Faced with the anger of his family, Wu Jiang had no choice but to bite the bullet and promise:

"Don't worry, as soon as the interventional examination is done, you can know which blood vessel is bleeding."

Only then did the family pay the inspection fee again in disbelief.

Soon, the interventional surgeon sent the female patient to the upstairs interventional operating room.

Do a simple interventional test.

The contrast agent is created directly into the whole body, and then the radiographic image is used to observe.

More than 20 minutes later, the interventional doctor called.

After hearing the result, Wu Jiang frowned and asked in disbelief:

"What? Impossible, right? Intervention...... Can't find the reason for the intervention?! ”

Now Wujiang is really out of line.

In just over an hour, he used up all his knowledge and all the experience he had in the emergency department.

All the tests that should be done have been done, but I just can't find the reason.

It's really too evil!

Soon, the girl was sent back by the interventional doctor.

"No, I can't find it, I didn't find a single bleeding vessel. But I watched for a while, and the girl didn't seem to be bleeding for a while. ”

Wu Jiang was stunned: "Huh? No bleeding? ”

After all, when I lifted the bed sheet, I saw that there was indeed not much blood on the cotton pad that had just been replaced.

Compared to the big pool of blood before, this is really a lot less.

The bleeding decreases, indicating that the shock has stabilized temporarily.

But Wu Jiang's worries have not diminished in the slightest.

The core problem is still one, that is, the bleeding point is still not found.

There is no bleeding for the time being, which may be due to the patient's own factors.

But what if it bleeds again?

What if the bleeding gets heavier again?

Wouldn't that be even more sinister??

It's weird.

The more you think about it, the more evil it becomes!

How can I not find the bleeding spot?

Just at this time, the family came to ask again.

"How's the doctor? What kind of intervention test did you say, and what were the results? Where the hell is my daughter bleeding? ”

Wu Jiang was a little embarrassed, but he still told the truth:

"Your daughter's situation is so special that the interventional doctor did not find any bleeding spots when he checked the radiograph.

The only good news is that your daughter's bleeding has stopped for the time being.

For the time being, it is not life-threatening, but you still have to continue to look for the bleeding point, and beware of the next time it suddenly starts to bleed again. ”

When the family members heard this, their faces became more and more gloomy.

The girl's father immediately pointed at Wu Jiang's nose and scolded:

"What a situation! We paid thousands of dollars, but in the end, we couldn't find the reason?! ”

"One time I said that the gastroscopy could produce the results, and the other time I said that the colonoscopy would produce the results, and finally even the interventional examination was done, and it cost so much money to set it down! Didn't see anything!

Does that mean my daughter is still in a state of uncertainty about her life and death?

Our money didn't fall from the sky!

You've got to give me an explanation today! Otherwise, don't want to go! ”

couldn't wait for the results, and the girl's father couldn't hold back the anxiety and panic in his heart.

After accumulating resentment several times, it finally erupted towards Wujiang.

At this moment, hearing the movement in the rescue room, these people came over to see the excitement.

Wu Jiang was also asked by his family and didn't know what to say for a while.

Many tests are actually mandatory, and if you don't do them, you won't be able to find out the results.

But this girl is also too strange to find out the results after doing it?

In the face of the family's doubts, although Wu Jiang felt aggrieved, he could only explain as much as possible:

"Your daughter's condition is very complex, and it is difficult to find out the results by conventional means."

"So, I'll call another doctor from our side and ask him to come and see!"

The girl's father waved his hand:

"Then don't hurry up!"

Subsequently, Wu Jiang immediately called Lin Yi.

As soon as he came to the rescue room, he saw Wu Jiangzheng standing helplessly in front of an emergency bed.

There were two family members standing next to them, and their faces were extremely ugly.

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All in all, the atmosphere was not very good.

"Wu Jiang, what's the situation?" Lin Yi approached and asked.

As soon as Wu Jiang looked up and saw Lin Yishi's eyes, he was almost crying!!

Wu Jiang took Lin Yi's arm and said:

"The girl had been taking diet pills for two months before the operation, and the specific medication was unknown.

The girl said that she had a little bloody stool in the past few days, but it was not much, and the blood suddenly increased three hours ago.

Pulled blood directly in the toilet, and at one point it reached the point of almost shock.

At present, 600 ml of whole blood has been replenished for her, the bleeding has stopped, and her blood pressure has stabilized.

But strangely, the bleeding point was not found.

Colonoscopy and gastroscopy were not detected, and then CT and color ultrasound were not visible, and even interventions were done, and in the end, no bleeding point was found.

