I can see health

Chapter 396 Bleeding Point!
Lu Chen quickly returned to the nephrology department.

He ran into the duty room, changed into a white coat, took the stethoscope, and came to the doctor's office.

"Lu Chen, you're here." Wang Jun was communicating with a family member of a patient. It seemed that he was in a very urgent condition, and his expression was very serious.

"Teacher Wang." Lu Chen nodded slightly, walked quickly to his side, and then looked around. The doctors in the nephrology department were very busy, "Where is the patient who needs emergency dialysis that you said on the phone?"

Wang Jun immediately took out a medical record, "The patient who needs emergency dialysis is in bed 3, and Gao Shang is communicating with the patient. You go and see it first, and I will see it later."

"Okay." Lu Chen took the medical record and opened it for a look.

Good guy, creatinine is 1249umol/L!

This creatinine value has already reached the standard for dialysis.

"Lu Chen, you and Gao Shang will intubate the patient first, and I will come over as soon as I finish dealing with the patient at hand." Wang Jun has a lot of things at hand, and there is no time to deal with this emergency dialysis patient.

"Okay, Teacher Wang." Lu Chen nodded.

Gao Shang is an attending doctor in the group, and his qualifications are relatively old. Lu Chen usually follows him.

……

Take the medical records to bed 3.

Lu Chen didn't see the patient. After asking the nurse, he learned that the patient had been pushed into the operation room and was about to be intubated for emergency dialysis.

Lu Chen hurried to the operating room again, and saw Gao Shang who was fiddling with the ultrasound equipment.

"Teacher Gao." Lu Chen called softly.

Gao Shang slightly raised his head, and was taken aback for a moment, "Lu Chen, aren't you resting today? Why did you come here?"

"It was Teacher Wang who called me." Lu Chen said, "He said that the department was very busy and asked me to come and help."

"Hey, I think you worked the night shift last night and wanted you to have a good rest." Gao Shang said, "Okay, since you're here, I'll help you out. This patient needs a temporary dialysis tube."

Lu Chen nodded and began to put on his gloves.

He had seen the medical records before.

The patient in front of me is very young, a male, only about 30 years old.

It is relatively rare for such a young patient to suffer from kidney failure and require dialysis treatment.

Most kidney diseases may eventually lead to renal failure, and advanced renal failure is what we often call uremia.

When the kidney function disappears, normal body functions cannot be maintained, and toxins in the body cannot be eliminated.

Over time, various organs of the body will accumulate toxins until the systemic organs fail!
"Mr. Gao, is this acute?" Lu Chen frowned.

Renal failure can be divided into acute renal failure and chronic renal failure from the perspective of the course of the disease.

Acute renal failure may be caused by sudden acute factors, such as drugs and food poisoning.

Chronic renal failure, a chronic factor that causes persistent damage, or acute renal failure that is not cured and turns into chronic renal failure.

"Well, at present we consider it to be acute renal failure." Gao Shang said, "Urgent blood test, there is no anemia."

Generally, patients with chronic renal failure basically have chronic anemia, that is, renal anemia.

"Then what caused the kidney failure?" Lu Chen asked again.

"It hasn't been found yet. The patient has no history of exposure to any nephrotoxic substances." Gao Shang shook his head, "But I asked carefully, and the most likely one is...milk tea."

"Milk tea?" Lu Chen was shocked, "Acute kidney failure caused by milk tea?"

"Yes." Gao Shang nodded slightly, "All the medical history has been asked, the only difference between the patient and before is that he drank a cup of milk tea last night."

Lu Chen: "..."

He also drank a cup of milk tea last night...

Looking at the patient on the operating table, Lu Chen silently mourned for him for a few seconds.

No matter what the cause is found out later, at least for now he can't get rid of the name of "milk tea causes kidney failure".

"Lu Chen, start cooperating with my acute dialysis intubation!" Gao Shang has already checked the patient's neck blood vessels with an ultrasound machine.

The only cure for uremia is dialysis.

Dialysis, the principle is very simple!
In fact, it is to pump out the blood from the human body. Since the detoxification function of the kidneys is gone, it will be processed by the machine in the body to manually filter out the toxins, and then the blood will be returned to the human body.

If the kidney function of the human body can be restored, after a few times of dialysis, dialysis can no longer be performed.

If most of the kidney function has been damaged, life-long dialysis is required, about two to three times a week, depending on the specific condition of the patient.

Therefore, the first step in dialysis is to pump out the patient's blood through a vascular access.

Where to draw it from, the most common ones are the neck blood vessels (jugular vein) and the femoral vein.

Nephrology generally chooses the jugular vein.

So in the hospital, I saw a tube inserted into someone's neck, which is the access catheter used for hemodialysis.

After coming to the Department of Nephrology, Lu Chen worked as an assistant many times, helping Gao Shang or Wang Jun to intubate the jugular vein.

Because this kind of operation is very risky, so far, Lu Chen has not operated it alone.

However, Lu Chen has already trained very proficiently in the skill of dialysis intubation in the virtual operating room of the system.

……

"I'm starting." Gao Shang also has a lot of experience, and he found the jugular vein very quickly!
After the needle was sucked back, there was dark red blood, which proved to be venous blood.

"Don't be nervous, we have found the blood vessel." Gao Shang reminded the patient.

This puncture operation is performed under local anesthesia, and the patient himself is conscious.

"If you feel uncomfortable, just raise your hand and don't talk!"

After about 5 minutes.

With the help of Lu Chen, Gao Shang successfully completed the cannulation of the jugular vein.

A catheter was inserted directly into the patient's jugular vein!
Through this catheter, the dialysis machine draws the patient's blood.

"I've started stitching." Gao Shang said.

The catheter needs to be secured in the neck, so two stitches are required.

But at this moment, Lu Chen suddenly noticed that the place where the patient inserted the catheter began to ooze blood continuously!

The amount is not much, but after wiping it with a hemostatic step, it is still bleeding.

"Teacher Gao, look here!" Lu Chen called Gao Shang who was about to sew.

Gao Shangke is also a senior attending doctor, so he immediately understood and looked in the direction Lu Chen pointed.

Sure enough, there really was a hidden bleeding point!
This bleeding point is constantly oozing blood.

What nephrologists are most afraid of is making mistakes during intubation.

For example, when puncturing, a vein is pierced into an artery.

Or it's bleeding!
"Oops!"

Gao Shang frowned, he immediately stopped his stitches and began to search for the location of the bleeding point.

(End of this chapter)