Even the director of the anesthesiology department, Cao Xiaodong, exclaimed in shock, "Heparin? Dean, Comrade Xiao Xu is actively bleeding. Using heparin would only add fuel to the fire!"

He thought that Li Xiangnan was a little anxious at the moment, and even tried all kinds of treatments desperately!

Although he, like everyone else, respected and esteemed Li Xiangnan, took him as the center, trusted him and loved him, he would never watch him go astray!

At this moment, Li Xiangnan was obviously confused about making a decision because of the special relationship between the patient and him!

Giving Xu Qiluo an injection of heparin and using the anticoagulant heparin during her active bleeding is too risky!

"Director Cao, the main problem right now is diffuse microthrombosis leading to insufficient organ perfusion! If we don't use heparin to block the coagulation cascade, the blood and coagulation factors we transfuse will be immediately consumed. If this continues, the bleeding will be impossible to stop!"

However, Li Xiangnan's eyes remained firm, his tone unquestionable: "I'm not doing this out of haste, but rather the result of a calm approach. This will help us break the vicious cycle, and it's our only chance now! Don't worry, I'll take responsibility!"

"..." Cao Xiaodong opened his mouth and clenched his teeth. He was thinking about what Li Xiangnan said, was it possible?

"Hurry, prepare for surgery immediately! We can't wait any longer!" After explaining his reasons to anesthesiologist Cao Xiaodong, Li Xiangnan didn't hesitate and immediately turned to the nurses, instructing them, "Prepare for a cesarean section now and take the fetus out! This will relieve the uterus from the constant stimulation of the mother and directly eliminate the source of bleeding!"

Li Xiangnan knew very well that if the fetus remained in the body and blood flowed back into the uterus due to heavy bleeding, the risk of fetal infection would increase.

In addition, the bleeding and release of procoagulant substances on the placental detachment surface will not stop!

After receiving these orders, Cao Xiaodong frowned, and Gui Jing, Wang Qi, Wang Defa, Shi Sijun, Shui Dong and Shi Fang all looked at each other in bewilderment!

It’s not that they don’t understand the meaning of the information revealed in Li Xiangnan’s words!

But...if problems really arise after doing this, what should we do?

Trust is also undergoing the ultimate test at this moment!

During so many rescue processes, Li Xiangnan has always led everyone's rescue direction, methods and approaches, and controlled the overall situation!

But, if you walk by the river often, you will get your feet wet!

Was he always right?

Cao Xiaodong later became the director of the Department of Anesthesiology!

During the operation, he was obviously calmer than those who arrived earlier, such as Wang Qi!

He only believes in medical skills, not human feelings!

At this moment, law is more important than emotion, and skills are more important than reason!

He was afraid that the doctors and nurses around him would become dependent on Li Xiangnan, and even more afraid that they would blindly follow him!

So when everyone’s face was filled with hesitation and thinking, I felt even more anxious deep down!

He's an anesthesiologist!

Although it does not dominate the direction of the rescue, it plays a vital role and authority in the entire rescue process!

For some surgeries, if he says it can be done, then it can be done!

Some steps can only be carried out if he says it is okay!

Anesthesiologists, in some situations and during some surgeries, if you can sit and rest, relax, or even take a nap, everyone will feel at ease!

But once he stood up or made a doubtful sound, all the surgeons would have to be alerted!

Now, in complex surgical environments, there is an additional stage of anesthesiologist’s opinion guidance!

"I will do it!" Wang Defa nodded sternly and looked at Director Cao, "I'm not blindly following!"

"I think so too. We must do this!" Shi Fang nodded.

Wang Qi narrowed his eyes. "What the dean said is the actual situation. Director Cao, you can arrange for general anesthesia!"

“…” Director Cao clenched his fist and looked at Gui Jing from the Obstetrics and Gynecology Department!

She is the core of this maternity operation and actually has more say than Li Xiangnan!

He is also the first person responsible!

"Director Cao, do you have any concerns?" Gui Jing waved his hand and asked the nurse to prepare heparin.

"I just wanted to see if our team is calm and sober. If it really is a pair of chopsticks that no one can break, then I've come to the right place!"

Cao Xiaodong suddenly smiled.

Everyone was stunned.

It turned out that he had already made a decision in his mind at some point just now.

"Then let's push it! We - trust the dean unconditionally!" Gui Jing nodded and breathed a long sigh of relief.

"Yes!" Cao Xiaodong began to instruct the auxiliary nurse to carry out Li Xiangnan's orders without any hesitation.

Fresh frozen plasma and cryoprecipitate were rapidly infused!

At the same time, a small amount of heparin was quickly pushed into the vein!

Time passes by minute by minute!

Drop drop!

Everyone stared at the monitor!

"Get up!" Cao Xiaodong shouted excitedly, one second earlier than everyone else in the room.

The blood pressure, which was originally at a critical level, did rise slightly!

Stable at the position of 60/36!

Although it is still very low, it is no longer a desperate drop!

"It's improved!" Shi Fang swallowed.

Li Xiangnan nodded and looked at Gui Jing: "Sister Gui, prepare for the cesarean section!"

"Yes!"

Snapped!

The shadowless lamp lit up instantly, illuminating Xu Qiluo's abdomen, which was as pale as paper!

The surgeon now is Li Xiangnan, and Gui Jing is assisting as his deputy!

Without hesitation, when Cao Xiaodong reminded him that he was anesthetized, Li Xiangnan started to operate!

Slipping!

Cut the muscle tissue!

Stop the bleeding!

Move quickly but not chaotically!

The moment the uterus was opened, a large amount of dark red blood clots and blood gushed out instantly.

Li Xiangnan's heart sank suddenly.

The placenta has been detached for more than two-thirds!

not good!

Without hesitation, he quickly reached into the uterine cavity and instantly touched a soft little body!

"Sister Gui, connect it!" He carefully took out the fetus.

The people present changed color instantly!

The tiny fetus was covered in bruises, with the umbilical cord wrapped around its neck for two weeks. He was only eight months old and looked so skinny!

There was no sound at this moment...