It's so weird! I can't think of a way to call the operating room to urge you. ”

Lin Yi frowned while resting his gaze on the girl's body:

"I've done all the interventions, but I still can't find the reason?"

"Yes!"

That's outrageous.

First of all, the amount of bleeding must be a ruptured blood vessel, otherwise there would not be so much blood.

Secondly, blood flows out of the anus, so you should really go for a colonoscopy and gastroscopy to see the digestive tract first.

However, when Lin Yi focused his eyes on the patient's bile ducts and pancreas, he instantly understood what was going on!

"Well, I'll take a look at the patient's checklist first." Lin Yi said.

Wu Jiang hurriedly handed over all the results of the examination he had just done to Lin Yi.

On the side, the family watched such a young doctor come to help, and they couldn't help but wonder, can he do it?

And it looks even younger than him!

Anyway, if they let them do any more useless checks, they will never do it again!

If it's a big deal, I will transfer my daughter to a big hospital in the province, and I won't waste any more time here.

After Lin Yi flipped through the checklist, he finally put the color ultrasound results on top.

Wu Jiang glanced at the list and asked:

"What? Is there anything wrong with this color ultrasound single? The girl did have stones, but the stones were small, so I didn't think about it. ”

Lin Yi pointed to this color ultrasound sheet and said:

"No, she's fine all over her body, but she has stones? And the location of the stone is still so special??

No, there must be something wrong with this stone!

For your own attention, the location of the stone is on the common bile duct, and the location is so close to the pancreatic duct of the pancreas.

Both the pancreatic duct and bile duct are dilated, is it possible that the bleeding point is caused by this stone? ”

Wu Jiang couldn't believe it!

His eyes widened incredulously and said:

"No, it won't! This...... How is this possible?? The odds are so small! It can't be, right?? ”

Lin Yi shook his head and said:

"Nothing is impossible, you can do a gastroscopy again, and this time you must focus on the position where the duodenum connects to the pancreas."

"Then why is this girl bleeding now?"

Lin Yi thought for a while and said, "The stone may be displaced, and after scratching the blood vessel, it will block the front end of the blood vessel. It may stop temporarily, but once it is re-displaced, it will bleed again! ”

Wu Jiang nodded suddenly in realization!

I see!

On the side, Gao Han and Shen Lingyue, who were quietly observing, were also dumbfounded!

Originally...... Is that so?!

"Okay, I'll take the patient for a gastroscopy now!"

As soon as Wu Jiang finished speaking, the voice of the patient's family rang out behind the two of them:

"We don't do it! Let's go to the provincial hospital right away! We're transferred, so I'm not here with you! ”

It was the girl's father who spoke.

This night tossed for several hours, and finally had to do another gastroscopy.

The family is gone!

As soon as Wu Jiang was about to speak, Lin Yi pulled him and explained for him:

"Family, I understand your feelings very well.

Do you think that after your daughter came to the hospital, she spent thousands of dollars not only did not treat the disease, but also got sick

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You can't find out, so you're angry, right?

I know, and I can understand that.

But every test Dr. Goh does is a must-do.

Your daughter has anal bleeding, and you've seen it yourself, right?

Carelessness can be life-threatening, so doctors must do all the tests that can find the cause of the bleeding.

And the subsequent examinations are all done after colonoscopy and gastroscopy, and I really can't find the reason, right?

Didn't you say you'd make a full set as soon as you came, did you?

It's all done step by step, and these tests are done step by step when the reason can't be found.

Now I'm going to explain to you how special your daughter's situation is.

Look at this color ultrasound sheet, it says common bile duct stones, right?

To be honest, stones are generally not associated with heavy bleeding.

But your daughter is special here, and now we suspect that she is bleeding profusely because the stone scratched the blood vessel in the process of moving.

And just when I was doing colonoscopy and gastroscopy, I just moved and blocked the bleeding opening, so the examination did not detect it.

Now we have to do another gastroscopy, plus color ultrasound.

See if the stone shifts again.

This condition is indeed very rare, and we can only speculate and find the correct cause step by step in speculation.

But we can assure you that there really is no such thing as a cheat for your money. ”

After Lin Yi finished speaking, the two family members glanced at each other.

There was obviously a little unhappiness in his eyes, but when he heard Lin Yi say this, he was slightly angry.

Just then, the nurse suddenly ran over:

"Dr. Lin, that girl is bleeding again! Blood pressure is also dropping, down to 90! ”

As soon as they heard what the nurse said, several people hurried to see it.

was lifted by a single lift, and sure enough, it began to bleed again!

