"Hello, please open the door, Dr. Min Yue from your obstetrics department asked me to bring her something." As he spoke, Ge Rumo raised the bag in his hand.

The man in the guard room leaned out and glanced up and down at her, "Please wait. ”

Then Ge Rumo saw that he took the phone and began to dial the number, and he didn't care, Min Yue's department belonged to the high-level cadre area, so the entry and exit were very strict.

Not long after, after he hung up the phone, Ge Rumo was allowed to let go.

She had only reached the third floor, and she was hugged by the woman waiting on the side, "Rumo, thank you so much, you didn't know that this document fell at home, and I was scolded by the director." In the last sentence, Min Yue's eyes looked around and lowered her voice.

Ge Rumo and Min Yue are high school classmates and best friends, but after the two of them went to college, one studied Western medicine and the other studied Chinese medicine. After graduating, they went to different hospitals. But thankfully, they have always been in the same city, so they have always been close.

Ge Rumo looked at her like a thief funny, and was about to say something, but was interrupted by the nurse who rushed out of the ward, "Hurry, hurry, the maternal bleeding can't be stopped, and there may be heavy bleeding at any time, the director informs all the doctors on duty to consult!" ”

The special family came out of the ward in a nurse's outfit and walked briskly to inform the doctor of the meeting.

Min Yue's face changed rapidly, and the brisk smile on her face just now was gone, only seriousness and tension remained.

They had found that the patient had a slight bleeding condition, and the hospital also took treatment measures, and then they have been observing, and the situation has not improved, but has a tendency to worsen. Therefore, for the sake of insurance, the hospital has called all the doctors for consultation and has already discussed several plans just in case. I can't imagine that this will really require one of these solutions.

Min Yue stomped her feet secretly, "I can't stop the bleeding, I have to decide which backup plan to use, it's useless to look at this patient's information again." ”

As he spoke, he didn't take the document bag in Ge Rumo's hand, but said to her quickly, "Rumo, I won't tell you, I originally wanted to have a meal with you after work, but it seems that it won't work, you can eat by yourself, ah?" ”

"Okay, you go get busy first."

The entire obstetrics department was in a state of busyness, and it seemed that the patients with problems were not small, so Ge Rumo sat down on a chair beside her, avoiding the medical staff who were walking quickly. After thinking about it, he pulled up the information from the file bag. Then it turned out that these materials turned out to be the patient's medical records and treatment records, of course, only copies.

Ge Rumo flipped it open casually, and then one after another, very quickly, but did not miss any key points. Especially when she turned to a certain page, her eyebrows wrinkled slightly, the patient's unit platelet count was very low, and there was no bleeding during childbirth?

It stands to reason that if the number of platelets is too low, it will affect blood clotting. With doubts, Ge Rumo continued to scroll down, and when she finished reading all the information, she lowered her head and pondered. According to the information, the mother had a slight bleeding in the morning, which gradually worsened over time, and the hospital initially treated conservatively, only adding gauze, but this could not stop the bleeding, and the amount of bleeding tended to become more and more serious. The hospital then administers blood transfusions to replenish clotting factors and platelets. However, it still didn't work.

"What happened to the patients in Ward Five? Isn't it okay in the morning? ”

"The situation is not optimistic, the number of platelets in the patient is too low, and it is very difficult to stop the bleeding. So far, the situation shows no signs of improving. ”

When the nurse took over the shift, the two nurses walked in a hurry, and they buttoned up the nurse's uniform as they communicated. Ge Rumo listened to their words and fell into deep thought.

Illness is like fighting a fire, and it doesn't take long for the door of the consultation room to open and the doctors rush out.

When Min Yue saw that Ge Rumo was still there, a trace of surprise crossed her eyes, she walked over without a trace, and said in a low voice, "Why are you still here?" ”

Ge Rumo was about to answer, but was attracted by the person around the corner.

At this time, at the other end of the corridor, a group of people came over with an old man in their arms, "Doctor, how is it, have you decided how to stop the bleeding?" ”

"A treatment plan has been decided." Cheng Yudong, director of the Department of Obstetrics and Gynecology, said, "When the blood in the blood bag is transfused, if the patient's condition does not improve, another plan has to be used." When he said this, his expression was heavy, and he was obviously not optimistic about the next treatment.

