When doctors have a simulated operating room

The doctor was very surprised.

"I want to ask someone, did your emergency department recently admit a patient named Wang Bin?"

As soon as Zhang Yi said this, all the doctors in the office became nervous.

Hiss...

Why are you talking about something else?

Recently, the entire emergency department group 1 was almost crying because of this patient.

Even the second group always mocked them in a weird way...

Now, this matter has spread to the cardiac surgery department?

Maybe in a few days, the whole hospital will know about it!

Oh!

It's so embarrassing!

"Well... there is such a patient, but... why are you looking for him? He is now in the ICU."

Xiao Long said with a hint of embarrassment.

"I heard that his condition is rather strange, and it seems very special, so I was curious and wanted to come and take a look." After saying that, Zhang Yi looked at the people in the entire office.

Xiao Long, the doctor on duty, and several other doctors looked at each other.

This...

Should I agree or not?

After all, Zhang Yi is not from their emergency department.

But...

After thinking about it, Xiao Long agreed.

Anyway, it won't hurt to take a look. Maybe having more doctors take a look can help think about the cause.

"Okay, let's go, I'll take you there."

Xiao Long put down the medical records in his hand and walked towards the door.

On the way to the emergency room, Xiao Long couldn't help but secretly glance at Zhang Yi.

Oh my~

That's the person!

He can actually learn a heart transplant operation by watching it once.

He learned it by watching it only once!

What is the concept?

It's simply a genius concept!

When Zhang Yi first came to the hospital, at least half of the emergency room staff looked at him with disdain.

They thought he was amazing, but they even prepared a clinic for him when he was airborne to PUMC.

This made many doctors and even the director of PUMC very unhappy.

Why?

Other doctors in other departments, even many overseas returnees, don't have this treatment.

Why does he, an undergraduate, get this treatment?

As a result, today, the news from Dean Jin's assistant came out.

Tsk tsk, it shocked everyone!

I didn't expect...

This guy is not only handsome, he's also awesome!

Hiss!

If I were a woman, I'd probably have fallen in love with Zhang Yi!

No wonder he has so many fans.

He's handsome and has good medical skills, who doesn't like him?

"That..." Xiao Long asked in a low voice, looking at Zhang Yi's profile.

Zhang Yi turned his head and looked at him: "Hmm? What's wrong?"

"How did you learn the operation after watching it once?"

"Well..."

The two were chatting, but as soon as they stepped into the emergency room, they looked up and saw that the drainage bag hanging beside Wang Bin's bed had begun to leak again!

The liquid was still red!

Oh my god, Xiao Long's heart was lifted again!

"Fuck, what's going on? Isn't it bleeding again?!" Xiao Long immediately strode forward to observe.

The nurse in the emergency room also ran over and said in surprise:

"Ah? I checked the drainage bag five minutes ago and there was nothing in it? How come there are 20 milliliters of drainage fluid in a short time?"

Zhang Yi frowned and observed the patient's whole body with his eyes.

The sigmoid colon was removed for about seven centimeters.

The blood vessels above the colon were also intervened to stop bleeding.

Oil gauze (for hemostasis) was also stuffed in the anus and rectum, and a drainage tube was inserted in the middle of the gauze.

At this time, red blood was flowing out of the suture of the sigmoid colon intermittently throughout the intestine.

Then, Zhang Yi looked at the patient's face again.

Hmm? ?

Isn't this the hemorrhoid patient seen in the laboratory that day?

It happened that Zhang Yi and Chen Fang took their patients from the cardiac surgery department to do cardiac ultrasound that day.

At that time, I met Wang Yufei taking this patient to the laboratory for examination.

But his condition didn't seem to be as serious as it is now!

Zhang Yi remembered that he also observed it at that time, and this person just had hemorrhoids.

Cut off the hemorrhoids and it will be gone.

How come it has evolved into cutting off a section of the intestines now? ?

It's incredible!

On the side, Xiao Long became nervous and said with tears in his eyes:

"Oh no, it started bleeding again! I'm so unlucky!"

It happened to bleed in his class, what should I do!

Every doctor doesn't want to encounter difficult patients in his class.

Especially this

The patient has been in the emergency room for so many days and has not been discharged.

Oh!

Thinking of this, Xiao Long sighed silently.

He planned to take the patient for examination to see where the bleeding was.

"Yu Hong, call the interventional department and ask them to prepare another angiography examination."

"Okay!" The nurse on the side nodded and turned to the nurse station to start calling.

And Xiao Long also hurriedly prepared to go outside to inform the family.

This matter, I am sure that I will be scolded by the family.

Oh!

Damn!

Suddenly, Zhang Yi called him.

"Wait!"

Xiao Long turned around: "What's wrong? He is bleeding again, oh! The bleeding and swollen intestinal segment has been removed today, and interventional hemostasis has been performed, but I didn't expect it to bleed again!

I can't do it, I have to tell the family quickly, and then call Director Kang."

This patient has been in the emergency room for nearly ten days and has been in the operating room three times.

He was not very knowledgeable and did not have the right skills, so he could only ask his leader to solve the problem.

Zhang Yi narrowed his eyes and looked at the unconscious patient on the bed and asked:

"Show me his medical records. I want to help analyze them."

Xiao Long nodded and pointed to the medical record rack in the office: "Grab 3, it's inside, take it yourself."

After that, Xiao Long went to work.

In Zhang Yi's sight, the patient did have a hemostatic coil placed on his intestine.

Interventional hemostasis means finding the bleeding blood vessel after injecting contrast agent, and then using interventional surgery to place the embolization hemostatic coil in the front section of the bleeding blood vessel.

Only in this way can it play a hemostatic role.

And this small coil did stop the bleeding.

But the problem is that another mesenteric blood vessel started bleeding again.

The amount of bleeding is not large, but if the bleeding is not stopped, it will be a big problem!

The patient's condition is not yet understood. We can only see where the bleeding point is by relying on our eyes, but if we don't find out the real reason, maybe the bleeding will stop this time, but it will bleed again next time.

So Zhang Yi was ready to look at the medical records.

Main complaint: ‘bloody stool for 1 month+, aggravated with perianal foreign body sensation for 1 week+hospitalization’

All vital signs and various examinations were normal when he was admitted to the hospital. The diagnosis was mixed hemorrhoids, so he had a suture operation.

But on the third day, bloody stool started again, and the amount of bleeding was about 50 ml.

A simple hemostatic bandage was given.

Bleeding again three days later, and the amount of bleeding was 200 ml. It was found that the sigmoid colon vascular malformation had ruptured and bled.

The malformed blood vessels were removed and sutured after surgery.

Less than six hours later, the wound bled again.

Intestinal resection and interventional hemostasis were performed again.

Three operations in total.

The amount of bleeding was also larger each time.

Zhang Yi flipped through the medical records and doctor's orders.

But after looking around, he did not find any suspicious problems.