Zheng Ren was stunned for a moment and immediately began to recall the patient's films.
There are no clear problems on lung CT, just a small amount of inflammation, infection and wet lungs.
The residents in the ICU were always shouting at the top of their lungs, and Zheng Ren's first impression was that there was a lot of blood inside.
Just like a person who falls into water, once there is a large amount of blood in the airway, it will cause gas exchange dysfunction and the patient will eventually "drown"!
This is a very serious situation, but from the CT room to now, it only takes 10 minutes at most. How could there be such a big change!
The endotracheal tube was inserted and the patient began to cough violently.
Blood foam spurted out directly, dotted with stars, half a meter high.
Zheng Ren was stunned.
The ICU resident always had blood spots on her face and body, but before she had time to think about it, the sputum suction tube was inserted into the tracheal intubation, and a large amount of bloody foam was quickly sucked out.
Less than 10 minutes before the CT scan, the lungs began to bleed!
The condition is progressing crazily, which means there is not much time left for ICU and Zheng Ren.
Zheng Ren stood there and looked at the patient.
There is an additional item in the system diagnosis - hemoptysis!
There are broken blood vessels in the lungs... Zheng Ren's hands are a little cold.
The general manager of the ICU's hospitalization was handled without any mistakes, and Zheng Ren had nothing to do to help.
The patient's bedside was full of people, and he could only stand quietly aside, trying hard to figure out in his mind what toxin caused such a clinical reaction.
In 10 minutes, from the CT room to the ICU, the patient started to have massive hemoptysis!
Zheng Ren guessed that his luck was at work. Otherwise, hemoptysis would have occurred on the way, and the patient would have been cold by the time he arrived at the ICU.
what happened
He tried hard to recall various case reports and situations he had come into contact with and heard about.
But Zheng Ren found nothing in a short period of time. He could not find any case that could be comparable to the situation in front of him.
"Ventilator." The ICU resident said calmly. As the blood and sputum became less and less, she put the patient on the ventilator and started giving medication.
Soon, as the muscle relaxant enters the blood circulation, the patient stops struggling and begins to be assisted by a ventilator to breathe.
"Ask the patient if he has any immediate relatives. If not, call the medical office."
"I'll go ask." Zheng Ren said immediately.
The resident in the ICU was stunned for a moment, and then she said seriously: "I'm sorry, Boss Zheng."
"What are you going to do next?"
"The condition is progressing too fast. I think it is chemical poisoning. Hemofiltration is performed first. I will..." the resident of the ICU said, his eyes lit up and said: "Boss Zheng, please help me ask about the patient's previous medical history. See Let’s see if we can make any new discoveries?”
"Okay." Zheng Ren nodded.
"Then I'm here to rescue you." The chief resident of the ICU said. Then he stopped being polite to Zheng Ren and began to direct several trainee doctors to get busy.
Zheng Ren took out his mobile phone and made a call.
"You don't want to ask?"
"Let's report to Director Lin first." Zheng Ren said, "If the patient cannot find the cause of the disease, it will only take 1-2 hours."
I talked too much for 1-2 hours, and there was massive bleeding in my lungs in 10 minutes... It was a miracle that I could survive for another half hour.
At this point, the two of them felt generally heavy.
As Zheng Ren walked out, he quickly checked his condition.
The patient's condition progresses so quickly that it's like a roller coaster.
While in the emergency department, I could still speak and call myself a scumbag. However, after saying a few words, he went into hypovolemic shock, then entered a coma, and then went to the ICU, where he immediately began to cough up massive hemoptysis.
This is the lungs, and gastrointestinal bleeding is expected to occur soon.
The hematoma in the left upper abdomen is now considered to be caused by the rupture of a small branch of the splenic artery.
Zheng Ren quickened his movements and the phone rang. With every ring, he eagerly expected Lin Ge to pick up the phone immediately.
"Boss Zheng!" Lin Ge's surprised voice came over, with kindness and intimacy in his surprise. What does it mean to keep calling in a short period of time
"Director Lin, I'm in the ICU. I just sent a patient who works out of town for treatment. The condition is very bad." Zheng Ren said simply.
Such a sentence means that the patient has no money and no family members, and the medical office must bear all responsibilities.
"Okay, I understand. You are busy first. I will go over and take a look at the scene." Lin Ge knew the importance, and he could tell from Zheng Ren's tone that the matter was urgent.
Go have a look immediately and direct the rescue at the scene. With people from the medical office on site, clinicians can have their hands and feet free.
No matter how much you dislike the people in the medical office, you cannot deny their status in the hearts of clinicians.
Zheng Ren hung up the phone and walked quickly to the door.
"Boss, why do I feel..." Su Yun hesitated and paused.
"What do you think it is?"
"Ask first before speaking, just for consideration." Su Yundao said.
Zheng Ren didn't ask in detail. Instead of asking Su Yun, he might as well ask the patient's colleagues.
"Are you Chen Zehui's colleagues?" Zheng Ren opened the door of the ICU, looked at several urban white-collar workers, and asked hurriedly.
There were men and women in the group, and they all seemed to be in shock. They had little contact with the hospital and were frightened by the changes in Chen Zehui's condition.
It's just that they don't know that the patient's condition in the ICU has changed and that he is on the verge of life and death.
Several people looked ugly. A man in his thirties seemed to be the leader of the department and the core of these people.
He first smiled apologetically and asked cautiously: "Doctor, what is Xiaohui's disease?"
"Go to the confession room and talk." Zheng Ren led them into the room next to him. Zhou Litao was busy there. Although he wanted to hear how Boss Zheng communicated with the patient's family, he felt uneasy and ran back after saying hello. .
After a few people sat down, Zheng Ren looked at the man in his thirties and asked, "Who are you?"
"I am the leader of the project team." The man said, "Doctor, I have to notify Xiaohui's family."
"Wait a moment, the situation inside has changed. Let me ask for specific details." Although Zheng Ren was anxious, his expression was calm. This emotion unknowingly infected everyone present.
"Doctor, what's Xiaohui's disease?" a little boy asked anxiously.
"I suspect she was poisoned. Please tell me what strange things happened to her recently." Zheng Ren said.
Seeing the shocked expressions on everyone's faces, Zheng Ren thought for a moment and said, "Tell me all the details and any changes from before."
"No... if there is, she took leave two days ago and later said it was kidney stones." The team leader said, "I didn't believe it at first. How could kidney stones come from such a young age?"
"Did you see the test results later?"
"Huh? Doctor, isn't it kidney stone? How did it become poisoned?" One person did not answer Zheng Ren's question, but asked in confusion.