My medical skills are a billion points

In such a situation, even if blood transfusions have been ongoing, if emergency measures are not taken quickly to stop the bleeding of the ruptured blood vessel, then the old lady's life is hanging by a thread, and she is close to death.

For a large amount of upper gastrointestinal bleeding like this, endoscopic hemostasis can be used in emergency situations, or ruptured blood vessels can be ligated.

However, endoscopic hemostasis or ligation of ruptured blood vessels is usually done when the condition is stable.

With the possibility of rebleeding at any time, no doctor dared to ligate her blood vessels.

If the old lady vomits blood again during endoscopic hemostasis or vascular ligation, the doctor will be helpless.

Seeing the situation of the old lady, Zhou Ziqiang was completely helpless.

All the treatment plans that should be used have been used, and all the drugs that should be used have also been used. Whether it can stop the bleeding can only depend on the old lady's luck.

On the ECG monitor, the old lady's blood pressure dropped again, reaching fifty or thirty.

At the same time, the heart rate increased and the breathing increased, which was obviously extremely critical.

Even with blood transfusions and vasopressors, her blood pressure still didn't rise.

This means that it is very likely that her stomach is still bleeding, and she has not vomited blood again, but it has not yet reached the amount of vomited blood.

Generally, if you vomit blood, you need to bleed more than 300 ml before you vomit blood.

If the bleeding is below 100ml, only blood in the stool appears.

But now the old lady's blood pressure has not increased, which means that her stomach is still bleeding, but it has not yet reached the amount of 300 ml.

It is very likely that after a few minutes or ten minutes, the old lady will vomit blood again.

If the old lady vomits a lot of blood again, it will bring her life in danger.

As long as her breathing and heartbeat stopped, no matter how timely the cardiopulmonary resuscitation was, it would be difficult to save her life even if there was a doctor by her side.

Xiao Chu looked at the old lady who had fallen into a coma, and asked Zhou Ziqiang: "Have you contacted the gastroenterology department, or contacted the endoscopy room? In this case, I think we should stop the bleeding under the microscope or bandage the blood vessels as soon as possible." , otherwise, this old lady’s life will be lost.”

Zhou Ziqiang immediately said helplessly: "Why didn't I contact you, I already asked the gastroenterology doctor to come over for consultation.

They said that now the old lady is bleeding heavily and continues to bleed, and there is nothing they can do.

And the people from the endoscopy room also came over. Seeing this situation, they didn't dare to stop the bleeding under the microscope. They were just worried that if the bleeding was stopped under the microscope, the amount of bleeding would increase and the condition would worsen. "

"I have done what I should do, and I have explained the situation to the family members. Now the old lady's situation is not only the late stage of liver cancer, but also the blood vessels in the stomach are bleeding a lot. I'm afraid the medicine won't work. Guan, I'm afraid I can't bear it."

Zhou Ziqiang shook his head, full of sighs.

As a doctor, he has done his best. Although the patient is a liver cancer patient, he is based on the principle of saving lives and helping the wounded.

He also wants to save her life, but now the old lady's condition is really critical.

He has done his best, and even if he didn't save the old lady's life, he has fulfilled his duty as a doctor.

Zhou Ziqiang shook his head, and was about to go out again to explain the situation to his family members, when Xiao Chu said: "Brother Zhou, let me stop the bleeding under the mirror for the old lady!"

"Are you here to give the old lady endoscopic hemostasis?"

Hearing that Xiao Chu was going to perform endoscopic hemostasis on the old lady, Zhou Ziqiang was immediately taken aback.

Zhou Ziqiang admitted in his heart that Xiao Chu's current medical skills are indeed better than his.

And the surgery was done, it was beautiful.

However, endoscopic hemostasis was originally the work of gastroenterologists or endoscopists.

Xiao Chu can be said to be a surgeon now, but for these endoscopic techniques, he might not be good, right?

Besides, this old lady is bleeding heavily, and she may be bleeding in her stomach. It would be very risky to perform endoscopic hemostasis in this situation.

