bookmarkrole Chapter 327
Chapter 327
Chapter 327
Intervention is a good way,
It can help find bleeding foci and stop bleeding quickly.
certainly,
Intervention is not a hundred-for-all, and it is possible that the hemorrhage may not be found, or even if it is found, it may not be able to stop the bleeding very well.
Even when the bleeding is stopped, the road may be blocked before the bleeding port is reached, causing road embolism and posterior tissue infarction.
Even the contrast agent will have certain side effects.
but,
For now, the best way is to intervene.
Of course, there is another method: open abdomen surgery, take out sections of intestines, and check them bit by bit.
“Sir, the current method is intervention and laparotomy… It depends on how you choose…”
The husband did not hesitate:
“My wife loves being beautiful. I don’t want to have scars on my stomach. Let’s try to intervene first… Dr. Lin, please, I know you are the best.”
“Don’t worry, I’m still very familiar with intervention.”
The patient’s husband thanked and prayed for his wife to tide over the difficulties.
After signing…
Then sent to the intervention department.
Push into the interventional operating room. (Interventional surgery is not a surgical operation.)
…
Operating room,
The patient is lying on the hospital bed,
The radiography machine is turned on,
Lin Feng and other doctors, nurses, anesthesiologists, put on lead suits…
Outside, there are doctors such as Icu, all waiting for the results of the intervention.
They are very curious, where is the bleeding point!
Lin Feng moves quickly,
The contrast agent is quickly pushed into the artery,
10 minutes later……
As a result, interventional radiography was disappointing.
Lin Feng repeated the radiography, but he didn’t see any blood vessel rupture and bleeding, not to mention obvious openings, even tiny ones.
Lin Feng looked under the patient.
A question came to mind. When the patient was transported to the interventional department, there was no more bleeding.
“Is it because the bleeding mouth has stopped the bleeding?”
“That’s why I can’t find out by radiography?”
Lin Feng ran across 10,000 grass mud horses in his heart.
What a pit! !
Don’t think that it is a good thing for the body to stop bleeding by itself!
Because this degree of hemostasis is very fragile, hemorrhage may break out again at any time.
It is like a time bomb, which will explode at any time.
In case the patient is not sent to the hospital in time outside, he may be sent directly to the morgue.
…
Failed to intervene,
Lin Feng withdrew the angiography catheter to stop the bleeding…
End the intervention.
Push the patient out of the operating room,
Outside the door, the patient’s husband ran over nervously, “Doctor Lin, how is it?”
Lin Feng: “I’m sorry, but the bleeding mouth was not found…”
Patient’s husband: “………………”
Pit!
Lin Feng thought for a while: “Or, let’s be a CT…”
There is no way to intervene, so you can only try CT.
Anyway, I came out of the icu, why not go to the CT room.
…
10 minutes later,
Arrived in the CT room.
Many patients who were waiting for CT outside, saw the hospital bed pushed over, and knew that their condition was urgent, so they stepped aside and did not scold the ‘jumping dog’.
Lin Feng went to CT in person.
Chest, abdomen…
Read it all.
Fortunately, I didn’t see anything like a tumor.
But it also means that Lin Feng did not find anything that can cause bleeding…
No, there is a place!
stone! !
There was a small stone in the pancreatic duct of female patient Wang Jiali.
The beans are so big.
If there is any abnormality in the whole body, this is the position.
“Could it be that the stone broke the pancreatic duct and caused bleeding??”
CT is done,
Ready to send the patient back to icu…
At this time,
I don’t know if it’s because of the move…
Lin Feng saw again that the underside of the patient was dripping with blood and redness.
Bleeding again!
Dried blood, mixed with fresh blood!
Lin Feng had an idea.
“Go, go to the intervention department again!!”
Lin Feng explained to the patient’s husband: “The bleeding point was not found in the intervention just now. It may be because the bleeding has stopped, and now there is bleeding. Maybe the bleeding mouth has not been blocked… It’s up to you to decide whether to do the intervention or open the abdomen. …”
The patient’s husband hesitated for a long time, and finally realized that his wife loves beauty, so he opened his stomach… Forget it.
“Doctor, I choose to intervene!”
…
Intervention Department,
Lin Feng is here again!
Doctors and nurses in the Interventional Department: “…”
I haven’t tried it yet, but I came to intervene twice in a row.
10 minutes, the radiography begins…
at this time,
The patient is still bleeding…
“found it!!”
“I’m going, it’s here!!”
All the doctors, nurses, anesthesiologists… all looked at the bleeding port on the developing screen.
Surprisingly:
“Pancreatic duct”! !
(Pancreas: located near the duodenum, passing through a pancreatic duct, leading to the duodenum.)
The real murderer has been found!
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Combined with the stone the size of a bean,
This patient should be hemorrhage caused by stones in the pancreatic duct. Explain that long-term rubbing of the mucous membrane caused vascular rupture. In addition, after blocking the pancreatic duct, the pancreatic enzyme stasis in the pancreatic duct will digest its own tissues and cause vascular rupture. This is all possible of……
As for why the gastroscope did not find it?
Perhaps it had already stopped the bleeding at that time, so the gastroscope did not find…
If the real culprit is found, the bleeding must be stopped immediately.
For pancreatic duct hemorrhage, drugs are ineffective in stopping the bleeding.
So it is necessary to intervene to stop bleeding.
It happens to be in the middle of interventional surgery now.
Lin Feng quickly replaced the catheter, and then inserted the embolic material in to fill the bleeding port.
Intervention to stop bleeding, the end.
Withdraw the catheter guide wire…
Press to stop bleeding…
End the interventional surgery.
0. …
…
Soon, the patient was pushed back to icu…
1 hour later,
The patient awoke…
During this time, there was no blood…
And the vital signs finally returned to normal, which also confirmed one point: the bleeding point is indeed the pancreatic duct.
The only problem is that the patient has some side effects of the contrast agent, but ICU can’t be troubled.
“Thank you Doctor Lin…”
The patient’s husband saw his wife wake up and his vital signs were still so healthy, so excitedly he took Lin Feng’s hand and thanked him.
Lin Feng smiled: “I have to thank you for your trust in the doctor and for choosing the second interventional surgery…”
If the husband of the patient chooses to open the stomach…
Lin Feng and the others have to pull the intestines for several hours, check one by one, and waste many hours…
…
…
at the same time,
3 kilometers away…
A clinic,
Patient, Zhang Jianqiu, 45 years old,
Suspected of acute gastroenteritis at this time, accompanied by his wife, came to the community clinic.
This is already the 15th hour of his diarrhea.
The cause was that it was suspected that the bottle of 50% yogurt that was about to expire last night was eaten, and then there was a burst of colic in his stomach, but the pain had already made him sweat.
I keep having diarrhea.
Diarrhea,
Watery diarrhea.
It still hurts~~
“Never buy this kind of yogurt that is about to expire next time!”
Lao Zhang cursed weakly.
Then,
Started a ten-hour diarrhea life.
In the end, his wife couldn’t help it, so she took him to the hospital.
. again.