As soon as antifibrinolytic drugs are hung in the ward and she sees them, she can imdiately associate them with the patient’s laboratory blood indicators.
However, since she wasn’t a clinical doctor in her past life and didn’t understand their use, she needed to check the information. Xie Wanying admitted: "It’s not in the textbooks, so I went to the library to check journals. Statistics show, as you just said, that after extracorporeal circulation, the patient’s blood fibrinolytic function becos overactive."
The key point here is: "The fibrinolytic effect is the result of a balance between two things in the patient’s body, fibrinolysis activator tPA and fibrinolysis activator inhibitor PAI."
Geng Yongzhe held his breath as he listened to her speak about a point he was not familiar with, lacking her depth of laboratory exploration before her rebirth.
"From the first to the twelfth hour post-operation, a patient’s tPA can increase, while PAI gradually decreases within twelve hours and maintains a low level for up to seventy-two hours. The amount of post-operative bleeding is related to the decrease in PAI. If the PAI drops too drastically, the volu of post-operative bleeding will increase, and such a drastic drop in PAI generally occurs within the first hour after surgery. Therefore, it is recomnded to perform antifibrinolytic treatnt on the day of heart valve replacent surgery and coronary artery bypass surgery, and to conduct anticoagulation treatnt as early as possible after 24 hours to adapt to these post-operative changes in the patient’s body. I guess Teacher Du’s hesitation in standing here post-operation is due to this."
The coagulation function of the patient’s blood could be more profoundly experienced by the surgical doctors who may have observed it firsthand during the operation. Du Yeqing’s decision not to administer antifibrinolytic drugs to the patient temporarily might be based on this consideration.
What? Geng Yongzhe was shocked by the bombshell she dropped: The chief surgeon remains here post-op because of this?
Usually, if the surgery goes smoothly and ends with the patient’s indicators looking good, there’s no need for the chief surgeon to personally accompany the patient to the ward. There are other assistant young doctors to assist, and the chief surgeon is notified if needed.
Contrary to the norm, Du Yeqing personally accompanied the patient back to the ward and stayed for a while before leaving.
The first thing that ca to Geng Yongzhe’s mind was whether this was because the patient was a VIP donor of twenty million, prompting Du Yeqing to upgrade the service.
It turns out: he was completely wrong.
Indeed, Teacher Du being a boss of sorts, wouldn’t need to posture in the ward. The family could not see from outside, the patient was unconscious, and there was no need to act. A doctor’s every move is fundantally based on technical requirents, not other factors.
It is evident that privately, the teachers comnt that Student Xie is like a parasite in the boss’s stomach. This obviously refers not only to Student Xie’s technical level being close to the bosses but also to her self-recognition of the dical profession being very much like the bosses.
Geng Yongzhe’s face turned pale with nervousness. Observing Student Xie while speaking to him, her eyes were not on the monitor numbers like his but on the drainage tube and the fluid volu in the drainage bottle.
This is precisely the focus of post-operative observation for this patient. He drifted ten thousand eight thousand miles away.
In cases of severe hemorrhage leading to shock, waiting until the patient’s heart rate and blood pressure beco problematic before rescuing would be too late. The key to a doctor’s control is to predict data in the early stages of severe hemorrhage, judging in advance based on other indicators. Especially since the patient is sedated and on a ventilator, the heart rate and blood pressure are aided by dication and machines, which cannot accurately reflect the patient’s internal state.
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