Come on, Dr. Wu

Chapter 207 The sea is wide enough for fish to leap, and the sky is high enough for birds to fly

Wu Xiaofu smiled when he heard this. Look, the little doctor is so satisfied. When he is the chief surgeon, the two sisters directly call him the boss. In fact, this is also the current situation in major hospitals. Although there are many patients, those who dare to let go There are very few experienced doctors.

Even if the operation is performed by a junior doctor, the responsibility lies with the senior doctor. Therefore, for the sake of being responsible for the patient and for oneself, the junior doctor has to be taken care of for many years before he dares to let go.

Of course, there are also cases where people let go too quickly. When young doctors make money and start performing surgeries, their majesty will no longer be so heavy. The most famous saying is that young people should be down-to-earth and avoid arrogance and impetuosity.

In fact, many surgeries are really not that difficult.

On the contrary, the longer it is delayed, the more intimidated the junior doctors will be. In the end, they will be trained by the senior doctors to only perform programmed surgeries in a strict manner, such as surgical improvements and the like. In most Chinese doctors, You can't even see it in your hands.

It’s not that I admire the education model of foreign doctors, but when it comes to innovation, the foreign model is really useful.

"I will discuss with Director Zuo later and transfer two regular trainees to our team, which will also reduce your burden."

Feng Lingling and Yuna naturally have no objection. At least two people are needed to perform an operation. They can't help each other. It's exhausting. They also have to be on duty. However, compared to the emergency department, the hepatobiliary surgery class is still Much better and worth a lot.

For example, in Area D, the first-line personnel on duty are basically resident doctors, training doctors, regular training doctors, etc., while the second-line personnel are attending physicians or deputy chief physicians. For people like Feng Lingling, they may only be able to work for a month. Scheduled for two shifts.

Saturday.

To be an ordinary doctor, hard work is greater than talent.

To be honest, seeing a bunch of patients gathered at the door gave the doctor a headache.

Then there are pathological factors, such as contact dermatitis, allergic skin, telangiectasia, and even some deep-seated reasons, such as blood pressure and heart problems.

Not to mention refusing to stay up late, being able to fall asleep before 1 o'clock is great.

After all, it is basically impossible for the stone hanging in the pocket to get out on its own.

Not to mention consistent exercise, it is difficult to even run even once a week.

Generally speaking, people with this kind of blush can be divided into two types. One is not sick, but it is caused by running fast, sympathetic nerve excitement, or heat or something, but this should not be the cause of the patient in front of me. , after all, we have been waiting outside for so long. The central air conditioning in the hospital is sufficient and not too hot.

"No, it's been fine. I'm only in my thirties, so why are there still stones here?"

There were sixty numbers all day long, and all of them were empty at this time.

Take the First Affiliated Hospital for example. There are obviously no less than a hundred hospitals in Donghai City, but the daily patient load of the First Affiliated Hospital is definitely more than one-tenth of the patients in Donghai.

Take the color ultrasound sheet from the patient.

No matter how serious it is, gallbladder cancer is not impossible, so this is the reason why doctors will recommend surgical removal if gallbladder stones are detected during physical examination. Of course, surgery is surgery, and there is a decision on whether to remove the gallbladder. Selected.

Being a top doctor requires both hard work and talent.

Maybe it's not that they don't want to do it, but the pace of life forces many people to choose such a lifestyle, so health education work is also difficult to do.

Wu Xiaofu is an occupational disease. After seeing the abnormal symptoms of patients, they will think more about it.

Wu Xiaofu looked at Peng Xia. Don't tell me, this Peng Xia definitely had good intentions. He had already left the emergency department, but he was still willing to follow him for outpatient services. Wu Xiaofu said it last time, and Peng Xia seemed to take it to heart.

I paid attention to it and began to focus on the patient's own problems.

The four of them enjoyed this meal very happily, because they all felt that from now on, the sky would be high enough for birds to fly, and the sea wide enough for fish to jump.

Twenty years ago, perhaps most people would have chosen not to come to the hospital and just carry on.

He nodded to Peng Xia. The two had already cooperated once. Peng Xia was also familiar with the process this time and began to guide patients to seek treatment.

For the gallbladder, stones are foreign bodies. They may be fine now, but with stimulation later, various problems will arise. Painful stimulation can cause inflammation, retrograde entry into the bile duct, etc., which will cause more serious problems. illness.

In fact, Wu Xiaofu has preached about healthy eating and drinking in his blog more than once, and many people have said that they have seen it and should pay attention to it. But on the one hand, they have seen it and warned themselves to pay attention to it. Whether it can be done, or whether it can be done for a long time is another aspect.

