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

There was blood all over the floor, and the nurse hadn't had time to clean it up yet.

The glaring pool of blood on the floor seemed to be provoking the abilities of Wu Jiang and Chen Kai.

Chen Kai remained calm in the face of danger, and quickly issued new medical orders to his trainee physicians.

"Push over the color Doppler ultrasound for the serious illness, and check the liver, gallbladder, pancreas and spleen for him."

For patients with a large amount of hematemesis like this, first of all, it is necessary to rule out whether hemorrhage from esophageal and gastric varices caused by liver cirrhosis.

Use a color Doppler ultrasound to look at his liver and portal vein to confirm the diagnosis if there is high pressure.

Of course, Chen Kai also gave the man a detailed physical examination.

It was found that his stomach was flat and not distended, and there was no dullness to percussion, so the possibility of ascites was ruled out.

However, ultrasound is still needed to confirm the diagnosis.

Soon one of his trainee doctors pushed the color ultrasound machine over.

Chen Kai personally went into battle and performed a color Doppler ultrasound on the patient.

Ten minutes later, Wu Jiang, who was also observing the patient, frowned.

"This patient does not have cirrhosis and portal hypertension, and it does not appear to be bleeding from esophageal and gastric varices.

Then it should be caused by gastric ulcer or gastric mucosal injury. "

Chen Kai put away the color ultrasound probe, turned off the color ultrasound machine, and said with a slight frown: "If it's the latter two reasons, I'm afraid it's not easy to stop the bleeding under the microscope."

"Stop the bleeding with drugs first, and stabilize your blood pressure!"

Wu Jiang also has no good solution.

He had to stop the bleeding with drugs first, and then hoped that Lin Yi would mobilize all his manpower to get blood donors to donate blood and transfuse blood to patients as soon as possible.

"Esomeprazole [-] mg, intravenous infusion. White-browed snake venom hemocoagulase [-] units, intravenous injection. Succinylated gelatin [-] ml, intravenous infusion."

"Four milligrams of norepinephrine, add [-] milliliters of iced saline, orally."

Chen Kai issued a series of oral doctor's orders to stop the bleeding and maintain the patient's blood pressure.

Patients with gastrointestinal bleeding are prohibited from drinking and eating.

But some drugs do not need to be banned.

And norepinephrine plus ice saline, poured into the patient's stomach, can shrink the gastric mucosal blood vessels, so as to achieve the purpose of hemostasis.

For patients with gastric mucosal injury, even gastric ulcer bleeding, there is still a certain effect.

All these efforts made by Chen Kai are to buy time for Lin Yi.

I hope that he can contact the relevant departments as soon as possible so that citizens with panda blood of the same blood type can donate blood.

A group of doctors in the emergency room here are actively rescuing the patient and keeping him alive.

In the doctor's office, Lin Yi was also calling the medical office.

Such an urgent need for panda blood is not a problem that Lin Yi, the deputy director of the department, can solve.

It must be done through the joint efforts of the medical office and the blood transfusion department.

Citizens with the same blood type of panda blood registered in the city called to ask them to come to the hospital to donate blood voluntarily.

This job is not difficult to say, easy to say.

After Lin Yi called Zhao Jie, director of the medical affairs department, to explain the situation, Zhao Jie also attached great importance to it.

Immediately contact the director of the blood transfusion department, and then call the central blood bank.

Let them contact the panda blood citizens and come to the provincial hospital to donate blood to save lives as soon as possible.

Rh negative is a subtype of the four blood types.

Only one percent.

In other words, out of a hundred people, only one has panda blood.

It can be said that there are very few.

The permanent population of Jiangcheng is about 800 million.

Logically speaking, there should be 8 people with panda blood.

However, what is unexpected is that there are less than 800 panda blood citizens registered at the central blood station.

Why so few? !
Of the 800 panda blood citizens, less than [-] are registered.

Another one percent!

Why is this ratio so small?
One is that 90.00% of people have not been to the hospital for examination, so they don't know that their blood type is panda blood.

The remaining [-]% of people know that they are the panda blood type of the corresponding blood type.

The central blood station also requires them to register information in case of critical moments to save themselves.

And among the remaining 90.00%, [-]% do not register at the blood bank at all.

Only [-]% of people left their information when they went to the blood bank, so as to save others and themselves at critical times.

It stands to reason that there are nearly 800 panda blood-type citizens in Jiangcheng, enough to donate blood to save lives.

But these [-] panda blood citizens are not all type A panda blood.

Proportionally speaking, type A panda blood only accounts for a quarter.

That is to say, in the entire Jiangcheng, there are less than 200 citizens with type A panda blood.

What's more, these 200 people, can you be sure that all of them are in Jiangcheng?
Can you identify these people and be available on call?

Besides, it's time to get off work, it's almost seven o'clock, and it's getting dark.

For matters that have nothing to do with themselves, can these people come to the hospital in time to donate blood for free?
These are all problems.

Zhao Jie, the director of the medical department, and the director of the blood transfusion department are also aware of this problem.

After learning what Lin Yi said, he acted immediately and started calling the central blood station.

Because these registered panda blood citizens are not registered in the hospital.

Their information is registered in the central blood station, and the blood transfusion department of the provincial hospital also needs to ask the central blood station for help.

The person in charge of the central blood station also paid great attention to this situation after knowing it.

Inform the relevant personnel to act immediately and start calling those citizens with type A panda blood.

Just then Lin Yi called Zhao Jie from the medical office.

After 10 minutes, an invisible rescue curtain opened.

This is a multidisciplinary, multi-unit rescue scene.

If it didn't involve emergency blood transfusions for patients with panda blood, such a scene would be rare to see.

Another half an hour later, Lin Yi was monitoring the patient's vital signs in the ward.

He received a call from Zhao Jie.

"Doctor Lin, according to the feedback from the blood station, they made more than a dozen phone calls, and only managed to contact three citizens with type A panda blood to donate blood."

"But it will take an hour at the fastest to arrive at the blood bank, and after the blood bank is processed, it will be transferred to our hospital, and it will take nearly two hours."

"So, Dr. Lin, you must maintain the patient's vital signs within these two hours."

Lin Yi frowned suddenly.

Unexpectedly, when the call was made, the patient would have to wait two hours for the transfusion of panda blood.

Isn't this speed too slow? !

Who knows if the patient can survive until then?

"Director Zhao, aren't all the citizens with panda blood registered in this city? Is this time too long?"

Zhao Jie sighed.

"Brother Lin, you don't know that the director of the central blood station called me, and he was full of grievances."

"They made more than 20 phone calls, and only three citizens were willing to donate blood."