Even after the consultation with experts in gastroenterology, they gave up this method of operation, and the doctors in the endoscopy room did not recommend it.

Now that Xiao Chu is going to do endoscopic hemostasis, is it possible that his level of operation of endoscopy is better than that of doctors in the endoscopy department?

This is a bit outrageous!

Could it be that Xiao Chu knows everything in medicine?

This is really too bad!

Even though he thought so, Zhou Ziqiang shook his head slightly.

He didn't believe that Xiao Chu could even take care of all the work of a physician.

After all, he is a surgeon, how could he know so many operating techniques.

This is too unbelievable!

"Are you sure you can do it?"

Zhou Ziqiang asked in disbelief.

Chapter 97 Let's See How Dr. Xiao Endoscopically Stops Bleeding

Of course Xiao Chu also saw that Zhou Ziqiang didn't believe him, but the old lady's condition was critical, and based on the principle of curing illnesses and saving lives, saving a life is a life.

Although the old lady is currently at an advanced stage of liver cancer, she will try her best to treat her if she can live a few more days.

Xiao Chuchong was still a little stunned by Zhou Ziqiang, nodded and said, "Brother Zhou, don't worry, I can still operate the endoscope."

The current Xiao Chu is neither hiding his clumsiness nor being humble.

Say what you can, of course, not exaggerating.

After all, he still has 18 points in his hand, and he can improve his skills at any time.

And Zhou Ziqiang paused for a moment, looked at Xiao Chu and said, "Xiao Chu, I believe you can operate the endoscope, but you should think about this issue.

Now the old lady's stomach should still be bleeding, which is not suitable for endoscopic hemostasis.The reason I believe you also know.

I mean in case, in case this old lady dies of respiratory and cardiac arrest when you are doing endoscopic hemostasis, then the family members may ask you for an explanation.

But in this situation, all the treatment plans we should use have been used on her. If the old lady really didn't save her life, their family members would not say anything.But if the old lady died during your endoscopic hemostasis, then her family members may not be so easy to talk about. "

Zhou Ziqiang's worries are also justified.

After all, the patient is bleeding now, and endoscopic hemostasis will not be performed in principle.

Under normal circumstances, endoscopic hemostasis is only used when the condition is stable and no bleeding continues.

If the patient is bleeding, and the doctor performs endoscopic hemostasis on the patient, it is not a violation of the regulations, but it is not an indication for endoscopic operation.

If the patient dies and the family members seize this point to get entangled, the doctor will also be in trouble.

That's why Zhou Ziqiang kindly reminded Xiao Chu.

This is also the real reason why doctors in the Department of Endoscopy and Gastroenterology do not perform endoscopic hemostasis on old ladies.

This means doing more and making more mistakes, not doing well.

Therefore, the doctor will not take this risk in order to protect himself.

But Xiao Chu has strong confidence in his medical skills.

What's more, he still has a system, and this plug-in exists.

Endoscopic hemostasis, this operation is simply pediatrics for him.

In order to save people, Xiao Chu certainly couldn't care less about it.

Xiao Chu smiled at Zhou Ziqiang, and said, "It's okay, Brother Zhou. Let's quickly borrow the endoscope from the endoscopy department."

"It's better to hurry up and stop bleeding under the microscope for this old lady. Otherwise, this old lady is really hopeless."

Xiao Chu had already talked about this, so of course Zhou Ziqiang couldn't say anything more.

Since Xiao Chu insisted on endoscopic hemostasis for the old lady, Zhou Ziqiang let him go.

Of course Zhou Ziqiang also hoped that Xiao Chu could really stop the old lady from bleeding with the endoscope.

If it succeeds, then Xiao Chu will become more famous in their hospital, which is what he hopes to see.

At that moment, Zhou Ziqiang no longer hesitated, turned around and left. He wanted to go to the endoscopy room to borrow a gastroscope.

