Chapter 279: Thief Blood Clotting Disorder?
Outpatient room.
After Xiao Bufan heard the old man's words, he couldn't help but smile slightly: "Old man, this cupping is not the more you pull, the better, but you have to choose acupoint cupping to be the most effective." ”
"The kind of full-body cupping you said is actually just a feeling of comfort on the muscles, but it is not really very useful, and it is not that the more you pull, the more you can get rid of moisture."
"Huh? Is that the case? ”
The old man's face couldn't help but show a hint of surprise, and he looked a little confused.
Xiao Bufan smiled and returned to his desk and sat down, nodded and responded: "Of course, I'm a doctor, will I lie to you?" ”
"Okay, then I'll listen to the doctor, you can pull a few if you say so!"
The old man didn't quarrel with Xiao Bufan, he seemed to be a very sensible old man, and he was what the doctor said.
Ten minutes later.
Xiao Bufan looked at the two patients again, and then calculated that the time was almost up, and got up and took off the fire cup that the old man was pulling.
Let's go it
After the four fire cups were removed.
Xiao Bufan smiled and patted the old man's shoulder and said, "Okay, old man, you can put on your clothes and go back, by the way, remember to go to the registration office to pay the fee, and remember to wait for the mark on your body to disappear before coming back for a second cupping." ”
As he spoke, Xiao Bufan handed the printed list to the old man.
In fact, the cost of this cupping is not much, and it looks like less than 30 yuan at a time!
The old man took the list and nodded and thanked: "Okay, okay, I know, thank you, doctor!" ”
"Old man, you're polite, no thanks!"
Xiao Bufan responded with a smile, and then shouted to the patient outside the door, "Okay, the next patient can come in." ”
Squeak!
The patient outside the door immediately pushed the door and walked in, when he handed over the registration slip in his hand.
Xiao Bufan took the registration list handed by the other party and glanced at it, stretched out his hand to give the patient the number and pulse, and then directly prescribed the prescription to the other party.
cracking sound
Xiao Bufan pressed the computer keyboard in front of him and quickly opened the prescription, and handed it to the patient in front of him:
"Okay, you take this prescription and pay for the medicine, and the next patient will come in!"
Patient: "??? ”
In this way, Xiao Bufan was busy consulting patients all morning, and he didn't ask what happened to the thief who was pierced by the steel bar.
Anyway, this matter has nothing to do with the hospital, they only care about treating the sick and saving people.
The rest is a legal matter and is not under the jurisdiction of their hospital.
Morning.
After hours.
Xiao Bufan came to the hospital's cafeteria for lunch, and who knew that Vice President Tang also followed.
"What? Do you have something to say again? ”
Xiao Bufan asked Vice Dean Tang who ran over with the food while eating the food in front of him.
Tang Boqing smiled and said, "I have something to tell you, didn't you say last time that you would find a few talented doctors from the Western Medical Department to come and study with you?" I chose this person, but I don't know if you want to bring it now, dean? ”
"Huh? Already picked someone? ”
Xiao Bufan took a bite of the food in his hand, and then asked, "Who are the three people you chose?" Say it and I'll hear it! ”
Tang Boqing replied with a smile: "One is Zhang Junze from the emergency department of Western medicine, he is relatively young, he is only thirty-five years old this year, and he is relatively smart. ”
"The other is a newly recruited doctor, his name is Li Junze, graduated with a doctor of traditional Chinese medicine, Chinese New Year's Eve this year, he has interned in Modu Hospital for a period of time before, it should be regarded as a relatively good talent, right?"
"The last one is Gao Wenxuan, who is almost forty years old this year, and has always been a doctor with ideas, but the conditions in our hospital were not very good before, so many of his ideas could not be implemented."
After listening to Tang Boqing's introduction to the three doctors he found.
Xiao Bufan couldn't help but nodded and said, "Okay, just these three people, starting next week, from Monday to Wednesday, you arrange for them to have no one to study with me for a day, and you don't have to worry about the rest." ”
"Okay Dean, I see."
Tang Boqing nodded in response, and this matter was settled.
Wait until after lunch.
Xiao Bufan got up and went back to his outpatient room to rest, and then immediately checked in today.
"System, sign me in!"