After arriving at the hospital, you will find that the hospital is full of people regardless of the day of the week, because you don’t pick a time when you get sick, and there are only two types of diseases, those who need to come to the hospital, and those who don’t. Need to come to the hospital.

"Doctor, please help me take a look. This is the color ultrasound I did in the district. It is said to be gallstones and the gallbladder needs to be cut out. But this is a good thing, does it really have no effect at all if it is cut out? You are an expert, can you help? Let me see, is it okay if I don’t cut it?”

To be a first-class doctor, talent is greater than hard work.

But today, people's medical awareness has risen, and no matter whether they are serious or minor, they will not ignore them. Therefore, more and more people are coming to the hospital, and most of them are concentrated in the head hospital.

Moreover, it seems that the patient's usual amount of exercise should not be very large. This buff is getting higher and higher. It is not unusual to have gallbladder stones in more than thirty years. What's more, in the current situation, let alone three Wu Xiaofu has seen too many gallbladder stones in his teens and even younger ones.

Wu Xiaofu is both talented and hard-working, and the same is true for Peng Xia now, who is also a so-called seedling. If he is trained well, he will definitely be good in the future. Thinking of this, Wu Xiaofu is also thinking about when to get Peng Xia. Okay down there, it seems like sometimes, I have to treat Senior Brother Duan to a nice drink.

"Do you have any symptoms?"

There are two ways to deal with gallbladder stones. One is direct cholecystectomy, and the other is cholelithotomy, which is to remove all the stones in the gallbladder without removing the gallbladder.

Not to mention a low-salt and low-fat diet, it is difficult to skip two drinks.

This is also one of the benefits of being a director.

Strictly speaking, this is the second time Wu Xiaofu’s expert clinic has visited a clinic since its establishment.

Wu Xiaofu looked at the patient. He was in his thirties, less than 1.6 meters tall, and his weight should be conservatively estimated to be around 150. In this case, for a woman, her BMI is already very high, she is severely obese, and she has gallbladder stones. One of the main causes, not to mention, depending on the patient's condition, they may have a greasy diet, which is the main group of people who suffer from gallbladder stones.

With an assistant, Wu Xiaofu's work is naturally much easier. He only needs to see a doctor, and Peng Xia is there for medical records and billing.

Wu Xiaofu looked at Patient No. 1. She was a young woman with a blush on her face. This was not a blush caused by shyness. How shy was she to come to see a doctor? This is not like meeting a male doctor when visiting an obstetrics and gynecology department. There is no need to pay so much attention to it.

After Wu Xiaofu leads the team, one of the biggest benefits may be that he does not have to work on the first and second line shifts, but only on the third line shift. In other words, in the future, except for emergency surgeries at night, Wu Xiaofu will be needed if Zhang Xuewen and Feng Lingling cannot handle them. At other times, Wu Xiaofu is free.

"Boss."

Wu Xiaofu sat on his seat, plugged in the key, turned on the phone, and logged in. In order to maintain good order in the outpatient clinic, many nurses have been arranged to help manage the outpatient department. Basically, they can only come to the clinic when their number is called. It relieves the pressure on doctors.

What was reported was gallbladder stones. Fortunately, it was just a simple gallbladder stone that did not cause inflammation. Judging from the name, it should have been discovered during the patient's physical examination. There were a lot of stones in the gallbladder. This is why the doctor would advise the patient to deal with it as soon as possible. s reason.

Whether the gallbladder should be removed or the gallbladder should be preserved and stone removal depends on whether there are symptoms and the specific condition of the gallbladder.

In fact, patients only know about gallstones, but there are many types of gallstones. The most common type of gallstones is cholesterol. Wu Xiaofu observed that the type of stones in the patient in front of him should fall into this category.

Cholesterol stones also include bile pigment stones and other stones. Gallbladder stones may be asymptomatic in a few cases, but most of them will gradually lead to cholecystitis, or even stones may fall into the bile duct, causing cholangitis or even pancreatitis. .

Once inflammation occurs or stones fall into the bile duct, gallbladder removal surgery is the first choice.

Most patients come to the hospital because of cholecystitis, so patients with gallbladder stones seen in the emergency department are basically cholecystolithiasis accompanied by gallbladder atrophy or inflammation and edema of the gallbladder wall in acute cholecystitis. For such patients, it is generally recommended to first Conservative treatment was given, and bile-preserving surgery was performed after the inflammation and edema of the gallbladder wall subsided.