"What's the plan?"

"With oxytocin and heparin."

Oxytocin restores uterine contractions and slows the rate of bleeding.

Heparin is a commonly used anticoagulant in Western medicine.

"How can a patient have such a low platelet count, how can heparin be used?!" Next to the old man, a young man retorted.

Tian Lao snorted, "Ajie, shut up, you've only been studying medicine for two years, and you only know how to make a fuss, so don't be ugly in front of experts." ”

The young man named Applejack turns his face away in disbelief.

"Director Cheng, you continue." Tian Lao said to him.

Cheng Yudong glanced at him and said, "The patient's platelet count is low, and there is blood clot discharge during the period. To stop the bleeding, the first thing we do is anticoagulant therapy. ”

For their diagnosis, Ge Rumo agrees.

It is true that the mother has chronic bleeding, that is, coagulant bleeding, and the first thing is to solve the problem of blood clotting. Normal people who bleed will quickly stop bleeding on their own because of the normal number of platelets and normal coagulation.

If the mother can't stop the bleeding, there must be a problem with one of these two aspects, or both at the same time.

According to the examination report, the patient's platelet count was much lower than that of a normal person. This phenomenon can be seen in the inspection report.

It stands to reason that there should be bleeding during childbirth, and the amount should be very large. But she did not bleed during childbirth, indicating that her blood clotting function is very strong, beyond ordinary people, which is abnormal. This is the conclusion of the inference.

The patient's clotting mechanism is too strong, causing platelets to accumulate and clot. The patient's platelets are already lower than ordinary people, and then because of their strong coagulation mechanism, they are extracted and clotted into blood clots, so it is not surprising that the platelets contained in the blood flowing in the blood vessels are greatly consumed, and it will bleed.

Cheng Yudong's words sound good.

The old man said to Cheng Yudong, "Director Cheng, with the plan you said, how sure is it to stop the bleeding?" ”

"Tian Lao, this is a plan of last resort, it's hard to say how to stop bleeding." Doctors are old oilers, and they are easily unwilling to talk too much and are not willing to take risks.

Everyone present understands that this is not even fifty percent sure.

The audience was silent, and after a while, when the old man wanted to turn his head and say something to his entourage, Ge Rumo spoke, "You can't use heparin!" ”

Everyone's eyes brushed to the place where the voice came from.

Cheng Yudong found that the person who spoke was a young strange woman, and his face couldn't help but sink, "Who are you?" Why is it here?! ”

Min Yue's scalp was numb, and she pulled the corners of her mouth at Cheng Yudong, "Director, this is my friend Ge Rumo, who works in the provincial traditional Chinese medicine, and is known as the little sage of Jingfang." ”

"What kind of little saint is a little saint of the scriptures, just a person who sells his reputation and reputation, that is, he just deceives the ignorant people." Min Yue's director, Cheng Yudong, is a doctor with an authentic Western medical background, and he himself is extremely disgusted with traditional Chinese medicine, and it is even more unpleasant to see her pointing fingers here, "I don't care who she is, non-hospital staff and patients' families, and the rest of the idle people can't enter at will, you let her go quickly!" ”

"Wait, I'll definitely go, I don't need you to rush! However, the patient has chronic bleeding, but heparin should not be used when the platelet count is so low, otherwise the risk is too great. ”

"We all know where the symptoms are, but how to treat them is the key!" Ge Rumo's entanglement made Cheng Yudong very irritable, and he didn't speak politely, "But how to treat it, do you have a way?" ”

"I have!"

Cheng Yudong choked for a moment, became angry, and waved his hand at her, "Get out, get out of here, don't be deceived in this pit." ”

Ge Rumo's face sank.

The doctors were silent, although Ge Rumo spoke away and was suspected of overstepping his bounds, but Cheng Yudong's words were too polite.

At this time, a man approached Tian Lao's ear and whispered a few words.

Tian Lao listened quietly.

Ge Rumo's identity was quickly found out, and she was also well-known in the provincial traditional Chinese medicine, so it was not difficult to check her information.

After seeing the information and knowing that her words were indeed from the perspective of the patient in the benevolence of a doctor, Tian Lao's face softened, "Doctor Ge, you should have read the medical records and treatment records, right?" I also understand the patient's condition, but is there really a treatment plan? ”

"Yes."

