BXBX NOVEL Chapter 2173: 【2173】There is no need to play
It's just that she wasn't a clinician in her previous life, so she doesn't understand the use of it, so she needs to check the information again. Xie Wanying admitted: "It's not in the book. I went to the library to check the journals. There are statistics like this that, as you just said, the blood fibrinolysis of patients after cardiopulmonary bypass is hyperactive."
The key point here is: "Fibrinolysis is the result of the balance between two things, the plasminogen activator tPA and the plasminogen activator inhibitor PAI, in the patient's body."
Geng Yongzhe held his breath and listened to her, because it was also a point he was not familiar with, so he couldn't do the in-depth excavation of her pre-rebirth examination department.
"From the first to twelfth hours after the operation, the patient's tPA can increase, and the PAI gradually decreases within 12 hours, and can be maintained to a low level of 72 hours. The postoperative bleeding is not large, It is related to the reduction of PAI. If the sudden drop in PAI is too outrageous, the amount of postoperative bleeding will increase. This sudden drop in PAI usually occurs within the first hour after surgery. Therefore, it is proposed that in heart valve replacement and coronary artery bypass surgery Antifibrinolytic therapy should be given every day after surgery, and anticoagulation therapy should be given as soon as possible after 24 hours to adapt to the changes in the patient's body after surgery. I guess that this is why Teacher Du stood here and looked hesitant after surgery. ."
How the coagulation function of the patient's blood is, the surgeon may have witnessed a deeper experience during the operation. Du Yeqing has not given the patient anti-fibrinolytic drugs for the time being, which should be based on this consideration.
ah? Geng Yongzhe was blown up by the heavy bomb thrown from her tail: Is this the reason for standing here after the surgery?
Usually, if the operation goes well, the patient's indicators are good at the end. The chief surgeon does not need to personally accompany the patient to the ward after the operation. There are other assistants, young doctors, who help the chief surgeon run errands, and the chief surgeon will be notified if there is anything.
Du Ye Qing went against the norm by personally accompanying the patient back to the ward, standing in the ward and watching for a while before leaving.
The first thing Geng Yongzhe could think of was whether this patient had made Du Yeqing upgrade his services for the sake of donating 20 million VIPs.
The result is: I was wrong.
Also, everyone is a big boss, so why bother pretending to be in the ward. Family members cannot be seen outside, the patient is not awake, and there is no need to act. The basis of every move of a doctor is technical requirements, not anything else.
It can be seen that the teachers privately commented that Xie is a roundworm in the stomach of the boss. It seems to mean not only that Xie's technical level is close to that of the big brother, but also that Xie's self-perception of the profession of doctor is very similar to that of the big brother.
Geng Yongzhe's face turned blue, and he suddenly became a little nervous. Only when Xie was talking to him, his eyes turned out to be different from his. They were not staring at the numbers on the monitor, but the outflow in the drainage tube and drainage bottle.
This is the focus of this patient’s postoperative observation. He went as far as 108,000 miles away.
For a patient who is really bleeding and going into shock, it is too late to wait until the patient's heart rate and blood pressure have an accident. The data prediction in the early stage of major bleeding is the focus of the doctor's control, and it should be judged according to other indicators in advance. Not to mention, this patient is in a state of being sedated and on a ventilator, and the heart rate and blood pressure with the aid of a drug machine cannot accurately reflect the patient's internal state.
(end of this chapter)