Since 1981 Health School

Chen Qi was angry: "Fuck, this is not an ordinary trauma, this is caused by a strong woman, such a small girl, which beast can do it?"

Standing by the side, Xie Ying couldn't help cursing: "Who did it? Or is it a human? It's not as good as a beast!"

The women couldn't bear it when they saw it, and they all turned their heads away: "Doctor, don't ask, and get medical treatment quickly. This is a poor girl with no father or mother. Do your best."

At this time, Mao Xiaolian's face was very pale, and her consciousness was a little blurred, which was very critical.

Chen Qi took a deep breath, and immediately ordered:

"Measure blood pressure, pulse and body temperature immediately, open two venous channels, and now need emergency expansion, I will perform emergency surgery immediately."

Chen Qi was a little nervous, because the best treatment for this kind of hemorrhage is actually blood transfusion, but Huang Tan's condition is definitely not possible, so what he can do now is to suture as much as possible to stop the bleeding.

Maybe today is a life.

Dean Yan's face was also livid. As an "old mountain man", he immediately realized what happened.

This kind of thing often happens in the mountains, in the deserted wild groves and cornfields...

In the end, it is often settled through negotiation within the village, and nothing is left. As long as no one sues, the criminals will not have to go to jail in the end.

After Chen Qi finished disinfecting, he immediately conducted a flaw detection.

As soon as the amplifier was used, he was now sure that the girl's vagina showed a fresh tear, and there was obviously male fluid in it.

Chen Qi was so angry that his hands trembled a little. His thinking was still stuck in the standard of a legal society. For this kind of crime against underage girls, there are three words:

zero tolerance.

Chen Qi first kept the male fluid. This is the best evidence. Even if there is no detection ability now, it will still be useful when DNA becomes popular in the future.

Then he started sewing layer by layer.

The suture was still very difficult, because even the anus was torn, and the tear was serious, which damaged the sphincter, which shows how brutal and perverted the criminals were when they committed crimes at that time.

When Chen Qi was concentrating on the operation, Jin Lin, who was always monitoring vital signs, shouted:

"Doctor Chen, it's broken, the patient's blood pressure has been dropping, what should I do?"

Chen Qi knew that this was a typical manifestation of hemorrhagic shock. Her blood pressure kept dropping and her consciousness was not clear, which indicated that Mao Xiaolian's blood loss had exceeded 20% of her total blood volume, and it might be more. This is life and death for a child. It's time.

Fluid replacement alone is definitely not enough, blood transfusion is necessary.

However, it takes about 8 hours to drive back and forth from Huangtan Town to Yuezhong City. By the time the blood arrives, the day lily will be cold.

"How to do?"

There is only one path to choose from before Chen Qi, and that is illegal blood transfusion.

"Xieying, let the blood laboratory do the blood typing for the patient immediately, Dean Yan, you go and ask the family members outside, is there anyone who can make the decision?"

Chen Qi could only take a risk, that is, without any testing and treatment, directly draw blood of the same blood type, regardless of whether there is an infectious disease or rh blood type, HLA, white blood cell antigen and other factors, and directly lose it to Mao Xiaolian.

Doing so is undoubtedly very risky, especially since this country is still a big country with hepatitis B, and one out of ten people is positive.

If blood that has not undergone any treatment is transfused in at that time, the risk of agglutination reaction may be life-threatening.

This method is definitely risky and requires legal liability. This is a violation of regulations, or even an illegal operation. The most serious consequence is that it may lead to the death of the patient.

However, if the blood transfusion to Mao Xiaolian cannot be given immediately, the patient will continue to lose a large amount of blood, without external blood supply, and the vital center will be hypoxic due to ischemia, which will definitely lead to the death of the patient.

One is possible death, the other is certain death.

This should not be a multiple-choice question. Chen Qi wanted to save someone, so he chose to take the risk of a direct blood transfusion.

To be honest, if Chen Qi hadn't been reborn, he would definitely not have done this in 2022, because no matter whether the patient was saved or not, the final legal responsibility would not be borne by a mere doctor.

At that time, if you do good deeds, you will be expelled from the hospital, prosecuted by the procuratorate, and even the family members of the patients will not see you.

For example, in 2022, Chen Qi did not have any tests and did not apply for blood from the central blood bank. Instead, he drew blood directly from normal people. If there is an emergency blood transfusion, the following consequences will occur:

The person was saved, the patient was infected with AIDS, the hospital lost money, and Chen Qi fired him.

The patient was saved, but the patient was infected with hepatitis B, and the hospital lost money, so Chen Qi fired him.

The person was saved, but the patient had a blood transfusion reaction, the hospital lost money, and Chen Qi fired him.

The person was not saved, the patient died, the hospital lost money, and Chen Qi went to jail.

But if Chen Qi didn't take the risk, he didn't give the patient a blood transfusion when there was no blood source and couldn't provide the blood supply. In the end, the patient didn't survive and the patient died.

Hospital: We did our best, please mourn;

Chen Qi: Hurry up and complete all the medical records and prepare for possible lawsuits, but he does not have to bear any responsibility personally.

