"Upper gastrointestinal bleeding, rehydration, two units of O-negative blood preparation. Contact the elimination of the internal preparation of the endoscope to stop the bleeding, we will push it over. ”

Liu Banxia, who was stunned for a moment, reacted and hurriedly shouted.

The people around them also hurriedly took action, and they really didn't have any preparation for this guy to suddenly vomit blood.

"Blood pressure 50/90, heart rate 110, blood oxygen 98%. Xu Dan hurriedly reported.

"Don't worry, you should have upper gastrointestinal bleeding, let's give you blood and fluids right away to raise your blood pressure." Then you can use a gastroscope to find the bleeding point and stop the bleeding. Liu Banxia looked at the guy after opening the venous access and said.

The guy who had just vomited blood nodded with a pale face, raised his sleeve and wiped his mouth.

"Dr. Liang, take care to protect your airway at all times. Now the indicators are okay, it's too late. Liu Banxia nodded vigorously at Liang Xiaolin as he spoke.

"Doctor Liu, the blood is coming. At this time, the nurse who took the blood came running with a blood bag.

"Rapid blood transfusions to avoid hemorrhagic shock. Everyone pushed the gurney and walked, and Xu Dan opened the way in front of him and occupied the elevator. Liu Banxia shouted.

Gastrointestinal bleeding is not terrible, but the fear is that the excessive amount of bleeding will cause the patient to hemorrhagic shock. If the patient falls into a coma, the airway should be protected or the next time he vomits blood he or she may suffocate.

And when the patient goes into shock, vital signs decline rapidly. This is an instinctive self-protection of the body, but in such a bleeding situation, it will worsen the condition.

He also took a look at the blood that the guy vomited just now, and it wasn't particularly much. Moreover, with the rehydration and blood replenishment, the blood volume has been expanded, and it is much safer to do gastroscopy to stop bleeding than to directly open the abdomen to stop bleeding.

When pushing the patient to the gastroenterology department, Liu Banxia also took out the stethoscope and listened to the patient's bowel sounds. is very active, and it also confirms Liu Banxia's speculation.

The human intestines are very regular peristalsis, and under normal circumstances, there will be 3-5 times a minute. But when Liu Banxia was auscultating just now, he heard it 5 times before he could reach a minute.

Combined with the symptoms of just vomiting blood, this means that there is a large amount of blood in the gastrointestinal tract, which accelerates intestinal peristalsis. Fortunately, the amount of bleeding is not very large now, and the blood pressure has been raised by 100/60.

"What's the situation?" asked Xiao He, deputy director of the Department of Gastroenterology.

"Presented with a broken ankle and suddenly vomited blood, no medical history. Liu Banxia said.

"Combined with the patient's long-term dieting habits, upper gastrointestinal bleeding is suspected. I have done rehydration and blood replenishment, and my blood pressure has risen. ”

"Then why didn't you come here sooner? If there is an ulcer, there will definitely be symptoms. Xiao He said while wearing gloves.

"Patients also often take ibuprofen, which probably masks the painful symptoms of ulcers. Liu Banxia said with a wry smile.

Xiao He was stunned for a moment, nodded, and directly gave the patient a simple preoperative anesthesia.

Gastroscopy is painful, can you put such a thick tube down your throat comfortably?

Although Xiao He is the deputy director of the Department of Gastroenterology, he has also been the chief physician for many years, and his hands are very steady, and Liu Banxia and they are also staring at the screen tightly.

The gastroscope passes through the throat, into the esophagus, and down to the power, and the vision displayed on the screen is a sea of blood, and there are some blood clots in it.

Liu Banxia let out a sigh of relief, at least the prediction was accurate, now it depends on what kind of method Xiao He uses to stop the bleeding.

Don't look at it and it has been determined that it is stomach bleeding, but finding the bleeding point and stopping the bleeding is the most critical step. Now there is still so much blood in the stomach, and the mucosa of the stomach wall is also stained with blood, so it can only be rinsed first.

"Found it. ”

After slowly rinsing, seeing a small blood vessel spurting blood one by one, Liu Banxia couldn't help but shout.

Xiao He could understand his feelings, but he still glared at him.

Because although this blood vessel is not very large, it has a lot of bleeding. Therefore, Xiao He did not choose local spraying drugs or electrocoagulation to stop bleeding, but chose clamping to stop bleeding.

As the clip clamps the blood vessels and surrounding tissues, separating the clip from the operation, people begin to stare at the monitor, and the indicators of vital signs are improving little by little.

Ding!Patient Reception Completed(2/20)

Gain 50 XP, 100 Diagnostics Skill Proficiency, and 100 Endoscopy Skill Proficiency

"Director Xiao is really amazing. Liu Banxia gave a thumbs up.

"Then you can leave too, right?" Xiao He glanced at him.

"Alas, alas, this is going, this is leaving. After it's all done, we'll have to send it back, and we'll have to take a plaster cast. Liu Banxia dropped a sentence and led Liang Xiaolin and Xu Dan to retreat outside.

