Since 1981 Health School

Many of the young doctors on site are professionals, and they figured it out right away.

The clever little doctors have already started to take notes, which are valuable clinical experiences.

Although Manager Xie didn't understand, he was an old society person. Seeing the doctor's answer so decisively, he knew that what he said was true.

Chen Qi didn't care what other people thought. He quickly looked through the various inspection data to confirm whether there was any problem with his speculation.

I don’t know if I don’t look at it. I was shocked when I saw it. The patient’s hemoglobin dropped to 70g/L, and he was severely anemic. It might be gastrointestinal bleeding.

This can also further confirm the reason why the patient's blood pressure is low as soon as he comes.

Chen Qi patted the test sheet, knowing that there was evidence now, so he treated it as an emergency teaching, and explained to several young doctors in more detail:

"The patient suffered from gastrointestinal bleeding, and the syncope was due to hemorrhagic shock caused by internal bleeding. The normal value of hemoglobin is 120-150g/L, and this patient is only 70g/L now. We can draw a conclusion that the anemia is very serious.

But one thing is not clear, how much hemoglobin does the patient usually have? As she said just now, she usually has black stools, which means that she also has bleeding. Maybe there is hemorrhagic anemia on weekdays. So where is the blood loss point?

According to the patient's description, it is likely that the bleeding is usually caused by peptic ulcer, but her usual symptoms are not serious, and the bleeding may not be much, so she didn't care about it.

Today, the ulcer may suddenly turn into a hemorrhage from a small ulcer, and the blood rushes into the intestinal cavity. The brain is short of blood and oxygen for a short time, which leads to fainting at work. It is what we think of epilepsy or heart problems.

Do you understand my explanation? "

"Understood, Dean Chen!"

"Oh, with Dean Chen's explanation, Mosai suddenly understood!"

"Sure enough, just reading books is not enough. You have to meet such a patient, and you will remember it firmly in the future."

A group of little doctors nodded like chickens pecking rice, which satisfied Chen Qihao's vanity of being a teacher again.

"By the way, have the family members been in touch? Why haven't you come yet?"

When Manager Xie heard this, he hurriedly said politely, "Doctor, I'll go to the door and wait for the family members now."

Chen Qi nodded: "No, we have a telephone in the office, you can call to remind us. We will need family members to sign and agree to perform some experimental operations."

At this time, the blood transfusion department sent several units of red blood cells and 600ml of plasma.

If others want to learn blood transfusion, they may not be ready to take it out. Now the director wants blood, let alone 600ml, even 6000ml, they will try their best to make it.

The blood products were lost at a faster rate.

Now it is basically clear that the patient's low blood pressure, coma, and convulsions are all caused by gastrointestinal bleeding, and have little to do with epilepsy and heart. So blood transfusion anti-shock is very important.

Bai Xue was very ashamed and annoyed because she couldn't help pulling the bed, but now she found the real cause of the disease because of the black stool, and she felt mixed feelings.

I also heard from the doctor that the gastrointestinal bleeding might be fatal, so I was at a loss for a while and could only let the doctor handle it.

Lan Lijuan came very quickly, followed by a large group of young doctors from the Department of Gastroenterology.

As soon as the dean's wife arrived, Dean Chen, who had just been a model teacher, immediately stood up with a fawning smile on his face.

"Hey, Director Lan is here, very timely."

Lan Lijuan pursed her lips, "Be serious, I'm at work now, so many people are watching."

When the two are together, people always give people the illusion that Lan Lijuan is the dean, and Chen Qi is the little doctor who was reprimanded by her.

Chen Qi was bored, so he asked Yi Zewen to report the patient's condition. Lan Lijuan also went to see the quilt and trousers that had been packed, and confirmed again that it was black stool, so she suggested:

"In this case, it is best to do a gastroscopy immediately to determine whether it is gastric bleeding or duodenal bleeding, and then decide what kind of treatment to use, surgery or conservative treatment? In case of heavy bleeding again, the patient's life is still in danger."

Hemorrhagic shock has already occurred, or 2 times, and doctors know the danger.

It's hard for ordinary people to imagine, isn't this patient well and able to speak consciously, why is he critically ill? Why is it serious? Doctors love to scare people.

When Bai Xue heard that another doctor said that surgery is still needed, she panicked even more: "Doctor, can I not have surgery, I'm afraid."

