Xiao Yi was making breakfast at Song Shiwei's house when he received the call, and when he heard the news, he hurriedly put down the sandwich in his hand, left a note for Song Shiwei and rushed to the hospital.

"What's the situation?" Xiao Yi asked.

Zhang Yuanyuan and Xiao Yi walked to Li Chuchu's ward together, "In the morning, Li Chuchu got up and wanted to defecate, but she was frightened by the blood from the toilet, and she rang the bedside bell, I went over to take a look, and I will call you immediately." ”

Xiao Yi nodded, walked to Li Chuchu's bed, looked at her, her face seemed to be fine, she didn't look like she was anemic, and her breathing was very stable.

Seeing that Xiao Yi was coming, the assistant hurriedly pushed Li Chuchu, "Chu Chu, Doctor Xiao is here." ”

Li Chuchu opened his eyes and saw Xiao Yi smiling weakly, "Doctor Xiao! ”

"What do you think now? Is there anything wrong with it? Xiao Yi asked.

"It's okay, it's just a little painful there." Li Chuchu shook his head, "I wanted to go to the toilet in the morning, and I didn't feel too hard, who knew that I was scared to death by pulling so much blood." ”

"Is the toilet flushing?" Xiao Yi asked Zhang Yuanyuan.

"No, I just wanted to wait for you to come and have a look." Zhang Yuanyuan said.

Xiao Yi walked into the bathroom and saw that in addition to the original water in the toilet, the amount of blood was at least 200 milliliters.

Li Chuchu has mixed hemorrhoids, that is, there are internal and external hemorrhoids.

Mixed hemorrhoidal stripping is used. It is to peel off the hemorrhoidal blood vessel mass, ligate the blood vessel, and then cut off the hemorrhoidal nucleus.

It's just an ordinary surgery.

It's normal to have a small amount of bleeding after hemorrhoid surgery, but it's not normal to have so much.

Xiao Yi asked Zhang Yuanyuan to flush the toilet, walked to Li Chuchu's side again, lifted her quilt and looked at it, there was no sign of red on her pants, and the sheets were not stained red with blood, and the bleeding should have stopped.

"You have to do a colonoscopy in this case, there should be bleeding spots, and the bleeding needs to be stopped." Xiao Yi said.

Li Chuchu nodded, it's all like this, so naturally he has to check it carefully.

So another enema was given and a colonoscopy was arranged.

Xiao Yi found that there was a small bleeding spot in the wound of the hemorrhoid surgery, and some blood came out from time to time.

However, this bleeding spot should not cause such a large amount of bleeding, so I pushed the endoscope in again and looked deeper.

As a result, a clear vascular malformation was found in the location of the sigmoid colon, like a hemangioma, with a bleeding spot on it, oozing blood from time to time.

Xiao Yi saw that the bleeding site was not large, so he sprayed the bleeding point with coagulation medicine directly under the colonoscopy, and then stitched another stitch at the bleeding point of the hemorrhoid wound.

After returning to the ward, Xiao Yi told Li Chuchu that he had discovered a hemangioma in her intestine and said that he had temporarily stopped bleeding.

"The bleeding has stopped, and it won't bleed again, right?" Li Chuchu asked.

Xiao Yi pondered for a moment, "I also have to observe, that hemangioma only used blood clotting drugs, but if the bleeding point increases, it may still bleed." Pay close attention and let me know as soon as the bleeding increases. ”

"Okay." Li Chuchu nodded.

The assistant also hurriedly said, "I will definitely pay attention." ”

Who knew that Li Chuchu would bleed twice more in the afternoon, and Xiao Yi hurriedly rushed over.

"It should still be the problem of the hemangioma, the blood clotting drugs can't be stopped, and surgery is needed to cut off the intestine with the hemangioma. Call your dependents. Xiao Yi said.

The assistant was frightened when he heard this, and hurriedly called Li Chuchu's parents, and soon the two rushed to the hospital.

Xiao Yi told them about Li Chuchu's situation, and Li Chuchu's father asked, "Do you have to cut off the intestines?" Can't just cut out the hemangioma? ”

They are mainly afraid that the cut off of a section of the intestine will have an impact on their daughter's body.

Xiao Yi explained, "Hemangiomas are all blood vessels, it is difficult to stop bleeding by direct cutting, and heavy bleeding will occur if it is not good, it is best to cut the relevant intestines together, it is easy to suture and stop bleeding, and the effect will be much better." ”

Li Chuchu's parents thought about it again and again, but still felt that safety was more important and agreed to the operation.

Xiao Yi arranged another day's surgery, this time it was a laparotomy, and the laparotomy was the most intuitive.

Then the part of the intestine that was the hemangioma was cut, and the incision was re-anastomosed and sutured.

After the operation, Xiao Yi told Li Chuchu's parents that the hemangioma was cut out, the intestinal tube was anastomosis, and he had to fast for a period of time, and the intestinal tube would slowly grow better in the future, and it should be no problem.

Li Chuchu's parents knew that he was the deputy chief physician, and they were also very relieved and grateful.

Who knew that the next day, Li Chuchu was bleeding again, and the amount of bleeding was very large, several hundred milliliters.

It happened that Director Wang also came back, so Xiao Yi consulted with him.

It stands to reason that hemorrhoids surgery has also been done, and the hemangioma has also been cut out, how can it still bleed, is it because the operation has not been clean?

But Xiao Yi felt that what he did was completely fine, and Director Wang also believed in his medical skills.

What's the problem?

I could only open my abdomen twice, but there was no problem at all with the last surgery, and I couldn't see any bleeding on the surface.

So I did interventional hemostasis, went to the interventional department, put the catheter into the blood vessels, and created a contrast agent in the blood vessels.

If there is bleeding in a blood vessel, the contrast agent will leak out in that area, and an X-ray can be taken to see the leaked contrast agent, so that it can be deduced which blood vessel is bleeding.

Later, the blood vessel was found, and the hemostatic coil was pushed into the hemostatic coil with a guidewire to stop the bleeding.

Everyone thought it would be okay now.

Who knew that the next day, Li Chuchu had blood in his stool again, almost two hundred milliliters, and everyone was about to go into shock.

"Have you checked the blood clotting function?" Director Wang asked with a frown.

It is really rare for the proctology department to encounter such incurable diseases.

"I've checked it, and there is no coagulation dysfunction." Xiao Yi said.

Generally, the surgery is only done with blood routine, as well as liver and kidney function syphilis tests.

But after Li Chuchu's first hemorrhage, he added coagulation dysfunction, which should be taken into account, but there was no problem after checking.

Everyone was lost in thought again.

"Will there be hemophilia?" Xiao Yi said.

Immediately called Li Chuchu's parents over, generally speaking, hemophilia is a hereditary disease, and if parents have children, there is a certain probability that they will get it.

But when asked her parents did not, of course, it is also possible that one of them is recessive, so they themselves did not have it, but passed it on to their children.

Xiao Yi called Li Chuchu's assistant over again.

"Will Li Chuchu bleed easily when he brushes his teeth?"

"Yes, how do you know?" The assistant was surprised.

"Then if she usually bumps her hands and feet, is it easy to bruise?"

"Yes, it often does." The assistant nodded.

But they're usually used to it, so they don't think there's anything wrong with it.

Xiao Yi and Director Wang glanced at each other, "It's really possible that it's hemophilia, hurry up and investigate!" Director Wang said.

As a result, it was really hemophilia.

The main hemophilia is not very common, and general surgery will not take this into account, but I didn't expect Li Chuchu to be so unlucky.