1473 Chapter [1473] All Kinds of Hemostasis

The electric knife can't get in, and the doctor can't see it, so the method of electrocoagulation to stop bleeding was rejected first.

In surgery, what to do with massive bleeding, block the source of bleeding arteries and veins. Under the present circumstances, doctors were not prepared to perform open-chest surgery on children as a last resort, so it was impossible to do so. If you want to block the artery without opening the chest, there is another way, which is to embolize the artery commonly used in interventional surgery. This is an interventional operation in the respiratory system.

The National Association for Respiratory Medicine has not carried out such interventional surgery, which is also why the National Association for Respiratory Medicine is called a weak department. Technically, it cannot reach the level of gastroenterology and cardiovascular medicine, and the treatment of many diseases of the same disease cannot be compared with the traditional history and famous cardiothoracic surgery.

The most painful thing for the Department of Respiratory Medicine is that the Department of Cardiovascular Medicine in our hospital is planning to grab business without such an operation. The Department of Cardiovascular Medicine was preparing for pulmonary thrombolysis last time. Not to mention Guozhi, who is well-known in the field of cardiovascular interventional surgery, the technique of pulmonary interventional surgery is far behind the National Association of Internal Medicine.

Speaking of the current case, intervention is impossible. There is no interventional surgery equipment such as a contrast machine in the dental operating room, and they do not carry out interventional surgery.

New technology can't be used, only old technology can be used. Sometimes, the most primitive technology is the most reliable. Because many new technologies are developed on the basis of old technologies.

In surgery, when teaching medical students to stop bleeding, the first step is not to use surgery or to use hemostatic drugs, but to use pressure to stop bleeding. The human body has its own blood clotting mechanism to stop bleeding by itself. Compression hemostasis is the doctor's use of the body's own blood coagulation mechanism to make the opening of the blood vessel smaller and the blood flow slow down, so as to buy time for these coagulation substances such as platelets and fibrin to coagulate at the opening to form a thrombus to stop bleeding, reducing the thrombus running around to unnecessary places place to go.

The first patient Xie Wanying came to the country to rescue was compression to stop the bleeding. Compression hemostasis is not limited to on-site emergency first aid. In surgery, doctors often use compression to stop bleeding.

For example, the balloon mentioned in the previous endoscopic surgery and interventional surgery. The balloon is a magic weapon for doctors and has multiple uses. It can be used to dilate the lumen, expand the inner diameter of the digestive tract and expand the inner diameter of blood vessels to dredge the blocked narrow opening.

What is another function of the balloon? Xie Wanying saw it when she went to the second general surgery for an internship. The three-chambered and two-capsule tube was used to stop bleeding.

Is it okay to cut a section of the three-chamber two-capsule catheter and apply it here to stop the bleeding? No, the tube is too thick. The human digestive tract is much thicker than the trachea, let alone the trachea of ​​a child. It doesn't matter, the principle is universal. Make a similar balloon yourself.

So I thought of sterile gloves. Gloves are made into balloons to stop bleeding. There is a precedent in the surgical circle, and it is in the obstetrics department. Common water bag hemostasis method in obstetrics. The doctor injects normal saline into the sterile glove and makes it into a spherical water sac, and puts it into the uterus of the parturient who is bleeding profusely and presses the bleeding uterine wall to stop the bleeding.

Obstetricians no longer need such a crude homemade tool. Medical device manufacturers produce a variety of obstetric hemostatic balloons for doctors to choose from according to clinical needs. Moreover, when this method was first created and invented, doctors did not use sterile gloves and water bags, but catheters and condoms.