Rebirth begins in the operating room

Ye Li wiped his mouth with a tissue and stopped eating.

Zhou Wei was still devouring it.

"Okay, don't eat. Look at the patient first and treat you to a good meal later."

Ye Li rolled his eyes at Zhou Wei.

In 2007, there was no takeout delivery.

If you miss a meal in the hospital cafeteria, you will go hungry.

Some doctors and nurses hide some bread and other things because they are too busy to eat.

I will nibble secretly when I have free time.

Ye Li knows it best. When he and Zhou Wei were interns, they often missed meals.

Eating cookies and bread.

When the three people left the department and went to the emergency room.

I have seen the patient lying on the hospital bed, with edema all over his body, cyanotic lips, and struggling to breathe.

This time it was a patient with kidney damage.

Ye Li came to the patient and took the medical record handed over by the nurse.

The patient, a 42-year-old male, presented with symptoms of pain, hematuria, lumps in the waist and abdomen, and general edema.

The medical history is that I was hit in the waist when I was young, and later I had to urinate blood and go to the hospital for treatment.

The kidneys usually have rich blood supply. Once damaged, it is easy to cause bleeding and extravasation of urine into the tissues, leading to shock and infection emergencies.

When Ye Li observed the patient's condition with medical eyes, the system indicated that the patient was suffering from acute kidney injury and ruptured blood vessels, leading to renal failure.

Realize that the next process will be very uncomfortable for the patient.

This is because renal colic is likely to occur when blood clots pass through the ureter.

It is possible to cause other complications of infection.

Su Yiyi noticed the expression on Ye Li's face, and she knew that the patient in front of her was extremely serious.

"Yiyi, give the patient analgesics first. Zhou Wei, you will give the patient subcutaneous injections of antibiotics to prevent infection. The nurse immediately notifies the family that the patient needs to be transferred to the ICU immediately..."

Ye Li told the three of them that he was not idle either.

Take out your cell phone and contact the urology department.

His biggest concern was that the patient was suffering from hyperkalemia.

A series of treatment options flashed through my mind, including loop diuretics, intravenous calcium infusion, and glucose.

Of course, these medicines may not be available now.

Ye Li always observed whether the patient had pulmonary edema, cerebral edema, etc.

It can be said that the patient in front of us is extremely serious.

Because of meal time, no one answered Ye Li's call to the urology department.

At this time, the patient was conscious and saw three blurry shadows in front of him.

"Doctor...will I die?"

Ye Li saw that the patient was dying, speaking intermittently, and was very weak.

You can see the other person's obsession with survival, which makes him look pitiful.

The patient's face was pale and swollen like a swollen flour ball.

His eyes showed his desire to live.

I hope the doctors in front of me can save him.

"Ali, I'm fine..."

Seeing that no one answered the call, Ye Li put the phone back in his pocket, "Zhou Wei, come to help, first insert a urinary catheter into the patient... Yiyi, you come to insert the trachea, and send it to the ICU first..."

Zhou Wei and Su Yiyi took action immediately.

The three of them cooperated very well and quickly.

Su Yiyi now looks like a half-professional doctor.

Ability to think calmly and operate.

This is the result of her daily study at home.

All I can say is that Ye Li teaches well.

Ye Li said softly to the patient: "Your situation is very serious. I hope you will cooperate with us for intubation. Think about your family and that you will not die..."

At this time, the patient needs the greatest comfort, not cold treatment.

After so many years of treatment, this was the first time that the patient heard such words of certainty from a doctor, which gave him the idea of ​​​​living.

right!

I still have my family.

Suddenly, his willpower became stronger.

.....

Fifteen minutes later.

ICU intensive care unit.

Ye Li put on protective clothing and a mask.

The patient has been given coagulation drugs.

The urine discharged from the urethra is very dark in color.

"The patient needs a blood transfusion..." Ye Li observed the ruptured blood vessels in the patient's kidneys and made a decision immediately.

Blood transfusion, fluid replenishment, blood volume expansion, and correction of water and electrolyte imbalance are required.

This can prevent further kidney failure.

If the intrarenal blood vessels rupture and the bleeding does not stop.

Ye Li could only undergo surgery.

But as a result, we faced new problems.

The patient's temperature rises.

"What should I do! Can't the patient's temperature come down?" Su Yiyi asked anxiously.

Ye Li used medical eyes to observe the patient's kidneys, blood from the waist mass, and urine entering the surrounding tissues, causing local swelling.

However, there are many reasons for the patient's temperature to rise.

This was beyond Ye Li's knowledge.

what to do!

But Ye Li looked troubled, and he couldn't ignore it.

However, so far, Ye Li is already very good at being able to handle it to this point.

It can be seen that the patient's temperature continues to rise, and the monitor sounds an alarm.

"Ye Li, if this continues, the patient's life will be in danger..."

Su Yiyi watched the electronic

monitor.

Ye Li looked at the two of them and said, "Pang Wei, call the director... Yiyi, ask the patient's family to sign the surgery agreement..."

"Okay, I'll go right away..."

Kidney damage, causing perinephric abscess or purulent peritonitis, can also cause an increase in body temperature.

"We gave them all the antibiotics that won't damage the kidneys!"

Zhou Wei's tone was very serious.

I found that the dean called the director of the urology department and made a lot of recommendations, but he found that it was unreliable.

But time passes little by little.

The patient's intrarenal blood vessels were severely ruptured, causing secondary bleeding, just like old water pipes that began to leak due to aging.

Ye Li gritted his teeth and decided to do it his own way.

"Zhou Wei helped, turned the patient over, and operated immediately..."

Ye Li made a decision in desperation.

"A Li, you plan to operate here!" Zhou Wei was also stunned.

"No time...."

Ye Li didn't have time to explain to Zhou Wei.

Sure enough, the system showed a death time and was counting down.

It was exactly the same as Qin Tianshuo's surgery.

Zhou Wei hung up the phone and didn't care.

The two of them worked together to turn the patient over, and Zhou Wei performed lumbar nerve anesthesia on the patient according to Ye Li's request.

Surgery to solve the problem in such a short time is ridiculous.

Ye Li took out his black scalpel and cut directly.

The flesh was like a piece of paper, being cut open in an instant.

It was the same this time, no bleeding.

It's because the scalpel is too sharp.

Soon a dark red kidney lay in front of Ye Li.

It is larger than the average kidney.

Zhou Wei frowned when he saw a meat ball that was more than twice the size of a normal kidney.

How uncomfortable it is to have such a big thing on your waist!

But Ye Li didn't have time to sigh when he saw the kidney. He had already thought of a solution.

I don't know when my hand was replaced with a syringe, and the needle penetrated directly into the kidney.

It is to remove the fluid collected around the kidneys.

Until Ye Li took out two large tubes of red liquid.

Next, use a scalpel to make a small incision in the kidney.

Then use elbow forceps to draw out the ruptured intrarenal blood vessels.

The bright red blood is flowing out.

The picture is very scary.

In addition, the system is like a reminder, constantly announcing the time of death.

Tricky.

Very tricky.

This caused Ye Li's inner pressure to increase dramatically.