"Okay, remember to give her a heart ultrasound! I've got work to do, I'll get back to you! Lin Feng threw down a sentence, hung up the phone, turned around and asked the nurse, "What's the situation?" ”

"Hey, why is this guy so busy every night shift? Busier than our emergency department! Shen Congwen shook his head and hung up the phone.

Tonight's night shift is Shen Mei.

"When I was just doing nursing, I turned over the patient in the ninth bed, and then I found that the drain was draining bright red bloody fluid! Dr. Lin, let's go check it out! ”

Shen Mei is an old nurse, and she is the head of the nurse team tonight, and she is keenly aware of the situation that the patient has abdominal bleeding!

"Let's go, let's go!" Lin Feng immediately stood up and walked towards the Nine Beds.

On the hospital bed, there was an old woman about 60 years old, with a painful expression, a pale face, and a weak moan.

The nine-bed patient, a patient with bile duct obstruction and yellow pedicle, underwent pancreaticoduodenectomy, and on the second day after surgery, his vital signs had been relatively stable.

"The drain is a bloody fluid! Since when? Why not report it to your doctor? Lin Feng frowned, and asked Li Lin, the little nurse beside him, Li Lin is the nurse who takes care of the nine beds.

Li Lin hurriedly said: "This is what just appeared, and it was less than ten minutes before and after!" ”

Lin Feng looked up at the data on the monitor, his heart rate was more than 110 times, his blood pressure was 80/53mmHg, and it seemed that it was still decreasing.

"Immediately draw blood, perform blood gas analysis, and ultrasound to explore the abdominal cavity! Measure central venous pressure! Lin Feng no longer pursued the issue of responsibility, but quickly commanded.

Li Lin just graduated from nursing school this year, and she couldn't help but panic when she saw this, and she didn't know what she should do!

Seeing this, Shen Mei couldn't help but glance at Li Lin, and scolded in a low voice: "What are you panicking about? Hurry up and draw blood gas from the patient! ”

Li Lin let out an "oh" and turned around to find the blood qi needle. Shen Mei was not idle, she immediately went to the nurse's station, picked up the phone, and dialed a number: "I am a general surgeon, and there are postoperative patients with urgent bleeding, I hope you will come to do a bedside ultrasound as soon as possible and confirm the diagnosis!" ”

A minute later.

"Dr. Lin, hemoglobin is only 68g/dl!" Li Lin took the blood and qi list in his hand and said to Lin Feng.

"Looks like it's bleeding!" At this time, Lin Feng did not wait for the ultrasound, and immediately made a phone call to the senior doctor, and then contacted the blood transfusion department to prepare blood, and then contacted the anesthesiology department of the operating room to prepare for surgery.

After pancreaticoduodenectomy, pancreatic leakage and hemorrhage are the most common complications, under normal circumstances, interventional treatment can be performed, or internal medicine conservative hemostatic treatment, but now the patient is in critical condition, the interventional department will never take such a big risk for interventional treatment, as for the internal medicine conservative treatment, the effect is extremely poor, now the only way is emergency surgery, but many times emergency surgery can not find the bleeding point, can only re-remove the anastomosis, and then anastomosis.

"Dr. Lin, no! The blood pressure of the nine beds can't be maintained! Just when Lin Feng had just finished contacting the operating room and anesthesiology department, Li Lin ran over with a panicked expression!

Lin Feng's face sank, and he walked quickly to the ninth bed, only to see the blood pressure display on the monitor: 50/35mmHg.

At this point, the patient was in a coma.

"30 ml of hemostatic aromatic acid, plus 40 ml of hemostatic sensitivity, plus vitamin K1, with 100 ml of normal saline, rapid intravenous drip!"

"2ku of snake venom thrombin, drop bucket in!"

"Shen Mei, urge the blood transfusion department again, when will the blood arrive?" Although Lin Feng was nervous in his heart, he was not flustered at all, and gave medical orders one after another.

Seeing Lin Feng's calm appearance, Li Lin couldn't help but feel a little less panicked in his heart, and quickly began to dispense hemostatic drugs according to Lin Feng's medical instructions.

Whether it is hemostatic sensitivity, hemostatic aromatic acid, or snake venom thrombin are all a kind of hemostatic drugs, and the combination of drugs at this time is also hoped to play a role in hemostasis.

