The second operation lasted five hours. Liu Pingchuan stood alone in the operating room for nearly eight hours—from 5 p.m. to 1 a.m.

High-intensity surgeries are extremely physically demanding. Emergency surgeries are even more difficult than ordinary elective surgeries. Surgeons have to perform surgeries without adequate imaging, which is no less difficult than performing an F1 surgery without glasses for high myopia.

Racing.

Liu Pingchuan was not too young. Although he said that Zheng Guo might not be able to bear it, in fact his physical condition was not as good as that of a good young man who had just entered the clinic. On the way, Sun Lien asked Hu Jia to give Liu Pingchuan some help.

Hirakawa delivered glucose twice, and with the help of other surgical doctors in between, the entire operation was barely completed.

The epic operation has come to an end. Sun Lien himself is also very tired. He keeps observing the status of the surgeons below with the status bar open. At the same time, he also instructs his girlfriend to send glucose water everywhere to replenish their strength——

The level of fatigue from this job is almost the same as having surgery at the end of the day.

It's just that the results of surgeries performed by physicians usually end up with several lives being reimbursed. Sun Lien's on-the-spot command allowed the professors who performed the surgeries to steadily exert their due capabilities. At least.

Zhang Junyi was pushed out of the operating room alive. This alone is enough for all the doctors who participated in the operation to be proud.

A person who was almost smashed into the mud was forcefully snatched out of the hands of the Lord of Hell. Although people have not completely stepped through the gate of hell and returned to the human world, at least they have half of their feet on the human world now.

An achievement of this level can be called a "miracle". What is even more commendable is that such a miracle is not bestowed by an invisible god or an accident that cannot be understood. This is entirely the result of the doctors from the Fourth Hospital.

The result of their hard work.

The surgeons have done the best they can. Next, it depends on what the biochemical magicians in the Department of Critical Care Medicine can do.

For such a seriously ill patient, the transfer alone is a subject. The ICU has set aside an independent ward directly opposite the nurse's desk for him, and Wu Faxian, director of the Department of Critical Care Medicine, personally leads a team to escort the patient. From the operating room to the transfer elevator

This road was cleared in advance by the property management staff and security guards in order to minimize the transfer time and control all possible accidents during the transfer process - from the operating room to the transfer elevator, and from the transfer elevator to the ICU.

There must be absolutely no obstructions between designated wards.

If surgical treatment is the cumulative result of continuous precise decisions on the lesion with a scalpel, then internal medicine treatment is based on the present and constantly attempts to predict the development of the disease and stop the worsening dominoes before the disease develops to the next step.

.

For Zhang Junyi now, stabilizing the internal environment is the overriding priority. Although an autologous blood recovery machine was used, doctors still performed a large number of blood transfusions on Zhang Junyi during rescue and surgery. This reality also means that in Zhang Junyi's life

In the body, a considerable part of the blood does not belong to oneself.

Massive blood transfusions can cause many serious problems. The most direct consequence is DIC. Since the blood products transfused are mainly plasma and suspended red blood cells, Zhang Junyi's blood system, which has been almost completely replaced, will lack sufficient coagulation substances.

.And he has multiple traumas all over his body, so a large amount of coagulation substances will inevitably be consumed in his body. Such an "imbalance between supply and demand" will cause the human body to fall into the death vortex of DI. The blood in the capillaries is incorrectly coagulated, while other parts of the body need to be coagulated.

Parts of the body bleed profusely due to lack of coagulation substances.

This situation is particularly fatal for Zhang Junyi. He doesn't even want to think that other patients have room for rescue - whether it is internal bleeding of the liver, fragile arachnoid hemorrhage, or pulmonary embolism... In short, once Zhang Junyi appears,

Symptoms of DIC, even slight signs of DIC, may directly lead to death.

The doctors in the Department of Critical Care Medicine were particularly concerned about Zhang Junyi because they understood this situation. They saved almost all the work they could do along the way, just to send Zhang Junyi to the ICU ward as soon as possible. If it weren't for

Zhang Junyi's skull base fracture, thoracic vertebra and lumbar vertebra fractures required special transport tools to be moved to the ICU bed. The transport time could be shortened a lot.

In order to save time, the Department of Critical Care Medicine began to intervene in Zhang Junyi's internal environment in the operating room. During the separation and storage of blood products, in order to prevent blood products from failing due to agglutination, a certain amount is added to almost all blood products.

of sodium citrate.

Sodium citrate itself is non-toxic to the human body. It will be metabolized by mitochondria in the liver through the trihydroxyacid cycle into carbon dioxide and water that are harmless to the human body.

However, the metabolism rate of sodium citrate has an upper limit. When the infusion rate of sodium citrate attached to blood transfusion exceeds the metabolic capacity of the liver, it may lead to metabolic alkalosis, hypokalemia, and hypocalcemia.

Various serious consequences including disease.

In order to correct this problem, the Department of Critical Care Medicine of the Fourth Hospital decided to work closely with the blood transfusion doctor in the operating room. They conducted multiple arterial blood gas analyzes on Zhang Junyi during the operation, and injected 25 ml of 10% calcium gluconate successively.

To counteract the hypocalcemia caused by sodium citrate. Arginine hydrochloride and potassium chloride are also used to treat metabolic alkalosis and hypokalemia.

The work of the critical care medicine department started before the transfer, and after the transfer, there was still no sign of the end of the work.

"We don't have time to discuss with you now. If we have any problems, we can wait until we are done." Sun Lien changed into isolation clothes and entered the ICU, but the doctors and nurses in the ICU had no intention of talking to Sun Lien at all. The ICU attending doctor who often met Sun Lien

After saying a word bluntly, he turned around and was busy participating in the treatment. He seemed to be very anxious.

The fact that Sun Lien was allowed to enter the ICU was regarded as a high regard for him by the Department of Critical Care Medicine. In fact, if it weren't for the fact that Sun Lien could often present his observations before the doctors in the ICU noticed major changes in the patient's vital signs, he would have

You won't get this level of preferential treatment.

Knowing that his appearance was actually an obstacle to the work of the critical care doctors, Sun Lien deliberately found a place to stand that was not in the way. He tried to stand on tiptoes, trying to let his sight pass through the doctors and doctors walking back and forth.

nurse, and saw Zhang Junyi lying on the hospital bed.

He wanted to determine what Zhang Junyi's current situation was, and also wanted to see if there was anything he could do.

Sun Lien's attempt soon paid off. From the dense and long status bar on Zhang Junyi's head, he saw a status that was gradually getting darker. It was obvious that this was a disease that had just appeared and was becoming more serious.

state.
Chapter completed!