[Ding, the sign-in is successful, congratulations to the host for getting a Chinese medicine scalpel (the best)!] 】
[Traditional Chinese medicine surgery: This scalpel has its own sterile function, and there is no need for sterilization for excision surgery in any scene and at any time, and it has its own sharp attributes. 】
"What's that? Scalpel? ”
Xiao Bufan looked at the scalpel that suddenly appeared in his hand in a daze, and he really didn't know what to say.
You say sign in, just sign in!
Why did you sign in to give yourself a scalpel?
But fortunately, at least this scalpel does not need to be sterilized, and it can be adapted to any surgical scene.
Xiao Bufan put away the scalpel with a smile, and then rested for a while to prepare for the afternoon's work.
Jingle Bell!!
However.
It was just a while after Xiao Bufan rested.
His cell phone rang suddenly, and it was a call from the emergency department.
Xiao Bufan frowned and glanced at the caller ID, pressed the answer button and asked, "Something happened to your emergency department again?" Why do you call me about everything? Are you all eating dry food? ”
Listen to the scolding coming from your phone!
Dr. Liu Hanwen from the emergency department couldn't help but panic, and said very anxiously: "Dean, it's not that I want to call you, it's really not okay if I don't call you, the patient we operated on this morning suddenly had postoperative hemorrhage, and we can't stop it at all!" ”
"Morning surgery patients? That patient? You're not talking about the thief, are you? Xiao Bufan looked a little shocked.
Liu Hanwen said sweating profusely: "Yes, it's that patient, we did a very successful operation in the morning, but this afternoon, the patient suddenly began to bleed heavily, and the two penetrated wounds seemed to have a coagulation disorder, and he couldn't stop his bleeding at all!" ”
"Blood clotting disorders? Okay, I know, I'll come here! ”
Xiao Bufan sighed helplessly, so he had to get up and run towards the emergency department.
It is important to know that this coagulation disorder is one or more of the conditions of congenital or acquired clotting factor deficiency, damage to blood vessel walls, and poor platelet function.
Once a patient has this condition, it is basically difficult for the patient's wound to stop bleeding.
For Western medicine, patients with blood clotting disorders are one of the last patients they want to face, because it is likely that a minor operation will kill them.
But this thief should obviously not be a congenital coagulation disorder.
After all, if it was a congenital blood clotting disorder, he hung up last night, and he couldn't wait until now.
In addition, the other party's wound was pierced through the abdomen twice, and he also underwent an operation.
Therefore, even if Xiao Bufan has not seen the patient's condition, he can conclude that it is definitely not a congenital coagulation disorder, it may be acquired, or it may be that the group of people in the emergency department have seen it wrong.
Pedal Pedal Tread.
Xiao Bufan trotted all the way to the ward of the emergency department, and then saw that the group of doctors in the emergency department were rescuing the thief patient lying on the hospital bed.
"Quick, continue to give the patient a blood transfusion, the patient's bleeding is too large, and the heart rate has not been able to rise."
"Prepare to inject 20ml of batriase to help the patient clot, plus a dose of epinephrine."
"The adrenaline has been injected, and it doesn't work much!"
"What to do? Is the dean here? ”
"Quick, give the patient an electric shock, his heart rate is dropping dramatically!"
Several of the attending physicians in the emergency department were all too busy to be in a situation that they had never encountered before, so they seemed a little overwhelmed and did not know how to effectively rescue the patient.
Is there a blood clotting disorder and then massive bleeding after surgery?
This kind of patient can be described as 1 in 10 million, how can they be met?
And this patient is still a thief who stole the steel bars of their hospital.
Watching the group of doctors in the emergency department fooling around one by one, Xiao Bufan squeezed through the crowd and walked over, and scolded them:
"Okay, why are you all so careless, don't you even know how to treat patients first?"
As soon as everyone saw that it was the dean who was speaking, they all fell silent for a while, and even the movements of their hands stopped.
Xiao Bufan didn't have time to say the second sentence to them, when he reached out and pulled up the patient's wrist to sign the pulse, then quickly glanced at the other party's tongue coating and eyes, took out his Jiuyang silver needle and put it down.
Sou! Sou! Sou!
The silver needle in Xiao Bufan's hand fell on the patient's body like raindrops, and he felt that he didn't have to think about it every time he got the needle.
In the blink of an eye, the patient's body was pierced with silver needles.
Then, in the shocked expressions on everyone's faces, the blood gushing out of the patient's body suddenly stopped.
