Chapter 265 Boss, Leave It To Me Here (4/5, Reluctantly Added 8 for the Leader)

Chapter 265 Boss, leave it to me (45, helpless for the leader of the alliance 8)

"It's me." Director Pan's voice was full of majesty.

"Well, um, what are you thinking about?"

"excuse me, may I ask."

After speaking, Director Pan covered the microphone with his hand and looked at Zheng Ren.

"Zheng Ren, there is a 72-year-old male patient in the ICU. He was hospitalized in the gastroenterology department of our hospital for blood in the stool 14 days ago, and then transferred to the ICU ward.

The blood in the stool was controlled after 6 days of admission, but the patient's condition was relatively poor, and he has been receiving treatment in the ICU. At 14:00 this afternoon, blood in the stool appeared again, the amount was relatively large, and the hemostatic drugs were ineffective. General surgery consultation, surgery is not recommended. "Director Lao Pan stated the patient's condition in a series.

Zheng Ren knew that Director Pan was seeking his own opinion.

General surgery was not performed because the patient was older and the bleeding point could not be identified.

The patient's intestines are full of fresh blood and old blood. Even with a colonoscopy, it is impossible to see where the blood is coming from.

This problem has arisen countless times before.

Once it appears, it depends on the patient's life.

Good luck, get over it. When the bleeding stops and the patient's condition is stable, further examination and treatment can be performed.

Bad life, continuous bleeding, waiting for the patient to die due to excessive bleeding in a short period of time.

If you do a surgical laparotomy, you can only find the location of the bleeding point by luck.

In clinical medicine, luck is something that everyone doesn't want to do, but there is always a certain moment that depends on fate and luck.

Zheng Ren pondered for a while, and then said, "It can be cured."

The answer is very simple, saving a life is like putting out a fire, and Zheng Ren is not verbose at all.

Director Pan had a high degree of trust in Zheng Ren. He immediately picked up the phone and said, "I'll be there in 20 minutes."

After that, he hung up the phone.

"Let's go." Director Pan stood up and acted resolutely, "How much?"

The boss said with a smile: "Director Pan, you come to my shop to eat, just to give your face, if you want to collect money, you can let me..."

Because there was an emergency room, Director Pan didn't bother, he threw down 500 yuan and turned to leave.

A group of people are like well-trained warriors, talking and laughing one minute, and banning the next minute.

Boss Sun was crying, holding money in his hand, trying to stuff it back to Director Pan.

But as soon as they approached, Director Pan gave him a sideways glance. Boss Sun shivered as if struck by lightning.

After getting in the car, everyone did not talk nonsense, and drove all the way back to the first hospital in Haicheng.

As a doctor, you are always on the alert for emergency surgery. Chu Yanran, Zheng Ren, and Xie Yi didn't drink even when they were taking in the wind and eating.

Although it may not always be an emergency situation, it is always right to be prepared.

When they came to the hospital, those who should go to the operating room went to the operating room, those who should go to the emergency ward went back to the emergency ward, Director Pan took Zheng Ren and Su Yun straight to the ICU.

"Zheng Ren, what are you going to do?" On the way, Director Pan took time to ask Zheng Ren.

"Interventional angiography, if the location is typical, open the abdomen directly to find the bleeding point. If the location is not typical, embolization is performed, and then the necrotic intestine is removed." Zheng Ren already has an abdominal case.

"..." The experienced Director Pan was speechless at the moment.

What Zheng Ren said was a destructive operation!

Local superselection of the superior mesenteric artery followed by embolization, although it can stop bleeding, can also lead to necrosis of a certain segment of the patient's intestine.

This is a contraindication to surgery!

Su Yun's footsteps stagnated slightly, then followed, walked a few steps quickly, and whispered beside Zheng Ren, "I think it's okay."

"Yeah." Zheng Ren nodded.

"Zheng Ren, are you sure." Director Pan asked.

"Yes, as long as the patient's condition permits." Zheng Ren said firmly.

"Okay." Director Pan didn't say much. In silence, the three came to the ICU.

After changing clothes and walking into the ward, Director Qian of the ICU stood at the head of a patient's bed, holding his arms and looking at the monitor, while chatting with Director Sun of the Second Department of General Surgery.

The ventilator and the monitor were screaming frantically, and an urgent breath rushed to the face.

So familiar... Zheng Ren looked at this familiar scene, and the slightly comfortable life in the imperial capital was gone forever.

"Xiao Su, you're back." Director Qian came in after seeing Su Yun. He didn't say hello to Director Pan first, but to Su Yun.

Su Yun smiled.

Director Lao Pan came to the patient and took a look at the vital signs. The blood pressure was 70/50 mmHg, the respiration was 24 times/min, the pulse was 121 times/min, and the blood oxygen saturation had dropped to 89%.

Hemorrhagic shock, this diagnosis can not run away.

"Director Pan, you are here. Oh, Zheng Ren, you are also back." Director Sun from the Second Department of General Surgery greeted.

"What do you think of general surgery?" Director Pan asked.

"There's no way, just place a critical illness notice. Director Pan, you know this kind of surgery, how dare we perform it." Director Sun shook his head, but looked at Zheng Ren.

"Alas." Director Qian of the ICU sighed.

Director Lao Pan rushed over, and only fulfilled the duty of a doctor, and would not help the patient's condition in the slightest.

The system panel in the upper right corner of Zheng Ren's field of vision was bright red, and several diagnoses of hemorrhagic shock, ion disturbance, and lower gastrointestinal bleeding were listed on it.

The condition was already clear, Zheng Ren took a deep breath, feeling a little regretful.

He was born in general surgery, so he naturally knew that general surgery would not dare to perform such an operation. Open the abdominal cavity, the intestines are full of blood, what do you say? Cut the intestines open and find blood spots little by little?

The patient died because of excessive bleeding.

Dying on stage and dying in the ICU are two concepts.

The big pig's hoof in the system has given 3,000 cases of gastrointestinal anatomy experience after the completion of the second stage of the task of [First Appearance].

But Zheng Ren's experience in intestinal surgery is limited to minor operations such as appendicitis and hernia.

Such a difficult operation, it is unavoidable to enter the operating room of the system for consumption.

After thinking about the surgery training time in hand, Zheng Ren didn't hesitate, and said, "Let's try it."

"Oh? What's Xiao Zheng's opinion?" Director Sun answered immediately. It seemed that he had been waiting for Zheng Ren to speak.

"Use the intervention method to see if the bleeding point can be found." Zheng Ren said.

Director Qian's brows furrowed, it was very strange for him to intervene, but since someone proposed a solution, let's do it.

Director Sun said with a smile: "I knew you could do it."

"Try it, it's not good." Zheng Ren replied.

"Xiao Zheng, we don't know what to do. What about communicating with the patient's family?" Director Qian asked.

"Okay." Zheng Ren said: "How much blood is left? I want at least 10u of frozen red blood cells and 1000ml of plasma. Is there any coagulation disorder?"

"Boss, go and communicate with your family members, I'll take care of this." Su Yun said lightly: "I won't meet my family members after drinking."

Director Qian and Director Sun looked at Su Yun in amazement.

boss? Did he say this to Zheng Ren just now?