It was past 11 o'clock in the evening.

At this point, there are almost no more patients coming to the emergency department for treatment. If there is, almost all of them require 120 calls.

Reception desk.

Ruan Bin and a few other doctors and some nurses were chatting and farting.

Because there's nothing to do now!

It's also a rare time that there aren't many patients tonight, and I don't have much leisure in normal times.

"Ruan Bin, you have successfully joined our First Affiliated Hospital of the Demon Capital, do you have to invite us to have a supper to celebrate?" Nurse Zhao Yaxue said with a grin.

"That's it!" a group of nurse girls heckled.

"Okay, okay, what do you want to eat, I'll take out now. At this point, he was hungry too.

"I want duck blood rice noodles!"

"Hot and sour noodles. ”

"Porridge, pork porridge. ”

One by one, they signed up.

Just finished ordering.

Suddenly, the nurse at the front desk saw that the call light in Ward 3 was on.

"I'll take a look!" Zhao Yaxue stood up and said.

"Good. ”

But in less than 3 minutes, I saw Zhao Yaxue rushing back in a hurry: "Doctor Wei, the old man in ward 3 is hemoptysis!"

"Hemoptysis?" Wei Haiyang's face changed, and he hurriedly walked over.

As soon as Ruan Bin heard that the patient had been admitted by himself, he hurriedly rushed over.

When he came to the ward, Ruan Bin saw that the old man named Zhao Quan was being held by his son and coughing violently against the trash can, coughing and vomiting blood.

"This is hemoptysis!" Wei Haiyang saw this, and his face became solemn.

"When I was examined, I was still in good shape, why did I suddenly have a big hemoptysis?" Ruan Bin frowned. It stands to reason that the condition should not deteriorate so quickly. He saw that this Zhao Quan's throat was a little swollen at this time, and there were no other obvious symptoms.

"Doctor Ruan, did you take in this patient?" Wei Haiyang asked.

"Well, the patient has bronchiectasis, lung abscess, and fungal infection, and he coughed with bloodshot sputum ......," Ruan Bin recounted the situation.

After listening to Ruan Bin's words, Wei Haiyang also frowned: "It stands to reason that it won't deteriorate so quickly." ”

"Blood pressure has dropped significantly!" At this time, Zhao Yaxue finished measuring her blood pressure.

"Blood pressure drops?"

"Doctor, what's wrong with my dad?" the middle-aged man panicked. Such a large amount of hemoptysis is truly terrifying.

"When did you start coughing up blood, and what else has he felt uncomfortable about in the past two hours?" Wei Haiyang hurriedly asked.

"An hour ago he said that his throat was a little itchy and hot, and I thought he had a lung problem, so I didn't care. Just five minutes ago, I suddenly started vomiting blood!"

"Could it be a ruptured lung abscess?" Wei Haiyang began to analyze.

At this time, Ruan Bin didn't care so much, and immediately lost a general diagnosis operation.

Patient: Zhao Quan

Age: 77 years old

Medical records: contrast allergy, bronchial artery rupture, bronchiectasis, lung abscess, fungal infection......

In the next second, he understood why this old man Zhao Quan's condition had suddenly deteriorated so badly!

Because Zhao Quan is - allergic to contrast media!

"No wonder, when I examined him before, I had a bronchial arteriography examination. He didn't expect that this Uncle Zhao would be allergic to contrast agents!, so his condition worsened!" Ruan Bin was secretly surprised in his heart.

In general, contrast agents rarely cause allergies to patients.

What's more, at present, their hospitals use non-ionic contrast agents, which are absolutely safe!

However, there are no absolutes, and some patients with individual differences will still be allergic to contrast agents.

Don't underestimate this contrast allergy.

If it is mild, it can cause skin redness, hives, nausea, dizziness, sneezing, itchy throat, and fever. The chance of this mild allergy is only 3%~4%!

If it is a moderate allergy, the main manifestations are a large number of urticaria, slight throat edema, and a certain drop in blood pressure! The probability of occurrence is only 1%~1.5%!

If it is a severe allergy, it is very dangerous, mainly manifested as a significant drop in blood pressure, shock, severe trachea, bronchial edema, neck spasm, severe laryngeal edema, and even death! The probability of occurrence is only 0.01%~0.05%!

It seems that this uncle happens to be this very rare allergy!

"It's not a ruptured lung abscess, it's a bronchial edema caused by contrast allergy and a ruptured bronchial artery caused by neck spas! Originally, he had a slight hemoptysis, and this situation caused massive hemoptysis!" Ruan Bin said in a deep voice.

"Contrast agent allergy?" Wei Haiyang was stunned.

However, the current situation of a control patient does have some similar symptoms!

"Look to see if the skin on his arm is red. Ruan Bin said.

"There's redness!"

"That should be the best of ten, and you can be diagnosed by doing it at the individual level. Ruan Bin said.

Soon, the individual layer was done, and sure enough, the bronchial artery ruptured!

"Then such a bronchial artery rupture, hemoptysis, you have to find a way to stop the bleeding immediately!" Wei Haiyang suddenly became anxious.

If the bleeding is not stopped in time, the patient may continue to die of hemoptysis.

"Well, first prepare to insert the patient's throat to ensure that the oxygen intake is normal, his larynx has edema, and it is difficult to breathe. Ruan Bin also agreed.

"What about stopping the bleeding, how to stop the bleeding?

"It's not appropriate to have surgery now, right?" Ruan Bin shook his head, if you have surgery, you have to solve the problems of bronchiectasis, lung abscess, and fungal infection by the way. You can't just stop the bleeding with a single knife, right?

"It can only be done with bronchial artery embolization to stop the bleeding! It's convenient, effective, and avoids surgery. Wei Haiyang frowned and continued: "But this is an interventional operation, I won't, I'll immediately go to the respiratory department or someone from the interventional department!"

"Yes!"

Soon, Wei Haiyang hurriedly went to the front desk to call and ask over there.

Ruan Bin inserted the patient's throat neatly, and Zhao Yaxue also transfused blood and fluids to the patient.

At this time, the patient had already vomited 300 ml of blood!

The situation is more serious!

"Dr. Ruan, there is a resident doctor on duty in the interventional department, and he will not do this tertiary interventional surgery. There was a patient in the respiratory department who had a sudden illness, and the attending physician on duty was performing surgery...... No one!" Wei Haiyang hurried back again and told the bad news.

"The interventional department only has one resident doctor on duty?" Ruan Bin frowned! However, when he thought that the surgeries in the interventional department were almost always scheduled during the day, he was generally lazy on duty at night.

After all, these departments are not like their emergency departments!

The emergency department is dedicated to treating emergency patients, so there must be a master on the night shift, ready to perform surgery at any time!

Nima ......

"What's the matter?" Wei Haiyang sweated profusely.

"I'll go up!" Ruan Bin said lightly. I want to talk about "Krypton Doctor" with more like-minded people, pay attention to "excellent reading literature" on WeChat, talk about life, and find confidants~