Rebirth begins in the operating room
Chapter 136 Three-chamber and two-capsule treatment
As soon as Ye Li pulled out the gastroscope tube, the system beep sounded in his ears.
"Ding~ Congratulations to the host for completing the mission and earning 2 points...."
I found that the tasks are so simple, I can rely on these tasks to earn points in the future.
On the one hand, you can earn points to upgrade your professional level.
On the other hand, you can earn conflict points.
After Ye Li calmed down, he wrote another medical order for the patient and prescribed several Chinese patent medicines.
Mainly I want to test whether prescribing drugs can promote system growth.
If it works, then he earns points and does both.
"After taking oral anesthetics, you may experience throat discomfort, nausea, vomiting, and stomach pain. There is no need to worry about these."
Ye Lidui wrote while instructing the patient's family members.
"Doctor, how long will it take before I can eat?"
"It will take 2 to 3 hours before you can drink water and eat a clear liquid diet. But before that, you can take medicine."
"Thank you, doctor..."
"Should be done."
After asking, the woman helped her husband sit in the wheelchair and left.
Communication with sensible people is effortless.
If you encounter some unreasonable family members of patients, it will be a headache.
Ye Li smiled bitterly, "A distinguished thoracic surgeon is now helping patients perform gastroscopy. Isn't this funny?"
But having said that, it’s nice to have systematic help.
In the past, I only thought about operating on patients and practicing suturing techniques, but now I find that this experience is not bad.
If the medical perspective is upgraded to one level, the symptoms will be more clearly displayed.
"You can't go in, it's not your turn yet!"
Just as Ye Li was thinking, a woman's sharp shouting sounded outside.
Then several people rushed in, and the man shouted: "Doctor, check my dad quickly, he has severe stomach pain..."
"Doctor, they jumped in line..." The female nurse also came in to stop her.
His expression was very aggrieved.
If this happens, she will be reprimanded by the head nurse.
Ye Li heard the system prompt that he had received a task from his family.
I didn't expect this to be possible.
The patient's son yelled at the female nurse: "What's wrong with you little girl! Didn't you see that my dad was in severe pain? If there is anything, can you afford it?"
"Then you can't jump in line!" The female nurse refused.
"Please be quiet!" Ye Li frowned, "This is a hospital, not a vegetable market."
Under Ye Li's slightly majestic voice, both parties shut their mouths.
I think this doctor is young and has a bad temper.
Even the nurse was scared.
"Ouch...it hurts me so much!"
The patient in front of me is a middle-aged man in his fifties, who has been holding his abdomen and moaning.
Seeing the pain, Ye Li couldn't do a gastroscopy at all.
Pain relief first.
Ye Li took a look with medical eyes and saw that the blood vessels on the inner wall of the opponent's stomach were malformed and had red blood streaks.
There are also signs of bleeding on the white coating.
At first glance, it was bleeding caused by acute gastric ulcer, but the amount of bleeding was not large.
Seeing that the pain was severe, the patient's family members urgently urged: "Doctor, please check my dad quickly, he is in unbearable pain..."
After Ye Li understood the situation, he slowly said: "I can help him check, but you have to apologize to the female nurse."
Apologize!
The patient's family members were stunned, and even the female nurse had a surprised expression on her face.
I didn’t expect that doctors also have a temper.
Although queue-jumping often happens in hospitals, some people think
But these are not reasons.
Some doctors will be very unhappy when this happens and will teach you a lesson in other ways.
So when you go to the outpatient clinic, you should still wait for the examination, and don’t jump in line.
This affects the effectiveness of medical treatment.
Ye Li said in a solemn tone: "You violated the hospital regulations by jumping in line. It's up to you whether you apologize or not..."
"Little girl, I'm sorry, we were in a hurry just now."
"It's okay, just pay attention next time..."
The female nurse's heart warmed and she realized that the doctor in front of her had never been seen before, he was new!
Next, Ye Li asked the nurse to bring another three-chamber and two-tube compression device.
"Doctor, you need to perform compression here to stop the bleeding!"
"Yes, the patient's stomach lining is already bleeding."
Ye Li answered the nurse's question seriously.
He also described the risks and accidents during the operation, and sought the cooperation of awake patients.
If you ask how Ye Li can use this thing, he has an amazing talent that no one else has.
Usually, a three-lumen two-cyst tube is used to stop bleeding in the esophagus and stomach, which requires three steps.
First, check for nasal polyps, turbinate hypertrophy and nasal septum deviation.
Then select the larger side of the nasal cavity for intubation to remove scabs and secretions in the nasal cavity.
You also need a 50ml syringe, hemostatic forceps, treatment tray, sterile gauze, liquid paraffin, saline bottle...
Next, the patient's family members were stunned when they saw Ye Li's smooth operation.
"Doctor, is my dad's stomach condition serious?"
When the patient's family members saw the nurse preparing these utensils, they thought they were being punished by criminal law, which made their skin crawl. They thought that this young doctor wanted to avenge his personal revenge!
"There are two bleeding places on the inner wall of the stomach, which is not very serious, but now,
The bleeding needs to be stopped immediately, please be quiet for a while."
Ye Li responded tepidly and put on a mask.
At the same time, a man in a white coat appeared in the corridor. He was the director of gastroenterology.
I happened to pass by here and saw many people surrounding the door of the gastroenterology examination room.
"What's going on!" The director was confused and slowly approached the crowd.
When he saw the young doctor wearing a mask in front of him, he was actually able to skillfully operate a three-lumen two-tube tube.
Did he know that very few doctors in the Gastroenterology Department of the Second Hospital would use this thing?
Especially when I saw the required equipment, my eyes lit up, and I also noticed the role of the three hemostats.
The director nodded. He felt that the doctor in front of him was more formal and professional than the previous doctors.
Who is it!
Could it be that boy Song Wei?
The director, who had countless questions in his mind, didn't think it was right.
He knew that Song Wei didn't have the same operating standards as the young doctor in front of him.
In fact, the operation of three chambers and two bladders is quite complicated.
The most important step is to wait for the gastric bleeding to stop, then pull the saline bottle, deflate the esophageal balloon and gastric balloon, and continue to leave it in the stomach for observation for several hours.
If there is no further bleeding, the patient can be instructed to take 15 to 20 ml of liquid paraffin orally, then exhaust the air in both bags and slowly pull out the three-lumen tube.
This is the end.
Just as the director thought.
Since the patient is awake and the amount of gastric bleeding is small, the operation is easy.
No need to apply repeated pressure to stop bleeding.
Usually, for severe bleeding, the balloon pressure needs to be checked every 2 to 3 hours.
Relax the gas every 8 to 12 hours.
At the same time, the three-lumen two-capsule tube is slightly deeper to separate the gastric pouch from the gastric fundus mucosa, and liquid paraffin is taken orally before deflation.
But Ye Li didn't have to wait for a long time at all, he could get it right in one step.
He has medical fluoroscopy and can clearly observe gastric bleeding at the same time.
In addition to the small amount of bleeding, it is expected to be done in half an hour.
But the director didn't think so. He felt that Ye Li would worsen the condition by giving the patient liquid paraffin too early.
He quickly stopped: "Stop..."
Ye Li frowned and said to the patient's family without even looking at him: "Keep still for half an hour..."
"I told you to stop, did you hear me?"
The director of the Department of Gastroenterology increased his voice, opened his eyes wide, and shouted at Ye Li.
Ye Li glanced at the other party and responded indifferently: "Please be quiet. If you have anything to do, we can talk about it in half an hour..."
"System prompt: The director of gastroenterology is dissatisfied with you, conflict value +100..."
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