"Then please say it, let everyone discuss it, and then see if it can be adopted, okay?"

Ge Rumo took out the pen and wrote it with a brush, and after a while, he put the pen away, Min Yue cleverly took the recipe over, and glanced at everyone, "I miss it?" ”

After getting the approval, she read, "30g of astragalus, 6g of angelica, plus a calcined keel." ”

As soon as Min Yue's voice fell, she heard Cheng Yudong sneer, and said disdainfully, "I have no opinion on using astragalus to replenish qi." But with angelica? Isn't angelica alive blood? What the hell is that? ”

Everyone also felt that they couldn't understand that in the case of continuous bleeding of the mother, the people who still use blood-invigorating drugs are really incredible. It's not about fighting poison with poison.

The young man next to Tian Lao was also a little disappointed, "Now that the patient is bleeding continuously, and he is still using blood-invigorating medicine, won't it cause heavy bleeding?" ”

In the face of everyone's doubts, Ge Rumo was not alarmed, "The current situation of the mother, in the words of Western medicine, is diffuse blood clotting, but in traditional Chinese medicine, it is postpartum leakage." ”

"No matter what the name is, the first thing now is to solve the problem of blood clotting, that is, the anticoagulant blood of Western medicine, and in the terminology of Chinese medicine, it is called live blood."

"You just proposed heparin to solve this anticoagulant problem, right?"

The doctors acquiesced.

Ge Rumo sighed in her heart, their backup plan was to use heparin, which was actually very risky. They are dead horses as live horse doctors, and they are lucky.

"As you all know, the anticoagulant effect of heparin is very obvious, and it should be used very cautiously in clinical practice, and it is mainly used for in vitro anticoagulation. The use of heparin in diffuse coagulation therapy has only been tried in recent years with the advancement of medicine, but how to ensure that patients do not bleed and can prevent clotting, the degree of which is difficult to master. ”

The doctors nodded silently.

"At present, the mother is only suffering from continuous bleeding, the amount is not large, the situation is still within the scope of your control, and the current situation depends on the abnormal performance of the patient's coagulation function, but once heparin is used, the patient's coagulation function will be lost, and the probability of causing massive bleeding is very large. This situation is like a flood bursting the levee, the coagulation function is like a dam, the blood is like a flood, and the use of heparin will prevent platelets from aggregating and destroying platelets, making the blood flow more uncontrollable, resulting in a high possibility of bursting the levy, that is, massive bleeding. ”

There was no way to deny her words.

"But if you use angelica, it won't cause the same consequences of using heparin!" Cheng Yudong questioned.

"No, it won't." Ge Rumo said with certainty.

Platelets have the property of coagulation, and coagulation is a physiological way to stop bleeding, but it can also cause bleeding. This led to the development of anticoagulant treatments.

However, the current situation of the mother is that under the stimulation of the smooth muscle of the uterus, the coagulation mechanism responds urgently, and the platelets at the wound do not wait for the platelets to arrive before they have condensed into blood clots, so that the wound will only continue to bleed, and blood clots will flow from time to time.

In traditional Chinese medicine, blood circulation is to break up the coagulated platelets into the blood vessels, so that the blood can be restrained and flow safely in the blood vessels.

Heparin has no effect on blood stasis and thrombosis that have clotted into blood clots, and its anticoagulant effect is mainly in stopping platelet aggregation and destroying platelets. The number of platelets in the mother itself is low, and the use of heparin is undoubtedly an even worse practice.

"Who are you when you say no?!"

"You also said just now, astragalus replenishes qi, and qi can produce blood. This recipe reuses astragalus to replenish qi and strengthen the muscle surface, because the visible blood cannot be born quickly, then the invisible qi should be urgent.

Visible blood is born of invisible qi. Use astragalus to replenish qi as the source of blood biochemistry. ”

"This is in terms of blood replenishment, but the patient's body is like a broken bowl, it can't stop the bleeding, and it is useless for you to replenish more."