Chen Qi comforted him kindly:

"It's okay without surgery. Now there is an endoscopic surgery. It doesn't need to cut open the stomach. It's very convenient, but it needs to be signed by your family members. It's been a long time, why hasn't the person arrived yet?"

As soon as the words fell, Manager Xie rushed into the hospital with a middle-aged couple anxiously.

"Xiaoxue, how is Xiaoxue doing now, hey, why is your face so ugly, my dear girl, you, what's wrong with you?"

Seeing her daughter's appearance, the middle-aged woman took her daughter's hand and burst into tears.

Being so emotional, it's obviously Bai Xue's biological mother. This kind of worried look is impossible for a mother-in-law. Only real parents will be scared to tremble when their children have an accident.

The middle-aged man who ran in was also anxious when he saw his daughter like this, but he had something more to worry about.

So quietly Chen Qi, the attending doctor, pulled aside:

"Doctor, I heard from my daughter's unit before I came that my daughter has epilepsy? What should I do? My daughter will be ruined if she gets this disease. Can it be cured?"

Chen Qi quickly comforted:

"According to our examination, we initially feel that this is not epilepsy, but that your daughter has gastrointestinal bleeding, and just pulled out a lot of black stools, which shows that the bleeding is very large, which leads to brain ischemia and hypoxia. Fainting convulsions.

But the specific situation inside the gastrointestinal tract is not clear, and at the same time, it is to prevent another massive bleeding, so we want to perform a gastroscopy immediately, and may also perform an endoscopic operation to repair the bleeding point as soon as possible. "

"Isn't it epileptic? Good, good, thank God, thank God."

Bai Xue's father relaxed when he heard the news, and thanked the Bodhisattvas for their protection with his palms together.

Suddenly he thought of something and reacted:

"Wait, doctor, what did you say? A gastroscopy? This is not acceptable, this is not acceptable, we will not do this, it is too dangerous, it will kill you."

Doing a gastroscopy will indeed kill you.

In his previous life, Chen Qi personally encountered a patient with esophageal and gastric varicose veins.

At that time, the gastroscope was performed by a regular training doctor with poor skills and improper handling. When the lens of the gastroscope accidentally touched a varicose blood vessel, he accidentally poked it hard.

It was all right now, the esophageal and gastric fundus veins ruptured instantly, causing massive bleeding, and the patient was not rescued.

But this is an extreme case.

At least Chen Qi has seen so many gastroscopes, because only one or two gastroscopes died, the proportion is very low, generally speaking, gastroscopes are quite safe.

This sudden reversal made Chen Qi and all the doctors present dumbfounded. It was hoped that the cause of the disease could be quickly cured, but the patient's family members were troubled.

This is really not a family, do not enter a door.

Disagree with gastroscopy? Is that really the stupidest thing in the world?

The patient may bleed again at any time, and this side refuses gastroscopy, Chen Qi really wants to swear:

What the hell, gastroscope hemostasis and surgery are not required for gastrointestinal bleeding, so how can we stop the bleeding? Do you want to stop the bleeding with your mind?

Lan Lijuan was a lesbian, so she was relatively patient, so she explained the symptoms and possible serious consequences.

Bai Xue's father still looked like he couldn't explain it, and thought he had a reason:

"Let me tell you doctor, we used to have a neighbor who also had stomach bleeding for a gastroscopy, and then died for no reason. I can't let my daughter repeat the same mistakes. I heard that Yunnan Baiyao can stop bleeding, no matter how big the stomach bleeding is. Hold on, bleeding like a faucet can be cured, there is no need for surgery."

The more the doctor persuaded, the more Bai Xue's father felt that the doctor was tricky, probably just to earn more medical expenses, the more he refused to do a gastroscopy.

The treatment was deadlocked there, no one could convince anyone, and the time passed little by little amidst such meaningless arguments.

Chen Qi's face turned green with anger.

Can you hold back the bleeding from the faucet?

I could only patiently explain again and again that gastroscopic hemostasis of gastric bleeding is a routine operation, a standard operation, and generally it will not kill people, and the probability of saving people is higher.

But no one can guarantee that some bleeding may not be stopped by gastroscopy, or there are other more complicated problems. No one knows whether the gastroscope caused the death of the patient. The cases heard have no evidence.

