Chapter 1226: 【1226】Need to know which department the disease is
Chapter 1226 [1226] Need to know which department the disease is
Nosebleeds generally involve capillaries, and the bleeding can be stopped quickly, as long as the method is correct.
In addition to the ice compress, Xie Wanying took the cotton ball brought by the nurse with her gloved hand and plugged the patient's bleeding nasal cavity to stop the bleeding.
The blood in the patient's nose will certainly continue to flow until the bleeding stops completely.
"Hey, hey, don't tilt your head back." The nurse stabilized the patient's head.
Some people act habitually, thinking that raising their head may help the blood flow back into the body when they have a nosebleed. The idea is ridiculous. The blood that flows out of the blood vessel cannot flow back into the blood vessel by itself unless it is transfused.
On the contrary, the head is tilted back, and the blood that does not return to the blood vessels will flow to the esophagus, stomach, trachea, and lungs. Because these organs are connected under the channel of the nose.
blood flow to the esophagus and stomach, which can cause nausea and vomiting.
flows to the trachea and lungs, and the situation is more serious, which will cause the patient to suffocate instantly.
If the patient had not lost a lot of blood when she came in, her face was pale, and she was dizzy and unable to stand up, she could only lie down first, otherwise the doctor would ask her to sit up and lean forward a little to let the blood flow out of the body.
Now the medical staff let the patient's head down, anyway, the blood cannot be allowed to flow back to the trachea and lungs.
Time passed by, and the atmosphere at the scene was a little tense.
Whether this blood can be stopped or not, the doctor needs to quickly determine why the patient has a lot of nosebleeds?
Find the cause, and then we can cure the disease.
The doctor first asks the patient's medical history, and then conducts a targeted physical examination on this basis.
"Has her nose hurt?" Xin Yanjun asked the patient's friend who accompanied the patient.
The first step is to exclude trauma as usual. Although the doctor did not see any signs of trauma in the patient. To be on the safe side, it's not wrong to ask again.
"No. She suddenly had a nosebleed during dinner. We asked her to cover it at first, but she couldn't cover it, so we had to take a taxi to the hospital to see it," said the patient's friend.
"You're talking about today's situation? What about in the past? I'm talking about before today. Do you recall whether she had been in a car accident recently? Or did she accidentally fall down in such an accident?" Ask about the trauma history.
"No. I haven't heard of her having a car accident." The patient's friend shook his head.
It seems that trauma can be temporarily ignored, and the doctor needs to consider whether the patient has epistaxis caused by systemic diseases. For example, epistaxis caused by coagulation dysfunction, such as leukemia that people often hear about, will have similar symptoms like this patient, anemia and bleeding.
"Draw a blood." Xin Yanjun gave the nurse a verbal doctor's order.
Is there something wrong with the cells in the blood under the blood test?
The nurse ran to get the blood collection kit.
The doctor asked the patient's friend: "Did she ever say that she has any disease?"
"No, she is so young, where did she get sick." The patient's friend said, "You can ask her about her own."
After lying flat on ice, the female patient seemed to be in better condition. She could hear the conversation between the doctor and her friend and nodded, confirming that her friend was right.
In this case, it means that even if the patient is ill, he does not know that he is unable to answer the doctor's question.
"Did you ask the ENT department to come down and take a look?" the nurse asked next to her, if she wanted to call the doctor in the inpatient department.
It is necessary to find a specialist in the inpatient department. The problem is, which doctor to find must be the right one. Otherwise, it will be a waste of time and the time of patients and colleagues will be wasted. Emergency physicians have this technical responsibility.
(end of this chapter)
