Many of the young doctors on the scene are professionals, and this point was immediately figured out.

The clever little doctors have already begun to take a pen and write it down, and these are valuable clinical experiences.

Although Manager Xie didn't understand, he was an old social person, and when he saw that the attending doctor answered so categorically, he knew that what he said was true.

Chen Qi didn't care what others thought, he quickly looked through the various inspection data to confirm whether there was a problem with his speculation.

I don't know if I don't know it, I was shocked when I saw it, the patient's hemoglobin fell to 70g/L, severe anemia, and it may be gastrointestinal bleeding.

This can also further confirm the reason why the patient's blood pressure is low in the first place.

Chen Qi slapped the test sheet and knew that there was evidence now, so he regarded it as an emergency teaching and explained to a few young doctors in more detail:

"The patient had gastrointestinal bleeding and syncope was due to hemorrhagic shock caused by internal bleeding. The normal value of hemoglobin is 120-150 g/L, and this patient is now only 70 g/L, and we can conclude that the anemia is very serious.

But one thing is not clear, how much hemoglobin does the patient usually have? She said it herself just now, there will usually be black stool, which means that there is usually bleeding, and there may be hemorrhagic anemia on weekdays, so where is the blood loss point?

According to the patient's description, it is likely that the bleeding is usually caused by peptic ulcers, but her symptoms are usually not serious, and there may not be much bleeding, so she didn't care, didn't do gastroscopy, didn't take medication, and didn't know.

Today the ulcer may suddenly change from small bleeding to heavy bleeding, blood rushes into the intestinal cavity at once, the brain is ischemic and hypoxic for a short time, resulting in fainting at work, due to cerebral ischemia dysfunction, it is not surprising that there are convulsions, not necessarily epilepsy or heart problems that we think.

Do you understand what I explained? ”

"Understood, Dean Chen!"

"Oh, Dean Chen's explanation made it all the time!"

"Sure enough, you can't just read a book, you have to meet such a patient, and you will remember it in the future."

A group of little doctors all nodded their heads again and again like chickens pecking rice, which made Chen Qi's vanity as a good teacher a little satisfied.

"By the way, have the family been contacted, why haven't they come yet?"

When Manager Xie heard this, he hurriedly said politely: "Doctor, I'll go to the door and wait for the family now." ”

Chen Qi nodded: "No, we have a phone in our office, you can call to urge, and we need family members to sign and agree to do some experimental surgeries in the future." ”

At this time, the blood transfusion department sent several units of red blood cells, as well as 600ml of plasma.

Others don't necessarily have to take it out quickly if they want to learn blood transfusion, but now the dean wants blood, let alone 600ml, even 6000ml, they will do everything they can to do it.

The blood products sped up and were transfused.

Now it is basically clear that the patient's low blood pressure, fainting, and convulsions are all caused by gastrointestinal bleeding, and have little to do with epilepsy and heart. Therefore, blood transfusion and infusion anti-shock are very important.

Bai Xue originally felt very embarrassed and annoyed because she couldn't help but pull a bed, but now she found the real cause because of this black stool, and she had mixed feelings in her heart.

I also heard the doctor say that this gastrointestinal bleeding will kill if it is not done well, and I am at a loss for a while, so I can only let the doctor deal with it.

Lan Lijuan came quickly, followed by a large group of young doctors in the Department of Gastroenterology.

As soon as the dean's wife arrived, Dean Chen, who had just been a teacher, immediately stood up and smiled as if flattering.

"Yo, Director Lan is here, it's very timely."

Lan Lijuan pursed her lips, "Be serious, now that I'm going to work, so many people are watching." ”

When the two are together, they always give people the illusion that Lan Lijuan is the dean, and Chen Qi is the little doctor who was reprimanded by her.

Chen Qi was bored, so he asked Yi Zewen to report the patient's condition, and Lan Lijuan also went to see the quilt and pants that had been cleaned up in person, and once again determined that this was black stool, so she proposed:

"In this case, it is best to do a gastroscopy immediately to determine whether it is gastric bleeding or duodenal bleeding, and then decide what kind of treatment to use, surgery or conservative treatment? In case of another heavy bleeding, the patient's life is still in danger. ”

Hemorrhagic shock has already occurred, or 2 times, and doctors are aware of the danger.

It's hard for ordinary people to imagine that this patient is not good, he can speak consciously, why is he critically ill? Why is it serious? Doctors like to scare people.

