MTL - My Medical Skills Give Me Experiences-Chapter 422 It is worth checking the cause of bleeding one by one

【My medical skills can add experience points】【】

It seems that this matter has brought great trouble to Deputy Director He.

Once a hypochondria has a seed, it will germinate and grow wildly. It will spread endlessly like a vicious weed, and it cannot be burned or chopped off.

"Can!"

Zhou Can agreed to him with this little additional condition.

The two sides have reached a verbal gentleman's agreement.

When Director Xueyan saw Deputy Director He, the biggest 'villain' bowing her head, she couldn't help but smile. Without Deputy Director He to oppose her and sing the opposite tune, the internal friction in the department will soon return to normal levels.

When Director Hu Kan was alive, the Department of Cardiothoracic Surgery was quite united, and there was basically no internal friction.

The so-called internal friction refers to intrigue and all kinds of vicious competition.

For example, seeing that the patient of doctor a has a serious hidden danger, doctor b just keeps silent. After waiting for the patient to have an accident, doctor a is in bad luck. This is a type of internal friction.

There are also all kinds of obedience and violation, passive sabotage, and shifting responsibility, let alone.

Now through this incident, Deputy Director He, the biggest thorn in the side, has been subdued, and cardiothoracic surgery will soon move towards unification.

The comprehensive strength of the entire department will also be greatly improved.

Today is really a good day.

She regained the confidence she lost on the operating table, and with Zhou Can's full help, she subdued the biggest thorn in the department.

"Doctor Zhou, now we are shaking hands and making peace, can you help us analyze the cause of the patient's postoperative hemorrhage?"

Deputy Director He is very anxious about this matter.

Especially after Zhou Can frightened him, he was very afraid that this patient would ruin his life.

After all, he is still living a comfortable life now.

To be able to be rated as a senior professional title, and then to be able to hold an administrative position at the level of deputy director of the department, no matter how bad life is, it will not be so bad. Earning tens of thousands of dollars a month is like playing.

The social status is also high.

"No problem! Next, let's analyze several reasons for the patient's postoperative hemorrhage."

Zhou Can began to help them find the cause of the bleeding on the spot.

"I have carefully looked at the patient's surgical site. There are about five common causes of postoperative bleeding. It would be even better if you could show me the surgical records."

He is not a god, it is nonsense to know where the patient is bleeding at a glance.

If it was so easy to find out the cause, Deputy Director He wouldn't have been manipulated like this.

"The operation records are on my work computer. Please take a step and go to my office. I will call them up immediately." Under normal circumstances, the operation records cannot be stored on Deputy Director He's work computer.

This shows that he has already tried to find a way to transfer here on his own, trying to find the cause, but failed.

The three came to Deputy Director He's office.

Turning on the computer, Deputy Director He opened the operation record.

"Director Xue, Doctor Zhou, this is the operation record, please read it!"

"Sister Yan, sit down, I'll just stand by and watch!"

After all, Zhou Can is a young man with good physical fitness. Director Xueyan has worked all day, and it is already past twelve o'clock in the night, and it can be seen that her face is full of exhaustion.

She has a close relationship with Zhou Can now, and she is not polite to him.

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【My medical skills can add experience points】【】

Deputy Director He put his greatest hope on Zhou Can. Because Zhou Can has always been very strong in finding the cause.

"Doctor Zhou, I wrong you to sit on this little stool."

He moved a plastic stool for Zhou Can to sit on.

This service is quite considerate.

In the world of adults, there are only interests. There are no permanent enemies and no permanent friends, only the exchange of interests.

Not long after sitting down here, a nurse on duty ran over in panic.

"Director Xue, Director He, it's not good. The family members of the 12-bed patient just rang the bell. I went to check and found that the patient showed signs of shock."

When the nurse on duty is on duty at night, the most annoying thing is to ring the bell continuously.

When you are busy, it is difficult to squint and take a nap at night.

Sometimes, the bed has just been dealt with, and I sit down to take a breather. The other bed rang again. They even rang the bells for two or three beds at the same time, making them very busy.

"I'll go there right away!"

When Deputy Director He heard that the patient was in shock, he immediately panicked.

I'm really afraid of what will happen.

They were trying to find the cause of the bleeding, but the patient couldn't wait any longer and showed signs of shock.

Zhou Can mentioned to him before that the patient had already developed severe anemia, indicating that the hemorrhage was getting worse. Now it really comes true.

"Doctor Zhou, you are very good at all kinds of first aid, let's go and have a look!"

When Deputy Director He said this, he felt extremely ashamed.

