Chapter 163 - Hybrid Surgery (1/2)

Chapter 163: Hybrid Surgery

Unlike a dextrose solution, low molecular weight dextran and amino acid solution—abbreviated to LMH Dextran—was a colloid and a necessity in fluid resuscitation.

Many disliked the usage of LMH Dextran due to the rare possibility of an allergic reaction.

However, under current circ.u.mstances where plasma and red blood cells had not been delivered, it was the correct decision to administer dextrose solution and LMH Dextran at the same time.

As for the allergic reaction…

Rather than worrying about such small risks, it was better to treat the hemorrhagic shock first.

“Speed up the blood delivery, and send a doctor to wait at the blood transfusion department!” Zheng Ren continued to give orders without considering himself an outsider.

The doctors in the blood transfusion department had no idea whether the patient was in a critical state, dying or just having a normal disease. If blood retrieval was handled according to the waiting list, the patient would be dead before the blood bags were delivered.

Moreover, nurses carried no weight with the blood retrieval process as it was basically one of their jobs.

If a doctor was sent to explain the situation to the blood transfusion department, every procedure would be performed urgently, and blood could be transfused before Miao Xiaohui departed this life.

There was not much time left for Zheng Ren. This was the only way.

More importantly, there were plenty of staff working in the day.

Removing the pair of sterile gloves, Zheng Ren took out his phone, dialed a number and said in a croaky voice, “Gastroenterology, resuscitation, come immediately.”

He hung up immediately after.

A nurse standing beside the infusion stand used a pressure bag to increase the infusion rate of LMH Dextran.

Zheng Ren began to examine Miao Xiaohua. She had lost consciousness and her abdomen was distended, presumably due to blood acc.u.mulation. There was no way he could locate the source of the bleeding under such circ.u.mstances.

‘F*ck you, System!’ he grumbled internally.

He had been complacent when he first acquired the power of the System because it was simply an awesome hack, but he once again felt powerless after consecutively encountering numerous critically ill, dying patients.

‘Why don’t you tell me where the source of the bleeding is?! A diagnosis of ruptured pancreatic pseudocyst complicated with hemorrhagic shock isn’t enough!’

He also had to have a rough idea of potential bleeding spots before proceeding with exploratory laparotomy. If he had to search for everything under a surgical lighthead, Miao Xiaohua would most likely be dead by then.

A few minutes later, Su Yun arrived at the resuscitation room in the gastroenterology department.

He immediately understood the situation after a quick scan and approached Zheng Ren, asking softly, “What’s the diagnosis?”

“Ruptured pancreatic pseudocyst complicated with hemorrhagic shock,” said Zheng Ren.

“…” Su Yun was dumbfounded.

The rarer the disease, the more difficult it was to manage due to lack of clinical experience.

The chances of survival in an acute exacerbation of a rare disease was almost zero.

“Do you know which blood vessel has ruptured?” asked Su Yun, understanding the primary focus of the matter.

“I don’t know.” Zheng Ren shook his head and immediately made up his mind. “Perform an angiography in the interventional radiology suite and proceed with laparotomy afterward.”

“…”

This was the second time Su Yun felt speechless today.

Even though he was a postgraduate student from a well-reputed medical inst.i.tution with powerful innate talent, he had never seen a hybrid surgery before.

The international radiology suite was actually a hybrid operating theater, but no one had performed any open surgery there, nor was anyone experienced in this domain.

“Are you sure?”

“There is no other way.”