Chapter 265： Boss, hand it over to me here.
"It's me." Director Pan’s voice is full of majesty.
"Well, um, what are you thinking about?"
"excuse me, may I ask."
After that, Director Pan Pan grabbed the microphone with his hand and looked at Zheng Ren.
"Zheng Ren, ICU has a 72-year-old male patient who was hospitalized in our hospital for digestive medicine 14 days ago because of blood in the stool, and then transferred to the ICU ward.
Blood in the stool was controlled 6 days after admission, but the patient's condition was poor and he was treated in the ICU. At 14 o'clock this afternoon, blood in the stool again appeared, the amount was relatively large, and the hemostatic drug was invalid. General surgery consultation, surgery is not recommended. Director Lao Pan said a series of patients' condition.
Zheng Ren knows that Director Pan is asking for his opinion.
General surgery is not treated because the patient is older and cannot determine the bleeding point.
The patient's intestines are fresh blood and old blood. Even with colonoscopy, you can't see exactly where the blood is.
This kind of problem has been seen countless times before.
Once it appears, it depends on the patient's life.
If you have a good life, you will come over. When the bleeding stops, the patient's condition is stable, and further examination and treatment are performed.
The life is not good, the bleeding continues, and the patient is waiting for a short time to die due to excessive bleeding.
If you do a surgical laparotomy, you can only try your luck to find the location of the bleeding point.
In clinical medicine, it is a matter of luck... everyone doesn't want to, but there is always a certain moment to look at life and luck.
Zheng Ren gave a meditation and said: "Can cure."
The answer is very simple, life-saving is like a fire, Zheng Ren is not awkward.
Director Lao Pan’s trust in Zheng Ren was very high. He immediately picked up his mobile phone and said: “After 20 minutes.”
When I finished, I hung up the phone.
"Go." Director Pan Pan stood up and was very popular. "How much?"
The boss said with a smile: "Director Pan, you come to my small shop to eat, it is to give face, if you collect money, you let me..."
Because of the emergency department, Director Pan did not bow, dropped five hundred dollars and turned away.
The group of people is like a well-trained warrior. They talked and laughed in the last minute, and they were banned in the next minute.
Boss Sun was crying and sullen, holding money in his hand, and wanted to return it to Director Pan.
But as soon as he approached, Director Pan was glanced at it. When Sun Boss was thundered, he made a nap.
On the train, everyone did not have any nonsense, all the way back to the first city of Haicheng.
As a doctor, whenever you are alert to emergency surgery. Even if they took the wind and eat, Chu Ruran, Zheng Ren, and Xie Yi did not drink.
Although there may not be an emergency situation every time, it is always right to be prepared.
When I came to the hospital, I went to the operating room to go to the operating room. I went back to the emergency ward of the emergency room. Director Pan Pan went to the ICU with Zheng Ren and Su Yun.
"Zheng Ren, how are you going to do it?" On the way, Director Lao Pan took time to ask Zheng Ren.
"Interventional angiography, if the position is typical, directly open the abdomen to find the bleeding point. If the position is not typical, embolization, and then remove the necrotic intestine." Zheng Ren has a belly case.
"..." The experienced old Pan director is speechless at the moment.
What Zheng Ren said is destructive surgery!
Local superselection of the superior mesenteric artery, followed by embolization, although it can play a role in hemostasis, but also lead to a certain segment of intestinal necrosis.
This is a surgical contraindication!
Su Yun's footsteps were slightly stagnation, and then he followed, and took a few quick steps. He whispered around Zheng Ren: "I think so."
"Yeah." Zheng Ren nodded.
"Zheng Ren, be sure." Director Lao Pan asked.
"Yes, as long as the patient status allows." Zheng Ren firmly said.
"Good." Director Pan did not say much. In the silence, three people came to the ICU.
After changing clothes and entering the ward, ICU's money director stood on the bedside of a patient, while holding his arm and looking at the monitor, while chatting with Sun's director of the second division.
The ventilator and the monitor yelled in madness, and an urgent breath rushed.
So familiar... Zheng Ren looked at this seemingly familiar scene, and the life of the emperor was a little more comfortable.
"Small Su, you are back." The money director saw Su Yun also came in, did not say hello to the old Pan director, but to call Su Yun.
Su Yun smiled.
Director Pan Pan came to the patient and looked at the vital signs, blood pressure 70/50 mm Hg, 24 breaths/min, pulse 121 beats/min, and blood oxygen saturation had dropped to 89%.
Hemorrhagic shock, this diagnosis can not run.
