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¡¾1473¡¿Various hemostasis

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    The electric knife couldn¡¯t go in, and the doctor couldn¡¯t see, so the method of electrocoagulation to stop bleeding was rejected first.

    In surgery, what to do if there is massive bleeding? Block the arteries and veins that are the source of the bleeding.  Under the current circumstances, doctors were not prepared to perform thoracotomy on the child as a last resort, so this approach was not possible.  If you want to block the artery without opening the chest, there is another method, which is artery embolization commonly used in interventional surgery.  This is an interventional surgery within the respiratory tract.

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

    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 since we have not performed such surgeries.  The Department of Cardiovascular Medicine was preparing to perform pulmonary artery thrombolysis last time.  It was even mentioned that Guozhi, which is well-known in the field of cardiovascular interventional surgery, performs pulmonary interventional surgery far behind the National Internal Medicine Department.

    ???????? Talking about the current case, intervention is impossible.  There is no interventional surgery equipment such as imaging machines in the dental operating room, and they do not perform interventional surgeries.

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

    In the Department of Surgery, medical students are taught how to stop bleeding. The first step is not about incision or the use of hemostatic drugs, but about compression to stop bleeding.  The human body has its own blood coagulation mechanism that can stop bleeding on its own.  Compression hemostasis is when doctors use the body's own coagulation mechanism to make blood vessel breaks smaller and blood flow slower, giving time for platelets, fibrin and other coagulation substances to coagulate at the break to form thrombus and stop bleeding, reducing blood clots from running around where they are not needed.  Place to go.

    The first patient Xie Wanying came to the National Association for Rescue used compression to stop bleeding.  Compression to stop bleeding is not limited to on-site emergency care.  During surgery, doctors often use compression to stop bleeding.

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

    What is the other function of the balloon?  When Xie Wanying went to the second general surgery internship, she saw a three-chamber two-cyst tube to compress and stop bleeding.

    Now, is it okay to cut a section of the three-lumen two-capsule tube and use it here to stop the bleeding?  No, the pipe 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 made into balloons to stop bleeding have a precedent in the surgical circle, in obstetrics.  Water bag hemostasis is a common method in obstetrics.  The doctor injects physiological saline into sterile gloves and ties it up to form a spherical water bag, which is then placed in the uterus of a woman with heavy bleeding to compress the bleeding uterine wall to stop the bleeding.

    Obstetricians no longer need such crude homemade tools. Medical device manufacturers produce a variety of obstetric hemostatic balloons for doctors to choose from based on clinical needs.  Moreover, when this method was first invented, doctors did not use sterile gloves and water bladders, but catheters and condoms.  (Remember the website address: www.hlnovel.com
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