Such a patient would definitely not have survived in the past.

The massive gastrointestinal bleeding alone is enough to be fatal, not to mention the other complications.

"Mom, don't scare me, can you hear me?"

"Xiaoqin is still waiting for you to go home and play with her, mom, please say something."

The ward was filled with a pungent smell of blood, and the family members' heartbreaking cries broke the hearts of the listeners.

But the patient was unconscious at this moment, his face was pale, his body was cold, and even his breathing pattern had changed.

"Doctor, please save my mother, she has suffered all her life, and just when she was about to enjoy happiness with me, this happened. I can't live without my mother."

Seeing that the patient could not be awakened, the family members were completely panicked. She was at a loss and could only pin her hopes on the medical staff who were doing emergency rescue.

Faced with the family members' pleading, everyone felt bad. There was no time to comfort them, and the patient's condition had already fallen to the bottom.

"Director Xiao, the patient's blood pressure has never risen, and the use of pressor drugs has not worked."

The blood pressure on the monitor has been hovering around dozens, and the effect is very poor regardless of rapid fluid replacement or medication.

"Lin Gaoyang, has the emergency department handed over? Has the blood been drawn?"

The patient is bleeding too much, and conservative treatment to prevent the blood pressure from dropping is already the limit.

If you want to raise blood pressure, the most effective measure is to replenish blood volume, that is, rapid blood transfusion.

"Boss, the emergency department has drawn blood routine, Mei Bingai, and blood type."

Lin Gaoyang hurriedly handed over the test sheet.

"Emergency hemoglobin 110g/L?"

Seeing the value of the test sheet, Xiao Chenguang frowned.

"Yes, I saw it drawn. At that time, the patient was in good condition except for the pain in the liver area. Who knew now..."

Hemoglobin reflects the patient's blood volume, and the normal value for women is 110-150g.

Although 110g/L is a bit low, it is also within the normal range. How long has it been? Half an hour? Judging from the patient's severe anemia, it is estimated that the current hemoglobin is less than 30g.

"Draw another cross-matched blood and send it to the blood transfusion department, start the emergency plan for massive blood transfusion, notify the operating room, and prepare the table."

At this moment, the hemostatic drug has been used, temporarily relieving the patient's symptoms of heavy bleeding, but the blood vessels ruptured due to portal hypertension. Given the patient's current condition, drug treatment alone is a drop in the bucket.

Surgery is the only way to survive.

"Family members, listen to me..."

Xiao Chenguang told the family members about the emergency surgery plan. The latter had no idea at this moment and was completely confused.

Seeing that the family members did not respond, Xiao Chenguang knew that she was scared.

But as the only family member of the patient now, he must make a decision immediately.

"Look at her current state!"

Xiao Chenguang lifted the patient's clothes and saw that her abdomen was swollen, with severe ascites. There were lumps on the skin surface of the upper abdomen on both sides. They were the enlarged spleen and hardened liver.

"Why did it suddenly swell like this?!"

Not only the family members were shocked, but even the medical staff present were also shocked.

What kind of disease is this? The disease progressed so fiercely. A person who was fine just now suddenly became like this.

"Do it, do it immediately, doctor, I will listen to you no matter how you arrange it."

The family members finally came to their senses at this time. The current situation made her understand that if the patient did not have surgery, she might not survive tonight.

"Gao Yang, give her a preoperative talk and sign the informed consent form for the surgery."

"Notify the blood transfusion department and send the transfused blood directly to the operating room."

"During the transportation process, bring a rescue box and directly draw adrenaline for standby use."

Seeing that the family members agreed to the surgery, Xiao Chenguang immediately made preoperative preparations.

This operation was not easy, and the patient had liver cirrhosis for several years, and had never been treated before.

Traditional surgery would have large incisions and long operation time, and there was a high possibility that he would not be able to get off the stage.

He decisively chose to do laparoscopic surgery.

"Boss, can you do laparoscopic surgery even if the condition is so serious?"

When Lin Gaoyang looked at the proposed operation name on the informed consent form, his expression froze.

Operation name: laparoscopic splenectomy + pericardial vascularization.

He could understand vascular resection, but why did he have to remove the spleen? Wasn't he bleeding due to liver problems?

"If the laparoscope is used well, emergency surgery can naturally be performed."

"Removing the spleen can reduce bleeding, prevent blood from being damaged, and relieve the symptoms of hepatic encephalopathy in patients."

The key to this operation is to stop bleeding + improve symptoms. In order to ensure the safety of the operation, Xiao Chenguang called people and directly called Liu Tie and Li Wenxia over.

On the stage, the blood transfusion department had already sent a full box of red blood cells.

Compared with the later generations’ tense use of blood,We can only rely on the blood donation of the patient's family. Compared with the replacement supply, the blood products at this time are still sufficient.

Double check, three-party verification, and red blood cells are hung up on the tour. With the use of standard blood transfusion devices, the patient's blood pressure is gradually rising.

"Xiao Xiao, you are really busy all day long."

Liu Tie skillfully numbed the patient with a gas mask, established tracheal intubation, and connected the ventilator.

Originally, he was not on duty today. After coaxing his wife and children to sleep at home, he prepared a plate of peanuts and just wanted to have a drink and watch the national football game.

As a result, Xiao Chenguang called.

Helplessly turned off the TV, tiptoed out of the house, and rushed to the hospital without stopping.

"There is no way. This operation is quite difficult. After thinking about it, I still asked you to be insured."

Xiao Chenguang said truthfully.

At this moment, Li Wenxia, ​​who had already installed the laparoscopic instruments, echoed: "Director Xiao, if there is such a thing in the future, just call me directly. I like to perform surgery the most."

"You like to perform surgery with Xiao Xiao."

Liu Tie ruthlessly exposed Li Wenxia's little thoughts.

After this, Li Wenxia, ​​who always had something to say, dared not speak for a moment.

"Look, you are still shy. Take out the momentum you used to confront me before and take Xiao Xiao down, otherwise you will have no chance in the future."

"???" Xiao Chenguang.

Looking at Liu Tie's ulterior motives, Xiao Chenguang instantly remembered eating in the cafeteria before, as if they were hiding something from him.

"Director Xiao..., the laparoscopy is ready, are you going to the stage?"

Li Wenxia quickly changed the subject and stopped Liu Tie from speaking.

Seeing this, Liu Tie did not expose it. He adjusted the ventilator. At this moment, the patient's vital signs were relatively stable under the maintenance of a large dose of pressor drugs.

Lin Gaoyang, who was in the first assistant position, had already spread the sheet, disinfected it, and was waiting for the operation to begin.

"Okay, let's start the operation."

"Brother Liu, record the operation time, Wenxia, ​​open the gas cylinder, the pressure is 2.5L, Gaoyang, prepare the puncture needle, and set up the puncture card."

Xiao Chenguang put on the surgical gown and sterile gloves, and when he stepped onto the main operating position, his whole momentum suddenly changed.