2173 Chapter [2173] It's Not Necessary to Act

As long as the antifibrinolytic drugs are hung in the ward, as long as she sees them, she can immediately think of the patient's laboratory blood indicators.

It's just that she was not a clinician in her previous life, and she didn't understand the use of it, so she needed to look up the information again. Xie Wanying admitted: "It's not in the book. I went to the library to check the periodicals. There are such statistical data that show that, as you just said, the blood fibrinolysis function of patients after cardiopulmonary bypass is hyperactive."

The key point here is: "The role of fibrinolysis is the result of two things, plasminogen activator tPA and plasminogen activator inhibitor PAI, that check and balance each other 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 failed to dig deep into her pre-rebirth laboratory.

"From the first to the 12th hour after the operation, the patient's tPA can increase, and the PAI gradually decreases within the 12th hour, and can be maintained at a low level of 72 hours. The amount of postoperative bleeding is not large, It is related to the reduction of PAI. If the sudden drop of PAI is too outrageous, the amount of postoperative bleeding will increase. This sudden drop of PAI usually occurs within the first hour after surgery. Therefore, it is suggested that it should be used in heart valve replacement and coronary artery bypass surgery. Antifibrinolytic therapy should be given every day after the operation, and anticoagulant therapy should be given as soon as possible after 24 hours to adapt to the changes in the patient's body after the operation. I guess, this is what Mr. Du hesitated to stand here after the operation. .”

What is the coagulation function of the patient's blood, the surgeon may have a deeper experience by witnessing it during the operation. Du Yeqing did not give the patient anti-fibrinolytic drugs for the time being, it should be based on this consideration.

ah? Geng Yongzhe was blown up by the heavy bomb thrown from her tail: Is it because of this that I am standing here after the main operation?

Usually, if the operation goes well, the patient’s indicators are quite good at the end of the operation. After the surgery, there is no need to accompany the patient to the ward in person. There are other assistants, young doctors, who will run errands for the surgeon, and they will notify the surgeon if something happens.

Unconventional, Du Yeqing personally accompanied the patient back to the ward, stood in the ward and looked at it for a while before leaving.

The first thing Geng Yongzhe could think of was whether this patient asked Du Yeqing to upgrade his service for the sake of donating 20 million VIPs.

The result: I was wrong too much.

That's right, Mr. Du is considered a big boss, why bother to put on a show in the ward. The family members can't see it outside, the patient is not awake, so there is no need to act. The basis of every action of a doctor is technical requirements, not others.

It can be seen that the teachers privately commented that classmate Xie is a roundworm in the big guy's stomach. It seems that not only Xie's technical level is closer to that of the boss, but also that Xie's self-awareness of the doctor is very similar to that of the boss.

Geng Yongzhe's face turned green, and he suddenly became a little nervous. I only saw that when classmate Xie was talking to him, his eyes turned out to be different from his. They were not staring at the numbers on the monitor, but the outflow in the drainage tube and drainage bottle.

This is the focus of this patient's postoperative observation. He went a thousand miles away.

For patients who are really bleeding and going into shock, it is too late to come to the rescue after the patient's heart rate and blood pressure have an accident. The data prediction in the early stage of massive bleeding is the focus of doctors' control, and it should be judged in advance based on other indicators. Not to mention, the patient is in a state of being sedated and on a ventilator, and the heart rate and blood pressure with the assistance of a drug machine cannot accurately reflect the patient's internal state.