756 Undecided

By the time other doctors arrived, the patient's facial features showed signs of bleeding.

"Consider it to be a hemolytic reaction after blood transfusion, hurry up and send it to the ICU!" The professor in charge of the internal medicine department took a look at it and gave a diagnosis.

Xu Leyu also thought so, and he immediately contacted the ICU and transferred the patient.

The patient was transferred, but Xu Leyu was apprehensive.

If it is a blood transfusion reaction, I don't have much responsibility, after all, everything that should be done is done in accordance with the process, even if the patient's condition worsens and finally leads to medical disputes, I will not have an accident.

But!

But!!

There is another possibility of a similar reaction!

Xu Leyu thought of a possibility that he couldn't accept - the blood type of the blood transfusion was wrong.

He returned to the department and called the nurse as soon as possible.

"Is there a check for the patient's blood transfusion?"

Xu Leyu was very nervous, and his voice became sharp.

The little nurse was stunned for a moment, and she sensed that something was wrong from Xu Leyu's serious expression.

Now it is different from just eating and driving, the little nurse takes out all the blood transfusion forms and checklists.

When tidying up, Xu Leyu saw the little nurse's hands shaking.

Emergency rescue, there is always a time when there is an omission, hopefully, don't have a problem.

At this moment, both Xu Leyu and the little nurse are secretly praying.

If you really give a patient a blood transfusion of different blood types, it will be a fucking thing.

A proper medical malpractice is still a major medical malpractice.

A few minutes later, Xu Leyu looked at the check information on the blood transfusion sheet and breathed a sigh of relief.

The first eight items of blood transfusion are complete.

Eight items of check content - two medical staff need to check the patient's department, name, gender, hospitalization number, cross-matching blood results, blood bag number, type of blood product, and dosage of blood product at the same time.

It is confirmed that blood type A is correct.

The checker's signature information is also on the job file.

There can be no mistakes, absolutely nothing can be wrong.

The little nurse wiped her hands vigorously on the white suit and grinned bitterly.

"Brother Xu, you're scared me to death."

"I was also scared to death, the patient was bleeding from all his orifices, I guess it was a hemolytic reaction, and there was a lot of bleeding in the body. If it was caused by the wrong blood transfusion, we would both have to be laid off. ”

The little nurse shuddered.

"Impossible, the eight-item check is the top priority, and if I don't check, the people in the blood transfusion department will also have to check."

"It's good to check, it's okay."

Xu Leyu sighed.

The little nurse and the doctor on duty hurried to complete the case and transferred the electronic medical record to the ICU within half an hour.

Although the tricky patient was sent away, Xu Leyu was still unsure.

He committed obsessive-compulsive disorder, went through the blood bag again, and personally sent the blood bag, various verification reports, and blood transfusion forms to the ICU.

The doctor in the ICU also considered the wrong blood type, and when he saw the list sent by Mr. Xu, the two checked it again and made sure it was correct.

"Alas, it's a bad life for the patient." The boss of the ICU sighed, "Now the patient has kidney failure, and he is going to do hemofiltration to see if he can be saved." ”

"Mr. Gao, have you ever seen a similar situation?"

"I have never seen such a serious hemolytic reaction, except for a blood transfusion when I was an intern."

"......" Xu Leyu was speechless.

It is difficult to have any other explanation for the hemolytic reaction of the seven-hole bleeding type except for the wrong blood transfusion.

However, the blood transfusion checklist and blood bag have been repeatedly compared, and after the hand comparison of several people, there will be absolutely no mistakes.

Glancing at the patient's left femoral shaft, although the femoral shaft fracture was insignificant at this time, Xu Leyu still measured the diameter of the patient's femoral shaft.

The broken end of the fracture is still bleeding.

It is difficult to say whether there will be compartment syndrome, and there is even a high probability that there will be problems.

Xu Leyu stared blankly at the patient's bruised and shiny thighs, and then remembered the countless troubles that followed, and his head cracked.

It's useless to stay here, Xu Leyu sighed, and left after explaining a few words to the general manager of the ICU.

It's amazing!

On Chinese New Year's Eve, he encountered an acute hemolytic reaction.

Xu Leyu was angry and scolded his mother.

On the way back, something suddenly occurred to him.

This can be regarded as a rare case, thinking of his New Year's plans and ambitions, his hand touched his mobile phone and hesitated.

But in the end, Xu Leyu still took out his mobile phone and dialed Ji Xiang's number.

After talking about the patient's situation with Ji Xiang, Xu Leyu was sorry for the hypocrisy and said, "Xiao Ji, I always feel that something is wrong, you have a good diagnosis, can you work hard to take a look." ”

"Wait, I'll be there soon!"

Ji Xiang was not unhappy in the slightest, and agreed to come down.

Xu Leyu breathed a sigh of relief.

Xiao Ji is still young and energetic. The professor on duty on the third line had a gloomy face after being woken up, and he never gave himself a good face.

Relative ...... There's nothing to compare with this thing at all.

……

Ji Xiang changed his clothes, and saw his old man holding a purple clay pot in one hand, sitting in front of the computer and facing the screen, and did not disturb the old man, and after taking a stupid roe deer, he rode a bicycle to the hospital.

The patient's condition was urgent, and Ji Xiang reserved 30 minutes for himself.

If you can't find the correct diagnosis during this time, you can only go to the system operating room to ask for help from the system NPC.

Ji Xiang is consciously increasing his ability to solve problems independently, and God knows when the system NPC will leave him.

And subconsciously, Ji Xiang has a self-perception that he does not admit defeat and is the best in the world.

This was instilled in him by Yoshinaga over the years.

It is not an exaggeration to say that it is genetic.

Along the way, Ji Xiang pedaled the car quickly, while repeatedly pondering the situation that Xu Leyu Xu told him.

A fracture of the femoral shaft is just a minor illness, and you can get it with surgery.

If there is bleeding, and the hemoglobin is less than 60g transfusion, there is no problem.

Eight checks, compared with two different medical staff, are still cautious and compliant.

Then the hemolytic reaction can only be caused by an allergic reaction, which is an allergic reaction of the body's self-defense.

It's just relatively strong, and the reaction is bleeding from the seven orifices on the surface.

It is said that there is nothing special, whether or not you can save people depends on their lives, and whether the patient's life is hard or not.

Gradually, Ji Xiang is also accustomed to pondering the treatment with whether the patient's life is hard or not.

When he came to the hospital, Ji Xiang changed his clothes and came to the ICU again with Xu Leyu.

The patient's condition is not optimistic, and the blood pressure is still very low with the support of emergency infusions and various medications.

Moreover, ultrasound showed that fluid began to accumulate in the patient's chest cavity and abdominal cavity. Neurological examination shows signs of intracranial hemorrhage.

All of this means one thing – massive bleeding from multiple organs in the patient's body.

Ji Xiang didn't understand what the problem was, even if he dealt with many emergency patients with Professor Zhou and Shen Lang when he was empathetic, he still had no clue.

He had no choice but to hold his breath and come to the system operating room.

(End of chapter)