Why do experts and directors from various top-tier hospitals frequently appear at a community clinic? Why do nationally renowned experts and professors often visit a township-level health center?
"Boss, I heard there's a rather troublesome emergency case?"
Yun Heng and Guo Youtang were talking when Tian Zengming, Xu Bo and Yue Shaojiang came over after dinner.
"The patient has been taken away by the ambulance."
Guo Youtang said to Tian Zengming and the other two.
"Seriously?"
Yue Shaojiang asked.
"Blood loss leading to collapse, yang deficiency and impending collapse, is indeed quite serious."
Yun Heng nodded.
"Bleeding and severe external trauma?"
Tian Zengming asked.
"The sudden nosebleed was caused by coughing and shortness of breath. The patient had a problem of coughing with excessive phlegm before." Yun Heng explained.
Yue Shaojiang's face was solemn: "Bleeding to the point of losing consciousness, and sweating profusely?"
"Yes, cold sweat and a wiry pulse." Yun Heng nodded.
"In this case, we should quickly support the yang and absorb it."
Yue Shaojiang said, "The nostrils are rich in blood supply. Not only do they have many tiny capillaries, but they also have many tiny arterioles. This patient's condition is due to Qi deficiency, which is unable to absorb blood, and Yang deficiency, which is unable to protect Yin. If Yang cannot be supported and absorbed, it will be very difficult to stop the bleeding. Even if the bleeding can be stopped, if the sweating cannot be stopped, there is a risk of Yang Qi exploding."
"Is it dangerous?"
Tian Zengming asked.
"It's a very dangerous critical condition. If we can quickly support the yang and stop the bleeding and sweating, the patient still has a chance of survival. If the method is not appropriate, there is a possibility that he may not be able to be saved."
Yue Shaojiang nodded and said, "It's undeniable that modern medicine has unique advantages for some simple arterial bleeding, but this situation is not as simple as a simple arterial bleeding. There may be more than one bleeding point, and they are probably relatively small bleeding points. It is still very difficult to treat. In addition, the patient is sweating profusely, and he may not be able to hold out for long."
In the emergency room of the Third Hospital of the City, several doctors, including the director of the ENT department and the deputy director of the emergency department, are currently providing first aid to the patient.
"My blood pressure is very low!"
"He's breathing weakly, Director Tian. The patient's condition is not good."
"The electrocardiogram is also very bad. He may go into shock at any time if this continues."
"Have the blood bags been delivered? Give the patient a blood transfusion first."
The director of the ENT department is examining a patient with a nasoscope.
"There are a lot of bleeding spots, mostly from small arteries, and the platelet count is too low."
"Electrocoagulation to stop bleeding."
A group of people were trying to rescue the patient, who was already somewhat unconscious, but suddenly he started coughing again and his nose bleeding worsened again.
"This won't work."
The director of the ENT department glanced around and said, "Director Tao, I need to find someone to communicate with the patient's family."
"Director Tao seems to be outside making a phone call."
Someone responded and asked, "Director Tian, what do you mean?"
"The situation is terrible. We can only do our best. The situation is not optimistic."
Director Tian was a little overwhelmed. Treating such an important person was a headache for every doctor. Ordinary illnesses were not a big deal, but especially this critical condition, if something went wrong, it would cause a lot of trouble.
As the two directors were talking, they subconsciously ignored Tan Chengye who followed them in.
Tan Chengye frowned and said in a deep voice: "I tell you, you must go all out. If anything happens to Mr. Qiao, no one can escape."
Since entering the emergency room, Tan Chengye has been under increasing pressure.
He is Mr. Qiao's personal doctor. This time he came to Xihua City with Mr. Qiao, but something like this happened. If anything really happens to Mr. Qiao, he will be held responsible, and the Qiao family will not let him go.
Director Tian remained silent, too lazy to argue with Tan Chengye.
Outside the emergency room, Tao Chaoyun called Yun Heng.
"Doctor Yun, I'm Tao Chaoyun!"
At this moment, Yun Heng had already left the emergency department and was walking with Yue Shaojiang, Tian Zengming and others. When he received a call from Tao Chaoyun, Yun Heng did not dare to neglect it.
"Director Tao, how is the patient now?"
"He has just been sent to the emergency room. Director Tian from the ENT department and Director Xiao from the respiratory department are working on him right now."
Tao Chaoyun did not follow him in. He was not very clear about the specific situation at the moment, but from his preliminary examination and judgment, the patient's condition was definitely not optimistic.
"I heard from Dr. Liu who was accompanying the car that the patient was sent here from West Asia Community Hospital. Does Dr. Yun have anything to say?"
"The patient's condition is that his Qi is deficient and cannot absorb blood, and his Yang is deficient and cannot protect Yin. Blood transfusions should not be excessive. The patient has no ability to absorb blood, so an appropriate amount of blood transfusion is sufficient. Excessive blood transfusions will cause increased bleeding."
Yun Heng first reminded.
Yun Heng himself graduated with a degree in integrated Chinese and Western medicine, and has some understanding of modern medicine. From the perspective of Western medicine, the patient's condition is primarily due to excessive blood loss, and blood transfusion is necessary.
Blood transfusions can be given according to different situations. Some situations cannot be treated simply by blood transfusions.
The patient has weak qi and cannot absorb blood. If too much blood is transfused, the transfused blood will find a breakthrough point to be discharged, and the bleeding point is the outlet.
This is like farmers irrigating. If the land has been plowed, the soil is loose and water will penetrate more easily during irrigation. In this way, the water-blocking beams will not be easily washed away. But if the land has not been plowed, the soil is hard and water will not penetrate easily, then the water will flow faster and the original water-blocking beams will be easily washed away.
This is the patient's current condition. A moderate amount of blood transfusion is still beneficial, but if the patient is bleeding profusely, transfusing too much blood will cause too much pressure on the bleeding point, causing more serious bleeding.
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