It’s not just a suggestion. Although gallbladder removal seems to be very common and very acceptable to patients, after coming to the hospital, most people still feel that they can do without surgery and have a natural fear of surgery, even if surgery is required. , it is best not to cut it if possible.

Speaking of gallbladder-preserving stone removal, it is really more popular than direct incision, and it is being performed more and more now.

However, during this period, many patients will develop gangrenous cholecystitis, gallbladder perforation, etc. that are ineffective with conservative treatment. There is no other way but emergency cholecystectomy.

As for the occurrence of gallbladder stones, if it is not treated, just observe whether it will work.

This is of course not recommended. Long-term stone stimulation may cause gallbladder cancer. If that happens, you can only treat gallbladder cancer and undergo radical gallbladder surgery. Therefore, gallbladder stones are also known as the most expensive to observe. Disease.

Therefore, if you cannot observe, you must either remove the stone to preserve the courage or cut it, and you must be decisive.

Then there is the situation associated with gallbladder polyps. Multiple gallbladder polyps or multiple intramural stones are diffusely distributed, and it is difficult to remove the stones under choledochoscopy. In this case, doctors will not perform gallbladder-preserving stone removal on the patient. Yes, the gallbladder should be removed.

There are also some cases of cystic duct stone impaction, severe chronic cholecystitis, and gallbladder adenomyosis, which also require gallbladder removal surgery.

The patient in front of me has a desire to preserve his gallbladder and has asymptomatic gallbladder stones, so he can undergo a gallbladder-preserving lithotomy surgery.

After all, this is patient No. 1. Wu Xiaofu still explained it in detail. When Wu Xiaofu said this, the patient understood that the operation must be done once and for all. Whether to remove the gallbladder once and for all, or to preserve the gallbladder and remove the stone, the patient had to consider .

The patient hesitated for a moment and then said: Doctor, I don’t want to cut out the gallbladder. Just remove the stones for me.

Wu Xiaofu naturally followed the patient's wishes, but he still had to explain what should be explained.

"After stone removal, it does not mean that there will be no stones in the future. If you start to have stones, it means that your physical condition is changing. If you cannot change your life pattern, you will inevitably have stones in the future. It is very possible that this It won’t be too long between your surgery, so you have to think carefully.”

Wu Xiaofu has also seen many patients develop stones again less than a month after being discharged from the hospital. Many people say that the doctor did not remove them cleanly, but this is really an injustice to the doctor. With the level of doctors in the First Affiliated Hospital, it is not possible to remove them. Not clean.

Like the patient in front of me, if he cannot lose weight and change his diet, exercise, etc., he may still develop stones in the future.

"Forget it, let's remove the stone first. After I recovered well after the operation, I started exercising. I also checked and found out that obesity, greasiness, etc. can cause gallbladder stones. Don't worry, doctor, I will start to lose weight after I go back. , this time it will definitely be successful. This also made me determined. If I don’t want to have another surgery, I have to force myself.

Well, isn’t it true that in ancient times there was a hanging stone to stimulate the buttocks? Today I will hang a stone to encourage myself. "

Wu Xiaofu looked confused when he heard this. This was the first time Wu Xiaofu heard this idea. Not to mention, it was very good and very powerful. If it could really succeed, it would really be a good thing.

However, there is a prerequisite for a gallbladder-preserving lithotomy. The gallbladder must have good contractile function. Wu Xiaofu prescribed a post-meal B-ultrasound for the patient. As long as the result shows that the gallbladder has contracted by more than 1/3, it will Can perform gallbladder-preserving lithotomy.

He will not be admitted to the hospital, but will be in the day outpatient ward next Tuesday.

It is very convenient to do preoperative preparation on Monday, do the surgery on Tuesday, have a day off on Wednesday after the surgery, and be discharged on Thursday.

However, I have to make an appointment with the person in charge of the day ward for dinner tonight.

Thinking of this, Wu Xiaofu directly sent a message to Yu Shifu, asking him for help and seeing if he could have a meal with the person in charge of the day ward. When Yu Shifu received the message, he said directly: Work normally. Eat shit.

Well, it was very good and powerful. Wu Xiaofu didn't need to ask anything. After a while, the person in charge of the day ward called and told Wu Xiaofu that if there were any patients in the back, just say hello and come over.

Good guy, very good, very powerful, is this the effectiveness of the deputy dean?
Suddenly, Wu Xiaofu felt that he had the motivation to become the deputy director. However, he still had to talk about worldliness. Wu Xiaofu persuaded the person in charge of the day ward to have dinner together in the evening and continued to see patients.