Xiao Hedu, who looked at him, shook his head helplessly, this kid seems to be a little skinny, enough for Zhou Shuwen.

"Fortunately, the ulcer is not very serious, otherwise it would have been either interventional therapy or an open abdomen. After coming out, Liu Banxia said.

"Hey...... Luckily, he had a broken ankle, or he would have vomited blood at home. It is possible that by the time the ambulance arrives, the person will be gone. Liang Xiaolin said with emotion.

Liu Banxia nodded, "This is very possible, and it is also in line with people's values of disease today." Avoiding medical treatment and drug abuse actually delays a lot of patients. ”

"Dr. Wei took him to the operation, and it is estimated that he couldn't hold on to it before he came over, and this guy is used to taking ibuprofen when he is uncomfortable. You really can't take the medicine indiscriminately, although the cost of going to the hospital for a checkup may be higher, but you can ask for a safe one. ”

"I took medicine at home and covered up the symptoms of stomach ulcers. Coupled with his recent diet, he has come up with such a situation. ”

"In the past, the couplets in the pharmacy said that I would rather have medicine on the counter, but now, if you spend fifty, I will give you six eggs. If you dare to recharge, I will dare to send it. ”

"All kinds of antibiotics and painkillers are really random to buy. Eating and eating, slowly all have drug resistance. Then there were some minor illnesses, which slowly became major illnesses. ”

"How profitable the pharmacy is, you forgot to go to Jinshui District, on the road to the hospital, there were five pharmacies on one street. It is estimated that they have made a lot of money, otherwise they would not have taken it away. ”

"So you've got to work hard. Inquire about who is coming over from outside your heart? In addition to Chen Xuehai, there should be a heavyweight who can also come over, right?" asked Liu Banxia.

Liang Xiaolin glanced at him, "I haven't inquired again, how do I know." ”

"If you don't know, you don't know, why are you angry. Xu Dan informed you that you will take someone to stay here and stick to your post. This patient, you are the person in charge of nursing, do you know?" Liu Banxia looked at Xu Dan.

"The task must be completed. Xu Dan said with a small face.

It's fun to see the doctors in the gastroenterology department, and I really don't know much about the emergency department, but now I think it's a lot of fun every day.

When I returned to the emergency department, I came out and walked around for a while, and I also accumulated 6 patients who needed debridement. Now there are only Liu Banxia and Liang Xiaolin, so they can only be handed over to them.

Liu Banxia got four, and when he disposed of the second room in the past, Liang Xiaolin just finished the second one.

This also made Liang Xiaolin worried, her speed has obviously improved a lot, why is it still so much slower than this product?

"Hey, I ate two hamburgers in the morning, drank a bowl of porridge, and three tea eggs, and now I'm still a little hungry. Liu Banxia said.

"How much more do you want to eat? I'll eat a hamburger or half a bowl of porridge at most. Liang Xiaolin said helplessly.

"The key is that it's only 10 o'clock now, and the hamburger is really not hungry, but it's still a big steamed bun. Liu Banxia said with emotion.

Liang Xiaolin didn't bother to take care of him, just the amount of food he had, he really couldn't say. One person tops two of himself, and it's no problem to turn a corner. I really don't know where all those things have been eaten, and I don't think my stomach is big.

"Has the patient vomited blood dealt with?" At this time, the head nurse Wang Ying walked over.

"Leave it to the elimination to deal with it, stomach ulcer bleeding. After the treatment, they will be sent back to our emergency department to increase the nursing experience for the nurses. Liu Banxia said.

"It's good, these children are okay with regular care, but they also need to be trained. Wang Ying nodded.

"Sister Wang, I'm thinking about something. You said that when the accompanying doctors come, how about the triage desk of our emergency department let the accompanying doctors practice, which can save a nurse. Liu Banxia said.

Wang Yingle was happy, "Are you worried about me? There will be a real shortage of nurses in the next few days, and I am worried about it now, and the children will be tired for a while. ”

"Sister Wang, you said that after we become a full-scale receptionist, how much more business will be than before?" asked Liu Banxia curiously.

"That's about three times as much, which is a conservative estimate of the number of emergency patients. There will definitely be a lot of natural patients at that time, and the number is impossible to say. Wang Ying said.

"Sister Wang, there are so many, it's really tiring. Liang Xiaolin said.

"This is still a conservative estimate, so Shoutian, you have to be careful then. When there are more people, there are more things, do you know?" Wang Ying said.

Liu Banxia nodded, "Anyway, Sister Wang has to help me when the time comes, and I'm a little struggling now." I really don't have enough time, and when I have almost collected the materials, I still have to write a thesis. ”

"So many people think of you, you have to work harder. You don't have to worry about nurses, there are me and Zhou Li. You put the doctor who is about to come in place, and think about the embarrassment you had when you first came. Wang Ying quipped.

"That's why I'm very worried, the children nowadays have too strong personalities. Liu Banxia said with a wry smile.

It is also a fact that young people are becoming more independent and more assertive. For him, who doesn't have much management experience, it's really a test.