Chapter 787: Stopping the Bleeding

The experts of the Shanan Provincial People's Hospital at the scene were not in a hurry to speak, Zeng Yi's explanation was very clear, coagulant bleeding, this is a very contradictory proposition, while desperately clotting, but bleeding, this kind of thing is somewhat unbelievable in ordinary people's minds.

Not only ordinary people, but also Western medicine has gradually understood the mechanism of blood clotting in the past two or three decades, especially after understanding the coagulation characteristics of platelets, only to find that coagulation is not only a physiological way to stop bleeding, but also causes bleeding, which is why anticoagulant treatment has emerged.

Wang Qinghe asked Zeng Yi and said, "Then can I use heparin?" "Heparin is a commonly used anticoagulant in Western medicine.

Zeng Yi asked Wang Qinghe rhetorically, "The patient's platelets are much lower than ordinary people, and it is internal bleeding, is the risk of using heparin in this case too great?" ”

Wang Qinghe coughed twice, and last night the expert consulted and thought that Lu Xiangrou was likely to have diffuse intravascular coagulation, but no one dared to recommend the use of heparin. Because the anticoagulant effect of heparin is very obvious, it is very cautious in use, mainly used for in vitro anticoagulation, and the use of heparin for diffuse intravascular coagulation therapy is also something that has only begun in recent years.

At present, the patient only has continuous bleeding, the reason why the amount is not large, and the situation can be controlled, a large part of the credit is because the patient's coagulation function is abnormal, but once heparin is used, after the patient's coagulation function is lost, the probability of causing massive bleeding is very large.

This is not unreasonable speculation, the number of platelets in patients is much lower than that of ordinary people, and it stands to reason that heavy bleeding should have been caused a long time ago, so even if a light dose of heparin is used, the probability of causing heavy bleeding is very large, not to mention that heparin can easily induce thrombocytopenia. This will make the situation worse.

Shanan Province's maternal and infant level is leading in the country, and experts are definitely not eating rice, plus Lu Xiangrou is the daughter-in-law of the provincial party secretary, who dares to try it easily?

The expert who questioned it before didn't say anything anymore, and in just two sentences, he had already understood Zeng Yi's level, which was an expert who was both Chinese and Western. The mere understanding of Western medicine is not below me.

Wang Qinghe thought for a while and said, "Senior Brother Zeng, let's talk about your treatment plan!" ”

"The prescription of Angelica Tonifying Blood Decoction is very simple, with only two flavors. Angelica and Astragalus. Astragalus membranaceus invigorates qi and tonifies the medium, and the dose is reused, which can quickly improve the patient's physical function and has the effect of strengthening the heart; Angelica sinensis replenishes blood and invigorates blood, the dose is small, and it can receive the effect of invigorating blood without bleeding; In addition, both astragalus and angelica have a strong effect of uterine contraction. Once the medicine takes effect, the patient's uterus will contract, and the bleeding will be improved immediately, coupled with the effect of calcining the keel to stop bleeding and build muscle. The effect will be better. Zeng Yi explained simply, the scene was full of Western doctors, and it was estimated that he couldn't understand it, Zeng Yi mainly told Wu Lao and Wu Baoyu. If the effect of this drug is not clearly explained, they will definitely not dare to let patients take it with confidence.

Wang Qinghe does not understand Chinese medicine. But after listening to Zeng Yi's explanation, he suddenly felt that the combination of prescriptions in traditional Chinese medicine was so scientific, and the simple three-flavor medicine contained the effects of strengthening the qi and heart, replenishing blood and activating blood, and stopping bleeding and building muscles, which can be said to be comprehensive.

The most terrifying thing is that even the treatment process is so clear, there are thousands of medicinal materials in traditional Chinese medicine, among which there are drugs with the function of replenishing blood and activating blood, there must be more than Angelica sinensis, but in Lu Xiangrou's case, the reason why Zeng Yi wanted to use the flavor of Angelica is because of another effect of Angelica, which causes the uterus to contract strongly.

When the uterus contracts, the bleeding condition will be relieved, and the disease has been cured by more than half of the disease.

The most difficult thing to cure this disease is, I'm afraid, right here!

Wang Qinghe couldn't help but sigh in his heart, no wonder people can serve as the assistant to the president of the Beijing Hospital at a young age, this level is really not covered, clear and comprehensive, the key is that people have methods and means to treat diseases, unlike these doctors in their own hospitals, they may be very sure of what the problem is, but there is no good way.

Does anyone dare to use heparin? Even if someone dares to use it, Wang Qinghe will not allow it to be used!

Wu Baoyu listened to Zeng Yi's explanation, his complexion did not change, but his eyebrows tightened slightly, Zeng Yi's words sounded very reasonable, but what the effect was, who can guarantee it!

"Dr. Zeng!" Hou Biyuan couldn't hold her breath anymore and asked, "How sure are you with this medicine?" ”

Zeng Yi didn't say anything to death, but said: "In the current situation of a patient, I have encountered twenty or thirty cases before, and it is definitely right to use this medicine, I am sure of this." ”

Hou Biyuan turned around and looked at Wu Baoyu, this kind of big thing, Wu Baoyu had to make a decision in the end.

Wu Baoyu looked at his father Wu Lao, he could make a decision, but after all, this was a family matter, and everyone could express their position.