"Son, don't look at it. It's already like this. Why bother? The doctor said it's late. Let's go home."

Outside the clinic, Patient No. 2 said to his son with a sad face, Cancer is already despairing enough, but now after the examination, it has been determined to be in the advanced stage. Even a patient who doesn’t understand anything knows that, This is a death notice. What else should be treated? Have you ever heard that people with advanced cancer can survive one or two years?

But the patient's son was unwilling to give up. He was recommended by the district hospital. Before coming to the First Affiliated Hospital, the patient's son happened to see Wu Xiaofu's information from the official website of the First Affiliated Hospital and explained Wu Xiaofu's surgical experience, including Wu Xiaofu’s information on surgery for patients with advanced gallbladder cancer.

Seeing this, the patient's son suddenly felt hopeful.

Although his mother did not have gallbladder cancer, Wu Xiaofu had no idea what to do if it happened, so he made an appointment with Wu Xiaofu early and took his mother to see him.

"Mom, just this time, if this doctor can't do anything, we will go back."

When the patient heard his son's words, he nodded silently. If he could be cured, who would be willing to wait to die?

"come in."

Wu Xiaofu looked at the patient. She was fifty-six years old, female, and had no medical records in the First Affiliated Hospital. She seemed to have come from other hospitals or other places. She had obvious jaundice and liver problems.

The abdomen is distended, the ascites is more than 1,000, the eyeballs are sunken, and the mental state is also very poor. It seems that not only is there a serious physical problem, but also a psychological problem. I am afraid that he already knows his condition.

"Sit down, why are you feeling uncomfortable?" The patient's son immediately handed over a large bag of medical examinations in his hand. Wu Xiaofu took it and pulled out one of the medical reports, roughly understanding the patient's condition.

For liver cancer, pathology was also done. Diffuse liver cancer is very difficult.

The so-called diffuse liver cancer is classified based on gross pathology. In addition to diffuse liver cancer, there are four types: massive type, massive type, nodular type, and small cancer type.

The most troublesome one is the diffuse liver cancer, because when suffering from this kind of liver cancer, small cancer nodules are often diffusely distributed throughout the liver, and the early metastasis rate is also high. Looking at the patient's PET-CT, it turns out that there are already cancerous cells in the stomach. A transfer occurred.

As long as the cancer metastasizes, it will be classified as late stage cancer.

Especially for diffuse liver cancer, when this situation occurs, almost no doctor will recommend that patients choose surgical treatment. Basically, conservative treatment is used to ensure a longer survival time.

The use of some specific drugs may also be able to prolong some survival times.

However, these district hospitals should have told them. Now that the patient has come to him, he must have other ideas, surgery!

Wu Xiaofu didn't rush to say anything, and patiently watched the patient's examination.

If the transaminase and other indicators are very high, the liver function must be a serious problem, but the transaminase is high, which means that the patient's liver still has function. If the function is completely lost, the transaminase is not high, but below the normal value.

Because if the transaminase is lower than the normal value, for these patients, it means liver necrosis.

If the liver still has function, then you can try to protect the liver without direct liver transplantation.

Looking at the PRT-CT, it was found that due to diffuse liver cancer, a large part of the patient's liver had been eroded by cancer lesions at this time. Wu Xiaofu calculated how much could be cut and how much could be retained if resected.

Whether the preserved part can maintain the patient's survival.

Sixth, tough save six!

For normal patients, this value is still acceptable and they can recover quickly. However, for the patient in front of me, this is obviously not the case. After all, one-sixth of the liver has a true liver function level that may not be as high as One-seventh of normal people.

Fortunately, it seems that only the stomach has metastasis at this time, so Wu Xiaofu can indeed perform surgery.

"Come, lie on the bed and let me check you out."

This is an examination, and we also need to look at the patient's physical examination. While doing the examination, Wu Xiaofu also asked about the patient's condition. Generally speaking, it was consistent with the examination, but there were no corresponding symptoms in the brain and bones.

In Wu Xiaofu's fuzzy sensing, the patient's condition at this time should be similar to that of the PET-CT.

"What do you think? Conservative treatment or surgery?"

In fact, most patients nowadays are still very reluctant to surgery, especially patients with advanced cancer. They believe what is said next to them or on the Internet. They could live for a long time, but once the surgery is performed, their life deteriorates sharply and is gone.

This situation certainly exists, but more than half of surgical patients can still guarantee a survival period that is much better than conservative treatment.

