Chapter 232: The Patient Who Vomits Blood!

After Lin Yi's careful medical treatment, her symptoms have now improved.

Therefore, she is also very grateful to Lin Yi, but she is still very weak and needs to continue to take medicine.

At this point, it's time to get off work.

Wu Jiang came over directly, wanting to go to a small barbecue with Lin Yi after work.

But Lin Yi had just walked out of the consultation room and was about to go back to the office to clean up.

Suddenly, a man in his thirties staggered in at the emergency door.

And the most terrifying thing is that this man spits out a mouthful of blood when he takes a step.

Behind him, a long series of blood stains were very bright and dazzling.

The people who passed by him were like plague gods, far away from him.

And when this man saw Lin Yi in a white coat, his gloomy eyes instantly ignited a trace of spirit.

He paused, then walked quickly towards Lin Yi.

However, as his steps increased, so did the speed at which he vomited blood.

The blood in his mouth kept spitting out as if he didn't want money.

At his feet and behind him were a large pool of bright red and dazzling blood.

The scene is extremely terrifying!

There were still quite a few patients in the outpatient hall, and when they saw this scene, the timid people screamed in fright.

Lin Yi could tell at a glance that the man was bleeding from his digestive tract.

Instead of massive respiratory hemoptysis.

Respiratory hemoptysis, it is impossible to bleed incessantly like this.

Only when there is bleeding in the digestive tract will it spit out in such a big gulp.

Before the man could walk up to Lin Yi, the whole person collapsed.

Lin Yi hurriedly reached out to help him prevent him from falling to the hard floor.

Lin Yi made a rough estimate and felt that the blood that this man spit out was about a thousand milliliters.

Now that he's in this situation, he's obviously in shock.

Lin Yi hurriedly called someone to push the gurney over, and he didn't care about the blood on the man's body, so he carried him to the gurney and hurriedly pushed him into the rescue room.

The man, who also had no family, came to the hospital alone.

As a doctor in the emergency department, the most important thing now is to save lives, regardless of whether the family members are present or not, whether they have money or not, they must first save the patient.

The man lying on the rescue bed was still sane, but he was no longer able to speak.

When Lin Yi asked, he could only nod or shake his head.

The nurse measured his blood pressure, which was only 80 to 40, and he was already in hemorrhagic shock.

This should prompt him with a blood transfusion and fluid volume replacement.

And there is a possibility that this man will continue to vomit blood, and if he keeps vomiting blood, then he will soon die.

Because the patient was already in the early stage of shock, Lin Yi asked him a few words, but he couldn't answer, just nodded or shook his head.

Lin Yi didn't get any effective information.

Now Lin Yi and Wu Jiang don't care whether they are off work or not, it is important to rescue patients.

Several people quickly got busy, first urgently went through the hospitalization procedures for the man, and then checked the blood type for blood preparation.

At this point in time, it is just the time of the day shift and the evening shift, and the manpower is relatively full.

Although the man's condition was critical, the doctors and nurses were also orderly and rescued him.

The diagnosis of gastrointestinal bleeding in patients is clear.

However, the specific cause of gastrointestinal bleeding requires further examination.

The top priority is to give a blood transfusion as soon as possible to ensure that the man's blood pressure is stable, and he must not be put into a coma.

Soon the man's blood routine and hemoglobin results came out, indicating that his hemoglobin was only fifty-five.

And the hemoglobin of a normal adult man should be between one hundred and two to one hundred and fifteen, while this man is only fifty-five.

A hemoglobin between 90-120 is considered mildly anamic.

Between 60-90 is considered moderate anemia.

Between 30-60 is considered severe anemia.

<30 is considered to be extremely severe anemia.

If it is extremely severe anemia, the person is basically gone.

The man's hemoglobin was only 55, which was obviously severe anemia.

Blood transfusions must be given as soon as possible, otherwise lives are in danger.

However, when his blood type came out, Lin Yi was dumbfounded!

This is in trouble!

The man's blood type turned out to be Rh-negative for blood type A.

Blood type A is common, but rh-negative is extremely rare.

This blood type is often referred to as panda blood.

Lin Yi didn't expect that this man's blood loss was so serious, and it turned out to be rare panda blood.

This is a big problem!

You must know that no matter how big the hospital is, panda blood is not routinely stored.

Only when needed, will citizens with the same blood type panda blood call and ask them to come to the hospital to donate blood on the spot.

And now the man is in shock and in critical condition and needs a timely blood transfusion.

And now that the hospital doesn't have his panda blood at all, what can I do?

Wu Jiang and the emergency doctor on duty on the night shift were also stunned when they saw the man's blood type.

Although panda blood is scarce, they have also seen it as doctors in the emergency department.

But in this case, an emergency blood transfusion is required, but it is a patient with panda blood, and this is the first time they have seen it.

When they had surgery before, they checked the patient's blood type and found panda blood.

However, the surgery they performed was elective, not an emergency.

So the patient can wait.

But the patient in front of him has suffered serious blood loss, and he can't wait!

The patient needed an emergency blood transfusion, and the hospital's blood bank had no blood, so Lin Yi had to use succinyl gelatin and a large amount of normal saline and dopamine to maintain the patient's blood pressure.

Succinyl gelatin is a man-made colloid that is able to replenish blood volume, but after all, it is only temporary.

In this case, the blood transfusion department does not store panda blood at all, and in case of emergency, the medical department needs to be notified.

It is now past 6 p.m., and if we want to give blood to the patient as soon as possible, we need the joint efforts of the medical department and the blood transfusion department.

Let the citizens of panda blood come to the hospital to donate blood as soon as possible.

Lin Yi visually inspected this patient, who needed to be transfused with six units of suspended red blood cells.

Two units are 400 milliliters, and six units are 1,200 milliliters.

This is still a conservative estimate.

If the patient continues to bleed, it may be necessary to prepare 8 units of panda blood.

A blood donor can only donate two units of blood.

Six to eight units, at least three to four panda blood donors of the same blood type are needed.

At this time, it's not necessarily easy to find.

Lin Yi knew in his heart that this matter was more troublesome and difficult.

But as a doctor, it is my duty to treat the sick and save lives.

It is incumbent upon him to take on this important responsibility.

Lin Yi quickly assigned tasks to several doctors present.

At the same time, Lin Yi is responsible for communicating with the director of the medical department and the blood transfusion department.

Let them contact Panda Blood citizens as soon as possible to donate blood at the hospital.

Wu Jiang assisted Chen Kai, the emergency doctor on duty, to rescue patients.

Several people had a clear division of labor, each performing its own duties, and soon became busy.

In the emergency room, the patient has fallen into a shallow coma.

While several people were discussing the plan, he vomited again.

The amount of bleeding was about 200 millilitres.