Chapter 190 187. God’s Revelation

Generally, acute upper gastrointestinal bleeding will cause persistent blood loss. If not treated, the patient will soon develop anemia or even hypovolemia shock. In clinical practice, hemostatic drugs and gastroscopy are often used to combine hemostatic drugs, if there is no gastroscopy condition.

, you can only use three-chamber dicapsular tube + ice saline to stop bleeding. [1]

Kawei has nothing in his hands, so he has always emphasized that this is why Fernan can't survive.

But not being able to survive does not mean that you will die immediately. As long as you find a way to delay time, you will still have a chance, but the method is more brainless.

Since the digestive tract is continuously bleeding and the amount has been maintained at a high level and the existing methods cannot stop the bleeding, it is only possible to replenish it by blood transfusion. Autologous blood transfusion is definitely unrealistic. After the pollution of the digestive tract, the vomited blood is

It is impossible to re-enter, so you can only use allogeneic blood transfusions.

Allogeneic blood transfusion was not a particularly new concept in the 19th century. Many people have tried it in order to save the lives of the injured after severe trauma and to protect the situation in some complex surgeries.

"When I had a cesarean section, I found that Dr. James Brandall from the UK had tried several blood transfusions 50 years ago, but the success rate was relatively low." Carvey said, "But I

Recently, some ways to improve success rates have been discovered."

After leaving Fattorad and Ignaz, Kavi became the only doctor in the police station who could guide the treatment work.

It is obviously inappropriate to go outside to find a doctor, and there is no need, because in Vienna, only Kavey knows how to save him. Even the forensic doctor Muzier is willing to believe Kavey's method: "Do we need to give him a blood transfusion?"

"If you want to save his life, you can only do this."

Most of the police officers were resistant: "Is there no other way?"

For journalists or some other people, the reaction should be stronger: "Yes, it is the doctor's responsibility to save people, why should we use our blood?"

"I don't agree with blood transfusion!"

In front of Kawei is the appearance of sentient beings, a bunch of complex emotions that are unrelated. Because of a very dissatisfied event, they chose to oppose unanimously. After all, when they proposed just now, they all chose immediately like Fernan.

Agree.

Especially those reporters, the change in attitudes before and after is too big.

"I have no time to waste time with you."

Kavi looked at the blood-sucking cup placed in front of Fernan again: "Since you are so hesitant, then you should forget it. I am very tired, and it's time to go back to bed after a day of busyness."

After saying that, he was about to get up and go out.

"Mr. Kavi's attitude is always so tough at this time." Muzier fell over Kavi, knowing that he would definitely not come back when he left, so he got up and leaned over, stopped him and said,

"I hope you can wait, at least you have to wait for the result of those two."

"His Majesty the King will definitely agree, but Fernan's gastrointestinal tract has been bleeding. Whether it is slow or not, his life may not be delayed for three days." Kavey sighed, "So

I just said, if it really doesn't work, give up and don't force yourself."

"Don't give up. This proposal is actually pretty good." Fernan is now locked in a single cell and is lying on a small bed. "It's just a blood supply to me, and I'll die in the end."

Kawei knew that this suggestion was contrary to common sense. Although it was all dead, everyone present had to choose a process that was more disgusting to him.

There is his own reason for asking.

First of all, in order to solve all the troubles at once, at least this method of displaying the surgery has been recognized by everyone. Perhaps under his influence, Ignaz increasingly felt that the surgery should not have too strong performance characteristics, but he was

When faced with this situation, there is no more appropriate solution.

In addition, the display of surgery is also a rare opportunity for Kavey.

After so many surgeries, he can only prove his talent and work ability, and his improvement in his status is limited.

Many surgeries have been responding enthusiastically in the circle. It really hit Morasso and Franz's ears. In fact, it was just a small surgical innovation, and it was not much more valuable than a telegraph machine.

If he could stay in Vienna, Kavi would not care too much about his status, but there would be dangerous battlefields everywhere in the future. He had to mention his identity to ensure his basic safety.

The current military medical department has the inspector Moraso, which seems much safer, but in fact it is hidden crisis.

He doesn't understand logistics, nor does he understand medical care. He still holds a lot of real power in Aidingson's hands. Aidingson has always regarded himself as a thorn in his eyes and has a relatively objective evaluation, but when it comes to allocating medical resources, he may come to some point.

Sexy operation.

In fact, Moraso's entry into the military medical department is not a good thing, because with his slightly arbitrary personality, he will rush to the front line if he gets angry. It's nothing he wants to go to the front line, he's afraid he'll bring himself with him.

Being a private doctor with you, this is a serious matter.

Kawei has skills, but he is still an ordinary surgeon. Although he is not sent to the front line to be a stretcher team member, he is disgusting enough to be sent to be a accompanying doctor at the first level of the regiment battalion.

The battlefield situation is changing rapidly, and these entourages are not only tired, but also very dangerous.

There are definitely not enough key medical supplies. There are only the simplest surgical stress tools in the front line troops. Maybe those scalpels and pincers and other things must be brought in the end.

