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0265 Boss, leave it to me (4/5, helpless for the leader 8)

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

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

"I'll ask."

After saying that, 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 Department of Gastroenterology of our hospital due to bloody stools 14 days ago, and was later transferred to the ICU ward.

Bloody stool was controlled 6 days after admission, but the patient was in a poor condition and had been receiving treatment in the ICU. At 14:00 this afternoon, bloody stool occurred again, with a large amount, and the hemostatic drugs were ineffective. General surgery consultation is not recommended." Director Pan told the patient's condition in a series of ways.

Zheng Ren knew that Director Pan was asking for his own opinions.

General surgery does not have surgery because the patient is older and cannot determine the bleeding point.

The patient's intestines are filled with fresh blood and old blood. Even if he is examined with a colonoscopy, he cannot see clearly where the blood is coming from.

This kind of problem has been encountered countless times before.

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

If your life is good, you will survive. When the bleeding stops and the patient is in a stable condition, further examinations and treatment will be performed.

The life is bad, and the bleeding continues. What awaits the patient is 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 chance.

In clinical medical care, it’s a matter of trying luck... no one wants to think about it, but there is always a time to depend on fate and luck.

Zheng Renluo pondered and said, "It can be cured."

The answer is very simple, helping 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, so he immediately picked up his phone and said, "It will be there in 20 minutes."

After saying that, he hung up the phone.

"Let's go." Director Pan stood up and acted vigorously, "How much does it cost?"

The boss smiled and said, "Director Pan, you are just giving me a face when you come to my shop for dinner. If you collect money, you will let me..."

Because there is an emergency department, Director Pan is not long-winded and throws away five hundred dollars and turns around and leaves.

The group of people looked like well-trained soldiers. They were talking and laughing the first minute, but then prohibited the orders in the next minute.

Boss Sun was sad and held the money in his hand, wanting to return it to Director Pan.

But as soon as he approached, Director Pan glanced sideways. Boss Sun was trembling as if he was thundered.

When they got in the car, everyone had nothing to say, so they drove back to Haicheng First Hospital.

As a doctor, he is always wary of emergency surgery. Even if he greets and eats, Chu Yanran, Zheng Ren and Xie Yiren did not drink alcohol.

Although there may not be an emergency situation every time, it is always right to be prepared for any eventuality.

When I arrived at the hospital, I went to the operating room where I should go, and when I should go back to the emergency room where I should go back to the emergency room. 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.

"If the interventional angiography is typical, open the abdomen and find the bleeding point directly. If the location is not typical, embolism is performed and then necrotic intestinal tract is removed." Zheng Ren already had an abdominal case.

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

What Zheng Ren said was destructive surgery!

Local superselective artery and then embolize, although it can stop bleeding, it can also lead to a certain section of the patient's intestinal necrosis.

This is a contraindication for surgery!

Su Yun's steps stopped slightly, then followed, took a few quick steps, and asked in a low voice beside Zheng Ren: "I think it's OK."

"Yes." Zheng Ren nodded.

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

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

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

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

The ventilator and monitor were shouting wildly, and an urgent breath came to his face.

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

"Xiao Su, you are back." Director Qian saw Su Yun also followed him in, and did not say hello to Director Pan first, but greeted Su Yun.

Su Yun smiled.

Director Pan came to the patient and looked at his vital signs. His blood pressure was 70/50 mmHg, his breathing was 24 times per minute, his pulse was 121 times per minute, and his blood oxygen saturation had dropped to 89%.

Hemorrhagic shock, this diagnosis cannot be escaped.

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

"How do you think about general surgery?" asked Director Pan.

"There is no way, just place a notice for critical illness. Director Pan, you know about this kind of operation, how dare we do it?" Director Sun shook his head, but his eyes looked at Zheng Ren.

"Oh." Director Qian from the ICU sighed.

Director Pan rushed over and only fulfilled his obligation as a doctor, which would not help the patient's condition at all.

The system panel in the upper right corner of Zheng Ren's field of vision showed bright red, hemorrhagic shock, ion disorder, and lower gastrointestinal bleeding. Several diagnoses were listed above.

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

He is from a general surgery department, so he naturally knows that general surgery does not dare to perform such surgery. When he opens the abdominal cavity, the intestines are covered with blood. What do you think? Cut the intestines and find the bleeding points bit by bit?

I'm afraid that the patient died of excessive bleeding.

Death on stage and death in the ICU are two different concepts.

After the second phase of the task of "The First Showing of the Rise", the big pig's hoof in the system gave 3,000 gastrointestinal anatomy experience.

However, Zheng Ren's intestinal surgery experience is limited to minor surgeries such as appendicitis and hernia.

Such difficult surgery is inevitable when entering the system operating room for consumption.

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

"Oh? What do you think of Xiao Zheng?" Director Sun immediately responded. It seemed that he had been waiting for Zheng Ren to speak.

"Use interventional methods to see if you can find the bleeding point." Zheng Ren said.

Director Qian frowned, he was unfamiliar with intervening, but since someone proposed a solution, let's do it.

Director Sun smiled and said, "I knew you could do it."

"Try it, it's hard to say." Zheng Ren replied.

"Xiao Zheng, we don't know what to do. Do you come to communicate with the patient's family?" Director Qian asked.

"Okay." Zheng Ren said: "How much blood is left? I need at least 10u of frozen red blood cells and 1,000ml of plasma. Is there any malfunction in the blood coagulation function?"

"Boss, go and communicate with the family. I will be responsible for this." Su Yun said lightly: "I didn't meet the family after I drank."

Director Qian and Director Sun looked at Su Yun in shock.
Chapter completed!
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