He is not only a veteran, but also a senior chief physician. Now the patient showed signs of shock, but he wanted to ask Zhou Can, a young doctor, for help.

If it was an ordinary critical emergency rescue, he would definitely not panic.

But for this patient, he has already learned about the condition in detail, so he doesn't know where the bleeding is at all. This is also impossible to rescue.

Postoperative bleeding like this belongs to internal bleeding. If the bleeding cannot be stopped in time, no matter how much blood is transfused, it will be a drop in the bucket.

And excessive blood transfusion, there will be many side effects.

After all, what is infused is processed plasma, and it does not belong to the patient himself. A large amount of allogeneic blood is transfused in a short period of time. Among other things, the blood temperature alone is difficult to control.

There are also many other adverse reactions, such as congestive heart failure and pulmonary edema, sodium citrate poisoning, allergic reactions and so on.

Just imagine, when a patient needs a massive blood transfusion, the vital signs must be seriously unstable.

At this time, the adverse reaction of blood transfusion occurs again, and the life of the patient is like a candle in the wind, which will be extinguished in an instant if there is a slight wind and rain.

Deputy Director He has rich experience in rescue, and it is precisely because he knows the danger that he puts down his face and asks Zhou Can for help.

"Go, I'll accompany you there!"

Zhou Can didn't refuse, stood up and followed Deputy Director He out.

When helping others, you should avoid hurting the other person's face.

This is the dignity of a family, once it falls to the ground, it will be broken.

When helping others, if you don't save face for the other party and act as if you are superior, then it is better not to help.

Because even if you help, the other party will not have any gratitude.

There will likely still be a grudge afterwards.

Director Xueyan stayed in the office and continued to check the operation records. Her theoretical knowledge is very strong, and she has been carefully taught by Director Hu Kan. Maybe something will be discovered.

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【My medical skills can add experience points】【】

In the ward where Zhou Can followed, he saw that the middle-aged man had indifferent eyes, his face became paler, and his body was trembling slightly.

The drained fluid is **** water, and the color is not particularly bright.

"Doctor Zhou, what do you think is the safest way to treat it now?"

Deputy Director He's forehead was covered with sweat.

The family members were lying on the edge of the bed and sobbing, probably already prepared for the worst.

"Blood transfusion first, conservative treatment!"

Zhou Can has his own judgment after reading it.

"But the bleeding in his body can't be stopped, no matter how much blood is transfused, it will be a bottomless pit!"

Deputy Director He did not expect such a result from Zhou Can's question.

Conservative treatment, even a doctor knows, do you still need to ask him?

"Save the patient's life first, we must seize the time to find out the cause of the bleeding, and then formulate a corresponding precise plan."

Zhou Can has seen all kinds of rescue scenes, many of which were ten times more serious than this one.

Therefore, he appeared extremely calm.

Those who have seen the world and those who have not seen the world behave completely differently when encountering things.

Those big bosses who never changed their faces before the collapse of Mount Tai were all experienced in countless crises.

Three years of professional training experience has allowed Zhou Can to completely transform. He may not be considered a senior doctor, but he already has a trace of calmness that a senior doctor should have.

"Okay, I'll immediately issue a doctor's order for emergency treatment!"

At the same time, there is also a critical illness notification letter, which must be sent to the family members.

According to the hospital's regulations, as long as the doctor judges that the patient's life is in danger, he must report the critical illness to the family. This also allows the family members to have a psychological preparation.

After blood transfusion, the patient's vital signs improved.

But this is only temporary.

In Deputy Director He's office, due to time constraints, Zhou Can could only read the operation records as quickly as possible. At least know which parts were cut and what intraoperative treatments were done.

"Because the time is very tight, I will directly talk about the five possible causes of bleeding. The first one is that after the separation and cutting of the chest wall, diaphragm and pleural adhesions, the hemostasis is not complete. By viewing the entire operation record, and your usual operation... style , which is the most likely reason."

Zhou Can originally wanted to say that Deputy Director He was a bit sloppy in his operations, but thinking about how hurtful he was, he changed it to the word style.

"I also suspected that this link was not done well, but just to be on the safe side, I asked Yizhu to check it again at that time. The bleeding point was treated again. The first assistant at that time was Dr. Yao. He was always meticulous in his work, and hemostasis was his strong point. So the probability of something going wrong is very low.”

Deputy Director He denied the first cause of bleeding.

Zhou Can nodded, and continued, "May I ask who did the chest closure?"

"He is one of my attending doctors, and the level of suturing is quite good. I also checked after the chest was closed and sutured. The sutures are neat and the cortex is tightly fitted. There should be no problem."

