As long as the antifibrinolytic drug is hung in the ward and seen by her, she can immediately associate it with the patient's laboratory blood indicators.
It’s just that she was not a clinician in her previous life and didn’t understand its use, so she needed to look up the information. Xie Wanying admitted: “It’s not in the books, so I went to the library to check the journals. There are statistics showing that, as you just said, in vitro
Post-circulation patients have hyperfibrinolytic function in their blood."
The key point here is: "The fibrinolytic effect is the result of the checks and balances between plasminogen activator tpa and plasminogen activator inhibitor pai in the patient's body."
Geng Yongzhe held his breath and listened to her, because it was also a point that he was not familiar with, and he was not able to dig deep into her pre-rebirth laboratory test.
"From the first to the twelfth hour after surgery, the patient's tpa can increase, and the pai gradually decreases within twelve hours, and can be maintained at a low level for seventy-two hours. Whether the postoperative bleeding is large or not,
It is related to the decrease in pai. If the sudden drop in pai is too extreme, the amount of postoperative bleeding will increase. This sudden drop in pai usually occurs within the first hour after surgery. Therefore, it is recommended that after heart valve replacement and coronary artery bypass grafting,
Antifibrinolytic treatment should be done every day after surgery, and anticoagulation treatment should be done as early as 24 hours after surgery to adapt to the changes in the patient's internal condition after surgery. I guess this is what makes Teacher Du hesitate when he stands here after surgery.
.”
The surgeon may have a deeper understanding of the coagulation function of the patient's blood by witnessing it with his own eyes during the operation. Du Yeqing has not given antifibrinolytic drugs to the patient for the time being, probably based on this consideration.
Ah? Geng Yongzhe was blown up by a heavy bomb thrown from her tail: Is this why the chief surgeon is standing here after the operation?
Usually if the operation goes well, the patient's various indicators will be very good at the end. There is no need for the surgeon to accompany the patient to the ward in person after the surgery. There are other assistants, young doctors, who will run errands for the surgeon. If anything happens, he will notify the surgeon.
Du Yeqing went against the norm and personally accompanied the patient back to the ward, stood in the ward and watched for a while before leaving.
The first thing Geng Yongzhe could think of was whether the patient had asked Ye Qing to upgrade his service because of the VIP donation of 20 million yuan.
The result is: I was terribly wrong.
Yes, the teacher is considered a big shot, so why bother to pretend in the ward? The family members cannot be seen outside, and the patient is not awake, so there is no need to act. The basis of every move of the doctor is technical requirements, not anything else.
It can be seen that the teachers privately commented that Xie was a roundworm in the belly of the big boss. It seemed that it was not only that Xie’s technical level was close to that of the big boss, but also that Xie’s self-perception of the profession of doctor was very similar to that of the big boss.
Geng Yongzhe's face turned green, and he suddenly became a little nervous. As he watched Xie classmate talking to him, his eyes turned out to be different from his. They were not staring at the numbers on the monitor, but at the outflow from the drainage tube and the drainage bottle.
quantity.
This is the focus of postoperative observation of this patient. He has traveled thousands of miles away.
For patients who are really suffering from severe bleeding and going into shock, it is too late to save them until the patient's heart rate and blood pressure have an issue. Data prediction in the early stage of major bleeding is the focus of the doctor's control and must be judged in advance based on other indicators. Not to mention that the patient is under sedation.
And the state of being on a ventilator, heart rate and blood pressure cannot accurately reflect the patient's internal state with the assistance of a drug machine.