When Bai Xue heard that a different doctor said that surgery was still necessary, she panicked even more: "Doctor, can you not have surgery, I'm afraid." ”

Chen Qi kindly persuaded him:

"It's okay without surgery, and now there is an endoscopic operation, no need to open the stomach or anything, which is very convenient, but you need your family to sign and agree, this half of the day has passed, why hasn't the person arrived?"

As soon as the words fell, Manager Xie rushed into the hospital with a middle-aged couple in a hurry.

"Xiaoxue, how is Xiaoxue now, ah, hey, why is your face so ugly, good daughter, you, what's wrong with you?"

中年妇女一看到女儿的样子，拉着女儿的手眼泪唰一下就下来了。

is so excited, it is obviously Bai Xue's biological mother, this worried look is impossible for a mother-in-law to have, only the father and mother will be scared when the child has an accident.

The middle-aged man who ran in was also anxious when he saw his daughter like this, but he had more things to worry about.

So quietly Chen Qi, the attending doctor, pulled aside:

"Doctor, before I came, I heard from the people in my daughter's unit that my daughter had epilepsy? What can I do? My daughter will be ruined if she has this disease, can she be cured? ”

Chen Qi hurriedly comforted:

"According to our examination, we initially felt that it was not sheep epilepsy, but that your daughter had gastrointestinal bleeding and had just pulled out a lot of black stool, which indicated that the amount of bleeding was very large, resulting in fainting and convulsions caused by temporary ischemia and hypoxia in the brain.

However, it is not clear what is going on inside the gastrointestinal tract, and it is also to prevent further heavy bleeding, so we want to perform a gastroscopy immediately, and possibly an endoscopic surgery to repair the bleeding point as soon as possible. ”

"Isn't it crazy? Good, good, thank good, thank good. ”

Bai Xue's father relaxed when he heard the news, and his hands folded together to thank the heavenly bodhisattvas for their blessings.

Suddenly he thought of something and reacted:

"Wait, what did you say, doctor? Doing gastroscopy? This doesn't work, this doesn't work, we don't do this, it's too dangerous, it's going to kill people. ”

Doing a gastroscopy does kill people.

In his previous life, Chen Qi personally encountered a patient with esophageal and gastric varices.

At that time, the gastroscopy was done by a regular doctor, the level was not good, and the handling was improper, when the gastroscope lens accidentally touched the varicose blood vessels, and accidentally poked it hard.

This time it was good, the esophageal and gastric fundus vein ruptured instantly, bleeding profusely, and the patient was not rescued.

But this is an extreme case.

At least Chen Qi has seen so many gastroscopies, because there are only one or two gastroscopy deaths, the proportion is very low, and in general, gastroscopy is quite safe.

This sudden reversal made Chen Qi and all the doctors present cry and laugh, and they had found the cause of the disease and could treat it quickly, but the patient's family made a fuss.

It's really not a family, not a door.

Don't agree with gastroscopy? Is that really the stupidest thing in the world?

The patient may bleed again at any time, and he still refuses to undergo gastroscopy, Chen Qi really wants to burst into foul language:

What the hell, digestive tract bleeding does not do gastroscopy to stop bleeding, and does not do surgery, so how can I stop the bleeding, do you want to stop the bleeding by your mind?

Lan Lijuan is a lesbian and is relatively patient, so she explained that the illness had appeared and the serious consequences that might occur.

Bai Xue's father still couldn't make sense, and thought it made sense:

"Let me tell you the doctor, we had a neighbor who also had a stomach hemorrhage and had a gastroscopy, and then he died in vain. I can't let my daughter repeat the same mistakes. I heard that Yunnan Baiyao can stop bleeding, no matter how big the stomach bleeding is, it can be cured like a faucet, and there is no need for surgery. ”

The more the doctor persuaded him, the more Bai Xue's father felt that the doctor was bored, and it was estimated that it was just to earn more medical expenses, so the more he refused to do gastroscopy.

The treatment was deadlocked, no one could convince anyone, and time passed little by little in such senseless arguments.

Chen Qi's face turned green with anger.

Can you cover the bleeding from the faucet?

I can only patiently explain again and again that gastric bleeding is a routine operation and a standard operation to stop bleeding through gastroscopy, and it generally does not kill people, and the probability of saving people is greater.

But no one can guarantee that some heavy bleeding may not be able to stop bleeding by gastroscopy, or there are other more complicated problems, whether the death of the patient is caused by gastroscopy is not known now, and there is no evidence in the cases I have heard.

