554 Pancreatitis complicated by acute left heart failure
The old man in the next bed eats very fast, it may be his usual habit, or it may be in the hospital against the doctor's instructions, he has a burden in his heart, like a child who has done something wrong, and he is afraid of being seen by the medical staff.
He said that he was not afraid, but his actions showed that he still cared a little.
In less than ten minutes, more than a pound of fat meat was eaten, and the old man patted his stomach with satisfaction.
Ji Xiang was glad in his heart, fortunately, he did not choose to empathize from the patient's point of view, but chose to participate from the perspective of a bystander.
Not to mention what diseases can be caused by eating more than a pound of big fat meat, Ji Xiang can't stand the act of eating meat alone.
Ji Xiang didn't think he had such a good appetite.
Forcibly enduring the discomfort of the gastric tube in the nasopharynx, Ji Xiang did not have the energy to communicate with the patients and their families in the next bed.
He had already predicted that eating a lot of meat during the water fasting period would have many complications.
I persuaded and persuaded myself, and I said it, but it was useless.
And now that his identity is not a doctor, but an ordinary patient, is it possible that he really wants to go up and grab the fat of the patient in the next bed and throw it away?
I can throw it once, but I can't throw it ten times eight times.
It's all fate, Ji Xiang thought to himself.
After sleeping for a while, Ji Xiang woke up bored. The time to recuperate was difficult, and he spent a lot of his energy fighting the discomfort caused by the stomach tube.
Although the gastric tube stimulates the oropharynx is not painful, but sore, which can be endured, Ji Xiang's nerve reflex here is more sensitive, and tears always flow from time to time.
It's really special, it would be nice if I had a different illness, Ji Xiang thought to himself.
But in the blink of an eye, Ji Xiang smiled dumbly.
There was a car accident, and the 120 ambulance pulled the seriously ill patient away, and it was not pleasant to lie on the cold ground and wait for the next rescue.
I can only keep myself in a forced position, and when I move a little, I feel that there is a knife killing indiscriminately in my body.
The ground beneath him was cold, and it was as if he had been abandoned by the whole world at that time.
Comparatively, it seems to be a little better now.
If anything, the only difference is that the knife is now stabbing itself around, while the knife that broke the collarbone in the car accident has become a memory.
Bear with me, or what else can I do.
Ji Xiang began to try to find a way to make himself less uncomfortable.
Similar problems are often encountered in clinical practice, and patients with gastric tubes feel uncomfortable and are very "willful" to pull the gastric tube down.
During my internship, I heard from a teacher that a patient who had esophageal cancer surgery had his stomach tube removed on the second day. Because the local anastomosis is in the stage of congestion and edema, it is extremely difficult to go down, so I will stop after communicating with the patient and the patient's family.
After that, the patient is in anxiety that regurgitation of gastric juice at any time will "burn" the esophageal anastomosis.
This kind of feeling of being free between life and death is particularly bad, and it will be extremely uncomfortable for anyone.
Fortunately, the patient sat for 10 days and was finally discharged from the hospital with the stitches removed. When he was about to be discharged from the hospital, the patient sent a pennant of rejuvenation with wonderful hands.
The teacher of Ji Xiang's internship knew that this was a kind of emotional projection after the patient was frightened and escaped death.
It took a long time to debug, but in the end, Ji Xiang didn't find a reasonable position. As long as the stomach tube is moved, tears will flow, no matter what posture or position.
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Ji Xiang also expressed his helplessness in this regard.
He also gradually understood those who did not obey the patient.
Gradually, the night is deep, and the family members of patients who can't sleep when they turn off the lights and go to bed are holding their mobile phones to kill time, and the light of the mobile phone screen is reflected on their faces, which is bizarre.
"Hey young~"
Ji Xiang vaguely heard the old man in the next bed snorting.
He sat up immediately and looked sideways.
The old man lay on his side on the hospital bed, motionless and silent, and the voice he heard just now seemed to be his own delusion.
"What's wrong with you? Is it uncomfortable to intubate? The daughter of the patient in the next bed scoffed.
"I really want to hear the old man cry out in pain."
"Hey." The daughter of the patient in the next bed snorted, and the light of the mobile phone reflected on her face in the dark, and her expression of disdain was clear.
Just as she was about to say something, suddenly the old man in the next bed arched his body, quickly turned to one side, and stretched his head to the side of the bed.
His quick movements, not at all like an old man, startled the patient's family.
"Vomit~~~"
The old man began to vomit violently.
In the dark, Ji Xiang could vaguely see that there was still undigested fat being spit out whole.
The sour smell immediately dissipated, but Ji Xiang didn't have time to complain, he kicked his "lover" awake.
"Go to the doctor!" Ji Xiang roared.
"What?!"
"Find a doctor!"
"What are you going to do with a doctor?"
"......" Ji Xiang looked at his "lover" helplessly, turned around and went to the ground in the next second, pulled his shoes, and trotted all the way to the doctor with a negative pressure bottle in his hand.
The patient vomited violently, and Ji Xiang estimated that it was acute pancreatitis caused by overeating. At this point, Ji Xiang did not go to the doctor's office, but came to the door of the duty room and knocked on the door.
The doctor was sleepy-eyed and startled by Ji Xiang, who explained the patient's situation along the way.
"Eat fat! Also a big plate! If you don't want to die, you will pay it back! ”
After listening to Ji Xiang's brief description, the doctor suddenly became energetic and said indignantly.
He trotted to the ward, not noticing that one of his slippers had flown away, wearing only one.
The old man in the next bed had abdominal pain, accompanied by severe nausea and vomiting. Not to mention the overnight meal, Ji Xiang felt as if he was going to vomit out his gastrointestinal tract.
It's hard to see a patient who vomits so violently.
An urgent check of blood urine amylase is nearly 10,000 values. Laboratory tests confirmed Ji Xiang's suspicion - acute pancreatitis.
At this time, the patient's family no longer stiffened their mouths, and stood aside in despair, and the doctor directly gave the old man a gastric tube and used octreotide.
Next, Ji Xiang witnessed the whole process of acute pancreatitis turning into acute left heart failure.
Chest compressions were ineffective, and the anesthesiologist came to intubate the trachea, pinched the ball, and sent the person to the intensive care unit.
Unfortunately, the old man's condition seemed to be extremely serious, and the ventilator assisted breathing for less than 3 hours, and before dawn, Ji Xiang heard the cry in the corridor.
After a while, someone Ji Xiang had never seen came to pack his things, thinking that the old man had already left.
Acute left-sided heart failure due to acute severe pancreatitis is an uncommon but occasional progression. The situation is so serious that it is extremely difficult to get people back.
It's just that...... Unexpectedly, because of a plate of fat meat and a home remedy, an old man who was not seriously ill was sent away.
Ji Xiang silently looked at the family members who packed up the old man's belongings, and he didn't know how to persuade him.
This time the empathy ending is a little bad, Ji Xiang regretted it slightly, if he chose the patient's perspective to experience, would there be no death?
Even if they are just a memory, a code, in Ji Xiang's consciousness, they are living people.
The light and shadow flickered, and Ji Xiang returned to the system operating room.