Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

After Lin Yi's careful medication, her symptoms have improved.

Therefore, she is also very grateful to Lin Yi, but she is still very weak and needs to continue taking medicine.

At this point, it's time to get off work.

Wu Jiang came over directly, wanting to have a small barbecue after get off work with Lin Yi.

But Lin Yi just came out of the consulting room and was about to go back to the office to tidy up.

Suddenly, a man in his 30s staggered in at the door of the emergency room.

And the most frightening thing is that the man spit out a mouthful of blood when he took a step.

Behind him, there was a long series of bloodstains, very bright and dazzling.

People who passed by him, like the god of plague, stayed away from him.

And when this man saw Lin Yi in a white coat, with gloomy eyes, his spirit instantly ignited.

He paused for a moment, then quickly walked towards Lin Yi.

However, as his pace quickened, the speed at which he vomited blood also quickened.

The blood in his mouth kept spitting out as if he didn't want money.

There was a big puddle of bright red and dazzling blood under his feet and behind him.

The scene is extremely scary!
There are still many patients in the outpatient hall. Seeing this scene, the timid people screamed in fright.

Lin Yi could tell at a glance that this man had gastrointestinal bleeding.

Rather than massive respiratory hemoptysis.

Respiratory hemoptysis, it is impossible to keep bleeding like this.

Only when the gastrointestinal tract is bleeding, will he spit out like this.

Before the man could reach Lin Yi, he collapsed.

Lin Yi hurriedly held him up to prevent him from falling on the hard floor.

Lin Yi made a rough estimate and felt that the blood the man spit out was about a thousand milliliters.

Now that he is in this situation, he is obviously in shock.

Lin Yi hurriedly called for someone to push the gurney over, and he didn't care about the blood on the man's body, so he carried him onto the gurney and hurriedly pushed him into the emergency room.

The man also had no family members and came to the hospital alone.

As a doctor in the emergency department, the most important thing now is to save lives. Regardless of whether the family members are present or have money, the patient must be rescued first.

The man lying on the rescue bed was still sane, but unable to speak.

When Lin Yi asked, he could only nod or shake his head.

The nurse measured his blood pressure, and it was only [-] to [-], and he was in hemorrhagic shock.

In this case, he should be urgently given blood transfusion, and the application of rehydration fluid to replenish blood volume.

Moreover, this man may continue to vomit blood. If he continues to vomit blood, he will die soon.

Because the patient was already in the early stage of shock, Lin Yi asked him a few words, but couldn't answer, he just nodded or shook his head.

Lin Yi didn't get any effective information.

Now Lin Yi and Wu Jiang don't care whether they are off work or not, the priority is to rescue the patients.

Several people quickly got busy, first urgently handled the hospitalization procedures for the man, and then checked the blood type and prepared blood.

At this point in time, just when the day shift and the evening shift are handing over, the manpower is relatively sufficient.

Although the man was in critical condition, the doctors and nurses were methodical and rescued him.

The patient's gastrointestinal bleeding, the diagnosis is clear.

However, what is the specific reason for the gastrointestinal bleeding requires further examination.

The most urgent task is to transfuse blood as soon as possible to ensure the man's blood pressure is stable, and he must not be made unconscious.

Soon the man's blood routine and hemoglobin results came out, indicating that his hemoglobin was only 55.

The hemoglobin of a normal adult man should be between 55 and [-], but this man is only [-].

Hemoglobin between 90-120 belongs to mild anemia.

Between 60-90 belongs to moderate anemia.

Between 30-60 belongs to severe anemia.

<30 belongs to extremely severe anemia.

If it is extremely severe anemia, people are basically gone.

The man's hemoglobin is only 55, which obviously belongs to severe anemia.

Blood transfusion must be done as soon as possible, otherwise life is in danger.

However, when his blood type came out, Lin Yi was dumbfounded!

Here's to trouble!
The man's blood type turned out to be type A blood Rh negative.

Type A blood is very common, but Rh-negative blood is extremely rare.

This blood type is also known as panda blood.

Lin Yi didn't expect that the man lost so much blood, and it turned out to be rare panda blood.

Big trouble now!

You must know that no matter how big the hospital is, panda blood is not routinely kept.

Only when needed, will the citizens with the same blood type as panda blood be called and asked to come to the hospital to donate blood.

But now the man is in shock, in a critical condition, and needs a timely blood transfusion.

And now the hospital doesn't have his panda blood at all, what should we do?
Wu Jiang and the emergency doctor on night shift were stunned when they saw the man's blood type.

Although panda blood is rare, they have seen it as doctors in the emergency department.

But this is the first time they have seen a patient with panda blood who needs an emergency blood transfusion.

When they performed surgery before, they checked the patient's blood type and found panda blood.

However, the surgery they performed was an elective surgery, not an emergency.

So patients can wait.

But the patient in front of me has suffered severe blood loss, so I can't wait!
The patient needed an emergency blood transfusion, but the hospital's blood bank had no blood, so Lin Yi had to use succinylated gelatin, a large amount of normal saline and dopamine to maintain the patient's blood pressure.

Succinylated gelatin is an artificial colloid that can replenish blood volume, but it is only temporary after all.

In such a situation, the blood transfusion department does not store panda blood at all, and in an emergency, the medical department needs to be notified.

It was already past six in the afternoon. If you want to transfuse the patient's blood as soon as possible, you need the joint efforts of the medical department and the blood transfusion department.

Let the panda blood citizens come to the hospital to donate blood as soon as possible.

According to Lin Yi's visual inspection, the patient needs to transfuse six units of suspended red blood cells.

Two units is [-] milliliters, six units is [-] milliliters.

This is still a conservative estimate.

If the patient continues to bleed, it may be necessary to prepare eight units of panda blood.

A blood donor can only donate blood to two units.

For six to eight units, at least three to four panda blood donors of the same blood type are needed.

At this time, it may not be easy to find.

Lin Yi knew in his heart that this matter was troublesome and difficult.

But as a doctor, your duty is to treat illnesses and save lives.

He is obliged to take up this important task.

Lin Yi quickly assigned tasks to several doctors present.

At the same time, Lin Yi was in charge of communicating with the medical office and the director of the blood transfusion department.

Let them contact panda blood citizens as soon as possible to come to the hospital to donate blood.

Wu Jiang, on the other hand, was assisting the emergency doctor on duty, Chen Kai, to rescue the patients.

Several people had a clear division of labor, each performed their duties, and soon became busy.

In the emergency room, the patient has fallen into a light coma.

Just as several people were discussing the plan, he vomited again.

The amount of bleeding was about [-] milliliters.