"Dr. Lin, the blood transfusion department has been contacted, and it will take half an hour to use blood at the earliest!" Shen Mei put down the phone and said.

"Half an hour! It's too late, so I can only push into the operating room first! ”

Lin Feng knew in his heart that according to the current rate of bleeding of the patient, it was definitely a rupture of blood vessels and bleeding, and if the bleeding was not stopped as soon as possible, the patient was likely to die of shock due to blood loss within twenty minutes!

"There is no blood, the operation is dangerous!" Shen Mei couldn't help but remind when she heard this.

Lin Feng was silent.

The patient dying in the ward and dying on the operating table are definitely two different concepts.

Families can accept a patient dying in the ward, but it is difficult to accept dying on the operating table.

Similarly, for a doctor, if his patient dies on the operating table, it is also a very cup of things.

Seeing that the patient's heart rate had been dropping, Lin Feng knew that if the patient's heart rate also dropped, it would be really hopeless.

When the human blood pressure is low, the heart will emit the surname to beat faster to meet the effective blood supply within minutes, but when the human blood is insufficient, the heart rate also drops, which means that there is too much blood loss, and the heart is also in an ischemic state, unable to beat, to meet the blood supply of other organs, at this time, it also indicates that the patient's life is dying.

"Can't wait any longer! Otherwise, the patient has no chance of survival! Lin Feng immediately gritted his teeth and said.

At this critical moment, Qi Luyi suddenly made a voice and said, "Boy, what are you in a hurry? Isn't it just a patient with postoperative bleeding? Have you forgotten the person I saved on the winding mountain road today? ”

Lin Feng's eyes lit up when he heard this!

"Reverse needle flow!"

Lin Feng couldn't help but be overjoyed!

Reverse acupuncture flow is a contrary to the conventional method of acupuncture, and it does the opposite, which has an unexpected effect.

"You're not too stupid! This person is because of the postoperative pancreatic leakage, corroded the branch of a small artery, which caused abdominal hemorrhage, and now you follow the method of reverse acupuncture, in the Jiuwei acupoint, Guan Yuan acupoint, Shenque acupoint, Qihai acupoint, these four acupoints! Qi Luyi's tone was indifferent, and he didn't take such bleeding to heart at all.

"Good! Then ask your old man to help! Lin Feng said immediately.

"Holy! You kid is so practical, now if you ask me, call me an old man, when you don't need me, call me an old liar, a young man now, hey! The wind of the world is down, the wind of the world is down! Qi Luyi sighed a lot.

"Less nonsense! Hurry up and do it, in a few moments, the patient will lose too much blood and it will be over! "How can Lin Feng have time to rub his lips with Qi Luyi at this time? Seeing that Qi Luyi was unhurried, he couldn't wait to whip him a few times to relieve his hatred.

"I can't do it myself this time." Qi Luyi refused.

"Grass! What do you say? If you don't do it, who will do it? Am I coming? Who else but you would go against the needle? Lin Feng's head was lined with black lines.

"Yes, this time you're coming!" Qi Luyi's tone suddenly became a little solemn: "The reverse needle flow formation is wonderful, and it is possible to fully master it only by practicing it yourself!" This is the perfect time for you to practice! ”

"Old liar, you mean to pass the needle to me?" Lin Feng felt that his throat was a little dry.

"What? Don't want to learn? ”

"Of course not!" Lin Feng hurriedly denied: "Just listening to the conversation between you and Tong Kai before, this reverse needle flow is a mystery that is not passed on, is it so easy to pass it on to me?" ”

"Besides, you kid is stupid! I even told Tong Kai, how could I not tell you! Besides, isn't it a reverse needle flow? What's the big deal? Old man, I will have more things! There was a hint of smugness in Qi Luyi's tone.

"Hey, hey!" Lin Feng was secretly happy in his heart, this old liar was willing to hand it over to himself, it was simply picking up a treasure!

"Alright, silly boy, what are you doing stupidly? Why don't you hurry up and save people? Qi Luyi reminded loudly.

Lin Feng nodded when he heard this, then took out the silver needle, untied the patient's abdominal band, and raised his hand to administer the needle to the patient.

At this moment, an angry voice suddenly came: "Lin Feng, what are you doing?" Stop! ”