As an internist, the most common thing the infectious disease doctor does on a daily basis is to compile medical records, but she is really unable to perform rescue operations.
But as a doctor, who would want a patient to die in his class?
Seeing that Su Jie was so determined to try the three-lumen, two-capsule tube, the infectious disease doctor thought for a moment, and without hesitating for too long, he said to the night shift nurse: "Go get a three-lumen, two-capsule tube, and try it again."
Get more paraffin oil."
"knew!"
The nurse ran over and quickly brought the things over.
Just as Su Jie stretched out his hand to pick it up, the infectious disease doctor suddenly frowned and called him to stop: "Don't make trouble at this time, intern, I'll intubate him."
Although it was Su Jie's insistence that the infectious disease doctor was ready to try intubation, in the eyes of the infectious disease doctor, Su Jie was just an intern doctor after all, and he just had the drive to enter clinical practice.
To operate such an important thing, you still have to do it yourself.
The night shift nurse didn't think twice and handed the thing directly to the doctor on duty in her department. After the infectious disease doctor took over, he quickly put on gloves, walked to the bedside, and began to try to intubate.
At this time, Yang Yuchen walked up to Su Jie, smelled the strong smell of blood in the air, and asked with a somewhat frightened expression: "What are you doing?"
When encountering an unexpected situation, Yang Yuchen's scumbag nature was exposed, but fortunately he had a roommate who was a top student and could explain everything that was happening on the spot.
Su Jie said with a heavy face: "In the late stage of liver cirrhosis, esophageal and gastric varices rupture and cause massive bleeding, which is a very dangerous complication."
"Portal hypertension causes varicose veins in the digestive tract. Uncle Li may have eaten some hard or sharp food in the past few days, scratching the varicose veins that are very fragile due to long-term high pressure. Under the high pressure, a large amount of blood gushes out instantly.
."
"These two mouthfuls of blood are estimated to be five to six hundred milliliters, and there may be a large amount of blood deposited in the digestive tract without being vomited out."
Yang Yuchen's face instantly turned pale, he swallowed his saliva and said, "The human body only contains 4,000 milliliters of blood, and you vomited 500 to 600 milliliters in just such a short time?"
At this moment, the nurse also used ECG monitoring, inflated the blood pressure cuff, and Uncle Li's blood pressure was quickly displayed on the machine screen...
8836mmHG, heart rate 121 beats.
Even the scumbag Yang Yuchen understands that the patient is now showing symptoms of hemorrhagic shock and the situation is very dangerous.
Qianqian has the closest relationship with Uncle Li. Seeing Uncle Li vomiting blood, her eyes were already full of tears: "Do you really have to insert a three-chamber two-bag tube? This is really painful.
I, I, I can’t stand it anymore.”
Yang Yuchen quickly took out a tissue from his pocket, handed it to Qianqian, and carefully hugged her shoulders.
Su Jie also sighed when he heard this, and said in a low voice: "The three-chamber two-cyst tube is indeed very painful for the patient. Such a thick tube has to be inserted from the nasal cavity to the stomach. Even if it is usually placed on a normal person,
It’s all very unbearable.”
"What's more, the patient is still vomiting blood, which is already very painful."
"The pain adds to the pain, it's unbearable."
Just as he was talking, the infectious disease doctor had already pulled out a silicone tube that was about the thickness of a thumb and about 70cm long.
It's thick and long, and the material should be pretty hard based on visual inspection.
The infectious disease doctor repeatedly smeared paraffin oil on it, and then began to try to stuff it inside from Uncle Li's nasal cavity.
With the help of paraffin oil, the tube entered the nasal cavity very smoothly at first. However, just after entering more than ten centimeters, the infectious disease doctor began to frown, as if he had encountered some insurmountable obstacle, and it was difficult for the tube to advance any further.
"Swallow the noodles! Li De, just swallow the tube just like you swallow the noodles!" the infectious disease doctor shouted loudly, which seemed very harsh in the quiet ward in the early morning.
Yang Yuchen didn't understand what he was doing and turned to look at Su Jie with confusion in his eyes.