Ge Rumo nodded, "Maternal blood loss and continuous bleeding are the main problems. Both of these are to be solved, and I prescribe that prescription, the amount of astragalus is a large amount of the king's medicine, the amount of angelica is to replenish the blood and invigorate the blood, and the amount is small to be the minister's medicine. This compatibility can aggravate its blood tonic effect, but its blood invigorating function is not as strong as that of a single flavor, which can have the effect of invigorating blood without bleeding. In addition, angelica also has anti-platelet aggregation and antithrombotic effects, which is actually similar to the meaning of invigorating blood. It breaks up the clumped platelets into the blood vessels and restores the normal flow of blood. ”

In fact, the blood of the patient is called menstrual blood, and the state of the blood is not right. And angelica, after breaking up the coagulated platelets and integrating them into the blood, the state is right. Coupled with the qi energy to unify the blood, the amount of astragalus in the formula is large, and there is no shortage of qi, so this blood will naturally return to normal.

And the effect of angelica on the uterus depends on the functional state of the uterus and has a two-way regulatory effect. At this time, it is known from the mother's condition that the uterine contraction is not good, and angelica can make the uterus return to normal contraction and can maintain the contraction state. The keel is astringent and astringent, which can strengthen the effect of Astragalus Angelica, and the effect on uterine contraction is also very good. ”

The uterus contracts, and the bleeding condition is relieved. Now, even oxytocin is saved.

"In this way, this recipe not only replenishes the blood, but also solves the problem of leakage by the way." The boy named Applejack smiled with his palms in his hands, his eyes sparkling.

Ge Rumo bowed, "This recipe is conducive to muscle-building and closing." ”

Ge Rumo's eloquent talk made people seem to see a clear and reasonable treatment process, which made most doctors feel that this is a very feasible plan.

However, they were not the ones who made the decision, they all had to look at the director.

Cheng Yudong was very stiff, he didn't know much about traditional Chinese medicine, and he couldn't find any rebuttal to Ge Rumo's words, he couldn't help but look at Tian Lao, "Tian Lao, you see?" ”

Tian Lao leaned on crutches and said in a deep voice, "Doctor Ge, thank you for your hard work." We've written down this recipe, so let's think about it or not. ”

Ge Rumo sighed in her heart, it was still not enough, otherwise they would not have hesitated after she said so much. But she couldn't help but come in this situation, and she did everything she needed to do. As for whether the patient's life will be ruined because of this hesitation, it is not up to her. So she offered her farewell.

Not long after Ge Rumo left, the people around Tian Lao received a phone call, and after hanging up the phone, he said, "Tian Lao, the experts from Beijing have arrived, and it is the famous doctor Fang Lao who has been sent by the Jing Fang to prescribe a dose." ”

Tian Lao's eyes lit up, "Let's go, let's go and greet you!" ”

Not to mention the battle of the experts from the Chunan Provincial People's Hospital, it is said that after reading the medical records and patients, Elder Fang wrote a prescription in a deep voice.

Cheng Yudong took the soup recipe and shouted, "This and this, this and this ......"

His fussy appearance made Fang Lao slightly unhappy, and he couldn't help but wrinkle his eyebrows and said, "What, there is something wrong with this formula?" ”

"No, no."

The doctor standing next to Cheng Yudong couldn't help but take a closer look, "Hey, isn't this the prescription that Dr. Ge just prescribed?" ”

When Elder Fang heard this, he was surprised, "What's the matter, someone opened the exact same recipe?" So why not? ”

Tian Lao smiled bitterly, do you want to say that he can't trust a little Chinese medicine doctor, and he has to wait for other old people to come for diagnosis and treatment?

"Yes, it's a doctor of the provincial Chinese medicine, named Ge Rumo, a friend of Dr. Min Yue."

Hearing this, the people present were secretly surprised, could it be that Ge Rumo was sick just now?

Ge Rumo? Hearing this name, Fang Lao's eyebrows stretched slightly, it turned out to be her.

"Let's go grab the medicine and fry it first."

About half an hour later, the nurse excitedly came over and told them that the bleeding had stopped!

Everyone suddenly realized that Ge Rumo's medical skills had already been seen.

At this time, Min Yue's mobile phone rang, she answered it, but after a while, her face was pale, her lips were moving, and the hand holding the phone was shaking.

"What's wrong, Min Yue?"

"Rumo was in a car accident and died on the spot—"

Shocked to hear the bad news, everyone was stunned, this is really-

Fang Yiyi also felt a pity in his heart, but it was a pity that he was such a good talent.