My medical skills are a billion points

"Although it took more than an hour for these three people to arrive, it is already considered rare."

"Director Xiao, you must stabilize the patient's vital signs. You can catch up with the arrival of those citizens donating blood."

In Xiao Chu's mind, he was already mentally prepared for this situation, but he was still a little helpless when the situation came to an end

Xiao Chu sighed: "Director Xu, let's try our best, but the patient is bleeding too much, and if the blood is not transfused in time, it is really difficult to stabilize the vital signs. We can only try our best, and it depends on the fate of the patient."

After hanging up the phone, Xiao Chu looked at the man's wife who was guarding the hospital bed.

After this family member got the news, he had just arrived at the hospital not long ago.

For her husband to have such a situation, she was also flustered and confused.

After Xiao Chu received this patient, he did not get any effective information.

Now that the family members have come, Xiao Chu simply asked about the man's situation.

Xiao Chu led the female family members out of the emergency room and back to the doctor's office.

Let the woman sit down, calm her emotions, and then ask: "Does your husband usually have any diseases? Like diabetes, high blood pressure, or gastritis?"

The woman was dazed for a while, and then said with red eyes: "My husband is usually in good health, and he doesn't have high blood pressure or diabetes, but in the past few months, he always complained that his stomach was uncomfortable.

Sometimes I also take stomach medicine such as omeprazole. "

"Have you ever had a gastroscopy?"

The woman shook her head.

"no!"

"When he had an upset stomach, he felt much better after taking some omeprazole, and he didn't think about going to the hospital for an examination."

Xiao Chu asked again: "Then when did your husband vomit blood?"

The woman shook her head again.

"I'm not sure about this. When he came to the hospital, I was at work. I came as soon as possible after receiving your call."

The woman paused, then suddenly said: "However, at noon, he played table tennis with his friends, and then went home and drank a can of iced Sprite. Then I went to work, I don't know what happened to him at home Condition."

Hearing what the woman said, Xiao Chu finally understood why the man vomited blood frequently.

Chapter 323 Bing Kuo Le's Trouble

Obviously, according to the description of the female family members, the male patient had a history of stomach problems.

However, since no gastroscopy was done, we can only consider the possibility of chronic gastritis or gastric ulcer.

It could also be erosive gastritis.

However, after strenuous exercise at noon today, I suddenly drank an iced carbonated drink, which induced gastric mucosal lesions and caused massive bleeding.

Like this common sense, in fact, many people are not very clear.

For example, after strenuous exercise, you can't drink iced drinks or water immediately, you have to take a while to drink some warm water.

And after strenuous exercise, you can't take a bath immediately, you also need to take a while and wait until you completely calm down before taking a bath.

This kind of phenomenon is actually similar to that after a running race, when you reach the finish line, you cannot stop immediately.

Instead, you need to jog for a short period of time before you can slowly stop.

Let the body have an adaptation process

And this man drank iced cola after strenuous exercise, which caused gastric mucosal damage and hemorrhage.

In order to determine what is going on in this man's stomach.

Xiao Chu went back to the rescue room, turned on his ability, and took a look at the man's stomach.

This day is about to pass, and Xiao Chu has not used his ability today.

The three free chances a day cannot be wasted, so Xiao Chu used it once.

After opening the ability, it was discovered that he had erosive and hemorrhagic gastritis.

It shows that he used to have erosive gastritis.

Only there was no bleeding.

This time the erosive hemorrhage was caused by the stimulation of the iced drink.

Since Xiao Chu activated his ability, he took a look at the man's whole body.

He is still mainly in an ischemic state, which belongs to shock.

In the case of gastric erosive bleeding, after the effects of hemostatic drugs and norepinephrine plus ice saline, the bleeding has stopped.

But his blood pressure was still unstable.

Dopamine is needed to maintain blood pressure.

Even if the amount of dopamine used is large, it is only maintained at around 85 and [-].

Still need a blood transfusion as soon as possible.

The only thing that can reassure Xiao Chu is that his stomach no longer continues to bleed.

Although the blood pressure was maintained with drugs, fortunately, it did not continue to drop, and it should be able to last for two hours before the blood transfusion.

Back at the doctor's office, the female family member was still sitting there in a daze.

Her husband suddenly appeared in such a life-threatening situation, and she was completely stunned for a while, not knowing what to do?

Seeing Xiao Chu coming in, the female family member stood up, and asked with a worried face: "Doctor, is my husband okay?"

Xiao Chu was silent for a while, and then said: "Your husband's current condition is not stable, his blood pressure can't go up, and he mainly relies on medicine to maintain it. It's still too early to say it's okay."

"The main reason is that your husband has type A panda blood. If the blood can be transfused in time, the vital signs will gradually stabilize."