However, most of what can be seen are only those cases in which the condition deteriorates sharply after surgery.

However, many people are still willing and want to undergo surgical treatment to prolong the lives of their loved ones or themselves and gamble on a future.

Looking at the patient's son, Wu Xiaofu felt that this was the reason why the patient's family brought the patient here.

"Doctor Wu, can you perform surgery?"

"Yes, but there is danger. Since you asked, let me tell you first. First, more than half of the patient's liver has nodules. If operated, less than six percent of it can be preserved. One, this one-sixth, there is still a question mark as to whether it can maintain the life of the patient, and whether it can be recovered, there is also a question mark.

Second, the patient has gastric metastasis. This operation also requires gastric resection. The risks and rewards are mutual. If the operation is performed, many complications will occur. Can these patients survive it?

Third, if I have an operation, I need your family members to perform liver matching and appear in the operating room at the same time. If the situation changes, a liver transplant is likely to be performed. Are you able to accept it? "

This!
Before the patient's son could react, the patient had already started shaking his head, "No, I absolutely can't take my son's liver, absolutely not, I won't do it, we won't do it."

The patient's son, however, grabbed the patient who was about to get up and said, "Mom, don't worry. What Director Wu said was just an alternative situation. My liver may not necessarily be used."

Then he looked at Wu Xiaofu again, "If the surgery goes well, will the survival period be longer than conservative treatment?"

Wu Xiaofu nodded, "If the operation goes well and the patient survives the recovery period, then with the combined use of medication, there is still great hope for a three-year survival."

Wu Xiaofu is very confident in himself. The most important thing is that the patient is only fifty-six years old. His body functions have not deteriorated to a prohibitive level, and his ability to recover is still acceptable.

As long as the cut is clean, the patient can survive the recovery period. As Wu Xiaofu said, a three-year survival period is not a bad idea.

In fact, there is another way, interventional ablation. After thinking about it for a while, I still shook my head, interventional ablation. In this operation, the risk is too great, and it is impossible to get the expected results.

Interventional ablation.

To be honest, this is really good news for patients with cancer, especially liver cancer. Wu Xiaofu also had the idea to learn about it before, but there is an inevitable problem with intervention, and that is radiation.

Not long ago, the director of the interventional department was hospitalized with a brain tumor. Many people said that this may be the fate of interventional doctors. There are many other diseases such as leukopenia and leukemia. There are also children who cannot be born with radiation, so Doctors in the interventional department basically only ask to enter the interventional operating room after they get married.

No matter how powerful Wu Xiaofu is, he can't control the ray.

After entering the hepatobiliary surgery department, Wu Xiaofu has become less concerned about this aspect. Maybe he can try again after getting married and having children.

"Then do it."

The patient's son said categorically that, after all, according to the doctors in the district, if surgery is not performed, diffuse metastases may occur throughout the body in three months, and by then, the survival period may end there.

Instead of that, why not take a gamble and choose between three months and three years? The patient's son knew that even if it really cost him half of his liver, he could not watch his mother waiting to die in the hospital bed.

When Wu Xiaofu saw what the patient's son said, he didn't say anything more. However, the most important thing was the patient's opinion.

Wu Xiaofu wrote a hospitalization slip and handed it to the patient.

"You can discuss it again. If you are going to have surgery, go to the hospital. If you still have concerns, you can wait."

After sending the patient out, Peng Xia looked at Wu Xiaofu.

"Boss, is there any surgery you can't do?"

"Yes, if this transfers to the lungs, brain, or bones, I really have to think about it."

Peng Xia immediately smiled. In his opinion, as long as Wu Xiaofu is willing, Wu Xiaofu can find a solution no matter where the cancer has moved.

"Doctor Wu, take a quick look, there is something wrong with this patient."

The nurse's voice sounded outside the door, and Wu Xiaofu quickly opened the door and walked out.

At this time, he saw a patient waiting outside the door, lying on the ground twitching. Looking at the patient's condition, Wu Xiaofu was also shocked. He had a liver disease on his face and a bulging abdomen. This situation is a bit dangerous now.

Arriving in front of the patient, Wu Xiaofu checked the patient's breathing and pulse, and the symptoms of shock were very obvious.

Looking at the anxious family members of the patient beside him, "Do you have cirrhosis of the liver?"

"Yes, it has been more than four years. This time I want to see you."

"Did you bleed?"

"It happened once."