Wu Lao saw that Zeng Yi's expression was calm, and he seemed to be very sure, so he bowed slightly towards Wu Baoyu, which gave an attitude.

Wu Baoyu said: "If the expert group has no other treatment plan, then use Dr. Zeng's plan!" ”

Wang Qinghe nodded again and again, and he was actually relieved in his heart, Lu Xiangrou was bleeding after giving birth, although the Shanan Provincial People's Hospital did not stop the bleeding and did not come up with a good way, but it didn't make the matter so serious that it was irreparable, and now that Zeng Yi has taken over, the pressure on his side is much less!

The secretary of the provincial party committee expressed his attitude, and the dean Wang Qinghe did not object, and other experts naturally no longer questioned the objection, and everyone waited quietly at the door of the operating room to see if Zeng Yi's medicine was really effective after it went down.

Twenty minutes later, the assistant trotted back with the decoctioned medicine, with fine sweat on his forehead, came in to take a look at Wang Qinghe, and then brought the medicine to Zeng Yi.

Zeng Yi didn't delay, picked up the medicine bowl and walked in.

Wang Qinghe did not hesitate, he followed closely behind Zeng Yi, if Zeng Yi's medicine did not work, he would have to arrange and deal with the rest of the matter by himself!

After entering the operating room, Zeng Yi said directly to Director Cen who was standing in front of the bed: "Please take out all the gauze that has been buried in the patient's body." ”

Director Cen was stunned when she heard this, the patient is bleeding now, if the landfill gauze is removed, I am afraid that the bleeding will be more serious, she did not hurry to do it, but looked at Wang Qinghe.

Wang Qinghe said: "Now that this case is taken over by Dr. Zeng, everyone listens to Dr. Zeng's arrangement and takes out the gauze!" ”

Director Cen made a move at this time, but his expression was still half-convinced, without the consent of the secretary of the provincial party committee, Zeng Yi would definitely not be able to take over, even if he was suspicious now, it would be useless, how people said to govern, how to govern!

At that moment, Director Cen put on sterile gloves, picked up the tweezers and started the operation, and after taking out the gauze, he personally checked the quantity, confirmed that it was correct, bowed his head to Zeng Yi, and said, "The gauze has been taken out." ”

Zeng Yi felt the temperature of the medicinal soup and felt that it was ready to drink, so he went over and gently raised Lu Xiangrou's head a little higher, and fed the other party to take the medicinal soup.

After drinking the medicine and placing Lu Xiangrou, Zeng Yi put the medicine bowl on the head of the bed, stood there and observed for a while, and then said to Director Cen: "I'll wait outside, if there is any change in the patient's condition, notify me immediately." ”

Wang Qinghe accompanied Zeng Yi out of the operating room again, it was not suitable for too many people to stand inside, and the medicine had already been taken, and the rest was to wait for the results.

Back at the door of the operating room, Wang Qinghe reported to Wu Baoyu that Lu Xiangrou had taken medicine, and then everyone stood at the door together and waited, the door of the operating room was strangely quiet, and everyone didn't dare to pant loudly, even if their feet were numb, they didn't dare to move the slightest.

Zeng Yi stood by Wu Lao's side, his face was extremely calm, he had treated many cases like this, and he had rich experience in this area, as long as he recognized the symptoms accurately and chose the most suitable combination of medicinal materials and prescriptions, there would not be too much of a problem, not to mention that Lu Xiangrou's situation was not to the worst step.

Today's case still touched Zeng Yi, if he hadn't studied both Chinese and Western medicine, it might be difficult to explain the idea of treating the disease so clearly.

There is a precedent for how to treat and what prescription to use, and the effect is also very reliable, but the reason why it is treated like this and why this herb should be used in this case is that many Chinese medicine people themselves do not understand.

The rapid development of modern Western medicine, in fact, has also promoted the re-understanding of Chinese medicine on itself, after Western medicine has fully unraveled the human coagulation mechanism, why can live blood stop bleeding, it is considered to have an answer, and many traditional Chinese medicines have been able to correct their names, take the famous Ejiao as an example, in the pharmacopoeia, the effect of Ejiao is clearly written is "replenishing blood and stopping bleeding", which is the same as angelica, the efficacy looks very inconsistent, if written on the instructions, it looks like a universal health care medicine.

In fact, this is also a difference between traditional Chinese medicine and Western medicine, many traditional Chinese medicines, all have a two-way regulatory effect, such as angelica, it has a two-way effect of excitating and inhibiting uterine smooth muscle, the function is like the pancreas, blood sugar will drop when it is high, and blood sugar will rise when it is low, which can achieve two-way regulation. The effect of Western medicine is generally unidirectional, so the effect is more direct and faster.

This special effect of angelica on specific organs of the human body was only confirmed after the development of modern medicine.

After Zeng Yi came into contact with Western medicine, he became more calm, more targeted, and easy to use in many cases.

Zeng Yi has no views on Chinese and Western medicine, as for why he prefers to use traditional Chinese medicine, one is because there are more methods of traditional Chinese medicine, and the other is to treat both the symptoms. With the help of various high-tech means and tools, Western medicine can detect and detect many diseases, but very few can really be cured.

After waiting at the door for less than half a time, suddenly the operating room opened, and Director Cen rushed out, his tone was extremely excited, and said, "Stop, stop, stop the bleeding!" ”