This doctor has a system

Chapter 30 30. Rescue of massive hemoptysis
In the morning, Gao Feng took Qi Nannan to check up on the patients, and they all showed face, and their conditions were relatively stable.

Qi Nannan had already prepared the items for closed chest drainage, "You have to teach me, this is my first time doing this!"

"Didn't I take you for a thoracentesis last time? How many times have you had the first time?"

"Last time it was a pneumothorax to drain gas, this time it was an effusion to drain liquid, it's different!"

"Okay, I'll explain it to you in detail later, and I'll be confident when I do it well." Gao Feng told her not to be nervous.

The current thoracentesis is much simpler than before. The color ultrasound room has already located the patient's pleural effusion, and a big cross is marked on the patient's back.

The patient's father hurried out after signing, "I hate this." He said.The patient was left trembling alone.

"Stop shaking, if you shake again, I will start shaking too." Qi Nannan said, "It's very simple, just a little pain."

Thanks to Gao Feng's guidance, although Qi Nannan's steps were slow, the operation was very standard, the puncture process went smoothly, and the light yellow fluid flowed out along the drainage tube.

After fixing the pipeline and connecting the drainage bag, both Qi Nannan and the patient were sweating.It seems that this time the experience was good.hey-hey.

Gao Feng praised her a few words, and the latter became cheerful with small eyes.

"When can we do it again?" Qi Nannan kind of liked this thoracentesis closed drainage.

It seems that not only men like to give needles to women, but women also like to give needles to men sometimes.

The voice of the system sounded: "Guide the subordinate doctor to successfully complete the thoracentesis, and the skill point will be increased by 1."

The effusion was collected and sent for acid-fast staining, bacterial culture, Ada, routine biochemistry, pleural effusion pathology and other inspection items.

"Okay, let's wait for the results." Qi Nannan explained to the patient's father: "Slow down when you get up, and carefully pull this drainage tube."

In the afternoon, the Laboratory Department called and said that there were three plus signs for anti-acid. "You guys have confirmed this, it's tuberculous pleurisy, you should transfer to another hospital." Gao Feng communicated with his family.

"Can you not go to the infectious disease hospital?"

The family members still resisted.

"You can ask them to go to the Chest Hospital." Cheng Song on the side interjected, "It seems that there are also tuberculosis patients there now."

The Chest Hospital is not far from the Provincial People's Hospital, and the patient's father hurried there to inquire about the situation.

"We will go there early tomorrow morning, and there will be a bed reserved for tomorrow." The patient's father hurried over to tell Gao Feng as soon as he came back.

"Doctors in Doctor Ren's group, go to see your 19th bed. The patient said there was a little blood when he coughed." A nurse ran to the door of the doctor's office and said.

"Bed 19 has been spitting bloodshot for the past two days, and taking Yunnan Baiyao doesn't help." A round-faced Gui Peisheng said a little worriedly.

"Why don't you give him some white-browed snake venom thrombin?" Gui Peisheng, a chubby fellow next to him, suggested.

"His D2 polymer is very high. Mr. Ren doesn't dare to use it. He is afraid that the patient will develop an embolism disease." The round-faced Gui Peisheng touched his head, "I'll go and have a look first!" After speaking, he picked up the stethoscope and left out.

"What's wrong?" Hu Jiaran walked over after finishing the medical records, "Is it bronchiectasis?"

Patients with bronchiectasis often present with hemoptysis.

The little fat man opened the patient's chest CT, "It's pulmonary aspergillosis, and he was just transferred from the intensive care unit a few days ago."

"This patient had diabetes before. He didn't know it. He fell into a coma more than 20 days ago and was pulled over by 120."

Gao Feng took a closer look at the chest CT. There was a large cavity in the left lung. This kind of patient is prone to pulmonary hemorrhage, which can sometimes be life-threatening.

The round-faced Gui Peisheng returned to the department after 5 minutes, "The patient said that the bloodshot vomit today looks a little more bloody than yesterday. Why don't you call Teacher Ren?"

For patients with relatively serious conditions, they dare not make decisions casually.

At this moment, a nurse rushed over and shouted: "Hurry up, there is a lot of blood on bed 19! Come here!"

Peisheng, who had a round face, turned pale, and yelled at the little fat man, "Call Teacher Ren quickly." After speaking, he ran to bed 19.

Gao Feng was startled, coughing up blood?

The patient on bed 19 looked terrified, and the family members held a washbasin next to it, which was full of blood.The patient vomits from time to time.

The round-faced Peisheng was stunned by the bloody scene, Gao Feng hurriedly shouted to the nurse, "Use the hemostatic medicine first, first push a white-browed snake venom thrombin, and then intramuscularly inject one!"

"Add 10 units of pituitary gland to 20ml of sugar water, push slowly and statically!"

"Bring the endotracheal intubation kit! Call the vascular surgery department for an emergency consultation. Call the critical care department to prepare the bed. Ask the second-line doctor to come quickly!"

"System, enter the constant time space."

As soon as he entered the constant time space, the simulated man coughed up a few mouthfuls of blood, and then shook violently, a large amount of blood spurted out of his nostrils and mouth at the same time.

"Bang!" The patient fell headfirst on the bed.

"System, what should I do? Is there any good way?"

"The large blood vessel in the patient's lung ruptured suddenly, the bleeding speed was too fast, and the amount of bleeding was large, so he did not have the conditions for rescue."

Reluctantly exiting the constant time space, the patient in reality was shocked at this moment, and Gao Feng hurried up to support him.

A large amount of blood spurted out from the patient's mouth, like a fountain, Gao Feng's white coat was covered with blood, and the patient slowly fell into his arms.

The patient's family members howled loudly: "Doctor, save him quickly, quickly..."

The patient's respiratory tract was completely filled with blood, and at this time, breathing and heartbeat had stopped.

"Are you still intubated?" the nurse asked Gao Feng while pressing.

Knowing that it was meaningless, Gao Feng quickly intubated the patient's trachea.

Another nurse inserted a suction tube, and what was drawn out was full of blood.

When the vascular surgery doctor came, he shook his head, "That's it, I'll go back first."

The second-line doctor and Dr. Ren both rushed to the ward.Dr. Ren picked up the family members who were about to collapse, "What about the other family members, let them come quickly."

The family members began to call tremblingly. She was the patient's mother.

The chest compressions continued for more than an hour, and the family members never agreed to give up.

Finally, other family members also rushed to the hospital, and the screaming and screaming sounded again.

Many patients and family members stood watching from a distance, and an older aunt couldn't help but shed tears: "Sin, I'm only in my 30s, and I heard that this is the only son."

Everyone is concerned.

In the end, the family members agreed to give up, and someone contacted the car, preparing to take the patient's body home directly.

This is the first time Gao Feng has come into contact with death so closely, a living life has disappeared in such a tragic way in front of him.

No one spoke, and the office was eerily quiet.The scene just now keeps reappearing in the minds of these doctors who have just entered the medical industry.

"Everyone, go back early after the house inspection." Doctor Ren's voice was very gentle, "You may not be used to it when you first go to work, but it will be fine after a long time."

"The blood probably won't wash off easily." Qi Nannan said while holding Gao Feng's white coat. "It will leave a mark."

"Throw it away, I don't want to wear this dress in the future."

Seeing this dress makes people feel powerless.

(End of this chapter)