Beep, beep, the ECG curve on the monitor is fluctuating with the sound.
The patient's blood pressure is somewhat low. The ECG curve is generally normal, but I don't know if there will be any accidents if he bleeds again.
Luo Yanfen bit her teeth and lip, decided to fight to the death, and said to the nurse: "Hurry up and prepare the three-chamber two-capsule tube."
The doctor confirmed the doctor's order, and the nurse rushed to get things.
Turning around, Luo Yanfen picked up the mobile phone and called the doctor on duty in the department tonight, and informed the patient's situation and her own treatment measures: "Dr. Chen, I'm afraid that he will have more bleeding and low blood pressure in the future."
"Did the blood test report come out?"
"I'll send someone to the laboratory to get it. He took a blood test in the emergency department, but the report didn't come out, so the emergency department sent the patient up first." Luo Yanfen reported the situation.
Dr. Chen in the operating room was not very happy, and the voice of complaint came out through the mobile phone that the nurse held for him: "Why did you send it in such a hurry? The operation on my side is not over yet."
The operation that Dr. Chen is performing now was urgently transferred from the internal medicine ward when he took over. It is a major emergency operation.
An emergency operation requires at least two doctors from the hospital, and one or two trainees. It is equivalent to saying that besides Dr. Chen, there are also doctors from this hospital performing operations in the operating room. If there is an accident in the middle of the operation, it is necessary to call the second and third lines to come back for support. Now I heard that the situation is that the second line has come back to support in the operating room.
"You think about it, there is no one else! If you can't do it, you can call the third line directly, or ask your own teacher to come back!" Dr. Chen shouted from the opposite side.
The front line of the department is on duty, which means: Next, for a long time, they should not expect to have a front line to help guide them.
Luo Yanfen scratched her hair with her hands. Although she had worked in other hospitals before, she was a doctoral student who resigned to study, and the licensed doctor can prescribe her own doctor's orders, but it is best to listen to the teacher here.
The subdivided professional field of her work and study is not digestive surgery, but urology. Therefore, during paddling in Lunke, Xie Wanying didn't seriously say that she couldn't beat this newcomer. She thought about it later and it was the same reason.
Do I need to call the teacher back? Luo Yanfen turned around, frowned, thinking about the consequences.
Call the teacher. If the teacher comes back and sees that the patient's condition is not serious, don't lose points for her impression. It is best to report to the teacher when the handling is almost the same, so that the teacher can feel at ease. This is the best student. Because she is a student with a license to practice, she is a doctor, and she is no longer a clinical rookie by the precise definition.
There is no choice, she will look at this patient again later.
For acute upper gastrointestinal bleeding, the most important thing is to stop bleeding and observe.
As long as the bleeding is not uncontrolled and the patient is not on the verge of shock, there is no need to send it to the operating room urgently.
The key now is how to further stop the bleeding.
In fact, this kind of patient can also be sent to the Department of Gastroenterology, which has gastroscopic hemostasis technology. It is estimated that there is no bed in the gastroenterology department, so I sent them to the surgery department.
The patient's rehydration solution is hung with aminomethylbenzoic acid, which is a commonly used clinical hemostatic agent, commonly known as hemostatic aryl acid. It is not enough to just hang the hemostatic agent, and more radical measures must be taken for this kind of massive bleeding.
The nurse came in pushing the treatment cart and prepared the three-chamber and two-capsule tube intubation items.
If there is no accident, the nurse can do this operation by herself, and the doctor will watch it just in case.