", stopped the bleeding?"
"Is this going to stop the bleeding? Really? ”
"This is amazing, isn't it? Does this stop the bleeding? ”
Everyone present couldn't help but be dumbfounded, as if they couldn't believe their eyes, the bleeding they couldn't stop was stopped at once.
This scene really made everyone unbelievable!
Xiao Bufan couldn't help but sigh lightly, and said to everyone: "Okay, don't look at it, I just temporarily helped him stop the bleeding, but this is only temporary." ”
"So what is going to be done? Although he is a thief, we can't watch him die in our hospital like this! ”
Liu Hanwen's face was shocked, and he said with a blank expression.
"Actually, this is not a big deal, the patient is not really a blood clotting disorder, and there is no way to stop the bleeding by injecting him with batrolase in the same way as you treat blood clotting disorders."
Xiao Bufan shook his head lightly and explained, then picked up the pen and paper on the side and brushed the prescription, and handed it to a nurse casually:
"Take this prescription to the pharmacy to grab medicine, go to the emergency department, and be fast!"
"Yes, Dean!"
The nurse nodded and took the medicine and ran out.
Liu Hanwen looked at the nurse who ran out, then at the patient lying on the bed, and couldn't help but ask Xiao Bufan:
"Dean, what the hell is going on with him? If it wasn't a blood clotting disorder, how could he be bleeding non-stop? ”
"Actually, he doesn't have a blood clotting disorder, he just has a hot blood and is just forcing blood to act in vain."
Xiao Bufan glanced at Liu Hanwen deeply, knowing that their group of people knew nothing about Chinese medicine, so he had to explain to them:
"The patient's heat enters the blood, and the blood veins are damaged during your operation, coupled with the blood in his body, he will naturally bleed more than once, in this case, the blood must be cooled to stop the bleeding, otherwise other methods are useless!"
That's why.
Therefore, Xiao Bufan added rhino horn, rehmannia root, danpi and other blood-cooling drugs to the prescription he prescribed just now.
Regarding Xiao Bufan's TCM explanation, after listening to it, everyone present still seemed to understand it or not, and they didn't understand the situation at all.
If this were a group of people from the Chinese medicine department, they would basically understand it as soon as they heard it.
But there's no way around it.
Although the Provincial No. 4 Hospital of Traditional Chinese Medicine is a traditional Chinese medicine hospital, the Western Medicine Department is still recruiting Western medicine doctors.
Therefore, for the theory of traditional Chinese medicine, their group of doctors in the emergency department of Western medicine may not be able to understand all of them, and Xiao Bufan can only give them a superficial explanation of the general reason, but he cannot let them immediately understand the principle.
looked at everyone's puzzled expressions.
Xiao Bufan couldn't help but sigh lightly and said: "Okay, if you don't understand, forget it, next time you have the opportunity, you can all learn the theory of Chinese medicine!" ”
"Yes, Dean, we know."
Everyone hurriedly responded in unison, and then stopped talking.
Faced with this situation, they really don't know what to say, after all, the patient can't stop the hemorrhage after surgery, and there is no effect after half a day of treatment.
What else can they say?
More than twenty minutes later.
The nurse who had gone out before came back with a bowl of Chinese medicine.
Because I went to the emergency department, the speed of decoction of the medicine was a little faster.
In this way, although the effect of the drug may not reach the perfect level, at least it can be a race against time for rescue.
"Okay, let's feed the patient the medicine and then redress the postoperative wound."
Xiao Bufan commanded everyone.
Fortunately, his acupuncture stopped bleeding and temporarily slowed down the patient's heavy bleeding, otherwise this thief patient would not have survived for so long.
"Yes, Dean!"
The nurse nodded in response, and then hurriedly fed the patient and drank the Chinese medicine in her hand.
What?
You say the patient is unconscious and can't drink? Will it be poured straight in?
You don't really think that doctors can't just pour medicine into your stomach while you're unconscious, do you?
Goo-goo-goo
Wait until the nurse pours the patient to drink the Chinese medicine in her hand.
Xiao Bufan asked everyone to wait for a few more minutes, and then he took off the silver needle on the patient's body, and asked Liu Hanwen and others to re-bandage the patient's wound.
PS: Kneel and beg for a wave of recommendation tickets, monthly passes, and rewards!!!
(End of chapter)