Medical road
Chapter 284: Desolate World
When Zhang Fan walked quickly to the ward, the first thing he saw was the glass ballast in the same place. Sister Li’s mother and father stood beside the hospital bed and supported Sister Li. Sister Li turned her head and looked out the window, pushing hard with both hands. Holding his parents.
"Don't move, don't move, lie down quickly, lie down quickly." Although Zhang Fan did not see Sister Li's face.However, it can also be seen that Sister Li is pushing hard.The cold sweat on Zhang Fan was scared!This is another death!
Walked over in two steps in three steps. When Zhang Fan saw Sister Li's expression, he shouted directly: "Nurse! Quick, push the ambulance here. Quick!"
Thrombocytopenic purpura is inherently very dangerous. This kind of pushing is absolutely not allowed to appear, let alone pushing, even the patient is not forced to defecate. If there is constipation, he will directly enema, let alone dare not. Make her hard.
At this time, Sister Li, while pushing her parents, was spraying blood, because it was a disheveled hair and she bowed her head hard.The two old people also found no abnormalities. When Zhang Fan saw that he called the nurse, Sister Li was already at the end of the fight.
At this time, no matter what happens, save people first!The movements should be not only quick but also gentle. In this state of Sister Li, she can't move a little bit too much. It is too easy to cause bleeding in other places.
Compared with nurses in general surgery, general internal medicine, and emergency departments, nurses in the rheumatology department are slightly slower. This department rarely shows such cases that require emergency treatment. The nurses have not been trained, so they can do it subconsciously. The realm of reaction.
Zhang Fan shouted very loudly. When the nurse at the nurse station did not respond, Lao Hu hurriedly ran from the ward to the emergency room, shouting as he ran: "Quick! Nine beds are probably bleeding."
With a bear-like body, pushing the ambulance and running quickly, the momentum is too violent, like a truck, speeding fast.While running, he shouted to the nurse who was changing the medicine in the ward: "Call the director."
Zhang Fan quickly supported Sister Li's body and let her sit forward leaning forward.Don't lie down at this time. The bleeding is too fierce. Once you lie down, blood rushes into the trachea and causes a violent cough, which is really worse.
As soon as Hu Jun entered the ward, he saw the black and red blood all over the floor, and then saw the patient's pale face, and said to Zhang Fan: "The fundus vein is ruptured?"
"Yeah. Double-balloon three-lumen tube, ready for blood transfusion." The nurse hasn't come yet, and can't wait.Hu Jun started working as a nurse and passed first aid supplies to Zhang Fan.
Sister Li's parents turned yellow in fright, shaking hands and couldn't stand still, "What's wrong with this! What's wrong with this! Bai Bing, don't be angry. Let's go, can't we go! Qian! Don't be angry! Bai Bing!" Her mother couldn't hold on at first. Sister Li couldn't keep her eyes open with her mouth full of blood donation.
The two old men stood by the bed and blocked the situation. Zhang Fan said to them while preparing equipment: "Get out!" There was no time to say any kind words.
The time at this time is too precious. Slowly, Sister Li died of bleeding.It can be said that one more second is one second less, and the chances of survival are different.
The nurse also came.Zhang Fan said to the nurse who rushed: "50 mL of gas is injected. Take the quilt and put it behind the patient. Xiao Wang, sit behind the quilt and press the patient. Be sure to do it well."
"Okay!" Xiao Wang was weak and was afraid that he would not be able to stand it when he sat down. Wearing shoes, he jumped onto the bed like a monkey and slammed his shoulder against Sister Li's back!
Leaning to the side, Zhang Fan grabbed Sister Li's chin, turned her head slightly, and after turning slightly to the side, he said loudly: "Hold on, no matter what, there are people in this world who care about you, you must hold on. We. I won't give up on you. Quickly, open my eyes! Talk!"
The voice is very loud, very irritable, like a lion roar!Sister Li has no desire to survive at all. If she is not strongly stimulated at this time, she might be able to sleep in this way.
Sister Li slowly opened her eyes, a long mouth, and a bloody mouth. Zhang Fan didn't know or hear what the poor woman was saying, so she couldn't care about her emotions.
"Open, open your eyes. I have stuffed your nose now, hold on! Hold on!" As he said, he didn't slow down at all under his hand.
After the cotton swab quickly and gently cleaned Sister Li's nasal cavity, she picked up the three-cavity two-sac tube that the nurses had rubbed paraffin oil on the surface, and began to stuff it into the patient's nasal cavity.Little by little, when Zhang Fan felt it reached his throat.
"Swallow and spit, hurry! Swallow and spit!" Sister Li has no desire to survive, and she is not very cooperative. She is like a dead corpse, waiting for the black and white Shuangsha to take her to another world.
No way, Zhang Fan directly used a plastic tube with three cavities and two capsules to stimulate her throat, which could only make her make hiccups.This action is too dangerous. If it is not done well, or if it is bad luck, it will directly accelerate the death of the patient!
But Zhang Fan didn't have a little solution. If there were other methods, Zhang Fan would not take risks. Life is greater than that. But when the patient has no nostalgia for the world, no matter how skilled the doctor is, the doctor will be weak.
As soon as the throat was stimulated, as long as it was a living person, it was impossible to resist this normal physical and physiological reaction. "Uh!" As soon as she made this action, Zhang Fan quickly inserted the three-chamber and two-cavity tube into her swallow. .To the stomach!
Ordinary doctors, when they reach the patient's stomach, they will do a suction action to see if they reach the stomach. Zhang Fan doesn't use this operation directly. First, time is too late, and second, confidence in himself!Thousands of times of system training, if it is not guaranteed, you still have to do a pumping action, it is estimated that the system will self-destruct!
Then I started thinking about injecting air into the tube, "Doctor Zhang, it's three hundred already!"
"Okay! Fix it." Zhang Fan said. The sweat on Zhang Fan's head was not hot nor tired, but scared.This is also the first time Zhang Fan has seen such ferocious hematemesis!
What is this thing? To put it simply, the large vein in the fundus of the stomach is ruptured. At this time, there is no time for surgery and can only be compressed.
The three-cavity two-sac tube is like a deflated balloon, stuffed into the stomach, and after being blown up, it directly compresses the large veins in the fundus to stop bleeding.
"Blood pressure! Pulse! Start testing!" Zhang Fan said to the nurse while processing.There was no time to monitor the rescue.
"Doctor Zhang, 6030mmhg, 30 minutes. Weak pulse!" The nurse reported back.
"Oxygen, open three channels, prepare for deep venous embedding. Dopamine 200ugmin, 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 immediately started the rescue and gave an oral doctor's order.
The old Hu, who was about to open his mouth, saw that Zhang Fan was very skilled and regular and accurate, and he was busy helping the nurse to rescue the patient. This is the doctor. Since Zhang Fan has begun to preside over the rescue, there is nothing wrong with it. Hu didn't care about it and started to help!
Even if his stomach is full of unhappiness, now I have to help out. Even if I am angry, I have to clean up Zhang Fan. That will be after the rescue.
At this time, only one heart can work together!