Su Jie explained: "The esophagus and throat are narrow, and will shrink further when stimulated. If you want the tube to pass through this area, you must cooperate with the patient and use swallowing movements to squeeze the tube through the throat."
"The patient cooperates..."
Yang Yuchen looked at Uncle Li who was struggling on the bed with a painful expression, and couldn't help but said: "Normal people are in such pain that they probably can't cooperate. How can Uncle Li cooperate like this..."
What the infectious disease doctor said before was indeed true. Uncle Li vomited blood three times in Southeast Hospital. On one of these occasions, he tried to use three-lumen and two-bag tubes to compress and stop the bleeding.
If it were a normal patient, facing a life-or-death situation, as long as the doctor's words were tough enough, the patient would still try his best to cooperate.
But Uncle Li... his mind is not normal, and he has no response to the doctor's threats and intimidation.
The result was that because of Uncle Li's lack of cooperation, the tube was blocked in his throat and it was difficult to advance. The severe pain stimulated Uncle Li to vomit more blood.
The gain outweighs the loss.
In the end, the Department of Infectious Diseases had no choice but to give up. Fortunately, Li Shufu was lucky that time. In the end, he was able to save his life through hemostatic drugs and endoscopy to stop the bleeding. However, this kind of luck does not happen every time.
At least this time, with such a violent amount of bleeding and Uncle Li's physical weakness, Su Jie felt that if the bleeding was not stopped in time, Uncle Li would be in danger.
"No, no, no, the patient won't cooperate and the tube can't be inserted at all. I shouldn't try!" The infectious disease doctor decided to give up after just two attempts. She was annoyed and wanted to throw the tube into the trash can next to her.
inside, but was stopped by Su Jie.
"Try it once." Su Jie stared at the infectious disease doctor with clear black and white eyes and spoke firmly and forcefully.
The infection doctor's brows showed a trace of impatience, but seeing Su Jie's insistence, she still handed the tube to Su Jie's hand: "You only have one chance!"
Su Jie took the three-lumen, two-capsule tube. It was covered with paraffin oil and felt very slippery to the touch. It even dripped down Su Jie's fingers.
This chapter is not over yet, please click on the next page to continue reading! As he walked to Uncle Li's bedside, Su Jie subconsciously asked the system for help: "It's past midnight, what are the shopping mall props for the new week?"
[This week’s shopping mall props: severed finger replantation]
The system's reply disappointed Su Jie. This prop was obviously of no use at this moment. As a beeping person, he seemed to have to fight alone this time...
Can you do it yourself?
Su Jie gritted his molars, adjusted his mentality, and walked to Uncle Li's bedside.
The strong smell of blood went straight to Su Jie's nose, but for Su Jie, who had been practicing in the emergency department for a month, this smell could no longer affect him.
Uncle Li's face was now pale, and there was no blood on his lips. This was a sign of severe blood loss.
His eyes were also starting to become a little blurry, and the hypotensive shock had even begun to affect his consciousness.
Su Jie turned his head and glanced at the hemostatic medicine on the bedside table. Although the infusion pump had been turned on to its maximum infusion speed, intravenous administration still took time to take effect. Can Uncle Li survive until that time?
Su Jie expressed great doubts about this.
The bleeding must be stopped as soon as possible. The three-lumen and two-capsule tube must enter the bleeding point and apply pressure to stop the bleeding!
Picking up the paraffin oil bottle, Su Jie applied a thick layer of paraffin oil to the three-cavity two-capsule tube to fully lubricate it. At the same time, he gently called to Uncle Li:
"Uncle Li, wake up quickly."
Uncle Li raised his eyelids slightly, but quickly closed them again.
Su Jie did not give up and continued: "Uncle Li, hold on for a little longer...just think of it for the sake of the child!"
Mental illness is often caused by paranoia and a firm belief in something that normal people think is wrong. But as Jiang Wu said, normal people think it is wrong, but in the world of mental patients, it is correct and supreme.
.
Sometimes doctors prescribe the right medicine and do not necessarily have to correct this kind of mistake.
If you guide it skillfully and correctly, it may have miraculous results.
Su Jie continued: "Let's thread the tube and cure the disease today, and the child will be born safely."
Chapter completed!