"Director Pan, you are here. Oh, Zheng Ren, you are back." Sun, the director of the second division, said hello.
"What do you see in general surgery?" asked Director Pan.
"No way, under the ill-health notice. This kind of surgery, Director Pan you know, we dare to open." Director Sun shook his head, but his eyes looked at Zheng Ren.
"Hey." ICU's money director sighed.
Director Pan Pan rushed over and only fulfilled the obligation of a doctor, and would not help the patient's condition.
The system panel in the upper right corner of Zheng Ren's field of vision is bright red, and several diagnoses of hemorrhagic shock, ion disorder, and lower gastrointestinal bleeding are listed above.
The condition is already very clear Zheng Ren took a deep breath and some regrets.
He is a general surgery student and naturally knows that general surgery does not dare to do such surgery. Open the abdominal cavity, all the blood in the intestines, what do you say? Cut the intestines and find out the blood spots a little bit?
Fear that it was not found, the patient died because of excessive bleeding.
Dead on the stage and died in the ICU, that's two concepts.
The system's big pig's hoof was given 3,000 gastrointestinal anatomy experiences after the second phase of the task.
However, Zheng Ren’s experience in intestinal surgery is limited to small operations such as appendicitis and hernia.
It is unavoidable that this kind of difficult surgery will be consumed in the operating room of the system.
Thinking about the time of surgery training in his hand, Zheng Ren did not hesitate and said: "Let's try."
"Oh? Xiao Zheng has any opinion." Director Sun immediately answered, it seems that he has been waiting for Zheng Ren to open.
"Use the intervention method to see if you can find the bleeding point." Zheng Rendao.
The director’s brow wrinkled and it was strange to intervene him, but since someone proposed a solution, do it.
Director Sun said with a smile: "I will know you."
"Try it, don't say it." Zheng Ren replied.
"Xiao Zheng, what to do, we don't know. Communicate with the patient's family, are you coming?" Qian said.
"Good." Zheng Rendao: "Blood, how much is left? I need at least 10u frozen red blood cells, 1000ml of plasma. Is there any obstacle to blood coagulation?"
"Boss, you go to communicate with your family. I will be responsible for this." Su Yun said faintly: "I don't drink with my family when I drink alcohol."
Director Qian and Director Sun looked at Su Yun.
boss? This sentence is what he just said to Zheng Ren?
"Well, um, what are you thinking about?"
"excuse me, may I ask."
After that, Director Pan Pan grabbed the microphone with his hand and looked at Zheng Ren.
"Zheng Ren, ICU has a 72-year-old male patient who was hospitalized in our hospital for digestive medicine 14 days ago because of blood in the stool, and then transferred to the ICU ward.
Blood in the stool was controlled 6 days after admission, but the patient's condition was poor and he was treated in the ICU. At 14 o'clock this afternoon, blood in the stool again appeared, the amount was relatively large, and the hemostatic drug was invalid. General surgery consultation, surgery is not recommended. Director Lao Pan said a series of patients' condition.
Zheng Ren knows that Director Pan is asking for his opinion.
General surgery is not treated because the patient is older and cannot determine the bleeding point.
The patient's intestines are fresh blood and old blood. Even with colonoscopy, you can't see exactly where the blood is.
This kind of problem has been seen countless times before.
Once it appears, it depends on the patient's life.
If you have a good life, you will come over. When the bleeding stops, the patient's condition is stable, and further examination and treatment are performed.
The life is not good, the bleeding continues, and the patient is waiting for a short time to die due to excessive bleeding.
If you do a surgical laparotomy, you can only try your luck to find the location of the bleeding point.
In clinical medicine, it is a matter of luck... everyone doesn't want to, but there is always a certain moment to look at life and luck.
Zheng Ren gave a meditation and said: "Can cure."
The answer is very simple, life-saving is like a fire, Zheng Ren is not awkward.
Director Lao Pan’s trust in Zheng Ren was very high. He immediately picked up his mobile phone and said: “After 20 minutes.”
When I finished, I hung up the phone.
"Go." Director Pan Pan stood up and was very popular. "How much?"
The boss said with a smile: "Director Pan, you come to my small shop to eat, it is to give face, if you collect money, you let me..."
Because of the emergency department, Director Pan did not bow, dropped five hundred dollars and turned away.
The group of people is like a well-trained warrior. They talked and laughed in the last minute, and they were banned in the next minute.
Boss Sun was crying and sullen, holding money in his hand, and wanted to return it to Director Pan.
But as soon as he approached, Director Pan was glanced at it. When Sun Boss was thundered, he made a nap.