Looking at this large pool of blood, the family members also panicked!

"Woo...... It's bleeding again, what should I do, what should I do? ”

"Trust us! Immediately do a gastroscopy and color ultrasound, and then confirm the diagnosis, and then you can operate!

If it is really bleeding caused by stones, the damaged blood vessel must be cut off and then ligated to stop the bleeding! ”

Lin Yi looked at the family members and said sincerely.

The girl's mother nodded with tears in her eyes:

"Okay, do it...... We all do...... Please, cure my daughter...... She's still so young! ”

Lin Yi also nodded heavily:

"Don't worry, we'll do our best."

Subsequently, while the family paid the fee, the girl was also sent for another gastroscopy.

The gastroscopy doctor was surprised when he saw Wu Jiang and Lin Yi:

"Didn't you just find the reason? Why did you do it again? ”

Lin Yi explained: "This time, I took the trouble to focus the camera near the duodenum, I want to see the exit of the pancreas." ”

The doctor nodded: "No problem, do you suspect that this girl's bleeding point is in the pancreas?" ”

Lin Yi did not deny it: "I don't rule out this possibility." ”

The gallbladder is connected to the liver, and the common bile duct below the gallbladder is connected to the pancreas.

After entering the base of the pancreas, the common bile duct merges with the pancreatic duct (Y-shaped) and enters the duodenum.

The opening of the pancreas, the root, starts from the duodenum.

This means that the secretions secreted by the bile ducts and pancreas are expelled from the duodenum.

There is even a disease called bile reflux gastritis, which is also because after the bile flows into the duodenum, it does not go down, but goes up into the stomach.

This stomach problem is caused by irritation of the gastric mucosa.

So why sometimes if something happens to one organ, the other organs will follow.

It is because almost all the organs of the human body are connected.

Only the division of labor and cooperation can be healthy, and one strike may be able to help other organs compensate, but over time it will follow all strikes.

If you don't do it, I won't do it, it's all rotten, and people will burp with it.

The pancreas is actually a digestive organ in the upper gastrointestinal tract.

But it does not have the effect of the stomach and

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The intestine is so big, so it's sometimes easy to ignore.

At this moment, the gastroscopist quickly inserted the gastric tube into the girl's mouth.

In the display, the flesh-pink tissue keeps probing down.

From the esophagus all the way to the fundic pylorus and then to the duodenum.

Once at this position, several doctors began to stare intently at the screen, for fear of missing a little blood.

"Go down a little and look at the pancreas exit."

"Okay."

The camera turned again, and when it was aimed at the pancreatic exit, everyone showed an expression of disbelief!

I really saw bloodshots!

"This ...... It's really bleeding here?! ”

At this moment, Wu Jiang felt that Lin Yi was simply a fairy!

He just glanced at the checklist and knew that it was the problem with this little stone??

And I didn't see it after checking it for a long time!

The gastroscopist was also a little confused and said:

"It's strange, why didn't we see any blood when we did it just now?"

Lin Yi explained: "The reason for this girl's bleeding is very rare and complicated, it is related to stones, maybe there was no bleeding when you did it just now, so you didn't observe it." ”

"I see!"

Now the results of the gastroscopy are out.

The reason why the anus pulls blood is that this bleeding point comes from the root of the pancreas and then flows into the duodenum.

"Finally confirmed! We now have to do another ultrasound to see if the bile ducts and pancreatic ducts are in good condition and whether the stones have displaced. Wu Jiang said excitedly.

He couldn't see the situation inside this girl, but Lin Yi could see it.

The stone has been displaced!

And it ran into the pancreatic duct!

I couldn't delay it, so I had to finish the color ultrasound and send the person to the operating room immediately.

"Notify the blood bank first, and then bring two hundred milliliters of whole blood."

Lin Yi ordered this because he was worried that this small stone would cut the blood vessels of the pancreas again.

The bleeding will be heavier.

In her current state, the girl could go into shock and die in a few minutes.

Soon, the color ultrasound results came out.

Wu Jiang was shocked! After comparing the two checklists, he said:

"It's really displaced! And the bile ducts and pancreatic ducts are even enlarged?! This shows that there is really bleeding inside! ”

"Without further ado, let's send it to the operating room!" Lin Yi urged.

It would be much easier to explain the reason to the family after it is found.

Although the girl's father still has a lot of grievances, he also knows that the main thing is to have surgery as soon as possible.

So I quickly signed the consent form for surgery.

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『』