Bai Xue's parents were still resolute, and the father said directly:

"Since it may be stomach bleeding or other gastrointestinal bleeding, we might as well go home and find the Qi Chinese medicine doctor at the south gate to prescribe some hemostatic medicine. I have heard that his medical skills are very good."

In a word: no gastroscopy.

Chen Qi felt that his heart was tired. The first patient in the emergency department of the People's Hospital met such a wonderful family member, which was really dumbfounding.

Dean Chen is also a person with a temper. It's hard to persuade the damn ghost with good words.

"Old Yi, bring the informed consent form for refusal of treatment. Your family members can say no to treatment, as long as you bear the consequences yourself. Come on, you are the patient's father, you sign your name. What happens after you leave the hospital has nothing to do with our hospital. .Sign it and you can go."

After speaking, Chen Qi handed over a pen.

Now Bai Xue's father hesitated again, and began to worry about gains and losses:

"Then, doctor like this, my daughter is already married, and the in-laws always have the final say on such a big matter. Let's wait and see what attitude my in-laws have."

The family members here refused to sign the contract, refused to undergo surgery, and even refused to have a gastroscopy.

"I said you should be treated if you are sick. Look at how pale this little girl is."

"Yes, the parents are immediate relatives, they must be closer than the in-law's family, and the signature is the most appropriate."

"The doctor said that it would be dangerous if hemorrhage occurs again if it drags on. It must be right to listen to the doctor."

The onlookers were chattering and saying everything, Chen Qi saw that so many doctors were delaying the work because of one patient, so he said to Lan Lijuan:

"If you go back first, I guess this endoscopic surgery won't work."

Lan Lijuan doesn't care, anyway, there are quite a lot of patients with gastric bleeding, and she can do it next time if she doesn't do it today, but as a doctor, she still can't bear to see the patients and their families slowly falling into the abyss because of ignorance.

"Why don't I try to persuade the patient again, young people should be able to communicate better, after all, life is their own."

Chen Qi also thought about it: "Okay, you can ask her for personal opinion, as long as she agrees, she can sign it herself."

The young couple was still worrying about the patient, and a large family came in hastily at the door, including men and women, old and young.

It was Manager Xie who led her in, and it was probably her husband and in-laws who arrived.

But looking at the faces of the family, the stern and indifferent look was in stark contrast to the anxious and worried expressions when the patient's biological parents arrived.

Chen Qi and Lan Lijuan looked at each other, knowing that Yao Mozi had arrived again.

Sure enough, when Bai Xue's parents saw their in-laws coming, they greeted them warmly.

"Father-in-law, mother-in-law, Xiaoshu, you are here."

The young man named Xiaoshu was obviously Bai Xue's husband, and at this moment he called out in embarrassment: "Dad, Mom."

However, the parents-in-law next to her still didn't have half a smile on their faces, and they didn't show any concern for their daughter-in-law. Instead, they spoke with a shocking sentence:

"Family, I have something to ask, did Xiaoxue ever have epilepsy when she was at home?"

Bai Xue's parents turned pale in a flash.

Bai Xue on the hospital bed was still teary just now, thinking that her husband was coming, and she was relying on her, but she didn't expect her mother-in-law to say just such a sentence, she was stunned for a moment, and couldn't hide the panic in her eyes.

Even the doctors and nurses in the emergency department stopped what they were doing and looked at the family.

As for the onlookers, they were even more eager to gossip. Everyone was experienced. With the appearance of these two families, there must be a war of violence about to begin.

Bai Xue's father came to his senses. Although he was upset, he still pretended to be indifferent and said with a smile:

"Dear mother, you are right. My daughter has grown up healthy since she was a child. She rarely even catches a cold. Who in the neighborhood does not boast that Xiaoxue is fair and clean. How could she get epilepsy? Absolutely not."

The mother-in-law sneered, and looked at her daughter-in-law on the hospital bed not far away like needle pricks:

"That's not what I heard. Now it's spread all over the outside world. It's said that Bai Xue has epilepsy. She had two seizures just in the unit. Today, she was sent to the hospital directly. In front of everyone's eyes Can't you hide it? I said how long will you keep it from us?"

As soon as these words came out, everyone in the room was shocked, and needles could be heard.