PD :: Volume #4

#338: 90 a narrow escape

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Plague doctor document Chapter 338 90 a narrow escape 【Asked monthly ticket, sought subscription】 Also traded Wu Shiyu of aseptic clothing/taking to stand on the corridor outside operating room, in the small window by gate, can look around inside situation. 瘟疫医生正文卷第338章九十九死一生【求月票,求订阅】也换了无菌服的吴时雨站在手术室外的走廊上,透过门上的小窗户,可以张望到里面的情况。 This corridor supposed among three surgeries, both have the rescue team to be busy at work, is making ecmo to Gu Jun and Xue Ba. 这条走廊设了三个手术间,其中两个都有抢救团队在忙活,给顾俊、薛霸做着ecmo。 Near corridor except for scrubbing the hands stage, but also is equipped with a row of rest chair, on the opposite wall is hanging several screens, real-time is broadcasting surgery table above and nearby several cameras are patting the image. Some substitute medical personnel and incantation technique personnel in the readiness condition, can enter the operating room momentarily. 走廊边除了刷手台,还设有一排休息椅,对面墙上挂着几块屏幕,实时播着手术台上方和旁边几个摄像头拍着的影像。一些替补医护人员和咒术人员都在备战状态,随时可以走进手术室。 The egg uncle and Zhang Huohuo also sit on the chair, although is also looking at the screen, actually has been exhausted. 蛋叔、张火伙也是坐在椅子上,虽然还望着屏幕,却都早已是筋疲力尽。 Not only experienced all on island , to continue to make outside the chest to hold back spends the strength very much, they and others previously held back in turn for two hours, is actually very early exhausts the last strength, the will is supporting, could not maintain these days. 不只是经历了小岛上的一切,持续做胸外按压是很花费力气的,他们和其他人此前轮流按压了两个多小时,其实很早就用尽最后一丝力气,要不是还有意志撑着,根本维持不了这段时间。 „Egg uncle, Shiyu! What situation?” At this time, half step of Louxiao Ning from the lobby rushed, the peacocks and black ink azure several people followed on the heels. “蛋叔,时雨！什么情况？”这时候,楼筱宁从前厅那边快步奔来了,孔雀、墨青几人跟在后面。 They only know that here is making ecmo, but has Deng Ximei who the independent heartbeat breathes first to conduct some image inspections, then changing course critically ill guardianship room. 他们只知道这边做着ecmo,而有自主心跳呼吸的邓惜玫先进行一些影像检查,再转进重症监护室。 „Is still making the blood vessel built-in manages to open the path.” The egg uncle responded in a soft voice, the vision did wink is staring at the image in screen, „A'Jun opens the mouth, found the blood vessel...... great, this, fierce...... completed the puncture to set at the manages!” “都还在做血管内置管打开通路。”蛋叔轻声回应道,目光一眨不眨地盯着屏幕中的影像,“阿俊这边开了口,找到血管了……好样的,就这样,厉害……完成穿刺置管！” Doctor nurses on corridor slightly excited, that side the control center also raised stimulation, these step is very smooth, is a good start. 走廊上的医生护士们小小地激动了下,指挥中心那边也提了提神,这一步很顺利,算是个好的开始。 Louxiao Ning arrives by Wu Shiyu, the left eye also in that small window toward the gate looked, sees only the surgery table to encircle completely the medical personnel. 楼筱宁走到吴时雨旁边,左眼也往门上那扇小窗户里望了望,只见手术台边围满了医护人员。 Sees Gu Jun on surgery table from the slits of these blue clothes indistinctly, including blood bag, intravenous drip, including the ECG monitor, anesthesia machine and other pile of equipment, has the nurse to make outside the chest to hold back to him, has the doctor to process the flesh wound of limbs to him, naturally also has the doctor to make the puncture to set at the manages. 从那些蓝衣服的缝隙中隐约看见手术台上的顾俊,连着血袋、点滴等,也连着心电监护仪、麻醉机等一堆设备,有护士在给他做胸外按压,有医生给他处理肢体的外伤,当然也有医生在做穿刺置管。 In the operating room, Gu Jun usually stands in that near surgery table is busy at work earnestly, rather than like the present. 在手术室里,顾俊通常是站在手术台边认真忙活的那个,而不是像现在这样。 „Oh.” Louxiao Ning sighed the sound lightly, a good person, actually now this, Xue Ba is also...... “唉。”楼筱宁不禁轻叹了声,多好的一个人,却现在这样,还有薛霸也是…… At this time, the screen loudspeaker spread inside ecmo team chief surgeon Luo virtue voice: „Equipment to/clashes in advance.” 