The patient's gastrointestinal bleeding was severe, and the doctors in the third surgical ward, except for Liu Qingqing, were all gathering at the farm.

The matter was urgent, Liu Qingqing hurriedly said, "Director Lu, can you call the gastroscopy room first." ”

Lu Bingju reiterated: "If the amount of bleeding is relatively large, the blood transfusion should be given first. I'll be right back! ”

Liu Qingqing said: "The patient's blood loss rate is very fast, and if you replenish blood, it is also a symptom but not a cure, and if you transfuse a large amount of blood in a short period of time, it is easy to cause disseminated intravascular coagulation (DIC)." ”

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

Chen Ziao has been paying attention to Lu Bingju's phone call, and he is secretly happy in his heart: something has finally happened in the ward, and it is still Lu Bingju's group.

If something happens to Lu Bingju's group, then the momentum of this old expert will be suppressed.

And it can also let Lu Bingju and Qian Jianghong work together, killing two birds with one stone!

Chen Ziao felt that Qian Jianghong would definitely not be able to do it for long.

Seeing Lu Bingju get up, Chen Ziao stepped forward to support (in fact, drag) Lu Bingju.

Chen Ziao smiled and said, "Director Lu, I haven't finished eating, why do you just leave?" ”

Lu Bingju said worriedly: "There is something in the ward, Professor Sun has gastrointestinal bleeding. ”

Chen Ziao thought for a moment and said, "Oh, is it the pancreatic cancer operation on No. 10 Bed 1?" Gastrointestinal bleeding after pancreatic cancer surgery is very common, so let the doctor on duty deal with it conservatively first. ”

Chen Ziao looked kind: "Director Lu, you eat first, and then leave after eating." ”

Lu Bingju worried: "The amount of bleeding may be relatively large. ”

Chen Ziao said disapprerovingly: "Probably not, the doctor on duty is a little doll, so he likes to exaggerate the facts. ”

Lu Bingju said with a heavy heart: "I think so too, but Professor Sun Lao was my master's supervisor back then, otherwise I wouldn't have taken this risk to operate on him." When I am older, all aspects of my body functions have deteriorated. Recovery is definitely slower. ”

Chen Ziao put on a caring posture and said: "Let's go after eating, as a doctor, you always have to eat." People are iron, rice is steel, and if you don't eat a meal, you will be hungry. In addition, gastrointestinal bleeding is a common complication, so let the doctor on duty treat it conservatively first. ”

Lu Bingju excused himself: "Don't eat, don't eat, Professor Sun is my mentor, I have to go back and see." ”

Chen Ziao saw that Lu Bingju insisted on leaving, so he said: "Then I'll send you, Director Lu, you have drunk and can't drive." ”

Lu Bingju was stunned, "Didn't you drink just now?" ”

Chen Ziao smiled: "I toasted you just now, but in fact, my wine glass is filled with water." ”

Lu Bingju couldn't help but say, "You little fox." ”

Chen Ziao smiled and didn't argue, "Director Lu, I'll send you." ”

Chen Ziao led Lu Bingju out of the box, outside is a slip of bamboo, a pebble paved stone path in the middle of the bamboo, the water from the fish pond, around the farm seven times around, erected a short wooden bridge.

In normal times, this environment is very quiet.

But today, it is a juncture when Lu Bingju's heart is in a hurry, and this kind of road is too detouring.

And Chen Ziao deliberately led out the road, turned around, and spent a long time to find the parking lot.

After leaving the farm, he was supposed to drive to the east, but Chen Ziao drove to the west.

Lu Bingju hurriedly reminded: "Wrong, wrong." ”

The car had already driven out for two or three miles.

Chen Ziao looked for a fork in the road where he could turn around and turned back.

When you come back, you go through the tunnel.

After the tunnel, go up to the elevated road.

On the elevated highway, I found that the traffic jam was severe.

In fact, Chen Ziao often passes by this road when commuting to work, and knowing this point, the road section that is being driven is particularly blocked, so he deliberately went on this elevated road.

The intention was to drag Lu Bingju.

The car was stuck in the middle of the traffic, and Lu Bingju was as anxious as an ant on a hot pot, but there was nothing he could do.

