"Ugh." Lu Bingju sighed heavily, couldn't sit still on the spot, and wanted to rush back to the department.

Then Chen Ziao also came, looking at Lu Bingju's very anxious appearance, "Director Lu, let me ask you something." "The attitude is very humble.

Lu Bingju was suddenly surprised and asked, "What's the matter?" ”

Chen Ziao is actually rubbing time, and he said to him: "Director Lu, you are an old senior, you have worked in the First Hospital of Z Hospital for so many years, and you know many things better. ”

Lu Bingju was confused and said, "Where, where." ”

Chen Ziao continued to rub: "I just came back from Fusang, so I don't understand some domestic rules. ”

Lu Bingju said perfunctorily: "You will get used to this slowly." ”

Chen Ziao said: "I have heard that Director Lu has the best temper and treats people kindly, for newcomers like me, you need more advice." ”

Anyway, Chen Ziao talked for a long time and didn't get to the point.

They are all colleagues, and Lu Bingju can't refute his face, so he has to chat with him.

As he spoke, half a day passed.

The sun is turning.

The light of the setting sun shone obliquely from the western sky.

In other words, Lu Bingju has been dragged by Chen Ziao for an afternoon.

Lu Bingju saw that the time was not early, and prepared to leave again.

Chen Ziao saw that he couldn't be fooled without giving some real material, so he said: "Is it routine for surgical patients in our country to take films?" For example, if the patient in bed 3 on No. 15 had taken a chest X-ray at that time, and the position was good, he could still have found a foreign body in his throat at that time. ”

No. 15 3 bed is Hu Kang, a small patient with a foreign body in the throat that Liu Qingqing treated that day.

Lu Bingju heard him talk about business, so he had to stop again, "If you have a fever like this, if the breath sounds in your lungs are not good, it is indeed better to make a film." ”

Chen Ziao said with a little pride: "Because of the inspection abroad, the requirements for various indications are very harsh, and they are not as casual as in China." ”

Lu Bingju explained: "It can't be said that it is arbitrary, patients with fever are prone to secondary pneumonia if they stay in bed for a long time. Hu Kang, a child, did not ask the key points when I saw the consultation, so it would lead to missed diagnosis. This kind of child is too young to have an accurate description of what happened to him, so he should pay attention to it next time. ”

Chen Ziao felt that there was a faint lesson in Lu Bingju's words, so he felt a little unhappy.

Anyway, why is it so quiet in the ward today?

It was a waste of his arrangement.

Chen Ziao felt that there were still serious patients in the ward during this time, and Tebi was Director Lu's group.

After chatting with Lu Bingju for a while, the sun had completely sunk behind the horizon, and the sky had darkened.

Lu Bingju saw that the time was not early, so he got up and said goodbye to Chen Ziao.

Chen Ziao tried his best to hold back and said: "Director Lu, it's hard to come out, have a good time, relax, let's sing karaoke after dinner." ”

Lu Bingju excused himself and said: "You young people can play, I can't play this kind of old man." I'm here, and you're not at ease. ”

Chen Ziao said: "Director Lu, it's all at this point, let's go back after dinner." ”

When Lu Bingju heard it, it was true, so he stayed for dinner.

Inside the farmstead, a large box was opened, and two tables were set up.

Once you start eating, it's inevitable to have some alcohol.

Chen Ziao personally took the lead, shouted at the doctors in the group, and couldn't stop toasting Lu Bingju.

On the one hand, it was to drag Lu Bingju, and on the other hand, it was also deliberately to snub Qian Jianghong.

deliberately praised Lu Bingju in front of Qian Jianghong, saying that Lu Bingju was the veteran of the First Hospital of Z Hospital, the mainstay of the third surgical ward, and a model for young people, etc., etc., etc-------.

All in all, as long as Chen Ziao thinks about it, there is no sycophant that can't be shot.

