Chapter 1803 Do You Want to Get Rid of All the Dirty Blood? Looking for Our Vampires!
Grete's heart couldn't stop sinking.
Amniotic fluid embolism, such a rare disease and such a high difficulty in rescuing, 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 some reason." In larger hospitals, even if they are seen and judged, 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 still 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 chief director was in time, he would probably be called to the rescue), he could boast for the rest of his life!
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 I retire!
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 amniotic fluid is squeezed into the maternal blood vessels and enters the maternal blood circulation during uterine contractions——
You must know that the amniotic fluid during and after delivery is not clear and free of any impurities. This amniotic fluid is mixed with vernix, meconium, epithelial cells shed by the fetus, fetal hair...
Okay, these things enter the originally clean blood. What happens then?
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! Something is wrong! Something is 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 and increase power, triggering the coagulation cascade reaction:
Coagulation!
Coagulation!
Seal the wound!
Block all these wounds!
Well, blood starts to clot everywhere you can imagine, in the blood vessels, in the heart, in the brain, in the lungs. Blood coagulates into tiny thrombi, which 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 a famous term that is not as big as myocardial infarction or cerebral infarction, but it is more likely to die than a cerebral infarction. It's a disease that's just as quick as a stem.
Of course, if other organs are blocked, it will also cause other organs to be unable to supply blood, leading to failure and death. 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——
And the mother's uterus, where the placenta had detached, was bleeding! Massive bleeding! At least, it was a massive bleeding of more than 150 milliliters 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, and 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.
Thinking about this situation makes me shudder. As a doctor, you have to deal with heart failure, respiratory failure, pulmonary hypertension, allergies, systemic inflammatory reactions, DIC...
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? Shortness of breath? Pulmonary embolism? Air embolism? Myocardial infarction? Arrhythmia? Peripartum cardiomyopathy? Aortic dissection? Cerebral infarction or cerebral hemorrhage? Allergic reaction? Transfusion reaction (blood transfusion may also cause DIC)?
Anesthesia complications? 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 thrombi with her. Even though that classmate was only responsible for using a creaking method to clean 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. My body temperature has dropped by two degrees!"
Yes, blood is needed during rescue, a lot of blood.
Clinically, when rescuing patients with sheep thrombus, in addition to supportive 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!
Rush with lots of blood!
Flushes away 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...
Clatter, crash, crash. The upper part is flushing, 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 of the surgeon and the retractor are covered in blood.
To fight allergies, use motivational techniques instead of epinephrine. To relieve spasm of blood vessels and airways, use soothing techniques. To fight shock and solve other problems, use high-level treatments. As for those amniotic fluids, those inflammatory factors, and those blood clots...
"Here's someone who knows how to [remove poison]!" Grete snapped. Immediately, someone stood in front of him, a white robe all stained red, with blood dripping down. Grete had no time to recognize people and spoke very fast:
"This happens to pregnant women. It is most likely caused by amniotic fluid entering the blood and forming tiny blood clots throughout the body - you know about blood clots, right?"
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 and caressed the whole body of the mother. Soon, again, and again...
"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 Toxicity, Amniotic Fluid, and Thrombosis 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.
Gretel closed his eyes regretfully and continued to think of a solution quickly:
Washed with a lot of blood, it's just helplessness in helplessness. If possible, it is best to use crystalloid and colloid 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 turned sharply to him. The phrase "Our vampires are best at playing with blood" floated through his mind, and his eyes lit up:
"You can do it?!"
"Ah, we don't usually do that...but..."