0104 Delayed bleeding one month after surgery
Days passed day by day, and the emergency department became busier and busier.
In one week, Zheng Ren had surgery for sixteen appendicitis and seven acute cholecystitis, and rescued a patient with a knife injury and had a splenectomy.
This is how the days in the emergency department are, busy and fulfilling.
With the efforts of Director Pan and the chance, Corey has gradually gained more people.
Director Liu was discharged from the hospital after recovering from illness, and the National Science and Technology University of Science and Technology was reshuffled.
Cen Meng resigned and went to the Second Affiliated Hospital of the Medical University in the provincial capital. Yang Lei, a friend who informed Zheng Ren at that time, took the initiative to apply, fled from the Department of General Surgery and came to the emergency ward.
The doctor only added one person, but the nurse's side became much more lively.
It is said that the nursing department has been in chaos recently.
At least dozens of people applied and requested to be transferred to the emergency room.
Zheng Ren knew that this was all Su Yun's credit. That guy was like a walking sildenafil citrate... It was wrong, it should be the kind for women to eat.
In short, the emergency ward was on track very quickly.
As a hard-working hospitalized person, Zheng Ren has the more patients the harder it is.
Fortunately, the surgery was done with almost no postoperative complications, otherwise I would not even be able to sleep well.
The weather gradually became colder, and the clouds were dense every day, but it didn't snow, which made people feel a little depressed.
Zheng Ren doesn't care. The big pig's hoof of the system has been extremely quiet recently and has not issued new tasks. Zheng Ren just obtained 50 skills and 5,000 experience by completing 5 rounds of main tasks.
General technology can rise from 3161 points to 3185 points, inventory skill points 1789 points, and experience value 88620 points, as well as three silver treasure chests.
Zheng Ren felt that as long as this continues, with another month, he could upgrade his general surgery and reading to the master level.
All the affairs in the ward were managed in an orderly manner by Chang Yue and Yang Lei.
Zheng Ren only needs surgery and read books every day, and this kind of life is comfortable. But Su Yun is like his own shadow every day, attracting countless hostile gazes.
Gradually, Zheng Ren adapted. He was not a bent anyway, so he didn't care what others thought.
On this day, I was reading a book and saw the last 100 pages of the thick book "Hepatobiliary and Pancreatic Surgery". The emergency room received a call saying that the urology department needed consultation.
Urology Department? Zheng Ren didn’t want to go when he heard the name of this department.
It’s not because urology involves the problem of the lower three paths, but because I only took the urology rotation for a month when I was an intern many years ago, and I didn’t understand the situation at all.
There are two skill books, but the expert-level crane level is probably not as good as the director of urology. The experience value is definitely not enough to cultivate his own urology surgery specialization, so Zheng Ren feels that it is unnecessary to go or not.
But since there is a consultation and it is still urgent to consult, you must arrive within 5 minutes.
There was no way, so I closed the book and Zheng Ren rushed to the urology department quickly.
"Guess what patient it is?" Su Yun was still following Zheng Ren and said with a smile.
"I'm not a god." Zheng Ren replied to Su Yun's words, becoming more and more simple and crude, and even Zheng Ren himself did not notice the change process.
"IQ is just a flaw." Su Yun sighed, "You are not from a urology department. Can you ask you for a consultation? You can still have surgery? You are still interested in your intervention level."
Of course, Zheng Ren had already guessed this, but he just couldn't stand Su Yun's handsome appearance. When he walked with him, the rate of turning back was almost 80%, and he became the ugly best friend who was helping to set off the beauty.
It just so happened that Su Yun was like a piece of candy, and could not be driven away.
Silence all the way to urology.
A deputy director of the team named Chen stood anxiously in the corridor, looking at the time on his phone, and then at the gate.
It was not until Zheng Ren and Su Yun's figure appeared that he became more stable.
"Mr. Zheng, there is a patient who wants you to take a look." Deputy Director Chen said anxiously.
"What patient?"
"A young male patient was diagnosed with left kidney cancer. 29 days ago, he had nephrocarcinectomy at Didu Hospital, and the kidney segment of the left kidney was removed. Hematuria occurred this morning and was admitted to the ward from the emergency department. Hematuria was 5 hours after hematuria, and the hemostasis drug was ineffective. He was considered bleeding in the left nephrotic segment." Deputy Director Chen told the medical history very professionally.
The medical history is clear and there are no doubts.
Because the patient is young, it is considered to retain the left kidney.
But the kidneys are relatively brittle. Various methods of ligation and suturing cannot guarantee that there will be no bleeding after the operation.
Especially when it is placed on other organs, it has healed in 29 days. But for the kidneys... I suddenly had a heavy bleeding, and it is probably a blood vessel that opened again.
"The patient's family called the surgeon and said there were two solutions. If the bleeding can be stopped through interventional surgery, it can simply stop the bleeding. If there is no interventional force support, the left kidney can be removed." Deputy Director Chen finally breathed a sigh of relief after he said this.
Zheng Ren recalled that during interventional surgery, it was not difficult to stop bleeding.
"Mr. Zheng, can you do it? You also know the situation in our hospital. I heard that you had two emergency hemostasis operations a few days ago, so I tried to ask." Deputy Director Chen saw Zheng Ren pondering for a second, and couldn't wait to ask.
This is also the one who can't hold two taels of spice oil on the dog's belly.
But it is not a problem with a patient's kidney problems, but he is not worried about being anxious.
"Go and take a look at the patient." Zheng Ren did not take a lot of money directly, but asked to take a look at the patient.
When I arrived at the custody room, the system panel gave a prompt that the diagnosis was simple and hemorrhagic shock. The reason was indeed bleeding in the left nephrectomy section. It seemed that as long as the intervention and stop the bleeding was enough.
"Is there enough time for fasting water?" Zheng Ren asked.
"Enough!" Deputy Director Chen was inspiration.
"Let the family follow me and do preoperative explanations. You will push the patient to the emergency room and let the blood bank prepare 10u of red blood cells and ask for some plasma."
A bunch of family members suppressed their irritability and stood aside with nervousness. After hearing what Zheng Ren said, hope suddenly ignited.
"A direct family member, if you can sign, come with me." Zheng Ren was also straightforward.
A young woman in her twenties should be the patient's lover, and two elderly people under 60 years old followed Zheng Ren to the emergency room.
Zheng Ren briefly communicated with the patient's family because before the operation in the imperial capital, all postoperative complications were clearly explained, especially the postoperative bleeding, which was explained countless times.
So the family members are half a doctor, and they have some understanding of the evolution of the disease, so there is no need to explain in detail.
They chose to remove the kidney segment at that time and were ready for postoperative bleeding.
But I didn't expect that the bleeding was so late.
After the explanation, Zheng Ren threw the matter to Chang Yue and asked her to give preoperative explanations, especially the possibility of ectopic embolism and necrosis, which should focus on the possibility of nephrectomy.
Before the surgery, Zheng Ren and Su Yun came to the operating room to change their clothes and prepare for the operation.
After changing his clothes, Zheng Ren was about to clean up the surgical consumables.
Su Yun's voice came: "The consumables are ready, Mr. Zheng, you can just go for surgery."
Chapter completed!