"Tell me about it." Director Wei sighed. He didn't say anything, but he knew at a glance whether to do surgery or not. This decision was difficult.
Although there were signs of incomplete intestinal obstruction, Director Wei still wanted conservative treatment.
Be conservative and avoid surgery as much as possible.
No matter how minimally invasive the surgery is, it is still surgery, and it is a blow to the children.
The most important thing is that even Boss Zheng can't give a diagnosis, which seems to be a bit difficult.
The two of them were about to go back to the operating room when Li Yufen came back in a hurry. Her hands were shaking, her whole body seemed unsteady, and her feet and legs had begun to weaken.
Zheng Ren's heart tightened.
Something happened to the patient!
Director Wei quickly went to support Li Yufen, helped her onto a chair, and loudly persuaded her in her ear to calm down.
But Li Yufen's face was pale and pale. Director Wei helped her to the chair. Her body softened and she slid down like dough.
Director Wei was stunned, and Li Yufen sat down on the ground.
The ponytail tied randomly was scattered, the hair was disheveled, and the two eyes were looking ahead blankly, as empty as a dead person.
Zheng Ren felt a little nervous. Looking at the patient's mother, something must have happened to the child. If the condition worsens, it must not be caused by intestinal perforation or something.
What a deal!
Zheng Ren is most afraid of something happening to his child.
The difficulty of the operation is secondary. Now we have just given birth to a second child. Once the love of parents encounters today's situation, it will be a human tragedy.
The child's mother's body was so limp that she couldn't help her up.
Although Zheng Ren was an outsider, he still felt sad watching it. But when a problem occurs, the problem must be solved. As long as the person is not dead, there is hope to save him.
He strode forward, put his hand on Li Yufen's middle, and squeezed hard.
It's not because the Renzhong acupuncture point has any function. Zheng Ren studied Western medicine. When he was in school, he took a Chinese medicine class for half a semester in a certain semester, and he was exposed to it.
But even for a person with a photographic memory like Zheng Ren, it would be difficult for him to use TCM theory to differentiate syndrome and treat it after only being exposed to it for half a year.
This position in the philtrum is a relatively sensitive pain point in the human body.
Li Yufen is not the kind of scoundrel who pretends to be dead. It would be harder and more painful for Zheng Ren to press it.
Renzhong point is a better choice.
1″23 later, Li Yufen took a long breath, her airway spasmed slightly, and she could hear the roar of air being sucked in and hitting the wall of the trachea.
"What happened!" Director Wei asked loudly.
"It's bleeding, it's bleeding." Li Yufen said absently.
Unlike before, when she was still in a hurry and behaved in an orderly manner, she was now in a trance, and her speech began to become a little awkward.
"Director Wei, do you have her lover's phone number?" Zheng Ren asked.
"Boss Zheng, please keep an eye on her for me, I'll make a call." Director Wei stood up, his waist felt weak again, and he almost fell.
This was not the time to take a group photo in the operating room. Director Wei didn't say anything, reluctantly stood up, took out his mobile phone and started making calls.
Zheng Ren saw that the patient's mother's system panel did not have a diagnosis of the disease, but he did not dare to be careless and stayed by her side quietly.
If there is a problem, such as airway spasm causing breathing difficulties, at least emergency first aid can be done.
Zheng Ren has even considered that if an unexpected situation occurs, he can enter the system operating room to train corresponding rescue operations.
Soon, Director Wei hurried back and said: "Boss Zheng, come down together and give me a slap."
"Yeah." Zheng Ren nodded without hesitation.
"The child suddenly had blood in his stool, and the amount of blood... was said to be very large, but based on the description, I estimated it to be tens of milliliters," Director Wei said.
Zheng Ren breathed a sigh of relief.
It may be that the slightly sharp edge of the bottle cap scratches the intestines, causing bleeding. Intestinal bleeding is different from bleeding in other solid organs and is not so dangerous.
If you send him to the hospital and perform surgery directly, there shouldn't be much of a problem.
After a brief exchange of words about the condition that Director Wei asked about, a gastrointestinal team leader caught up.
Director Wei arranged for him to take care of Li Yufen, and he and Zheng Ren put on white clothes and returned to the ward.
Along the way, the two of them didn't speak, their expressions solemn.
Blood in the stool, hope it's not too severe...
I haven’t seen the patient yet, so I can only hope so.
The information we have now is pitiful. We only know that the child ate a bottle cap and it got stuck in the right lower abdomen. Hemorrhage occurred three days later.
Prepare for surgery. No matter what, as long as there is bleeding, it is an indication for surgery.
More than ten minutes later, the sharp whistle of the 120 ambulance came from a distance and stopped at the door of the inpatient department.
Under normal circumstances, the 120 ambulance will not send the patient to the ward, but to the emergency department, which will then triage the patient based on the condition of the patient.
But with Director Wei calling, the intermediate emergency department rescue step was omitted.
The flat car roared, and Zheng Ren stood in the corridor. The nurses and residents had prepared various rescue items in the rescue room, ready for action.
When the patient appears, the system panel is dark red and is heavy, but not particularly heavy.
Zheng Ren was slightly relieved.
After careful observation, there were several diagnoses. Among them, the diagnosis of foreign body in Meckel's diverticulum made Zheng Ren suddenly realize.
It turned out that the child had a hidden Meckel's diverticulum in the right lower abdomen, which caused the bottle cap to get stuck in the intestines, causing hematoma, incomplete intestinal obstruction, and now bleeding.
Meckel diverticulum is a finger-like protrusion on the wall of the terminal ileum. It is a congenital malformation left over from partial patent yolk intestinal tube. Meckel first gave a relatively complete description of the disease in 1809, so the lesion at this location is also It's called a Meckel diverticulum.
When Meckel's diverticulum is uncomplicated, there are no clinical symptoms. When complications occur, a variety of symptoms can occur.
For example, intestinal obstruction, bleeding, diverticulitis, perforation, etc.
After seeing the child's diagnosis, Zheng Ren took advantage of the nurse's indwelling intravenous access and gastric tube for preoperative preparation. He went directly to the system space and clicked to purchase surgical training time.
The system operating room rose from the ground. Zheng Ren stepped in and started surgical training.
…
Director Wei looked at the blood pressure displayed on the ECG monitor as 70/45 mmHg, feeling a little worried but also relieved.
It is normal for children to have low blood pressure. Even for adults, this kind of blood pressure can be diagnosed as hemorrhagic shock, but it is not very low and can be rescued with a high probability.
But as soon as he did a physical examination, he found something abnormal.
The child's stomach is as hard as a wooden board and cannot be pressed at all. And it is unknown whether it was due to hemorrhagic shock or pain, and the patient was in a coma.
"Boss Zheng? What do you think?" Director Wei had his own idea, but in the critical situation, he still subconsciously asked Zheng Ren.
"Prepare for surgery and check it out." Zheng Ren said in a deep voice, "It shouldn't be a big problem."