One cup or two glasses, Lu Bingju drank slightly, and felt that Chen Ziao, a young man, was good, a turtle, without the pride of a turtle, quite modest, very polite, very respectful of the elderly, not bad.

is not like that Qian Jianghong, as the director of the department, he has no eyesight.

Hey, why did you let Qian Jianghong be the director of the department?

Liu Qingqing's call came in at this time, saying that the patient in bed 2 on the 10th had gastrointestinal bleeding.

No. 10 and 2 beds are the pancreatic cancer postoperative patients of Lu Bingju's group that Huang Zhaoyun mentioned to Chen Ziao before.

Pancreatic cancer is known as the "king of cancers", and surgery is the treatment for pancreatic cancer with the best results, but pancreatic cancer surgery is the most difficult of general surgery.

The pancreas is encased between the duodenum, jejunum, spleen, liver, and the front is also covered by the stomach and transverse colon.

This not only makes the clinical symptoms of the pancreas insidious, but also makes surgical resection difficult.

During the operation, part of the stomach and jejunum, including the tumor, all of the duodenum, gallbladder, and part of the common bile duct must be removed at the same time.

After resection, the connections of many organs in the digestive tract need to be completely reconstructed, including the pancreas and intestines, the bile ducts and intestines, and the stomach and intestines.

The patient's age is 61 years old, and it stands to reason that doctors will not operate on a patient of such an age, because the postoperative risk is too great.

But Lu Bingju gave him a knife, and he may have other considerations.

In any case, the 61-year-old patient, who is now in premium care, is also the object of intense observation.

Lu Bingju sat on his head for an afternoon because of this patient.

Sure enough, something really went wrong.

Gastrointestinal bleeding is a common complication after pancreatic head cancer surgery and manifests as hematemesis, tarry stools, or large amounts of bloody fluid drained from the stomach tube.

Lu Bingju does not believe that gastrointestinal bleeding is the most serious complication, and conservative treatment can be used to stop the bleeding first, and it can generally be healed after a period of observation.

Lu Bingju instructed: "The patient can be given hemostatic sensitivity to stop bleeding first, and if it is severe, the concentration of norepinephrine or thrombin from the gastric tube is 80mg/L. ”

Unexpectedly, Liu Qingqing said: "I have taken medicine, but I can't stop the bleeding, the bleeding has reached 100ml in a short time, I think there is a large blood vessel ruptured inside, it is best to contact the gastroscopy intrascope electrocoagulation to stop the bleeding." ”

Lu Bingju was taken aback: "What are you kidding, this patient has just undergone a major operation, and he has to bear the strong stimulation of gastroscopy, and the abdominal pressure suddenly increases, and the gastrointestinal bleeding will not be healed at that time, and the pancreatic fistula will be made!" ”

Liu Qingqing, who was on the other side of the phone, seemed to be in a hurry: "But this patient is really bleeding a lot." Director Lu, the situation is urgent. ”

Lu Bingju said in disbelief: "Did you calculate the amount of blood when you counted the gastric juice?" ”

At this time, Liu Qingqing had already seen through fluoroscopy that a ruptured blood vessel in the patient's stomach was bubbling blood.

Didn't count your HP? Inexistent!

I'm in a hurry!

Liu Qingqing said: "It will definitely not be wrong. Director Lu, you can do it under general anesthesia, so that it will not irritate him. ”

It's a pity that with Liu Qingqing's current qualifications, she can't call the gastroscopy room, otherwise she would really call and press the endoscope directly.

Lu Bingju said: "If the bleeding is heavy, give the patient some blood first. ”

Liu Qingqing said anxiously: "It's already scheduled." But it's really not a problem, now the patient's heart rate is fast, blood pressure is dropping, and the actual amount of bleeding in the digestive tract is more than measured. ”

Lu Bingju said: "I'll be back soon!" ”

There is a large blood vessel ruptured in the patient's stomach, and through the fluoroscopic ability, it can be seen that the inside is bubbling and bleeding, and this bleeding speed can directly enter the rescue stage when Lu Bingju returns.