Deputy Director He did not dare to take this kind of major surgery lightly.

It can be seen that he strictly controls every aspect of the operation.

In fact, no chief physician dares to take it lightly when performing any major surgery above the third level, after all, human life is at stake. If something happens, it will have a great impact on the director.

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【My medical skills can add experience points】【】

[To be honest, I have recently followed up, changed sources, and have many voices for reading aloud. Both Android and Apple are available for .huanyuanapp. 】

If you don't do it well, you will have to sue.

Also, as long as the director's energy is not so powerful that he can control the sky, some omissions will be found out during the investigation.

"If the first cause of bleeding is ruled out, I think the possibility of injuring the intercostal arteries and veins during chest closure and suturing is extremely high. If this can also be ruled out, it is that the intercostal arteries and veins were injured when the chest drainage tube was placed. , veins. The color of the drained liquid is not bright red, and the possibility of injuring the intercostal arteries when the chest drainage tube is inserted can basically be ruled out. If the veins were injured, the amount of bleeding should not increase so quickly."

"To sum up, I believe that the possibility of injuring the artery is the greatest when the chest is closed and sutured." Zhou Can gave his own analysis.

"I also suspect that the artery was injured during suture or catheterization. Now that I have heard Zhou Can's analysis, I strongly support his point of view. The possibility of injury to the artery during suture is the greatest. Only in this way will the amount of bleeding increase rapidly."

Director Xueyan has not expressed any views.

At this moment, Zhou Can had cut through the mess quickly, and directly pinned the cause of the bleeding on the link of suturing and closing the chest, so she simply followed suit.

"Then what to do next?"

Deputy Director He has lost his mind and completely lost his mind.

"The only way is to enter the chest along the original incision, quickly remove the blood clot, **** out the blood inside, and repair the damaged blood vessels. During this process, rapid blood transfusion is required."

Zhou Can gave a solution.

If it is not absolutely necessary, it has only been more than a day since the operation, and the chest will never be opened again.

Because it hurts the patient too much.

Right now, in order to save the patient's life, this should be the only way.

"This... everything else is fine. It is not easy to repair the damaged arteries. I am worried that the repair time will be too long, and the patient will die before the second chest closure!"

Deputy Director He is well aware of how much thoracotomy does to patients.

"I'll do it."

Zhou Can didn't need him to speak, and offered to help.

"Thank you! Thank you so much!"

Deputy Director He held Zhou Can's hand tightly.

He knew very well that Zhou Can accompanied Director Xueyan to perform surgery until twelve o'clock after get off work, and his body was already in a state of exhaustion.

In this case, in order to help him save the patient, he had to participate in the operation again.

And it was Zhou Can who offered to help.

People are not plants, how can they be ruthless.

Even if Deputy Director He is hard-hearted at this moment, he is full of endless gratitude to Zhou Can at this moment.

As for whether he will be capricious and ruthless in the future, no one can say for sure.

…

At one o'clock in the morning, Zhou Can dragged his tired body out of the operating room.

Director Xueyan yawned so much that she couldn't keep her eyes open.

In fact ~www.novelbuddy.com~ she just accompanied the operating table the whole time, and did not personally participate in the operation.

Basically, Zhou Can was in charge of the whole process.

Under such circumstances that need to quickly open the chest, quickly clean up, repair the blood vessels, and close the chest, Zhou Can's operation is fast and has become the only hope for saving the patient.

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【My medical skills can add experience points】【】

The fast knife style also made Zhou Can realize the importance of operation speed.

If it is too slow, you will be hit hard in many cases.

"Director Xue, Doctor Zhou, thank you for your help!"

Deputy Director He saw that the patient was temporarily safe after being rescued by surgery. He couldn't help but breathe a sigh of relief.

For insurance, the patient was sent to a small ICU.

That is, the intensive care unit built by the cardiothoracic surgery department itself.

Respiratory, extra-cerebral, extra-cardiac, thoracic, and emergency departments will establish their own intensive care units as long as they have the conditions.

"You're welcome!"

Zhou Can waved his hand, but his heart was beeping, hoping that this old boy would remember tonight. Do less immoral things in the future.

"Sister Yan, it's so late, and your mental state is extremely sleepy. I suggest you don't go home. Just spend the night in the hospital."

Zhou Can said to her.

"Well, I thought so too."

Xueyan nodded.

Zhou Can looked at the time, it was almost half past one in the morning, and it was estimated that it would be past two o'clock when he returned to his home in Bajinghu.

Being a doctor is really hard work.

Fortunately, I saved so many people today, and also helped the cardiothoracic surgery to temporarily quell the civil strife, so it was worth it.