Path of Medicine With a System

Two hundred and seventy eighth desolate world

When Zhang Fan walked quickly to the ward, the first thing he saw was glass shards all over the floor. Sister Li's mother and father stood by the bed and supported Sister Li. Sister Li turned her head and looked out the window, pushing her hands hard Pushing his parents.

"Don't move, don't move, lie down, lie down." Although Zhang Fan didn't see Sister Li's face. However, it can also be seen that Sister Li is pushing hard. The cold sweat on Zhang Fan's body was frightened! This is another death!

He walked over in three steps at a time, and when Zhang Fan saw Sister Li's expression, he shouted directly: "Nurse! Quick, bring the ambulance over here. Quick!"

Thrombocytopenic purpura is inherently very dangerous. This kind of pushing and shoving is strictly prohibited. Not to mention pushing and shoving, even the patient is not allowed to use force to defecate. If there is constipation, an enema will be given directly. Let her work hard.

At this time, Sister Li was spurting blood while pushing her parents, because her hair was disheveled and she bowed her head hard. The two old men didn't notice any abnormalities. When Zhang Fan saw and called for the nurse, Sister Li was already at the end of her battle.

At this time, no matter what happened, save people first! The movements must not only be quick but also gentle. In this state of Li, it is not acceptable to move too much, as it is too easy to cause bleeding in other places.

Compared with the nurses in the major surgery, major internal medicine and emergency departments, the nurses in the rheumatology department are a little slower. There are very few patients in this department that need emergency treatment. The nurses have not been trained yet, so what kind of subconscious can make The realm of reaction.

Zhang Fan shouted very loudly. Before the nurses at the nurse station responded, Lao Hu hurriedly ran from the ward to the emergency room, shouting as he ran, "Quick! The ninth bed is probably bleeding."

With a bear-like body, he pushed the ambulance and ran quickly. The momentum was too violent, like a truck, speeding fast. While running, he shouted to the nurse who was changing the dressing in the ward: "Call the director quickly."

Zhang Fan quickly supported Sister Li's body and made her sit leaning forward. Don't lie down at this time, the bleeding is too fierce, once you lie down, the blood will flow into the trachea and cause severe coughing, which is really worse.

As soon as Hu Jun entered the ward, he saw black and red blood all over the floor, and then saw the patient's pale face, and said to Zhang Fan, "Ruptured gastric vein?"

"Yes. The double-balloon three-lumen tube is ready for blood transfusion." The nurse hasn't arrived yet, and she can't wait any longer. Hu Jun started working as a nurse, delivering first aid supplies to Zhang Fan.

Sister Li's parents turned yellow with fright, their hands trembled, and they couldn't stand upright, "What's wrong! What's wrong! Bai Bing, don't be angry. Let's go, why don't we go! Qian Don't be angry! Bai Bing!" Her mother couldn't hold on at first, and Sister Li couldn't keep her eyes open because her mouth was full of blood donations.

The two old men stood by the bed to block things, Zhang Fan said to them while preparing the equipment: "Get out!" It was too late to say polite words.

The time at this time is too precious, if you slow down, Sister Li will die of a hemorrhage. It can be said that one more second or one less second, the probability of survival is different.

The nurse came too. Zhang Fan said to the rushing nurse: "Inject 50mL of gas. Take the quilt and put it against the patient's back. Xiao Wang, you must sit behind the quilt and push the patient against the patient. Be sure to do it well."

"Okay!" Xiao Wang was weak, and he was afraid that he would not be able to stand up when he sat down. Wearing shoes, he jumped on the bed nimbly like a little monkey, and firmly pressed his shoulders against Sister Li's back!

Turning sideways, Zhang Fan grabbed Sister Li's chin, turned his head slightly, and said loudly after tilting slightly: "Hold on, no matter what, there are still people in this world who care about you, so you must hold on. We I won't give up on you. Quick, open your eyes! Speak!"

The voice is very loud and violent, just like a lion's roar! Sister Li has no desire to survive at all, if she is not strongly stimulated at this time, maybe she will fall into a long sleep like this.

Sister Li slowly opened her eyes, she had a long mouth with blood dripping from it,

Zhang Fan didn't know or hear what the poor woman was saying, and couldn't care about her emotions anymore.

"Open, open your eyes. I'm stuffing your nose now, hold on! Hold on!" He said without slowing down at all.

After quickly and gently cleaning Sister Li's nasal cavity with a cotton swab, he picked up the three-chamber two-capsule tube that the nurses had already wiped with paraffin oil on the surface, and began to stuff it into the patient's nasal cavity. Bit by bit, when Zhang Fan felt it reached the throat.

"Swallow and spit, hurry! Swallow and spit!" Sister Li had no desire to survive, and she was not very cooperative. She was like a dead body, waiting for the black and white pair to take her to another world.

There was no way, Zhang Fan directly used a plastic tube with three lumens and two capsules to stimulate her throat, which could only make her hiccup. This action is too dangerous, if it is not done well, or if you are unlucky, it will directly accelerate the death of the patient!

But Zhang Fan has nothing to do. If there are other ways, Zhang Fan will not take the risk. Human life is greater than life, but when the patient has no nostalgia for this world, no matter how skilled the doctor is, there will be times when he will be exhausted.

As soon as the throat is irritated, as long as it is a living person, it cannot resist the normal physiological reaction of the body, "Uh!" As soon as she made this movement, Zhang Fan quickly inserted the three-chamber two-capsule tube in the movement of her swallowing back. . Straight to the stomach!

Ordinary doctors, when reaching the patient's stomach, will also perform a suction action to see if it has reached the stomach. Zhang Fan does not use this operation directly. One is that there is too little time, and the other is confidence in himself! Thousands of times of system training, if it is still not guaranteed, and you still have to do pumping movements, the system will probably self-destruct!

Then I started to think about intraluminal gas injection, "Dr. Zhang, it's already three hundred!"

"Okay! Fixed." Zhang Fan said, the sweat on Zhang Fan's head was not hot or tired, but scared. This was also the first time Zhang Fan saw such ferocious vomiting of blood!

What is this thing? To put it simply, the large vein in the fundus of the stomach is broken. At this time, there is no time for surgery or anything, so it can only be oppressed.

The three-lumen two-capsule tube is like a deflated balloon, stuffed into the stomach, and after being blown up, the large vein at the fundus of the stomach is directly compressed to stop bleeding.

"Blood pressure! Pulse! Start testing!" Zhang Fan said to the nurse while processing. In front of rescue, there is no time for monitoring.

"Doctor Zhang, 60/30mmhg, 30 beats/min. Weak pulse!" The nurse reported back.

"Give oxygen, open the three channels, and prepare the deep vein catheter. Dopamine 200ug/min, sodium bicarbonate solution 250ml intravenously, scopolamine 0.3mg intravenously, concentrated red blood cells 500kl dexamethasone into the pot!" Zhang Fan is used to being strong in surgery , Without asking Lao Hu's opinion, he directly started the rescue and gave a verbal doctor's order.

Lao Hu, who was about to open his mouth, took a look and heard that Zhang Fan did it very skillfully and formally and accurately, so he was busy helping the nurse rescue the patient. Hu didn't hesitate to start helping!

Even if he is full of displeasure, he still needs to help out now, even if he wants to get angry and deal with Zhang Fan, that will be after the rescue is over.

At this time, only concerted efforts!

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