How did Lu Bingju know about Chen Ziao's fancy intestines.

I heard Chen Ziao blame himself again and again: "Alas, you shouldn't go on the elevated road, it's okay now, I don't know when you want to block it, you won't block it on the elevated highway for an hour or two, right?" ”

Lu Bingju thought: At this time, it is the rush hour after work, how long will it be blocked, it is really not good. So he said, "After this intersection, hurry up and get off the elevated road." ”

Chen Ziao said very obediently: "Okay, after this intersection, go down the elevated road." ”

As a result, Chen Ziao did get off the elevated road, but after getting off the elevated road, he did not take the main road, but copied into a small road, and turned around for a long time.

Chen Ziao patted his head: "Director Lu, where have we been?" ”

At this time, at least an hour and a half has passed since Liu Qingqing called, and Chen Ziao directly led Lu Bingju to get lost!

------

Let's say that Liu Qingqing's side, only after discovering that Sun Changhe, a patient in room 10, was bleeding from the digestive tract, he used hemostatic drugs, gastric tube perfusion to norepinephrine, blood transfusion, and various methods were used.

However, Sun Changhe's blood pressure continued to drop, and his systolic blood pressure gradually dropped from 130 to below 90.

The patient's face was also pale and his pulse was thin. The rate of blood transfusion is far from keeping up with the rate of blood loss.

Liu Qingqing thought about it, or try to compress it with a three-lumen and two-capsule tube first.

So he asked the nurse to take out the three-chamber and two-capsule tubes, prepare paraffin oil and syringes for intubation, and came to Sun Chang's riverbed.

But Sun Changhe refused to be intubated.

Don't look at who Sun Changhe is, Sun Changhe is Lu Bingju's master's supervisor.

The old doctor, who is more senior than Lu Bingju, certainly knows his condition very well.

From the moment of gastrointestinal bleeding, he knew that the bleeding was very serious, seeing his blood pressure drop little by little.

Some people may say that they are all doctors, and it is very convenient to understand their condition and treat it.

Not really.

Because doctors know what the most serious consequences are, they can't fool themselves.

When his blood pressure dropped a little bit, Sun Changhe felt that his strength was disappearing little by little, and he also felt life gushing out of his body little by little, and he was sad.

Originally, he really wanted to fight, but now he has lost the courage to continue fighting.

He waved his hand to Liu Qingqing and said weakly, "No need, let me go happily." ”

Liu Qingqing said: "Old Sun, don't be discouraged, the three-cavity and two-capsule tube compression will definitely have an effect." ”

Sun Changhe said with a pale face: "Maybe, maybe it will have an effect, but it's too painful, don't you think?" ”

The three-lumen and two-cyst tube compression hemostasis method requires the tube to be passed through the nasal cavity directly to the stomach.

In the semi-sitting or supine position, the patient first injects 200~300ml of air into the gastric balloon, and the pressure is maintained at 40~45mmHg, and the end is immediately clamped with a spring clip, and then folded back and tied with a fine yarn rope, and the three-lumen tube is gently pulled out until there is a sense of resistance.

Then tie it with a wax rope at 10~20cm away from the end of the three-lumen tube, and pass through the pulley on the traction frame to carry out continuous traction with the traction.

If there is still bleeding, inject 100~150ml into the esophageal balloon, and maintain the pressure at 30~40mmHg to compress the esophageal vein, and also fold the end of the tube and clamp it tightly.

In the process of compression, the traction is used to pull the three-lumen tube, and the pain suffered by the patient can be imagined.

Every minute is torture.

If it weren't for the longing and nostalgia for life, people would never be able to endure this kind of pain.

Liu Qingqing repeatedly persuaded Sun Changhe.

Sun Changhe can tell more medical knowledge than Liu Qingqing, and he swears to die and refuse to be intubated.

"Just let me go in peace and without pain. Pancreatic cancer, in fact, even if I escaped this today, I won't live long. I'm ready to die. ”

Liu Qingqing couldn't persuade Sun Changhe, and called Lu Bingju again, but Lu Bingju couldn't tell where he was.