Chapter 86 Rupture of hepatic aneurysm
When Wang Yang received the call, he quickly handed over the rounds to Li Ge, and he rushed to the emergency room.
Lin Miao also called Director Xiao. When Wang Yang arrived, the group was already busy.
The nurse was taking blood pressure, and Director Lin Miao and Director Xiao were checking the patient's body, and asked the nurse to inject drugs from time to time to maintain the patient's basic physical needs.
The moment Wang Yang saw the patient, the patient's condition appeared on the system light plate, and the system gave a diagnosis of hemorrhagic shock caused by ruptured ventricular hepatic aneurysm.
Aneurysms are very common human blood vessels and are tissue structures formed by blood vessels together. However, because this aneurysm concentrates too many blood vessels, it will cause heavy bleeding once it breaks, endangering life.
In this patient, Wang Yang temporarily did not know what causes the aneurysm rupture caused major bleeding.
Director Xiao had a deep vein puncture and a small amount of venous blood began to flow back. Director Xiao widened his eyes.
"Replenish fluids, blood collection, and prepare for surgery!"
When Lin Miao saw Wang Yang coming, he hurriedly reported the patient's condition to Wang Yang. "The patient was sent by 120 4 minutes ago. Before admission, he had a high blood pressure of 60 mm and a pulse of 154/time. The patient had a plate-shaped abdomen in his body. It was speculated that his internal organs were ruptured."
At this time, the doctor in the B-ultrasound room pushed the B-ultrasound head over.
Soon, the doctor B-supervision made a judgment, "There is a large amount of effusion in the patient's liver area, and effusion can be seen in the liver and kidney area. The preliminary consideration is to rupture and bleeding in the liver."
"Xiao Wang, prepare to intervene and stop the bleeding."
Director Xiao spoke.
Wang Yang nodded and was about to go to the operating room. As for signing the preoperatively, Director Xiao needed to deal with it.
When Wang Yang and Director Xiao were talking, the nurse had already put the drip on the patient through the infusion device and the electrocardiogram monitoring. Wang Yang followed him and rushed towards the operating room quickly.
Director Xiao looked at Wang Yang's back as he left, frowned. The patient's condition was very serious.
At present, the low pressure has not been measured, which means that the makeup and blood volume are particularly low. Even if Wang Yang takes surgery to stop bleeding, Director Xiao is not optimistic that he can be rescued.
Some patients can be judged if they can be treated after being sent back, and sometimes the doctor is just trying his best.
However, Director Xiao was not idle, and he still had to do his job. Director Xiao directed the medical staff to do surveillance evidence and then called the medical department.
After the emergency department, what I fear most is medical trouble, especially for this anonymous person. There are always some fools who make trouble regardless of the patient, which ultimately delays the treatment of the patient.
Since the patient was an old man, Director Xiao found the old man's machine and unlocking was very simple. Director Xiao found his son's name on it and called him.
"Hello, we are in the emergency department of the First Hospital of the City. Your father has severe abdominal bleeding and we are preparing for emergency surgery."
"But the condition is serious, we may not guarantee to save your father's life."
Director Xiao spoke very quickly, and he quickly explained the key points, then hung up the phone, put the phone in a bag, and sealed it where the patient had just lying.
Avoid extortion from the Anonymous family members. Some families deliberately make trouble by losing their property, which makes everyone in the hospital doctors feel in danger.
Because Director Xiao called, the people from the Medical Department came very quickly. Director Xiao began to give preoperative explanations and medical records to the people from the Medical Department, and asked the Medical Department to give the emergency department surgery authority.
However, Director Xiao is also a formality. Wang Yang should have been in surgery now.
Half an hour later, a staggering figure ran over, with a cast on his legs, and rushed towards the emergency department with big strides.
"Doctor, I am Guo Daqing's family, I am his son, how is my dad doing now?"
Guo Wu pulled Director Xiao's arm and asked anxiously.
Director Xiao is often used to being pulled by patients, and his expression has not changed. He also understands the patient's mood. "Your father was sent to our hospital by 120. According to the person who called the emergency number, your father was unconscious in the Mianyang Park. As for how long he had been unconscious, the person who called the emergency number was not sure."
"But when the patient came to our hospital, his blood pressure was very low and he could not detect it at all. He has sent your father to the operating table."
Guo Wu collapsed to the ground all of a sudden. Guo Wu knew about his father's situation.
Director Xiao said with a look of expression: "Now I want to confirm your identity and give you preoperative explanations."
Guo Wu had medical reports before and was still very clear about the hospital links. He quickly took out his wallet and handed his ID card to Director Xiao.
Director Xiao asked Guo Wu to register, and then began to give Guo Wu preoperative explanations.
But after Guo Wu explained it, I realized how terrible it was. Each of the complications made people feel trembling.
At present, Guo Wu's father is in a very serious condition, and there is less than 20% hope of being rescued. Even if he is rescued, he may not be able to recover.
Guo Wu was stunned. He had written various reports before that the hospital had unauthorized surgery, and even he had a press release in his hand to submit to the Southern Newspaper, which is to say that it was from Taoshi No. 1 Hospital.
But unexpectedly, my father fell ill and was rescued by the First Hospital of the City. I had previously accused the doctor of unauthorized surgery and forced one doctor after another to leave. Now, if my father had not been unauthorized surgery, he would have become a cold corpse.
Although the preoperative explanation is scary, there is a chance of recovery due to treatment. If the doctor does not operate without authorization, then his father will not have a chance of recovery.
"The rescue is still timely. After signing, you can go to the door of the operating room and wait."
Director Xiao said.
Guo Wu nodded and went to the door of the operating room with Director Xiao. Looking at the flashing light signs in the operating room, Guo Wu's heart twitched.
When I was at work today, Guo Wu told his father to take medicine on time, but he didn't expect the disease to occur so suddenly.
...Wang Yang finished brushing his hands in the operating room and put on his surgical gown.
The anesthesiologist also finished the anesthesia of the patient. Lu Ming had already completed the preliminary work and was waiting for Wang Yang's operation under the shadowless light.
Lu Ming gave Wang Yang a mirror and Wang Yang embolized the blood supply artery through a spring coil.
“Gel sponge!”
The spring coil is the most suitable for the current situation, because the spring coil can avoid venous malformations and enlargement of the tumor cavity, but the arteries are relatively thick and the spring coil cannot be completely blocked, so it is necessary to assist with gel sponge.
This seemingly risky operation was quickly successful under Wang Yang's interventional embolization. Wang Yang began to put the patient in a urinary catheter and gastric tube. After all, it was a ruptured aneurysm in the body, and the patient would not be able to wake up for a while.
A white cloth covers the patient's body, the operating room light sign goes out, and the door opens.
Director Xiao and Guo Wu both looked nervously at the back of the door.
The flat car was slowly pushed out, and Guo Wu felt that his breathing was still, and his father was covered with a white cloth sheet. Isn't it...
Chapter completed!