medical road high rise

Chapter 131 Patient with Abdominal Bleeding ([-])
Chapter 131 Patients with Abdominal Bleeding ([-])
Qin Feng looked at the patient's comatose state, combined with the situation of peritoneal effusion, a disease popped up in Qin Feng's mind.

"Abdominal bleeding!"

This is no joke, abdominal bleeding can be fatal and requires immediate surgery.

It's just that Qin Feng doesn't have a 100% basis now, so he can only tell his guess to the emergency doctor.

"Then I'm going to go to the patient's family now to check and sign. We can't afford to delay abdominal bleeding." After saying this, the emergency doctor wanted to walk out.

"It's too late to do the examination now. If it's really abdominal bleeding, maybe the patient will be gone on the way to the CT room." Qin Feng denied the idea of ​​the emergency doctor.

This is not Qin Feng's alarmist talk. There must be bumps on the way to the CT room.

If the patient suffers from intra-abdominal hemorrhage, it proves that there is a ruptured blood vessel in the abdominal cavity. The long-term bumping and long-term inspection will take at least an hour to go and go back and forth. After an hour, the patient's body may be cold.

We must know that the human body only has 5000ml of blood, and the amount of intraperitoneal bleeding in the patient is unknown, but Qin Feng thinks that it is really abdominal bleeding, and the patient will bleed up to 5000ml in an hour.

The emergency doctor also stopped when he heard his footsteps. Qin Feng continued: "First give the patient balanced saline. I'll try it with a needle. If the blood is drawn out, it proves that the patient is really bleeding from the abdominal cavity and needs immediate surgery."

"Okay." The emergency doctor hurriedly ordered the nurse beside him to prepare saline, and he was like an ant on a hot pot.

The main reason is that the patient has been delayed in the emergency room for more than half an hour. If it is really abdominal bleeding, the patient's shock and death are closely related to the emergency doctor. This is not a blame the emergency doctor wants to bear.

The pressure brought by this situation naturally made the emergency doctor anxious, and his tone was not so friendly.

1 minute later.

"Why haven't you brought the normal saline yet? So much ink?" The emergency doctor jumped up.

Looking at the appearance of the emergency doctor, Zhao Qi couldn't help leaning towards Qin Feng, and said in a voice that only the two of them could hear: "Brother Qin, would you be like this before the operation?"

Qin Feng shook his head, he would not do this.

It was mainly Qin Feng's speculation that made the emergency doctors restless. Abdominal hemorrhage is an emergency with a very high fatality rate. This kind of non-obvious abdominal hemorrhage is what scares the doctors the most.

Everyone's constitution is different. When the patient was sent here, no one knew the amount of abdominal bleeding.

It is also possible that the patient seems to have no serious problem, but in fact the bleeding volume has reached 1000-2000ml.

For example, Qin Feng saw a case before. The patient fell from the tenth floor and was brought over by an ambulance. His tone of voice and everything else were the same as normal people.

But after the examination, the hospital found that the internal organs of the patient were rotten, and even gods could not save him.

Sometimes, it is not enough to just look at the patient's appearance.

Disease will not let you go just because you look healthy on the surface.

"You should have a saline bag in the emergency room, right? Let's put it on the patient first." Qin Feng suggested.

The emergency doctor rummaged through boxes and cabinets, found a saline bag, and hung it up for the patient.

After Qin Feng waited for the saline injection for a minute or two, he began to pierce the needle into the patient's abdomen.

"No, the patient's blood pressure has dropped!"

Both Qin Feng and the emergency doctor felt a little bit in their hearts. This is not a good thing.

Qin Feng turned his head and looked at the ECG. The patient's blood pressure had dropped to 80/45mmhg.

The drop in blood pressure also means that the patient's symptom is abdominal bleeding, and he has not run away.

Qin Feng slowly drew a small tube, and bright red blood appeared in the syringe.

"Send it to the operating room quickly. CT examination is definitely not possible. We will use DSA examination." Qin Feng said.

The emergency doctor nodded and hurried out to negotiate with the family members, and asked the family members to prepare to sign the operation.

A few minutes later, seeing that the emergency doctor hadn't come in, Qin Feng asked Zhao Qi to go out and have a look.

Zhao Qi went out for a while, then came in soon.

"The patient's family refused to sign, thinking that his son's abdominal bleeding was related to us, and we should be held accountable," said Zhao Qi.

"Hold!"

Qin Feng couldn't help but swear, his son is in the same situation, so he still has time to argue with us?
"I'll make a call to the medical department."

Qin Feng didn't help the emergency doctor to quarrel, the quarrel is meaningless, and it's unfair to the patient, the patient's life is wasted now.

Due to the previous incident, the director of the medical department received a call from Qin Feng and said that he would come over immediately to deal with it.

This kind of matter is the responsibility of the medical office. Once a patient appears to be about to die or dies, the medical office must be present, and the department director has no right to make the decision.

The chief of the medical department rushed over quickly, talked about the situation, and then negotiated with the patient's family.

As he often deals with all kinds of people, the director of the medical department has a good grasp of people's hearts. He silenced the patient's family members in a few words, and then silently followed the emergency doctor to the office to sign.

"Are you sure about this operation? Do you want to contact the gastroenterology department?" the chief of the medical affairs department asked with concern.

"should be no problem."

Qin Feng is a person who has done abdominal surgery to the extreme. He has encountered various abdominal bleeding situations, and with his current level of proficiency in intervention, Qin Feng is confident in performing small trauma surgery.

"Well, that's fine, if not, don't be brave." The director of the medical department reminded.

Qin Feng nodded, this is another doctor, don't care how awesome you are, just spray.

The majesty of the chief of the medical affairs department in the hospital is second only to the dean and vice president.

However, the director of the medical affairs department was not very good, so he followed Qin Feng and the others to the operating room.

"Aren't you going to have a major surgery?" the director of the medical affairs department asked in confusion.

Generally, people with abdominal bleeding go to the surgical operating room. Why come to the hybrid operating room?

"Patients also need to undergo DSA examination, hybrid surgery is more convenient." Qin Feng explained.

He did not directly say that he was going to undergo interventional embolization surgery, but first used angiography to check the bleeding of the patient, and then performed vascular embolization after the bleeding was suppressed.

In the operating room, the emergency doctor walked in with a tired face.

"Doctor Qin, the patient's family is OK."

"Zhao Qi, you will be my assistant."

"it is good!"

Qin Feng took Zhao Qi directly to the locker room to change the surgical gown, and went to the stage to prepare for the operation.

The director of the medical affairs department looked at Qin Feng's appearance and couldn't help shaking his head. If it was said that Qin Feng was just a regular trainee, who would believe it?
The director of the medical affairs department has only seen this kind of typhoon in the operation of the old doctor. I have to say that Qin Feng is really a treasure of their second hospital.

After Qin Feng changed his clothes, he directly asked Zhao Qi to inject the contrast agent, while he watched the screen himself.

The overflowing contrast agent spread out like ink in an instant, Qin Feng's pupils contracted, and Zhao Qi's hands couldn't help shaking.

"Brother Qin, the patient's abdominal bleeding seems... a bit serious!"

(End of this chapter)