0104 Delayed bleeding one month postoperatively
As the days passed, the emergency department became busier.
Within a week, Zheng Ren underwent 16 surgeries for appendicitis and 7 acute cholecystitis, and also rescued a knife wound patient and performed a splenectomy.
Days in the emergency department are just that, hectic and fulfilling.
With the efforts of Director Pan and the coincidence of chance, now Corey's manpower is gradually becoming redundant.
Director Liu recovered from his illness and was discharged from the hospital, and the University of General Foreign Medicine was reshuffled.
Cen Meng resigned and went to the Second Affiliated Hospital of the Medical University in the provincial capital. At that time, Yang Lei, a friend who reported to Zheng Ren, took the initiative to apply, escaped from the first department of general surgery, and came to the emergency ward.
The doctor only added one, but the nurse was much more lively.
It is said that the nursing department has been jumped by chickens and dogs recently.
At least a few dozen people have applied for transfer to emergency wards.
Zheng Ren knew that this was all due to Su Yun, that guy was like a walking sildenafil citrate...... Wrong, it should be the kind for women.
All in all, the emergency ward was up and running very quickly.
As a hard-working hospitalist, the more patients there are, the harder it is.
Fortunately, thanks to the support of the surgery, there were almost no postoperative complications, otherwise I wouldn't even be able to sleep.
The weather is getting colder, and there are clouds every day, but it doesn't snow, which makes people feel a little depressed.
Zheng Ren doesn't care, the big pig's trotters of the system have been very silent recently, and no new tasks have been issued, Zheng Ren just got 50 skills and 5000 experience by completing 5 rounds of main quests.
The General Surgery skill has increased from 3161 to 3185, and the inventory skill has 1789. There are also 88,620 XP points, as well as three silver chests.
Zheng Ren felt that as long as this continued, in another month, relying on ordinary surgery and reading books, he could improve his general surgery skills to the master level.
The big and small affairs in the ward, relying on Chang Yue and Yang Lei, are well organized.
Zheng Ren only needs to have surgery and read books every day, and this kind of life is also comfortable. It's just that Su Yun is like his own shadow every day, following left and right, attracting countless hostile eyes.
Gradually, Zheng Ren got used to it, anyway, he wasn't bent, he didn't care what others thought.
On this day, I was reading a book, and the last hundred pages of the thick book "Hepatobiliary and Pancreatic Surgery" had been read, and the emergency ward received a call saying that the urology department needed a consultation.
Urology?Zheng Ren didn't want to go when he heard the name of this department.
It's not because urology involves the problem of the lower three roads, but because I only rotated in urology for a month when I was an intern many years ago, and I don't know about that aspect at all.
There are two skill books, but the expert-level crane tail level is estimated to be no better than the director of the Department of Urology. The experience value is definitely not enough to train himself to specialize in urological surgery, so Zheng Ren feels that there is no need to go or not.
However, since there is a consultation, it is still an urgent consultation, and it must be arrived within 5 minutes.
No way, closing the book, Zheng Ren hurried to the urology department.
"Guess what kind of patient it is?" Su Yun still followed Zheng Ren's side and said with a smile.
"I'm not a god. Zheng Ren's words to Su Yun became more and more simple and rude, and the process of change in the middle was not even noticed by Zheng Ren himself.
"IQ is a hard injury. Su Yun sighed, "You are not from urology, you can still have surgery if you are consulted?" ”
Of course, Zheng Ren had already guessed this, but he couldn't get used to Su Yun's handsome appearance. Walking with him, the return rate is almost 80%, and he has become the ugly best friend who helps to set off next to the beauty.
It just so happened that Su Yun was still like a piece of kraft candy, and he couldn't get rid of it.
Silent all the way, rushed to the urology.
A deputy director surnamed Shen stood anxiously in the corridor, constantly looking at the time on his mobile phone, and then looked at the gate.
When Zheng Ren and Su Yun's figures appeared, he was a little more stable.
"Mr. Zheng, there is a patient who wants you to take a look. Deputy Director Shen said urgently.
"What patient?"
"A young man was diagnosed with cancer of his left kidney. Twenty-nine days ago, I underwent a kidney cancer resection at the Imperial Capital Hospital, and the upper pole of the left kidney was cut. He developed blood in his urine this morning and was admitted to the emergency department. Hematuria is present for 5 hours, hemostatic drugs are ineffective, and bleeding from the left nephrectomy segment is considered. "Deputy Director Shen told the medical history very professionally.
The history is clear and there are no suspicions.
Because the patient is young, the left kidney is being spared.
However, the kidneys are relatively brittle, and various means of ligation and suturing with staplers cannot guarantee that there will be no bleeding after surgery.
Especially if this kind is placed on other organs, it will heal in 29 days. But what about kidneys...... No, suddenly hemorrhage, it is estimated that which blood vessel is opened again.
"The patient's family called the surgeon and said that there were two solutions, and if the bleeding could be stopped through interventional surgery, the bleeding could be stopped. If there is no intervention force, the left kidney can only be removed. After Deputy Director Shen finished speaking, he breathed a sigh.
Zheng Ren recalled that in interventional surgery, it was not difficult to stop the bleeding.
"Mr. Zheng, can you do it? You also know the situation in our hospital, I heard that you had two emergency surgeries to stop bleeding a few days ago, so I tried to ask. Deputy Director Shen saw Zheng Ren muttering for a second, and couldn't wait to ask.
This is also the main thing that can't hold two taels of sesame oil in the dog's belly.
But when it comes to a patient's kidney problems, it's not to blame him for being anxious.
"Go and see the patient. Zheng Ren did not directly take care of the patient, but offered to take a look at the patient.
When I arrived at the intensive care unit, the system panel gave a hint that the diagnosis was very simple, hemorrhagic shock. The reason is indeed the bleeding in the left nephrectomy section, and it seems that as long as the bleeding is stopped, it is enough.
"Is there enough time to fast water?" Zheng Ren asked.
"Enough!" Deputy Director Shen came to his senses.
"Let the family come with me and do the preoperative explanation. You're pushing the patient to the emergency interventional operating room. Let the blood bank stock another 10u of red blood cells and ask for some plasma. ”
A bunch of family members were depressed and anxious and kept aside, and when they heard Zheng Ren say this, hope was ignited all of a sudden.
"Immediate family members, who can sign, come with me. Zheng Ren is also simply.
A young woman in her twenties, who was supposed to be the patient's lover, and two elderly people under sixty years old, followed Zheng Ren all the way to the emergency ward.
Zheng Ren simply communicated with the patient's family, because before the operation in the imperial capital, all the postoperative complications were clearly explained, especially the postoperative bleeding, which was explained countless times.
Therefore, the family members are also half doctors, and they have some understanding of the evolution of the disease, so there is no need to elaborate.
They chose to have their kidney segment removed at that time, and they were already prepared for postoperative bleeding.
It's just that I didn't expect the bleeding to come so late.
After the explanation, Zheng Ren threw the matter to Chang Yue and asked her to explain before the operation, especially the possibility of ectopic embolic necrosis, which led to nephrectomy.
After explaining before the operation, Zheng Ren and Su Yun came to the operating room to change clothes and prepare for the operation.
After changing his clothes, Zheng Ren was ready to clean up the surgical consumables.
Su Yun's voice came: "The consumables have been prepared, Mr. Zheng, you can go directly to the operation." ”
Hey?