On the train, everyone did not have any nonsense, all the way back to the first city of Haicheng.
As a doctor, whenever you are alert to emergency surgery. Even if they took the wind and eat, Chu Ruran, Zheng Ren, and Xie Yi did not drink.
Although there may not be an emergency situation every time, it is always right to be prepared.
When I came to the hospital, I went to the operating room to go to the operating room. I went back to the emergency ward of the emergency room. Director Pan Pan went to the ICU with Zheng Ren and Su Yun.
"Zheng Ren, how are you going to do it?" On the way, Director Lao Pan took time to ask Zheng Ren.
"Interventional angiography, if the position is typical, directly open the abdomen to find the bleeding point. If the position is not typical, embolization, and then remove the necrotic intestine." Zheng Ren has a belly case.
"..." The experienced old Pan director is speechless at the moment.
What Zheng Ren said is destructive surgery!
Local superselection of the superior mesenteric artery, followed by embolization, although it can play a role in hemostasis, but also lead to a certain segment of intestinal necrosis.
This is a surgical contraindication!
Su Yun's footsteps were slightly stagnation, and then he followed, and took a few quick steps. He whispered around Zheng Ren: "I think so."
"Yeah." Zheng Ren nodded.
"Zheng Ren, be sure." Director Lao Pan asked.
"Yes, as long as the patient status allows." Zheng Ren firmly said.
"Good." Director Pan did not say much. In the silence, three people came to the ICU.
After changing clothes and entering the ward, ICU's money director stood on the bedside of a patient, while holding his arm and looking at the monitor, while chatting with Sun's director of the second division.
The ventilator and the monitor yelled in madness, and an urgent breath rushed.
So familiar... Zheng Ren looked at this seemingly familiar scene, and the life of the emperor was a little more comfortable.
"Small Su, you are back." The money director saw Su Yun also came in, did not say hello to the old Pan director, but to call Su Yun.
Su Yun smiled.
Director Pan Pan came to the patient and looked at the vital signs, blood pressure 70/50 mm Hg, 24 breaths/min, pulse 121 beats/min, and blood oxygen saturation had dropped to 89%.
Hemorrhagic shock, this diagnosis can not run.
"Director Pan, you are here. Oh, Zheng Ren, you are back." Sun, the director of the second division, said hello.
"What do you see in general surgery?" asked Director Pan.
"No way, under the ill-health notice. This kind of surgery, Director Pan you know, we dare to open." Director Sun shook his head, but his eyes looked at Zheng Ren.
"Hey." ICU's money director sighed.
Director Pan Pan rushed over and only fulfilled the obligation of a doctor, and would not help the patient's condition.
The system panel in the upper right corner of Zheng Ren's field of vision is bright red, and several diagnoses of hemorrhagic shock, ion disorder, and lower gastrointestinal bleeding are listed above.
The condition is already very clear Zheng Ren took a deep breath and some regrets.
He is a general surgery student and naturally knows that general surgery does not dare to do such surgery. Open the abdominal cavity, all the blood in the intestines, what do you say? Cut the intestines and find out the blood spots a little bit?
Fear that it was not found, the patient died because of excessive bleeding.
Dead on the stage and died in the ICU, that's two concepts.
The system's big pig's hoof was given 3,000 gastrointestinal anatomy experiences after the second phase of the task.
However, Zheng Ren’s experience in intestinal surgery is limited to small operations such as appendicitis and hernia.
It is unavoidable that this kind of difficult surgery will be consumed in the operating room of the system.
Thinking about the time of surgery training in his hand, Zheng Ren did not hesitate and said: "Let's try."
"Oh? Xiao Zheng has any opinion." Director Sun immediately answered, it seems that he has been waiting for Zheng Ren to open.
"Use the intervention method to see if you can find the bleeding point." Zheng Rendao.
The director’s brow wrinkled and it was strange to intervene him, but since someone proposed a solution, do it.
Director Sun said with a smile: "I will know you."
"Try it, don't say it." Zheng Ren replied.
"Xiao Zheng, what to do, we don't know. Communicate with the patient's family, are you coming?" Qian said.
"Good." Zheng Rendao: "Blood, how much is left? I need at least 10u frozen red blood cells, 1000ml of plasma. Is there any obstacle to blood coagulation?"
"Boss, you go to communicate with your family. I will be responsible for this." Su Yun said faintly: "I don't drink with my family when I drink alcohol."
Director Qian and Director Sun looked at Su Yun.
boss? This sentence is what he just said to Zheng Ren?
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