So if in the previous life, Chen Qi's choice would definitely not be risky blood transfusion, he would definitely choose to protect himself. After all, it was not easy for him to study for decades, and he could not have his license revoked or even go to jail because of a medical accident.

This is some of the contradictions that often occur in modern hospitals. Between "rescuable" and "not rescuable", doctors often choose conservative treatment documents.

If a doctor adopts a radical treatment plan to save someone, it is obviously well-intentioned, but the ending is often miserable. This is the experience of countless doctors' blood and tears, and it is so helpless.

Speaking of Huangtan Health Center in 1982, if Mao Xiaolian was directly transfused with blood now, the following reactions may occur:

1. Large-scale hemolysis: systemic inflammatory response, systemic organ failure, painful.

2. Small-scale hemolysis: It is worse than the above, kidney failure can't escape, half dead.

3. Nothing.

Chen Qi is actually betting on a probability, as long as the blood is of the same type, the probability of "nothing" is still very high.

The point is that it is only 1982 now, and the relevant laws are not so strict. Even if he loses the bet with Chen Qi and the little girl is gone, at least he doesn't have to face the risk of being fired or going to jail.

So Chen Qi decided to fight. Before fighting, he still had to ask the dean for instructions. Anyway, this year pays attention to a "collective decision and obey the leadership."

"Dean, the patient's blood pressure continues to drop, and she is almost unable to hold on. If there is no blood transfusion, no matter how good the operation is, there will be a dead end. Now I suggest finding suitable blood immediately and transfusing her directly, but this has certain risks. You See what to do?"

Dean Yan just came in from the operating room, and was taken aback when he heard Chen Qi's words:

"Without blood transfusion, how likely is it to die?"

"90%!"

Dean Yan didn't speak, but was obviously thinking, and finally said firmly:

"Then let's take a chance. I asked the villagers outside just now. Mao Xiaolian's parents are gone, and there is only one old grandmother in the family. Obviously, I can't make up my mind. Since the situation is critical, I will make this decision. On the blood transfusion." !"

When Chen Qi heard this, he thought to himself that he was right about the old dean, who was responsible.

The blood type test came out immediately, Xie Ying ran in and shouted: "Dr. Chen, the patient has type A blood."

Chen Qi felt relieved when he heard that, type A blood is the most common blood type, and he himself has type A blood, so he can definitely give Mao Xiaolian blood transfusion.

"Okay, draw my blood first, I..."

Dean Yan raised his hand to stop Chen Qi: "You don't care about the surgery yourself. If you become weak after the blood draw, how can you rescue them? There are several type A blood in our hospital, I will mobilize them."

Chen Qi was really touched. It is a great blessing in his life to have such a responsible dean who always thinks of the staff.

If you think about Bald Jiang from the health school, the gap between people is directly reflected.

Soon, a bag of fresh blood was sent to the operating room, and Xieying hung it up directly, while continuing to closely observe the patient's vital signs manually.

Chen Qi continued to be busy with the operation, he couldn't be transfusing blood on the top and bleeding all the time on the bottom, that way the patient would still die. Less bleeding means less blood transfusions and safer patients.

The whole hospital at the health center was mobilized and hurriedly opened, and there were huge crowds of onlookers outside. It is estimated that this matter will not be kept secret for long.

The old ancestral hall of the Ma family in Jiuyan Village is now nominally the village's grain depot.

The village chief, Ma Huadong, was directing a group of young and middle-aged men to beat and kick the mangy man. The villagers also hated him to the bone, and they all started secretly.

Ma Manzi's screams kept coming out, and Ma Huadong was so angry that he cursed:

"Hit me, beat this bad guy to death, he will lose all face of the Ma family!"

A group of old men surrounded Ma Huadong, obviously they were all elders with important words in the clan, everyone had to come up with a charter on this matter now.

"Uncle, I, the village chief, can't hide this matter. Everyone has been sent to the health center. The health center will definitely call the police. At that time, the mangy horse will be arrested by the comrades of the police. I can't control it. Let him to die."

An old man was a little embarrassed, and patiently persuaded:

"Huadong, you can't ignore this matter. Although Ah Che is not up to date, he is also our Ma family. If there is a shooting prisoner or reform-through-labor prisoner in our Ma family, it will not only embarrass our Ma family, but also our Jiuyan Village. How can the ten miles and eight villages hold their heads up?"

People in the mountains value face the most, and face is bigger than the sky.

Moreover, the rule of the mountain people is to try to resolve matters in private as much as possible, even if there is a group fight between villages, even if someone is killed, they will not be reported to the official.

If someone from this family goes to prison or is on death row, it would be a shameful thing.

This is also the main reason why Ma Manzi has been stealing chickens and dogs in the village,

Of course, today's incident violated the bottom line of the law, and it was a zero-tolerance incident, but in the eyes of these rural old men or feudal patriarchs, what is this incident?

Isn't it just ruining a girl, and she is still a child without a father and a mother, then she will lose money, what else can the other party do?