Chapter 1796 You want to get rid of all the dirty blood? Come to our vampire clan!
Chapter 1803 Do you want to get rid of all the dirty blood? Come to our vampire clan!
Grete's heart couldn't stop sinking.
Amniotic fluid embolism, such a rare disease and such a high difficulty of rescue, means that in some small hospitals, obstetricians and gynecologists may never see it in their lifetime——
Even if you are lucky enough to see it, you probably don’t recognize it. Maybe all you know is that “the mother suddenly died after giving birth for unknown reasons.” In larger hospitals, even if you see it and judge it, the difficulty of rescue is extremely high:
It’s so high that if you encounter such a case, even if the rescue fails, you can publish a paper summarizing the lessons of the failed rescue;
Of course, if the rescue is successful, you should feel proud and publish a paper to show off that "our hospital saved a sheep plug"!
One person survived the rescue, and the director of the obstetrics and gynecology department who presided over the rescue (yes, as long as the director is in time, he will most likely be called to come to the rescue), he can boast for a lifetime!
Able to boast proudly among local doctors and at various academic conferences, and receive looks of surprise, admiration and admiration from colleagues;
I can play in front of students from generation to generation, and I can continue to play for ten years after retirement!
The reason for this is that the onset of amniotic fluid embolism is extremely sudden, the condition is very dangerous, and the condition is extremely complicated. The so-called amniotic fluid embolism, as the name suggests, means that the amniotic fluid is squeezed into the maternal blood vessels and enters the maternal blood circulation during the contraction of the uterus——
You must know that the amniotic fluid during and after delivery is not clear and clear amniotic fluid without any impurities. This amniotic fluid is mixed with vernix, meconium, epithelial cells shed by the fetus, and fetal hair...
Okay, these things enter the originally clean blood. What will happen next?
The heart pumps blood very quickly. It only takes 20 seconds for the blood to circulate throughout the body, which is equivalent to the contents of the amniotic fluid reaching all parts of the body within 20 seconds -
As a result, the blood vessels, the platelets in the blood vessels, and various coagulation substances all detected foreign objects and began to call the police frantically: There is something wrong! There is something wrong! There is something wrong!
Generally speaking, if something wrong like this is detected, it means that the body is injured or has a wound, and foreign matter will invade. Therefore, the coagulation function in the body begins to fully activate, increase power, and trigger the coagulation cascade reaction.
:
Coagulation!
Coagulation!
Seal the wound!
Block all these wounds!
Okay, everywhere you can imagine, blood begins to coagulate in blood vessels, in the heart, in the brain, in the lungs. The blood coagulates into tiny thrombi, and this is what makes people laugh:
Disseminated intravascular coagulation (DIC)!
Small blood clots turn into large blood clots, blocking the heart, resulting in myocardial infarction; blocking the brain, causing cerebral infarction; blocking the lungs, pulmonary embolism - this is famous for not having a myocardial infarction, but having a larger cerebral infarction, but it is more likely to die than a cerebral infarction.
It's a disease that's quick to stop.
Of course, if other organs are blocked, it will also cause other organs to be unable to supply blood and die of failure. Then, because the coagulation factors are consumed in large quantities, it will lead to a systemic bleeding tendency, and the wound will be even more unable to stop bleeding——
The mother's uterus and the wound where the placenta was exfoliated were bleeding! Massive bleeding! At least, it was a massive bleeding of more than 150 ml per minute!
At this time, a large amount of foreign substances enter the pulmonary blood vessels, which can also cause allergic reactions, leading to airway edema. At the same time, pulmonary hypertension prevents the heart from pumping blood into the lungs; active substances in the blood vessels cause pulmonary blood vessels to spasm.
;
Without blood supply to the lungs, there is no strength to breathe. The result of lack of strength to breathe is respiratory failure;
The next step of respiratory failure is left heart failure, hypotension, shock...
At the same time, the inflammatory substances in the amniotic fluid are still stimulating inflammatory reactions in every corner of the body.
This situation makes me shudder when I think about it. As a doctor, you have to deal with heart failure, respiratory failure, pulmonary hypertension, allergies, systemic inflammatory reactions, DIC in a very short period of time...
Each of these will cause people to die on the spot in a short period of time!
At the same time, doctors are still trying their best to squeeze the brain and make differential diagnoses with other diseases:
Heart failure? Respiratory failure? Pulmonary embolism? Air embolism? Myocardial infarction? Arrhythmia? Peripartum cardiomyopathy? Aortic dissection? Cerebral infarction or cerebral hemorrhage? Anaphylaxis? Transfusion reaction (blood transfusion may also cause DIC)?