"But the key point is that we have contacted the blood transfusion department and the central blood station several times. Those citizens who are willing to donate panda blood are on their way. You have no other choice but to wait."

The woman was silent for a moment.

Of course she knew that her husband had panda blood.

The central blood station also called her husband and asked him to go to the blood station to register information in case of emergency.

But her husband didn't take it seriously because he was young and in good health.

There is no registration information at the blood bank.

Now that such an urgent need for blood transfusion suddenly appeared, the woman also regretted it for a while.

But it is too late to regret.

I only pray that those kind-hearted people with type A panda blood can rush to the blood bank to donate blood as soon as possible, and then give it to her husband.

Xiao Chu didn't know that this man didn't leave his information at the blood bank.

He also hoped that the three kind-hearted citizens with panda blood would go to the blood bank to donate blood as soon as possible, and then send it to the hospital.

For citizens with panda blood like this, it is best to go to the blood bank and leave your information.

Not only did they do good people and good deeds, but they were also for unforeseen needs, and they might have helped themselves in the end.

After all, there are very few people with the panda blood type.

No one can predict whether he will need blood transfusion in the future.

Therefore, this kind of registration information is entirely voluntary.

People's blood banks can't force it either.

Looking at the time, it was already past nine o'clock in the evening.

The emergency department was brightly lit, and the emergency room was even more busy.

Almost everyone is working around this patient in hemorrhagic shock.

And Zhou Ziqiang is on the day shift, and he is still helping Zhao Fangshu and others, busy before and after.

Seeing Zhou Ziqiang who was helping, Xiao Chu stopped him.

"Brother Zhou, you have already left work. Don't be too busy. The patient's blood won't come in a while. It won't help if you wait here. This patient is my first diagnosis. You should go home first." .”

Zhou Ziqiang looked at the busy people, and then at Xiao Chu.

"Didn't I say, treat you to dinner after get off work? How can I treat you to dinner if you don't leave?"

Xiao Chu smiled bitterly.

"It's hard to do whatever we want in our job, Brother Zhou. It seems that we can't finish our meal today.

You'd better go home and rest early, and wait for the blood to be infused to the patient, and I will go back when the signs are stable.You can eat at any time, let's get together again when you have time. "

In fact, no matter how serious the patient was, Zhao Fangshu and the others could handle it with three or four people in a group.

The main reason why Zhou Ziqiang didn't leave was because he promised Xiao Chu to treat him to dinner.

Because Xiao Chu didn't get off work, he was too embarrassed to leave early.

Seeing what Xiao Chu said, Zhou Ziqiang stopped insisting.

"Okay then, Xiao Chu, you have to stay here, I won't wait for you, let's get together some other day."

Half an hour after Zhou Ziqiang left, good news came from the blood transfusion department.

A citizen with panda blood rushed to the blood station ahead of time.

The blood station urgently drew blood from two of his units, and after emergency processing, it has been sent to the blood transfusion department.

Although two units of red blood cells are far from enough, they can at least relieve the urgent need.

Xiao Chu hastily opened a blood transfusion application form, and then asked the nurse to take the blood.

After two units of suspended red blood cells were infused into the patient's body, his blood pressure tended to rise.

Although it is not too high, at least the amount of dopamine is gradually decreasing.

More than half an hour later, the blood transfusion department called again and asked to take another two bags of red blood cells.

After six consecutive units of suspended red blood cells were infused into the patient's body, his blood pressure has now stabilized to 110/70mmhg.

The amount of dopamine has basically stopped.

As long as the booster drug is stopped, it means that the patient's physical symptoms have basically stabilized.

The patient has vomited once since he was pushed into the emergency room, and he has not vomited blood again.

It is now past eleven o'clock in the evening.

The patient's condition has stabilized.

Xiao Chu finally breathed a sigh of relief.

Chapter 324

Walking out of the gate of the hospital, there are few pedestrians on the street.

The bus and subway have already stopped running.

Occasionally, there are flashes of Meituan riders, showing that even in the middle of the night, there are still hardworking workers in this city.

I looked back at the hospital.

The lights of the emergency department could no longer be seen. After all, it was on the first floor, which had been blocked by the hospital wall.

However, several tall buildings in the courtyard are still brightly lit.

Xiao Chu knew that there were a group of medical soldiers fighting against the disease.

Of course, there are also many patients who are fighting against the disease.

Looking back, Xiao Chu calmed down, got on his little electric donkey, and headed home.

Two days later, the hospital announced the two groups of people who were going to participate in the first aid competition.

The first group is doctor Xiao Chu, nurse Li Hongyan and driver Wang Sheng.

The second group is doctor Zhang Hongbo, nurse Tang Yanyan and driver Li Jianguo.

When all the employees saw the first group list, they were not surprised.