Bai Xue's parents are still resolute, and when the father's direct sentence:

"Since it may be stomach bleeding or some other gastrointestinal bleeding, then we might as well go home and find that Qi Chinese medicine doctor at the south gate to prescribe a few patches of hemostatic medicine, I have heard that his medical skills are very good."

Bottom line: don't do gastroscopy.

Chen Qi felt that he was tired, and the first patient in the emergency department of the People's Hospital encountered such a strange family member, which really made people laugh and cry.

Dean Chen is also a temperamental person, and it is difficult to persuade the damned ghost with good words, since he can't persuade him, he won't persuade him, and he loves to die and doesn't die.

"Lao Yi, bring the informed consent form for refusal of treatment, your family members say that it is okay not to be treated, just bear the consequences yourself. Come on, come on, you are the patient's father, you sign, and what happens after you are discharged has nothing to do with our hospital. Sign and you're good to go. ”

After speaking, Chen Qi also handed over a pen.

At this time, Bai Xue's father hesitated again, and began to suffer from gains and losses:

"Then such a doctor, my daughters are already married, and such a big matter always has to be decided by the in-laws, let's wait and listen to what their attitude is in my in-laws."

The family members here refused to sign or operate, and they even refused to do gastroscopy, and even the other citizens watching the excitement next to them couldn't bear it.

"I said that you still have to be cured if you are sick, look at this little girl's face is so pale."

"Yes, my parents are immediate relatives, so I must be more suitable than my in-laws, and it is the most appropriate to sign."

"The doctor said that it would be dangerous if it dragged on and bleed again, and it must be right to listen to the doctor."

The onlookers were all talking and saying anything, Chen Qi saw that so many doctors were delaying things too much because of a patient, so he said to Lan Lijuan:

"If you don't go back first, I guess this endoscopic operation won't be done."

Lan Lijuan doesn't care, anyway, there are a lot of patients with stomach bleeding, and if you don't do it today, you can do it next time, but as a doctor, she still can't bear to watch patients and their families slowly go to the abyss because of ignorance.

"Otherwise, if I try to persuade the patient again, the young man should be able to collude better, after all, his life is his own."

Chen Qi thought about it for a while: "Okay, you go and ask her for her personal opinion, as long as she agrees, let her sign it herself." ”

The young couple was still worried about the patient, and a large family of people hurriedly came in at the door, including men and women, old and young

It was Manager Xie who led him in, and his husband and in-laws arrived.

But looking at the family's face, the face was a little indifferent, which was in stark contrast to the anxious and worried expression when the patient's biological parents arrived.

Chen Qi and Lan Lijuan glanced at each other, knowing that it was estimated that the moth had arrived again.

Sure enough, Bai Xue's parents saw that their in-laws were coming, and they greeted them a little warmly.

"Father-in-law, mother-in-law, Xiaoshu, you are here."

The young man named Xiaoshu was obviously Bai Xue's husband, and at this time he called out a little embarrassed: "Dad, Mom." ”

But the in-laws next to him still didn't have a smile on their faces, nor did they show concern for their daughter-in-law, but opened their mouths with a shocking sentence:

"In-laws, I have something I want to ask, did Xiaoxue ever have sheep epilepsy when she was at home?"

Bai Xue's parents' faces turned white for a moment.

Bai Xue on the hospital bed was still teary-eyed just now, thinking that her husband was coming and relying on her, but she didn't expect her mother-in-law to say this, and she was stunned for a while, and the horror in her eyes couldn't be hidden.

Even the doctors and nurses in the emergency department stopped what they were doing and looked at the family.

As for the onlookers, the gossip is even more aflamed, everyone is experienced, and there must be a tearing war about to start.

Bai Xue's father reacted, although he was unhappy, he still pretended to be indifferent and said with a smile:

"Dear mother, you have said this, my daughter has grown up healthily since she was a child, and she rarely even has a cold, which neighbor doesn't boast that Xiaoxue is white and clean, how can she get sheep epilepsy, absolutely not."

The mother-in-law sneered, and her eyes looked at her daughter-in-law on the hospital bed not far away like pinpricks:

"That's not what I heard, now it's spread all over the outside, saying that Bai Xue has sheep epilepsy, and she has had two seizures in the unit alone, and she was sent to the hospital directly today, and she can't hide it in front of everyone, right? I said, how long are you going to hide it from us? ”

As soon as these words came out, the whole hall was shocked, and the needles could be heard.

(End of chapter)