Complications of anesthesia? Uterine rupture? Eclampsia?
Come on, one minute at the latest, please make sure to judge, otherwise the rescue will be delayed!
Therefore, in Grete's previous life, he admired the chief director of the Department of Obstetrics and Gynecology, who had retired when he was promoted to deputy director.
During Grete's internship, a classmate of hers was lucky enough to save a case of sheep thrombus with her. Even though that classmate was only responsible for using a creak to clean the blood, when talking about the rescue, his eyebrows could still fly to the ceiling:
"It never stopped during those hours! It never stopped! The kidneys were lined up in a row! The dexamethasone was pushed in one by one! Not to mention the blood used,"
The classmate put down his chopsticks and patted his chest, abdomen, and armpits:
"Here, here, here, the blood is boiling, so much so that my body temperature dropped by two degrees!"
Yes, blood, a lot of blood, is needed during rescue.
Clinically, when rescuing patients with sheep thrombus, in addition to supporting treatments such as anti-allergy, relieving blood vessel and airway spasm, anti-shock, and correcting a series of respiratory failure problems caused by acidosis and alkalosis, there is only one principle:
Rush with blood!
Use lots of blood!
Flushes away the amniotic fluid, flushes away microthrombi, flushes away various inflammatory factors, brings fresh, healthy blood to all parts of the human body, and brings normal and sufficient coagulation factors...
Crash, crash, crash. The upper part is rushing, and the lower part is bleeding crazily. Where is the bleeding point? Where is the bleeding point?
I don’t know, I can’t find it at all. The whole uterus and the entire abdominal cavity are filled with blood. You can’t even see the incision clearly. The head and face of the surgeon and the retractor are sprayed with blood——
Anti-allergy uses stimulation instead of adrenaline, relieves blood vessel and airway spasm with soothing, anti-shock, and solves other problems with high-level treatment. As for the amniotic fluid, those inflammatory factors, those blood clots...
"Here comes someone who knows how to [remove poison]!" Gretel said sternly. Immediately, someone stood in front of him. His white robe was all dyed red, and blood was dripping down. Gretel had no time to recognize the person and spoke very fast.
:
"This happens to pregnant women. It is most likely caused by amniotic fluid entering the blood and forming tiny thrombus throughout the body - do you know about thrombus?"
Nod, nod, nod vigorously. Gretel continued to speak faster:
"You define the amniotic fluid, all the substances in the amniotic fluid, vernix, meconium, fetal cells, everything, as toxins! Thrombi are also defined as toxins! Then, release a [Remove Toxin] shot on the mother!"
The blood-robed therapist's eyes were a little straight, his lips moved, and he turned back like a log with his heels as the axis, as if he was desperately trying to convince himself and modify his cognition.
Then, a clean, slightly aqua-blue light shot out from his hand, caressing the whole body of the mother. Soon, another, and another...
"How about it?"
"The mother's condition is not improving!"
"The coagulation function has not improved!"
"No! I can't do it~~~"
The blood-robed mage almost cried. Gretel raised his voice:
"Can anyone do it?! Anyone?"
Maybe after a lot of advance education, changing perceptions, and sufficient preparation, someone can follow Grete's request and release a [Remove Toxic Amniotic Fluid, Thrombus Version].
However, among the healers in the hospital now, it is obvious that no one can do it in a short time, at least, no one can release the spell according to Gretel's request within five minutes.
Grete closed her eyes regretfully and continued to think of a solution quickly:
Washing with a large amount of blood is just the most helpless thing. If possible, it is best to use crystalloids and colloids instead of blood to avoid disseminated intravascular coagulation (DIC)——
Receiving a large amount of external blood transfusion can easily cause a transfusion reaction, and DIC is an extremely dangerous type of transfusion reaction...
What else can be done?
Is there any other way to save people?
"Hey, Mage Nordmark, you seem to have encountered a problem - I heard it just now, do you want to remove all the dirt in the blood?"
Grand Duke Rimmer took another step forward. What a great opportunity. Selling him a favor at this time can make him work extra hard to treat me!
At worst, future medical expenses can be severely discounted...
Gretel's eyes suddenly turned to him. The phrase "We vampires are best at playing with blood" floated in his mind, and his eyes lit up: