Chapter 48 Gastrointestinal bleeding
First the ants and scorpions, and now they are still making soup?
For the three big Western doctors, it was a little difficult to accept for a while.
Li Xiyang said with a serious face, "The medicinal soup has the effect of dehumidifying, detoxifying and protecting the liver. ”
"Hehe..."
Chen Heran laughed dryly twice and looked at Mo Kai.
Mo Kai said, "I don't know Chinese medicine, but... If Xiyang said it, I think you can give it a try. ”
Chen Heran was stunned, he didn't expect Mo Kai to trust his students so much.
Mao Tong snorted coldly, "It's so easy to say, you have to bear it if something happens?" ”
Mo Kai frowned, "Please make it clear, you invited me here!" ”
"Alright, stop arguing!" Chen Heran said to Li Xiyang, "Xiao Li, you write down the recipe first." ”
Chen Heran has been in this circle for decades, and there are still so many friends of traditional Chinese medicine.
handed over the recipe to Chen Heran, and Li Xiyang and Mo Kai left.
……
Nothing to say for the night, and continue to work the next day.
At 6:30 a.m., the ambulance disinfection began.
Wipe the ambulance ground with 1:200 "84" disinfectant,
At the same time, open the windows and open the doors for ventilation.
The car was irradiated with a 30W ultraviolet lamp for 30 minutes to ensure that tourniquets, stethoscopes, masks and other items were directly irradiated.
Finally, the disposable consumables in the ambulance should be replenished in time to ensure the complete state.
At 7 o'clock, the disinfection is complete!
At this time, the first instruction of the day came from the dispatch room: A 47-year-old male fainted in the Midland Time community on Luliu Road.
"Get in the car!"
The ambulance sped all the way and arrived at the scene in 5 minutes.
Li Xiyang quickly came to the patient with a first-aid kit.
Body temperature, 36.2°C,
pulse, 91 beats/min,
Respiration, 18 times, min
Blood pressure, 86/56mmHg,
Establish venous access...
Rapid rehydration...
Monitoring vital signs...
Li Xiyang quickly gave instructions, and Sun Xin cooperated with the three of them.
Suddenly, the patient spat out a large mouthful of blood.
"Ah, vomiting blood!"
"The doctor is dead!"
A group of onlookers burst into the pot.
"What nonsense are you talking about?"
"Who healed the dead?"
Liu Guodong stalked his neck and argued with the crowd.
These people are completely watching the excitement and not thinking it's a big deal, so they come when they open their mouths.
"Alright, don't make any noise!"
Li Xiyang opened his mouth to stop it, and Liu Guodong immediately quieted down.
After getting along with each other yesterday, Liu Guodong sincerely admires Li Xiyang.
"Captain, what now?"
"Why don't you just send it to the hospital!"
Facing the fingers and pointers of the crowd, Nie Rou and Sun Xin were a little flustered.
Li Xiyang shook his head, "The patient is in hemorrhagic shock, if you move now, it is likely to cause greater bleeding, and once the blood volume loss exceeds 40%, the patient is very likely to die on the road." ”
Hearing this, Sun Xin and the others panicked even more.
There are more and more people on the side, and if the patient really dies, it will be counted on their heads.
"Quiet!"
Li Xiyang made a silent gesture and his eyes fell on the patient.
The three of them glanced at each other, and their hearts began again?
Sure enough, I just listened to Li Xiyang speak quickly.
"The patient breathes heavily in both lungs, and a small amount of crackles can be heard in both lower lungs..."
"Heart rate 91 beats per minute, rhythm..."
"The abdomen is distended, and there are no gastrointestinal and peristaltic waves..."
"Varicose veins in the abdominal wall, soft to the touch, no mass to be seen..."
"The liver and spleen palpation is not satisfactory, and the gallbladder point is not clear..."
"Abdominal percussion tympanum, lung-liver dullness boundary in the 5th intercostal space of the right midclavicular line..."
"Positive for mobile dullness, edema and varicose veins of both lower extremities..."
Although it was not the first time they had seen it, Sun Xin and the others still looked incredulous.
Are these signs really visible with the eyes alone?
At least not before, they had never heard of it.
It's a humanoid CT machine!
The people around him didn't understand those medical terms, they just thought that Li Xiyang was very professional.
Especially in the crowd, there are many little girls squeezed in, and their eyes are full of peach blossoms.
"Mom, there's such a handsome doctor."
"Which hospital?"
"I'm going to see him later!"
“……”
There are also people who open the video software and broadcast the whole process live.
For the voices of the outside world, Li Xiyang automatically blocked them all.
Soon, he found the cause of the patient's shock.
"The patient has a history of peptic ulcers!"
"Peptic ulcers?"
Sun Xin and the three of them were all shocked.
The digestive tract is an important part of the digestive system, and once there is a problem, it will affect the operation of the digestive system, and in severe cases, it will also threaten people's lives.
Data show that the case fatality rate of gastrointestinal bleeding is 10%, which is an extremely dangerous sudden disease.
The reason why the digestive tract bleeds is mostly due to inflammation of the digestive tract itself, or caused by mechanical damage and other factors.
Of course, it may also be caused by systemic lesions or lesions of adjacent organs.
For example, stomach cancer, portal hypertension, and peptic ulcers.
"Ice water bladder ready!"
"Collect the vomit!"
Li Xiyang gave the command while quickly lifting the patient's legs and tilting his head to one side at the same time.
"Captain, the ice water pack is here!"
Li Xiyang took the ice water bag and placed it directly on the patient's chest.
A series of strange actions caused a burst of discussion in the crowd.
"What is he doing?"
"I don't know!"
"If you don't pull people to the hospital right away, what are you tossing!"
"That's it, I think this person is choked enough!"
The crowd was overwhelmingly unoptimistic, but one person stared at Li Xiyang's actions, revealing an appreciative look.
"Elevating the patient's legs at a 30-degree angle to the ground, with the head down and the feet high, can promote blood flow from the lower limbs to the heart.
Tilting the patient's head to one side prevents blood from entering the trachea and suffocating.
The patient's vomit is kept so that a specimen can be taken for examination at the time of medical examination.
A cold water pack can reduce the patient's heart rate and reduce blood loss. ”
This is definitely a textbook first aid scene for patients with gastrointestinal bleeding!
So young, it should be a trainee.
I don't know which hospital is talented!
The middle-aged man in the suit just happened to pass by, but he didn't want to see a perfect emergency scene.
"It seems that Yuncheng is even more exciting than I expected!"