r18novel Chapter 323
Chapter 323
Harmony Hospital,
Emergency Department.
Lin Feng gave the young man with appendicitis, handled the admission, and planned to operate directly during the day after tomorrow...
Sending away this young man patient,
Next patient,
"Please ask Wang Zhen to visit the third consultation room..."
Just as the patient was about to enter the ward,
The nurse rushed in.
"Dr. Lin, an ambulance just called, a patient, bleeding profusely at the back door... There may be shock at any time, several doctors feel that they can't get it, and the director asks you to take this patient! "
"Good!!"
Lin Feng did not allow it and directly took over the heavy task of rescue.
In the emergency department, many doctors are proficient in a single or several subjects, but only Lin Feng is currently proficient in general medicine.
There are many diseases, and they all need Lin Feng.
"How long will it take for the ambulance to arrive?"
"5 minutes..."
"Good!"
Lin Feng turned his head to look at the new patient with an apologetic expression: "I'm sorry, I have to go to rescue here, or will I arrange for you to go to other doctors?" "
The patient was an old woman in her 50s, reasonable and smiled: "Doctor Lin, go quickly, human life is at stake..."
Long live understanding!
Lin Feng quickly came to the nurse's station and ordered a few nurses.
"Prepare the rehydration stuff right away, saline, glucose, plasma, blood red... Wait a minute...... Send it to the rescue room..."
"Yes!!"
All nurses are experienced fighters.
Soon after,
Beep beep beep ~~~~~~
A hurried voice rushed in.
At this moment, Lin Feng couldn't help but get adrenaline soaring, and his heart beat faster.
Someone again, to the rescue!
What can be sent by ambulance will definitely not be a minor illness!!
Heavy bleeding, I don't know what the situation is...
"Doctor Lin!"
The 120 doctor accompanying the ambulance quickly ran out of the car, and then saw Lin Feng, and his eyes lit up.
Lin Feng quickly ran over, took the flat car, and quickly pushed it towards the rescue room.
On the way, Lin Feng looked at the patient:
Female, about twenty or thirty years old...
In a coma...
· The bottom is already red...
Pale face, cold hands and feet, apparently a sign of hemorrhagic shock...
Felt my pulse.
The pulse is small, the beating is fast, obviously low blood pressure, high heart rate, already in shock...
・ Looking at the pupils, it's okay for the time being...
Lin Feng asked the doctor on the 120 car while running wildly:
"What's the situation?"
The doctor on the car spoke quickly.
"The patient was at work, then went to the toilet, and the result was bleeding, bleeding a lot, and then calling for help, was heard by colleagues, called 120 to call the police, and when we went up, 10 minutes had passed..."
"When I was on the road, I went into direct shock... However, before she fainted, she said that her co-worker had blood in the stool 5 times a few days ago, but not much..."
Lin Feng nodded while listening.
"Have you checked and determined that it is a bleeding steel door?" Is it possible that the seal tract bleeds? "
"After checking, it was determined that the steel door was bleeding."
Female patients have some special blood pulling, and it is necessary to find out whether it is vaginal bleeding or gastrointestinal bleeding.
Because, female patients have Yue menstruation!
If you get it wrong, the examination and treatment will become very different.
"Are the patient's families here?"
"Didn't come... It was her colleague who sent her... But she has already contacted her husband, and it is estimated that he will come in 12 minutes..."
......
At this point,
An Emgrand is stuck on the viaduct.
Wang Jiali's husband is anxiously honking his horn, frantically urging the vehicle in front.
"Honk, honk... You're in a hurry to reincarnate!! "
A strong man in front of him, upset by the horn, got out of the car and came directly to the door of her husband's car, fierce and vicious.
The husband roared with a hideous face: "Yes, I am in a hurry to reincarnate, my wife is now in the hospital for rescue!" "
The strong brother was so yelled that his eardrums were dizzy, and the ferocity was suddenly discharged.
If his wife were to go to the hospital for rescue, he would also go crazy.
"I'm sorry bro... A Tesla had an accident earlier, and now the traffic police are dealing with it... I want to go quickly, too..."
"Aaaaa
Bell bell bell ~~~
A strange call came in.
"Hello, is it Wang Jiali's husband?"
"I am, how is my wife now?"
"Your wife has been sent to our Harmony Hospital, and is now in the emergency room, Dr. Lin took over, please come over as soon as possible..."
"I'll be sure to rush over as soon as possible... Please, save my wife..."
"Don't worry... We'll do our best... Now sir, calm down, we need to find out about your wife's condition, because she is in a coma, and now we can only understand through you..."
"Good, good, good... You asked..."
"Your wife had blood in the stool the other day, do you know?"
"Blood in the stool... I don't know..." My husband's anger receded at this moment, leaving only countless chagrin, regret, and shame.
My wife is bloody, and I don't even know it!
......
Emergency Department.
Rescue room.
The patient has been quickly connected to the ECG monitor.
Take a look at the values,
Blood pressure: 85/45mmHg...
Heart rate 140 beats / min...
Proper shock!!
Hurry up and establish double venous access!
Rehydration!
Salt before sugar, crystal before gum...
Normal saline, balanced saline solution, glucose solution to increase the return of blood volume and cardiac output...
Whole blood, plasma, albumin, etc., reduce the penetration of crystal blood into the third space outside the blood vessels ...
A series of operations down.
As for bleeding?
Let's make up the shock first!!
At this time, the patient's blood had stained the sheets of the rescue bed red.
Moreover, I also brought a lot of mixture, a very smelly kind.
However, Lin Feng was unmoved, and only had the patient's condition in mind.
Other doctors and nurses were also unmoved, after all, they have experienced a lot of battles...
This is professionalism!!
Lin Feng assessed the patient.
This amount of bleeding, at least 2000ml online!
No discounts!
At this time, the patient Wang Jiali was unconscious and stepped into the ghost door with one foot.
Right now
Rehydration is resistant to shock and has begun to function.
Then the next step is to find the cause and cure the root!
Where and where is the bleeding ?!!
Need to find it quickly!
And stop the bleeding quickly!
Lin Feng began to analyze...
Where is the bleeding?
The human digestive tract is divided into two parts: upper and lower.
Upper digestive tract: the mouth begins and goes all the way to the esophagus→ stomach→duodenum→ part of the jejunum (bounded by the ligament of Flex) ...
Middle digestive tract: jejunum→ ileum...
Lower digestive tract: colon→ rectum...
The patient has so much blood in the stool, and it is all blood flowing out, most likely lower gastrointestinal bleeding.
So......
The biggest possibility is the colon, rectum...
A colonoscopy can be tried.
If the mirror enters and sees a bleeding spot, stop the bleeding immediately.
But!!
At this time, 'flesh and blood blur'.
Is colonoscopy really possible? Won't the lens be blurry?
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ps: Three more ends...
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