Chapter 4136: 【225】No exaggeration
Operating room nurses are required to prepare patients who come to the operating room.
Since she didn’t receive a call from the Department of Gastroenterology before, the nurse had to ask Dr. Jiang: “Is this a patient with internal bleeding in the gastrointestinal tract?”
“Can’t we use three-lumen and two-cyst tubes to compress and stop the bleeding?” Xia Dongxian asked one after another.
Jiang Mingzhu didn’t care who asked the question and said anxiously: “Not all patients can use three-lumen and two-capsule tubes to compress and stop bleeding.”
I didn’t mean to hit Senior Brother Xia in the face.
Dr. Xia Dongxian didn’t know what he was asking. He was the acting director of the ICU, so he was just asking for further clarification.
It seems that this patient is not an indication for the three-lumen and two-capsule tube compression hemostasis method we have talked about before.
The three-lumen and two-capsule tube compression hemostasis method has limitations. The patient we mentioned before had liver problems.
The best indication for the three-lumen and two-balloon tube is patients with gastric variceal bleeding. One of the causes of gastric variceal rupture is liver problems.
There are various causes of gastrointestinal bleeding, far beyond gastric variceal rupture. In fact, even if the gastric varices is ruptured, as long as the conditions for digestive endoscopy are available, there is no doubt that digestive endoscopic surgery is better than three-lumen and two-tube tubes.
Digestive endoscopy for hemostasis allows doctors to further diagnose and treat patients while they can see the disease. To put it bluntly, a three-lumen two-capsule tube is a "blind" insertion and "blind" treatment under certain circumstances.
This patient, according to Dr. Jiang, must undergo emergency digestive endoscopic surgery. I am afraid he is not an ordinary patient suffering from gastrointestinal disease and bleeding.
Dr. Xia Dongxian’s inquiry was meaningful. He asked: “Is it a foreign body?”
It turned out that he was not a new patient admitted to the hospital. No wonder Dr. Zhang and others said at that time that they did not need to let Dr. Wen, the general resident, take care of him for the time being. If an old patient has been hospitalized for a long time, his or her doctor will at least have a clear idea of the direction of diagnosis and treatment.
This patient is like this. He has been hospitalized in the gastroenterology department for a period of time due to upper gastrointestinal bleeding. He was diagnosed with gastric ulcer in advance and received conservative treatment.
Seeing that the treatment is almost complete, there is no big problem and I am ready to be discharged from the hospital and go home to recuperate.
Unexpectedly, the family may have been careless when feeding the patient this evening, and allowed the patient to eat something without reporting it to the nurse or doctor on duty. It was not until midnight that the patient developed symptoms of gastrointestinal bleeding again. Can't live.
In this case, a three-lumen two-capsule tube will definitely not help, and the only option is digestive endoscopy. If the digestive endoscopic surgery is unsuccessful, the general surgeon should be notified to come in urgently for surgical exploration.
After hearing this, the doctors and nurses around them said: Uh-huh!
Dr. Jiang Mingzhu did not exaggerate the condition of his patient.
Liu Jingyun frowned: I don’t know, Senior Sister Jiang’s operation will take a long time.
How about giving Li Fuai a short-acting general anesthesia first?
Here it depends on how sure you are that Li Fuai's technique will be successful in resetting?
I'm coming. Outside the door of the operating room, the wheels under the two lathes made a grunting sound, and they almost met at the door of the operating room.
“Are there any emergency surgery patients?” Dr. Chang Jiawei was surprised and asked for a lathe.
The doctors and nurses who brought the patient across the street were also surprised: "Are they surgical patients from the emergency department?"
“Are you from the Department of Gastroenterology?” Dr. Chang Jiawei saw the name of the department printed on the side of the lathe.
“Yes. Doctor Chang, is your patient an orthopedic surgeon?”
“Why did your digestive system end up in the operating room?”
“Digestive endoscopic surgery.”
Dr. Chang Jiawei had a premonition that something was wrong and hurriedly called his old classmate Dr. Fu.
