When Zhang Fan walked quickly to the ward, the first thing he saw was broken glass on the ground. Sister Li's mother and father stood beside the hospital bed and supported Sister Li. Sister Li turned her head and looked out the window, pushing hard with both hands. Pushing his parents.
"Don't move, don't move, lie down quickly, lie down quickly." Although Zhang Fan didn't see Sister Li's face. However, it can also be seen that Sister Li is pushing hard. Zhang Fan was so scared that he broke out in cold sweat! This is another attempt to commit suicide!
He walked over in three steps and two steps at a time. When Zhang Fan saw Sister Li's expression, he shouted loudly: "Nurse! Quick, push the ambulance over. Quick!"
Thrombocytopenic purpura is inherently very dangerous. Such pushing and pushing is strictly prohibited. Not to mention pushing, the patient is not even allowed to exert force to defecate. If there is constipation, an enema is given directly, and there is no way to do so. Let her use her strength.
At this time, Sister Li was pushing her parents and spitting out blood, because her hair was disheveled and she lowered her head hard. The two old men didn't notice anything unusual. By the time Zhang Fan saw it and called the nurse, Sister Li was already at the end of her tether.
At this time, no matter what happens, save people first! The movements must not only be quick but also gentle. In Sister Li's state, any big movements are not enough as it will easily cause bleeding in other places.
Nurses in the rheumatology department move a little slower than nurses in the general surgery department, general internal medicine department and emergency department. There are very few patients in this department who need emergency treatment. The nurses have not yet been trained to do what they can do subconsciously. realm of reaction.
Zhang Fan shouted so loudly that before the nurse at the nursing station responded, Lao Hu hurriedly ran from the ward to the emergency room, shouting as he ran: "Quick! Bed 9 is probably suffering from massive bleeding."
The bear-like body pushed the ambulance and ran very fast. The momentum was so fierce that it was speeding like a truck. While running, he shouted to the nurse who was changing dressings in the ward: "Call the director quickly."
Zhang Fan quickly supported Sister Li's body and asked her to sit forward. You must not lie down at this time, as the bleeding is too severe. Once you lie down, blood will rush into the trachea and cause severe coughing, which will really make things worse.
As soon as Hu Jun entered the ward, he saw the black and red blood all over the floor, and then saw the patient's pale face, and said to Zhang Fan, "Rupture of the gastric vein?"
"Yes. Double-balloon three-lumen tube, ready for blood transfusion." The nurse hasn't come yet and can't wait. Hu Jun started working as a nurse, delivering first aid supplies to Zhang Fan.
Sister Li's parents turned yellow with fright, their hands were shaking and they could no longer stand, "What's going on! What's going on! Bai Bing, don't be angry. Let's go, can't we go! Qian Don't be angry! Bai Bing!" Her mother couldn't hold on at first. Sister Li's mouth was full of donated blood and she couldn't open her eyes.
The two old men stood beside the bed to block the situation. Zhang Fan prepared the equipment and said to them: "Get out!" He didn't even have time to say polite words.
Time at this time is too precious. If you slow down, Sister Li will bleed to death. It can be said that one second longer and one less second means the chance of survival is different.
The nurse also came. Zhang Fan said to the nurse who came over: "Fifty mL of gas is injected. Take the quilt and put it on the patient's back. Xiao Wang, sit behind the quilt and hold the patient on it. Be sure to hold it well."
"Okay!" Xiao Wang was weak and could not hold up when he sat down. He wore shoes and jumped onto the bed as nimbly as a little monkey, pressing his shoulders against Sister Li's back!
Turning sideways, Zhang Fan grabbed Sister Li's chin, turned his head slightly, and after turning slightly sideways, said loudly: "Hold on, no matter what, there are still people who care about you in this world, so you must hold on. We I won’t give up on you. Quick, open your eyes! Talk!”
The voice was very loud and violent, like a lion's roar! Sister Li has no desire to survive at all. If she is not strongly stimulated at this time, she may fall asleep like this.
Sister Li slowly opened her eyes. She had a long, bloody mouth. Zhang Fan didn't know what the poor woman was saying and couldn't hear it. He couldn't care less about her emotions.
"Open up, open your eyes. I'm stuffing something in your nose now, hold on! Hold on!" He said without slowing down at all.
After the cotton swab quickly and gently cleaned Sister Li's nasal cavity, she picked up the three-cavity two-capsule tube that the nurses had wiped with paraffin oil on the surface and began to insert it into the patient's nasal cavity. Little by little, Zhang Fan felt it reach his throat.
"Spit the foam, hurry up! Swallow the foam!" Sister Li has no desire to live and is not very cooperative. She is like a dead body, waiting for the black and white evil spirits to come and take her to another world.
There was no other way, Zhang Fan just used a plastic tube with three chambers and two bladders to stimulate her throat, which only made her hiccup. This action is too dangerous. If you don't do it right, or if you are unlucky, it will directly accelerate the patient's death!
But Zhang Fan has no way. If there is any other way, Zhang Fan will not take the risk. Life is more important than human life. But when the patient has no nostalgia for this world, no matter how skilled the doctor is, he will still be weak.
When the throat is irritated, no living person can resist this normal physiological reaction of the body. "Ugh!" As soon as she made this action, Zhang Fan quickly followed her swallowing movements and inserted the three-lumen and two-capsule tube in. . Straight to the stomach!
Ordinary doctors, when reaching the patient's stomach, will also make a suction action to see if they have reached the stomach. Zhang Fan did not use this operation. Firstly, he did not have enough time, and secondly, he was confident in himself! After thousands of system trainings, if it is still not guaranteed and you still have to do the suction action, the system will probably self-destruct!
Then he started to inject air into the lumen, "Dr. Zhang, it's already three hundred!"
"Okay! Fixed." Zhang Fan said. The sweat on Zhang Fan's head was not from heat or exhaustion, but from fear. This is also the first time Zhang Fan has seen such ferocious vomiting of blood!
What is this? To put it simply, the large vein at the fundus of the stomach is ruptured. At this time, it is too late to perform surgery or anything else, and can only be compressed.
The three-lumen two-capsule tube is like a deflated balloon that is inserted into the stomach. After being blown up, it directly compresses the large veins at the fundus of the stomach to stop bleeding.
"Blood pressure! Pulse! Start testing!" Zhang Fan said to the nurse while processing. There was no time for rescue at the front and even for monitoring.
"Dr. Zhang, 60/30mmhg, 30 beats/min. The pulse is weak!" the nurse reported back.
"Give oxygen, open three channels, and prepare deep vein catheterization. Dopamine 200ug/min, sodium bicarbonate solution 250ml intravenously, scopolamine 0.3mg intravenously. Concentrated red blood cells, 500kl dexamethasone, put into the pot!" Zhang Fan is used to being strong in surgery. , without asking Lao Hu’s opinion, he started rescuing him directly and gave verbal doctor’s orders.
Lao Hu, who was about to open his mouth, took a look and heard. Zhang Fan did it very skillfully and accurately, so he started to help the nurse to rescue the patient. This is the doctor. Since Zhang Fan started to preside over the rescue and made no mistakes, Lao Hu Hu started to help without any fuss!
Even if he is very unhappy, he still has to help now. Even if he wants to get angry and deal with Zhang Fan, that will happen after the rescue is over.
At this time, we can only work together!
