"It's me." Old Director Pan's voice was full of majesty.
"Well, well, what are you considering?"
"excuse me, may I ask."
After speaking, Director Pan covered the microphone with his hand and looked at Zheng Ren.
"Zheng Ren, there is a 72-year-old male patient in the ICU. He was hospitalized in the gastroenterology department of our hospital 14 days ago because of blood in the stool, and was later transferred to the ICU ward.
The blood in the stool was controlled 6 days after admission, but the patient's condition was relatively poor and he has been receiving treatment in the ICU. At 14:00 this afternoon, blood in the stool appeared again, the amount was relatively large, and the hemostatic drugs were ineffective. General surgery consultation, surgical treatment is not recommended. "Lao Director Pan told the patient's condition in series.
Zheng Ren knew that Director Pan was asking for his opinion.
General surgery did not perform surgical treatment because the patient was older and the bleeding point could not be determined.
The patient's intestines are full of fresh and old blood. Even with a colonoscopy, it is impossible to see where the blood is coming from.
This kind of problem has occurred countless times before.
Once it appears, the patient's life depends on it.
If your fate is good, just get through it. Wait until the bleeding stops and the patient's condition is stable before further examination and treatment.
Life is not good, bleeding continues, and what awaits the patient is death due to excessive bleeding within a short period of time.
If you do a surgical laparotomy, you can only find the location of the bleeding point by chance.
In clinical medicine, there is such a thing as luck... No one wants to do it, but there is always a time to look at fate and luck.
Zheng Ren thought for a while and then said: "It can be cured."
The answer was very simple, saving lives is like putting out fires, Zheng Ren didn't hesitate at all.
Director Pan had a high degree of trust in Zheng Ren, so he immediately picked up his cell phone and said, "I'll be there in 20 minutes."
After saying that, he hung up the phone.
"Let's go." Old Director Pan stood up and said vigorously, "How much is it?"
The boss said with a smile: "Director Pan, if you come to my restaurant to eat, you are giving me face. If you want to collect money, please let me..."
Because there was an emergency, Director Pan didn't hesitate, threw down the five hundred yuan and turned around to leave.
The group of people looked like well-trained warriors, chatting and laughing one minute, and giving orders and prohibitions the next.
Boss Sun was crying, holding the money in his hand, and wanted to give it back to Director Pan.
But as soon as he got close, Director Pan gave him a sidelong glance. Boss Sun shivered as if he had been struck by lightning.
After getting in the car, everyone didn't talk nonsense and drove all the way back to Haicheng City No. 1 Hospital.
As a doctor, you are always alert to emergency surgeries. Even if they were catching up with each other or eating, Chu Yanran, Zheng Ren, and Xie Yiren didn't drink.
Although emergency situations may not always occur, it is always good to be prepared.
When they arrived at the hospital, those who needed to go to the operating room went to the operating room, and those who needed to go back to the emergency ward returned to the emergency ward. Director Lao Pan took Zheng Ren and Su Yun straight to the ICU.
"Zheng Ren, what are you going to do?" On the way, Director Pan took the time to ask Zheng Ren.
"In interventional angiography, if the location is typical, open the abdomen directly to find the bleeding point. If the location is atypical, embolization is performed, and then the necrotic intestine is removed." Zheng Ren already has an abdominal case.
"..." The experienced old Director Pan was speechless at this moment.
Zheng Ren is talking about destructive surgery!
Local superselection and then embolization of the superior mesenteric artery can stop bleeding, but it can also lead to necrosis of a certain section of the patient's intestines.
This is a taboo for surgery!
Su Yun's footsteps hesitated slightly, then followed, walked a few steps quickly, and whispered beside Zheng Ren: "I think it's okay."
"Yeah." Zheng Ren nodded.
"Zheng Ren, are you sure?" Old Director Pan asked.
"Yes, as long as the patient's condition allows it." Zheng Ren said firmly.
"Okay." Director Pan didn't say much. In silence, the three of them came to the ICU.
After changing clothes and walking into the ward, Director Qian of the ICU stood at the bedside of a patient, holding his arms and looking at the monitor while chatting with Director Sun of the Second Department of General Surgery.
The ventilator and monitor were shouting crazily, and an urgent breath rushed towards my face.
It's so familiar... Zheng Ren looked at this familiar scene, and the slightly comfortable life in the imperial capital was gone forever.
"Xiao Su, you're back." Director Qian saw Su Yun and followed him in. Instead of greeting old Director Pan first, he greeted Su Yun.
Su Yun smiled.
Director Lao Pan came to the patient and looked at the vital signs. The blood pressure was 70/50 mmHg, the breathing was 24 times/min, the pulse was 121 beats/min, and the blood oxygen saturation had dropped to 89%.
Hemorrhagic shock, this diagnosis cannot be eliminated.
"Director Pan, you are here. Oh, Zheng Ren, you are back too." Director Sun from the Second Department of General Surgery greeted.
"What do you think of the general surgery department?" Old Director Pan asked.
"There is no other way. Let's issue a critical illness notice. Director Pan knows this kind of surgery, how can we dare to do it?" Director Sun shook his head, but looked at Zheng Ren.
"Alas." Director Qian of ICU sighed.
When Director Pan came over, he was only fulfilling his duties as a doctor and would not be of any help to the patient's condition.
The system panel in the upper right corner of Zheng Ren's field of vision was bright red, with several diagnoses of hemorrhagic shock, ion disorder, and lower gastrointestinal bleeding clearly listed on it.
The condition was already clear. Zheng Ren took a deep breath and felt a little regretful.
He was born in a general surgery department, so he naturally knew that general surgery departments would not dare to perform this kind of surgery. When you open your abdominal cavity, your intestines are filled with blood. What do you think you should do? Cut open the intestines and find the blood spots bit by bit
I am afraid that if it is not found, the patient will die from excessive bleeding.
Dying on the stage and dying in the ICU are two different concepts.
After the completion of the second phase of the initial mission, the system's big pig's hooves gave 3,000 cases of gastrointestinal anatomy experience.
But Zheng Ren’s intestinal surgery experience is limited to minor surgeries such as appendicitis and hernia.
For an operation of this difficulty, it is inevitable to enter the system operating room and spend some time.
After thinking about the surgical training time on his hands, Zheng Ren did not hesitate and said, "Let's give it a try."
"Oh? What do you think, Xiao Zheng?" Director Sun answered immediately. It seemed that he had been waiting for Zheng Ren to speak.
"Use interventional methods to see if we can find the bleeding point." Zheng Ren said.
Director Qian's brows furrowed. He was unfamiliar with intervening, but since someone proposed a solution, let's do it.
Director Sun said with a smile: "I knew you could do it."
"Try it, I can't tell." Zheng Ren replied.
"Xiao Zheng, we don't know what to do. Are you going to communicate with the patient's family?" Director Qian asked.
"Okay." Zheng Ren said: "How much blood is left? I need at least 10u frozen red blood cells and 1000ml of plasma. Is there any coagulation disorder?"
"Boss, you go and communicate with the family members. I will take care of it." Su Yun said lightly: "I stopped seeing the family members after I drank."
Director Qian and Director Sun looked at Su Yun in shock.
boss? Was this what he just said to Zheng Ren
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