That's why he took the old Marshal's lumbar disc herniation and Justina's breast cancer removal, in order to leave himself in a large hospital behind the battlefield. He doesn't care whether he is the senior management, but at least he has to be like Xi

Like Ers, he cannot be the abandoned son of others.

According to the original plan, the successful completion of Giustina's breast cancer removal has actually pushed Kavi to a very high position and basically squeezed into the first tier of Vienna's surgery where Ignaz is located.

But now it seems that some levels cannot be obtained by surgery alone. This surgery alone is far from enough. There is a considerable gap between the main surgery and Ichisuke.

Although he gave the surgery, in the eyes of outsiders, Watman was the one who was doing it, and most of the credit was given to Watman. Cavi was of course also praised, but for him, the money was not only possible.

There is no other meaning in addition to increasing the funding for some research experiments.

Looking at the past two months before the war, Marshal Ludwig, who could really be called a celebrity in Kavey's surgery.

At the beginning, it was a gimmick of performing surgery on the marshal to enhance his status, but now it seems that this may not have any effect. Because it does not bring benefits to Franz, even because the marshal is sick and his own

During the operation, the Supreme Commander of the Austrian army is likely to be replaced.

It would be great if Franz didn't resent himself.

So rather than saying that this is a show, Carvey is more willing to call it a stage for the French ambassador, who made Franz value the French more?

Of course, in addition to this, Kawei also hopes to use this absurd open-air surgery to test the effects of the new drug and the feasibility of upper gastrointestinal bleeding surgery. In such an alcoholic cirrhosis, liver cancer, gastric ulcer, gastric cancer esophageal duct, gastric cancer

In the era when cancer is high, acute bleeding does require a treatment plan that meets the current era.

It has to be said that in an era of extreme lack of information transmission, although this method of display violates the principle of surgical aseptics and infringes on personal privacy, it does have its advantages.

"Who told Fernan to die?" Kavey warned, "I nodded to my suggestion just now, and they all agreed, why is there no sound now? Time will continue, and the advertisements for open-air surgery will be released when the time comes

, but the person is gone, but it is not good for anyone."

".It's just a little blood." Muzier took off his shirt and rolled up the sleeves of his shirt. "How many do you want to suck?"

"Don't hurry, the first step is only a few drops of blood." Kavey took the blood-sucking cup, which contained two mouthfuls of blood that Fernan had just spit out, "The dropper and the test tube were brought together.

Is it?"

"I brought it, and according to my requirements, there are 11 tubes here."

"Okay." Kawei glanced at the policemen in front of him, "Come on, there is a knife next to him. I've disinfected it, just drop two drops of one person and one tube."

Everyone was resistant to blood transfusion, but they could do it just by putting a few drops of blood. A few minutes later, the blood-dripping tubes were pasted on their respective names in turn, and then they were lined up in front of Kawei.

"What are you going to do next?"

"See if your blood and this prisoner can coexist."

The blood in the blood-coated cup has begun to solidify, the cell components inside sink, and a clear, light yellow liquid precipitated on the surface. Modern people know that it is serum, but in the 19th century, there is insufficient understanding of blood components, even if you know that there is one.

It is also difficult to think of its function as such.

Kawei used a dropper to absorb this layer of serum and conducted a blood type pairing experiment on the blood samples from 21 people in front of him.

"There are types of differences between blood and blood, and different bloods are mutually exclusive." Kawei said and dripped the serum into these test tubes in turn. "It is God's will to whether it can be transfusions."

Once you put a religious cloak on things, you can always achieve twice the result with half the effort.

In fact, after Kawei brought out this theory, no one stood up to question the credibility of the experiment. They all watched the changes in the test tube, hoping to see some God's revelation from it.

The experiment is not very rigorous, because there are no anticoagulants used, and the results will be different.

Fortunately, the blood clotting reaction was sensitive enough, and 11 test tubes quickly changed after the serum of Fernan was dripped into it.

Seven of the blood just faded a little, and there was no agglutination reaction after the shock, and the remaining 14 soon showed cotton-like precipitation: "It's such a coincidence that the two inspectors and Mr. Muzier were both.

The same blood type.”

Blood type is a new word for them, but now is not the time to consider these things at all.

"Why are we???"

".It's really unbelievable! My blood actually coexists perfectly with the prisoner's blood?"

"How much blood do I need to give?"

"Try to get 200ml first, but there are still many things missing now." Kawei is actually not very sure about blood transfusion. After all, he has encountered some dangerous blood transfusion reactions in clinical practice. Without modern medical measures, it is likely that he will fail."

I will lose when my person arrives.”

He had to wait for Damilgaon, who lives in the Municipal General Hospital, and Savalin, who lives in the medical school laboratory.

In order to ensure that the blood transfusion can be completed smoothly, in addition to having a needle and an infusion hose, a certain amount of anticoagulants and first aid medicines are also required.

The former can help him bring these infusion tools, while the latter can provide adrenal extracts that already have finished products. Because the adrenal glands are very small, they are not divided into cortex and medulla during extraction, so there is not only the medulla in it.

Erepinephrine, epinephrine, and sugars and mineralocorticoids from the cortex.

Of course, in addition to these, there are dozens of substances including all kinds of substances.
To be continued...