Because there is no gastroscope in the emergency department, if you want to use a gastroscope, you can only borrow it from the endoscopy department.

However, it is not easy to borrow medical equipment from general departments.

Endoscopy like this needs to be borrowed from other departments. If interns or advanced students are asked to borrow it, they will definitely not be able to borrow it.

That's why Zhou Ziqiang volunteered to borrow it.

At this time, the vital signs of the old lady were not stable.

Although the blood pressure did not continue to drop, it did not increase significantly, and the heart rate was always fast, and the breathing was also fast.

And still comatose.

Although the amount of blood transfusion and fluid replacement has been increased, the condition has not improved significantly.

Although the old lady did not bleed gushingly, she would still vomit blood again as time went on.

And Xiao Chu also increased the dosage of norepinephrine and metaraminol to the old lady again.

It is expected that these vasopressor drugs can increase the blood pressure of the old lady.

Ten minutes later, Zhou Ziqiang finally returned with a gastroscope from the endoscopy department.

But there was a male doctor in his forties who came back with Zhou Ziqiang.

Seeing Xiao Chu's suspicious gaze, Zhou Ziqiang hurriedly explained: "Xiao Chu, this is Tang Ming, the deputy director of the endoscopy department, Director Tang, and Director Tang came here for consultation before. I heard that the old lady is in this situation, what can you do?" The bleeding was stopped under the microscope, he wanted to come over and have a look.”

Xiao Chu nodded and greeted Tang Ming.

"Director Tang, hello."

Tang Ming smiled and said: "Doctor Xiao, don't worry too much, the reason I came here to see is to see how you can stop the bleeding under the microscope for such a patient, anyway, I can't do it. "

When Zhou Ziqiang invited Tang Ming over for a consultation, he saw the old lady's condition and made it very clear that he could not do endoscopic hemostasis on this patient.

But when Zhou Ziqiang borrowed a gastroscope from their department, he heard that Xiao Chu could do endoscopic hemostasis.

Tang Ming was very surprised, so he followed Zhou Ziqiang to see how Xiao Chu did it.

Of course, I also want to see if Xiao Chu is bragging.

For Xiao Chu's performance during this period, he is well-known in several surgical departments of the Provincial People's Hospital.

But for many auxiliary departments, he is not so famous.

He is not the dean, nor is he the director of those first-line clinical departments. It is impossible for all the doctors in such a large Jiangnan Provincial People's Hospital to know him.

As a result, Tang Ming came to the emergency room and saw that Xiao Chu was just a young doctor in his 20s.

Although he didn't show anything on the surface, he had a little disdain for Xiao Chu in his heart.

He is a dignified deputy director of the endoscopy room, and he dare not do anything to the old lady's condition.

Xiao Chu, a young doctor who seems to have just graduated, dares to do this kind of operation, it can be said that a newborn calf is not afraid of tigers.

Tang Ming thought in his heart that reality would definitely teach Xiao Chu to be a man.

To put it bluntly, Tang Ming now understands in his heart.

I just want to see Xiao Chu's jokes.

After all, when he came to the emergency department for consultation, as the deputy director of the endoscopy department, he said bluntly that this kind of operation could not be performed on the old lady.

As a result, in the blink of an eye, Xiao Chu said that he could stop the bleeding under the endoscope on the old lady.

Isn't that the same as slapping him in the face?

Tang Ming, the deputy director, of course couldn't hold back his face.

So I came over to take a look, nominally because I wanted to see Xiao Chu's operations.

In fact, I still want to see Xiao Chu make a joke.

After all, the old lady's condition is quite critical, and it's not like talking about it can stop the bleeding.

Xiao Chu, a young doctor who just started work not long ago, wanted to stop the bleeding under endoscope for such a seriously ill patient, it was wishful thinking.

Chapter 98

Tang Ming stood by, not expressing anything on the surface, but sneered in his heart.

"This little young doctor named Xiao Chu is really an asshole. Such a serious patient, who may bleed at any time, dares to operate endoscopic hemostasis on her.