"It's me. Director Pan's voice was full of majesty.

"Well, well, what are you considering?"

"I'll ask. ”

After speaking, Director Pan covered the microphone with his hand and looked at Zheng Ren.

"Zheng Ren, there is a 72-year-old male patient in the ICU, who was hospitalized in the Department of Gastroenterology of our hospital 14 days ago because of blood in his stool, and was later transferred to the ICU ward.

Blood in the stool was controlled after 6 days of admission, but the patient was in poor condition and has been treated in the ICU. At 14 o'clock this afternoon, blood in the stool appeared again, the amount was relatively large, and the hemostatic drugs were ineffective. General surgery is consulted, and surgery is not recommended. Director Pan said a series of things about the patient's condition.

Zheng Ren knew that Director Pan was asking for his own opinion.

General surgery is not surgically performed because the patient is older and the bleeding point cannot be identified.

The patient's intestines are full of fresh and old blood, and even with a colonoscopy, it is impossible to see where the blood is coming from.

This kind of problem has been raised countless times in the past.

Once it appears, it depends on the patient's life.

If your life is good, you will get through it. Wait until the bleeding stops and the patient is in stable condition before further examination and treatment.

The life is not good, the bleeding continues, and the patient is waiting for a short time to die due to excessive bleeding.

If you do a surgical laparotomy, you can only try your luck to find the location of the bleeding point.

In clinical care, there is such a thing as chance...... Everyone doesn't want to, but there is always a certain moment when you have to depend on fate and luck.

Zheng Ren pondered for a while, and then said: "It can be cured." ”

The answer is very simple, saving lives is like fighting fires, and Zheng Ren is not verbose at all.

Director Pan had a high degree of trust in Zheng Ren, and immediately picked up his mobile phone and said, "I'll be here in 20 minutes." ”

After saying that, he hung up the phone.

"Let's go. Director Pan stood up and acted resolutely, "How much?"

The boss said with a smile: "Director Pan, you come to my small shop to eat, just to give face, if you collect money, you let me ......."

Because of the emergency, Director Pan was not verbose, threw down 500 yuan and turned to leave.

The group looked like well-trained warriors, talking and laughing one minute, and banning the next.

Boss Sun was crying with a sad face, holding the money in his hand, and wanted to return it to Director Pan.

But as soon as he approached, Director Pan squinted. Boss Sun was like being devoured by thunder, and he shuddered.

got in the car, and everyone didn't talk nonsense, and drove all the way back to Haicheng First Courtyard.

As a doctor, I am always vigilant about emergency surgery. Even if they were receiving the wind and eating, Chu Yanran, Zheng Ren, and Xie Yiren did not drink.

While you don't always have to have an emergency situation, it's always good to be prepared.

When he came to the hospital, he went to the operating room, and he went to the emergency ward, Director Pan took Zheng Ren and Su Yun straight to the ICU.

"Zheng Ren, what are you going to do?" On the way, Director Pan took the time to ask Zheng Ren.

"Interventional imaging, if the location is typical, directly open the abdomen to find the bleeding point. If the location is atypical, embolization is performed and necrotic bowel is removed. "Zheng Ren already has a belly case.

"......" The experienced Director Pan was speechless at the moment.

What Zheng Ren is talking about is a destructive operation!

Local overselection of the superior mesenteric artery and then embolization, although it can play a role in hemostasis, can also lead to necrosis of a certain part of the patient's intestine.

This is a contraindication to surgery!

Su Yun's footsteps faltered slightly, then followed, walked a few steps briskly, and whispered beside Zheng Ren, "I think it's okay." ”

"Hmm. Zheng Ren nodded.

"Zheng Ren, be sure. Director Pan asked.

"Yes, as long as the patient's status allows. Zheng Ren said firmly.

"Good. Director Pan didn't say much, and in silence, the three of them came to the ICU.

After changing his clothes and walking into the ward, Director Qian of the ICU stood at the head of a patient's bed, looking at the monitor while holding his arms, and chatting with Director Sun of the Second Department of General Surgery.

The ventilators and monitors were shouting frantically, and an urgent breath came to the face.

It's so familiar...... Zheng Ren looked at this familiar scene, and the slightly comfortable life in the imperial capital was gone.

"Xiao Su, you're back. Director Qian saw that Su Yun also followed, and did not greet Director Pan first, but greeted Su Yun.

Su Yun smiled.

Director Pan came to the patient's side and looked at his vital signs, blood pressure 70/50 mm Hg, 24 breaths/min, pulse 121 times/min, and blood oxygen saturation had dropped to 89%.

Hemorrhagic shock, this diagnosis is not out of the way.

"Director Pan, you're here. Oh, Jung-in, you're back too. Director Sun of the Second Department of General Surgery greeted.

"What do you think of general surgery. Director Pan asked.

"No way, let's get a critical illness notice. You know about this kind of surgery, Director Pan, how dare we perform it. Director Sun shook his head, but his eyes looked at Zheng Ren.

"Alas. Director Qian of the ICU sighed.

Director Pan rushed over, but he only fulfilled his obligations as a doctor, and it would not help the patient's condition in the slightest.

The system panel in the upper right corner of Zheng Ren's vision is bright red, and several diagnoses of hemorrhagic shock, ion disorder, and lower gastrointestinal bleeding are listed on it.

The condition was already clear, and Zheng Ren took a deep breath and felt a little regretful.

He was born in general surgery, so he naturally knew that general surgery would not dare to do this kind of surgery. Open the abdominal cavity and the intestines are full of blood, what do you say? Cut open the intestines and find out the blood little by little?

I'm afraid that if it is not found, the patient will die due to excessive bleeding.

Dying on stage and dying in the ICU are two different concepts.

After the completion of the second phase of the [Emergence] task, the big pig's trotters in the system gave 3,000 cases of gastrointestinal dissection experience.

However, Zheng Ren's experience in intestinal surgery is limited to minor surgeries such as appendicitis and hernia.

It is unavoidable to enter the operating room for consumption of this kind of difficult surgery.

Thinking about the surgical training time in his hand, Zheng Ren did not hesitate and said, "Let's try." ”

"Oh, what does Xiao Zheng think? Director Sun immediately answered, and it seemed that he had been waiting for Zheng Ren to speak.

"Use the intervention method to see if you can find the bleeding point. Zheng Rendao.

Director Qian's brows furrowed, it was strange for him to intervene, but since someone proposed a solution, let's do it.

Director Sun said with a smile: "I knew you could do it." ”

"Try it, it's not good. Zheng Ren replied.

"Xiao Zheng, what to do, we don't know. You are here to communicate with the patient's family?" asked Director Qian.

"Good. Zheng Ren said: "How much blood is left? I want at least 10u frozen red blood cells and 1000ml of plasma." Is there a blood clotting disorder?"

"Boss, you go and communicate with your family, I'll take care of this. Su Yun said lightly: "I drank wine, so I won't meet my family." ”

Director Qian and Director Sun looked at Su Yun in amazement.

Boss, is this what he just said to Zheng Ren?