It’s already happened once! Wu Xiaofu even frowned. After four years of liver cirrhosis, the blood vessel conditions have become severely fragile. A slight change in pressure may cause bleeding in several important blood vessels in the body, especially gastric vein rupture and bleeding, especially in patients with liver cirrhosis. The most common ones, especially as the frequency increases, become more and more dangerous, and treatment to stop bleeding will become more and more difficult.

"Get on the flatbed and go to the emergency room."

This is the closest to the emergency room. Wu Xiaofu gave an order. In fact, without Wu Xiaofu's instructions, a nurse had already gone to find the flatbed truck. Soon the flatbed truck appeared. Wu Xiaofu asked Peng Xia to put the patient on the flatbed truck and send him to the emergency room urgently.

Rescue room.

"IOU pituitaryin, 5ml of 200% glucose solution, 20 minutes, intravenous infusion, blood matching as soon as possible, come, take out the three-lumen and two-bag tube."

The nurses in the emergency room did not need Wu Xiaofu's instructions, and immediately started monitoring and administering oxygen, and quickly drew blood for examination.

Wu Xiaofu raised his eyebrows when he saw the blood pressure was over 60, the heart rate was over 150, and the blood oxygen was about to drop to 90.

Bleeding from liver cirrhosis is a very dangerous situation even if it occurs in the hospital. Especially when the bleeding is severe, the patient will be in danger in a short period of time.

Wu Xiaofu no longer cares about the effect of the liquid drip, because there is a high probability that it will have no effect.

"The three-lumen, two-sac tube is here."

Wu Xiaofu took the three-lumen and two-sac tube from the nurse and started to operate it directly. The three-lumen and two-sac tube stopped the bleeding. It can be said that it has the best effect without surgery.

Quickly check the patency of the three-lumen tube. Some steps cannot be omitted. This kind of thing is rarely used in emergency rooms. Problems may arise. Don't operate a large tube. In the end, the thing will be broken and it will not work at all. It has the desired effect, but it also wastes the best rescue time.

After checking that there was no air leakage in the esophageal pouch and gastric pouch, the nurse brought over paraffin oil, and Wu Xiaofu began to lubricate the three-cavity two-cavity tube and the patient's nasal cavity.

Peng Xia had already rocked the bed so that the patient was in a semi-recumbent position.

Wu Xiaofu did not dare to move slowly. This operation must be mastered by almost all medical students, but it is much more difficult than imagined. The patient's nasal cavity was quickly inserted into the three-chamber and two-sac tubes, which was more than sixty years old. centimeters, and began to withdraw in the gastric tube.

"There is gastric juice."

The nurse shouted, and Wu Xiaofu was convinced that the gastric juice was drawn, indicating that the three-lumen and two-sac tubes were in the stomach.

Wu Xiaofu didn't need to do anything. The nurse next to him had already started to inject air into the stomach pouch with a syringe. It looked like two or three hundred. In clinical operations, there are actually no such accurate values. It all depends on experience. The hands of these nurses are like rulers.

"All right."

Wu Xiaofu folded the opening, clamped it with a vascular forceps, and began to pull the three-lumen and two-sac tubes outward.

After finding resistance, it means that the gastric sac has reached the bottom of the stomach. The two sacs of the three-lumen and two-sac tubes, one is the gastric sac and the other is the esophageal sac. The gastric sac is now fixed, and it is quickly fixed on the patient's face with tape.

The nurse here has used a syringe to start injecting air into the esophageal pouch, which is a little less than the gastric pouch, about one or two hundred. After the same clamping, after extracting the blood from the stomach through the gastric tube, the gastrointestinal decompression begins. device.

"The blood pressure won't drop."

When Wu Xiaofu heard the nurse's voice, he also breathed a sigh of relief. His blood pressure had not dropped, which meant that the bleeding was not that serious. The principle of the three-lumen two-sac tube was actually very simple. It was achieved by compressing the varicose veins at the fundus of the stomach and lower esophagus. The purpose of stopping the bleeding seems to have been achieved now. When the pulley is hung up, Wu Xiaofucai calmly directs the medication.

The hemoglobin is over 50. You can imagine how much blood the patient lost in this short period of time. Fortunately, the bleeding occurred in the hospital. If it were outside the hospital, it might not be possible to be sent to the hospital for rescue.

When blood matching comes back, blood transfusion should be done as soon as possible.

Looking at the patient's family, the patient's daughter was already in tears. Wu Xiaofu could only take her out and tell the doctors and nurses in the emergency room.

"I have a clinic above. If you need anything here, please call me at any time."

(End of this chapter)