Chapter 233: Extremely Hard to Find Blood!
There was blood all over the floor, and the nurse hadn't had time to clean it up.
The dazzling pool of blood on the floor seemed to be provoking the abilities of Wu Jiang and Chen Kai.
Chen Kai was in danger and quickly gave a new medical order to his fellow doctors.
"Push the seriously ill color ultrasound over and check his liver, gallbladder, pancreatic and spleen."
In patients like this, who vomit a lot of blood, it is first necessary to rule out esophageal and gastric variceal bleeding caused by cirrhosis.
Use color ultrasound to look at his liver and portal vein, and whether there is high pressure can be confirmed.
Of course, Chen Kai also gave the man a detailed physical examination.
It was found that his stomach was flat and did not distend, and there was no dullness on percussion, which ruled out the possibility of ascites.
However, color ultrasound is still needed to confirm the diagnosis.
Soon, one of his trainee physicians pushed the color ultrasound machine over.
Chen Kai personally went into battle and gave the patient a color ultrasound.
Ten minutes later, Wu Jiang, who was also observing the patient next to him, frowned.
"This patient did not have cirrhosis, nor did he have portal hypertension, and it did not appear to be bleeding from esophageal and gastric varices.
Then it should be caused by a gastric ulcer or a damage to the gastric mucosa. ”
Chen Kai put away the color ultrasound probe, turned off the color ultrasound machine, and said with a slight frown: "If it is the latter two reasons, I'm afraid it will not be easy to stop bleeding under the microscope." ”
"Let's stop the bleeding with medicine first and stabilize blood pressure!"
Wujiang also has no good way.
had to drug the man to stop the bleeding first, and then hoped that Lin Yi would mobilize all manpower to get the blood donor to donate blood and transfuse the patient as soon as possible.
"Esomeprazole 80 mg, intravenous drop. 1,000 units of white-browed snake venom hemocoagulase, intravenous push. 500 ml of succinyl gelatin, intravenous drops. ”
"Four milligrams of norepinephrine, plus 100 milliliters of ice saline, orally."
Chen Kai gave a series of verbal medical orders to stop the bleeding and maintain the patient's blood pressure.
Patients with gastrointestinal bleeding are forbidden to drink water or eat.
However, there are some drugs that do not need to be banned.
Norepinephrine plus ice saline is poured into the patient's stomach to constrict the blood vessels of the gastric mucosa, thereby achieving hemostasis.
For patients with gastric mucosal injury, and even gastric ulcer bleeding, it still has a certain effect.
And Chen Kai's efforts are to buy time for Lin Yi.
It is hoped that he will contact the relevant departments as soon as possible so that panda blood citizens with the same blood type can donate blood.
A group of doctors in the emergency room here are actively rescuing the patient and maintaining his life.
In the doctor's office, Lin Yi was also calling the medical office.
This kind of urgent need for panda blood is not a problem that Lin Yi can solve as a deputy director of a department.
A multidisciplinary effort must be made through the Medical Service and the Blood Transfusion Unit.
Panda blood citizens of the same blood type registered in the city called them to come to the hospital to donate blood voluntarily.
This job is not difficult to say, but it is not easy to say that it is not easy.
After Lin Yi called Zhao Jie, the director of the medical department, to explain the situation, Zhao Jie also attached great importance to it.
Contact the head of the blood transfusion department immediately, and then call the central blood station.
Let them contact the citizens of Panda Blood and come to the provincial doctor as soon as possible to donate blood to save people.
Rh-negative is a subtype of the four blood types.
Only one percent.
In other words, out of a hundred people, only one person is panda blood.
There are very few.
The permanent population of Jiangcheng is about 8 million.
It stands to reason that there should be 80,000 people with panda blood.
However, what is surprising is that there are less than 800 panda blood citizens registered at the central blood station.
Why so few?!
Of the 80,000 panda blood citizens, less than 800 are registered.
One percent again!
Why is this proportion so small?
First, 90% of people have not been to the hospital for a check-up, so they don't know that their blood type is panda blood.
And the remaining ten percent know that they are the panda blood type of the corresponding blood type.
The central blood bank also requires them to register their information in case they can save others and themselves at critical moments.
Of the remaining 10 percent, 90 percent don't go to the blood bank at all.
Only 10 percent of the people went to the blood station and left their own information so that they could save others and themselves at a critical time.
It stands to reason that there are nearly 800 panda blood type citizens in the entire Jiangcheng, which is enough to donate blood to save people.
But these 800 panda blood citizens are not all type A panda blood.
In proportion, type A panda blood accounts for only a quarter.
That is, in the entire Jiangcheng, there are less than 200 citizens with type A panda blood.
What's more, can you be sure that these two hundred people are all in Jiangcheng?
Can you be sure that these people are available on call?
Besides, it's time to get off work now, it's almost seven o'clock, and it's getting dark.
Something that has nothing to do with them, can these people come to the hospital in time to donate blood for free?
All of these are the problems.
Zhao Jie, the chief of medical affairs, and the director of the blood transfusion department are also aware of the problem.
After learning about what Lin Yi said, he immediately took action and began to call the central blood station.
Because these registered panda blood citizens are not registered in hospitals.
Their information is instead registered at the central blood station, and the blood transfusion department of the provincial doctor also needs to seek help from the central blood station.
The person in charge of the central blood station also attached great importance to this situation after knowing it.
Inform the relevant personnel to take action immediately and start calling those citizens with type A panda blood.
Just when Lin Yi called Zhao Jie from the medical office.
Twenty minutes later, an invisible rescue curtain opened.
This is a multi-disciplinary, multi-unit linkage rescue scene.
If it weren't for the emergency blood transfusion of panda blood patients, this kind of scene would be rare.
After another half hour, Lin Yi was monitoring the patient's vital signs in the ward.
He received a call from Zhao Jie.
"Dr. Lin, according to the feedback from the blood station, they made more than a dozen phone calls, and only contacted three citizens with type A panda blood to donate blood."
"But it takes an hour at the earliest to come to the blood station, and after the blood station is processed, it will take nearly two hours to transfer to our hospital."
"So, Dr. Lin, you must maintain the patient's vital signs within these two hours."
Lin Yi suddenly frowned.
Unexpectedly, when this phone call came out, the patient wanted to have panda blood transfusion, but he had to wait two hours later.
That's too slow, isn't it?!
Who knows if the patient will make it to that point?
"Director Zhao, aren't all the registered panda blood citizens in this city? Is that too long? ”
Zhao Jie sighed.
"Brother Lin, don't you know, the director of the central blood station called me, and he was also full of grievances."
"They made more than 20 phone calls, and only three citizens were willing to come and donate blood."