这时候,屏幕喇叭传出里面ecmo团队主刀医生骆德的声音:“设备预冲。” In the operating room some personnel specifically are responsible for operating corrects these ecmo equipment, its parameter is numerous, constantly changes, heart- lung- ecmo many system mutual influences must the corresponding trained personnel understand, moreover must stare momentarily, momentarily the adjustment, these are the ecmo difficulties. 手术室里一部分人员是专门负责操作调校那些ecmo设备,其参数众多,不断变化,心-肺-ecmo多个系统相互影响必须是受过相应培训的人员才懂,而且要随时盯着,随时调整,这些都是ecmo的难点。 Equipment in advance, chief surgeon Luo virtue immediately in the drive pipe and connecting pipe the blood vessel joins, the operating room inside and outside people hearts are at this moment intense, ecmo starts to revolve! 设备预冲后,主刀医生骆德当即把血管内导管与连接管接上,手术室内外众人此刻都心头紧张,ecmo开始运转！ ecmo has two main turning ways, one type draws out the blood after the vein, after the oxygenate, pumps another vein, this is v-v turns, suits no heart stopping danger the case ; Another type after phleoporrhagia, finally back artery, this is v-a turns, suits the cardiopulmonary function to have the issue, to have the case of heart stopping danger. ecmo有两种主要的转流方式,一种是经静脉把血引出,氧合后泵入另一条静脉,这是v-v转流,适合无心脏停跳危险的病例;另一种是经静脉出血,最后送回动脉,这是v-a转流,适合心肺功能有问题、有心脏停跳危险的病例。 But if the heart of patient stops completely for over three hours under the ultrasound diagnosis, because under the v-a pattern the cardiopulmonary blood is detained, but is very easy to produce the thrombus and lung edema, must therefore make the thoracotomy to the patient immediately, does to set at the manages to change to a -a-a turning pattern toward the heart. 但如果患者的心脏在超声诊断下完全停跳超过三个小时,因为v-a模式下心肺血液滞留而很容易产生血栓和肺水肿,所以就得给患者立即做开胸术,往心脏做置管改为a-a-a转流模式。 The rescue team to the v-a pattern that Gu Jun first makes. 抢救团队给顾俊先做的正是v-a模式。 The egg uncle they see only the dark-red blood to draw out from the drive pipe from the screen, that is the blood of Gu Jun within the body...... 蛋叔他们从屏幕中只见暗红色的血液从导管引出,那是顾俊体内的血…… Because the venous blood the oxygen content low itself/Ben is the dark-red, but now his is also too dark, nearly in becoming dark, like soon viscous solidified...... 静脉血因为含氧量低本就是暗红色的,但现在他的那也太暗了,近乎于发黑,就像快要粘稠凝固了…… The egg uncle did not have that excitement immediately, somewhat shouted the one breath at a loss secretly, looks at this blood, made knowing in heart of doctor. 蛋叔顿时没了那份激动,有些茫然地暗呼一口气,看着这血,做医生的心里都有数。 It is not a narrow escape, A'Jun this chapter is 90 a narrow escape. Now not only the cardiopulmonary recovery and encephalic issue, his each organ function should already by seriously the ischemia anoxic damage, various complications simply at present...... 不是九死一生,阿俊这回是九十九死一生。现在不只是心肺复苏和颅内的问题,他的各个器官功能应该都已受到严重的缺血缺氧性损伤,各种的并发症简直就在眼前…… On the corridor many medical personnel are sighing secretly, but these sighs fold in the same place, everyone can hear. 走廊上很多医护人员都在暗自叹息,但这些叹息叠在一起,大家就都能听到。 Meanwhile, these venous blood after the oxygenate of equipment, returns to Gu Jun within the body through the ductus arteriosus, completed the first circulation. 与此同时,那些静脉血经过设备的氧合后,通过动脉导管回到顾俊体内,完成了第一个循环。 After the ecmo success connection, the team holds back to stop to the chest of Gu Jun outside. Even if the patient can therefore restore the heartbeat, how long time that must spend is perhaps, some people joined ecmo to jump, some people several hours and dozens hours...... 在ecmo成功连接后,团队对顾俊的胸外按压才停下来。即使患者能因此恢复心跳,要花多久时间那是说不定的,有些人一接上ecmo就重新跳了,有些人几小时、几十小时…… But now in the screen of ECG monitor, the heart of Gu Jun still does not see the independent sound, outside the chest holds back stops, was a straight line. 而现在心电监护仪的屏幕中,顾俊的心脏仍然不见有自主动静,胸外按压一停下,就是一条直线了。 „Less than half hour.” The egg uncle said, „A'Jun can have the little heartbeat, does not use the chest......” “还有小半个小时。”