As long as the anti-fibrinolytic drug is hung up in the ward, as long as it is 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, so she doesn't understand its use, so she needs to look up the information again. Xie Wanying admitted: "It's not in the books. I went to the library to check the journals. There are statistics showing that, as you just said, the blood fibrinolysis function of patients after extracorporeal circulation is hyperactive."
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 12 hours, and can be maintained at a low level for 72 hours. Whether the postoperative bleeding is large, It is related to the decrease in pai. If the sudden drop in pai is too extreme, the postoperative bleeding will become larger. 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 did not give the patient antifibrinolytic drugs for the time being, probably because of this consideration.
ah? Geng Yongzhe was hit by a heavy bomb thrown from her tail: Is this why the chief surgeon is standing here after surgery?
Usually, if the operation goes well, the patient's 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 operation. There are other assistants, young doctors, who will run errands for the surgeon. If anything happens, he will inform the surgeon.
Unconventional, Ye Qing 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.
The result is: I was terribly wrong.
Also, the teachers of others can be regarded as a big man. 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 a doctor makes 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 boss. It seems to refer not only to the fact that Xie¡¯s technical level is closer to that of the big guys, but also to the fact that Xie¡¯s self-perception of the profession of doctor is very similar to that of the big guys.
Geng Yongzhe¡¯s face turned green and he suddenly became a little nervous. Just watching 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 volume in the drainage tube and drainage bottle.
This is the focus of this patient¡¯s postoperative observation. He went thousands of miles away.
For patients who are seriously bleeding and going into shock, it will be too late to save them until something goes wrong with their heart rate and blood pressure. Data prediction in the early stage of major bleeding is the focus of doctors' control and must be judged in advance based on other indicators. Not to mention, this patient is sedated and put on a ventilator. The heart rate and blood pressure cannot accurately reflect the patient's internal state with the assistance of a drug machine. (Remember the website address: www.hlnovel.com