蛋叔说道,“阿俊能有一点点心跳,就不用开胸……” the CT equipment has imported the operating room, in this ecmo condition, rescued the team to make skull CT to Gu Jun, the diagnosis encephalic large surface area hemorrhage. Holds the skull surgery to conduct immediately, because the thoracotomy seemed also imperative, these open reductions of fracture arrange at behind. ct设备早已运进手术室,就在这种ecmo状态中,抢救团队给顾俊做了颅脑ct,确诊颅内大面积出血。开颅手术要立即进行,因为开胸术也似乎势在必行了,那些骨折切开复位术排在后面。 Another side, Xue Ba does not have the cerebral hemorrhage and bone fracture situation, ecmo does is also smooth, but the blood situation is worse than Gu Jun, the damages of various organs are heavier. 另一边,薛霸没有脑出血和骨折的情况,ecmo做得也很顺利,但血液情况比顾俊还要糟糕,各器官的损伤更重。 „Yeah, does not look does not look.” The egg uncle stands up, summons Wu Shiyu and the others, „we cannot help here, the going out deck catches a chill.” “哎,不看了不看了。”蛋叔站起身,呼唤吴时雨等人,“咱们在这里也帮不上忙,出去甲板吹吹风吧。” The egg uncle is mainly feared that the Wu Shiyu spirit cannot bear, thinks so that A'Jun opens the skull to open the chest, even he himself cannot bear, A'Jun will be shaved clean the hair, the incision scalp and to drill a hole and saw the skull toward the skull again...... 蛋叔主要是怕吴时雨精神受不了,这么看着阿俊又开颅又开胸的,连他自己也受不了,阿俊会被剃光头发、切开头皮、往颅骨钻洞、再把颅骨锯开…… „Egg uncle, I am good.” Wu Shiyu said, „I want to stay here, I felt that he can see, this can give him some braces power.” “蛋叔,我还好。”吴时雨却说道,“我想留在这里,我感觉他能看到,这样能多给他一些撑着的动力。” „Good good.” The egg uncle does not force, to keep here discomfort, got out of the way also uncomfortably, comes following her meaning. “好吧好吧。”蛋叔也不勉强,留在这里难受,走开了也难受,顺着她的意思来吧。 Louxiao Ning and peacock their have not walked, the people sit on the chair, is looking at surgery in screen, while spoke with pauses. 楼筱宁、孔雀他们一个都没有走,众人坐在椅子上,一边望着屏幕里的手术情况,一边有一搭没一搭地说话。 But at this time, completely stopped three hours of time close to the Gu Jun heartbeat. 但就是在这个时候,临近顾俊心跳完全停止三个小时的时候。 A situation lets in the operating room an exciting sound, making that side the control center rouse the ebullition, made on the corridor they suddenly complete the person to stand. 一个情况让手术室内一片激动声响,让指挥中心那边振奋沸腾,也让走廊上他们猛然全部人站了起来。 „Has the heartbeat! The patients present the independent heartbeat to respond!” “有心跳！患者出现自主心跳反应！” In the screen of that ECG monitor, no longer is only the deathly stillness straight line, but had little weak fluctuating, the heart of Gu Jun beat. 那块心电监护仪的屏幕中,不再只是死寂的直线,而有了一点点微弱的起伏,顾俊的心脏重新跳动起来了。 „This fellow really has a good heart!” The Louxiao Ning excited say/way, „cannot but is convinced.” “这家伙真有一颗好心脏啊！”楼筱宁激动道,“不服都不行。” „Does not use the chest, the good deed, big good deed.” The egg uncle is also saying repeatedly, although the heart recovered not to live on behalf of A'Jun, but represented absolutely has this opportunity, moreover avoided one holding the chest surgery, avoided more complications, „good...... Xue Dui Xue Dui, you may study......” “不用开胸,好事,大好事。”蛋叔也在连声说着,虽然心脏复苏不代表阿俊就活过来了,但绝对代表着有这个机会,而且避免了一场开胸手术,避免了更多的并发症,“太好了……薛队啊薛队,你可学着点啊……” „Hū......” Wu Shiyu then long to shout the one breath, sat down toward the chair, „I also think that and other meetings can have a look at him to have anything.” “呼……”吴时雨这才长呼一口气,往椅子坐下,“我还以为等会可以看看他心里都有什么呢。” „What can also have?” The Master Tong sound spreads from the intercom, „can also have my Old Tong?” “还能有什么？”通爷的声音从对讲机传出,“难道还能有我老通么？” The people a little smile painstakingly, indeed this weaponry has not won, but must get is very long. 众人苦中有点微笑,诚然这一场仗还没有打赢,还要打上很久。 However now, they saw the hope. 但是现在,他们看到了希望。 The robot tile strength said 机器人瓦力说 Second, the new month asked a monthly ticket! Everyone pounds one, National Day is joyful! 第二更,新的一个月求一张月票！大家砸一张啦,国庆快乐！
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