The operating room nurse is responsible for preparing for every patient who comes into the operating room.
Since the nurse had not received a call from the gastroenterology department before, she had no choice but to ask Dr. Jiang: "Is this a patient with internal gastrointestinal bleeding?"
"Can't we use a three-chamber two-balloon tube to compress and stop the bleeding?" Xia Dongxian asked.
Jiang Mingzhu didn't care who asked the question and said hastily, "Not all patients can be treated with three-chamber two-balloon tube compression hemostasis."
I didn't mean to slap Senior Brother Xia in the face.
It’s not that Dr. Xia Dongxian didn’t know this when he asked this question. He is the acting director of the ICU and he was just asking for further clarification.
It seems that this patient is not an indication for the three-chamber two-balloon tube compression hemostasis method we talked about before.
The three-chamber two-balloon catheter compression hemostasis method has limitations. The patient we mentioned before had liver problems.
The best indication for the three-chamber two-balloon catheter is patients with ruptured and bleeding gastric varicose veins. One of the causes of ruptured gastric varicose veins is liver problems.
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There are many causes of gastrointestinal bleeding, far more than ruptured gastric varices. In fact, even if it is ruptured gastric varices, as long as there are conditions for digestive endoscopy, there is no doubt that digestive endoscopy is better than three-chamber two-balloon tube.
Digestive endoscopic hemostasis is a method used by doctors to provide further etiology diagnosis and treatment to patients while the doctor can see the patient. To put it bluntly, the three-chamber two-balloon catheter is a "blind" insertion and "blind" treatment under certain circumstances.
In this case, from the tone of Doctor Jiang, it seems that this patient must undergo emergency gastrointestinal endoscopy. I'm afraid this is not an ordinary patient suffering from bleeding from gastrointestinal disease.
Dr. Xia Dongxian's inquiry was meaningful. He asked, "Is it a foreign body?"
All the clinical brothers are very capable and can find out the truth with just one question.
It turned out that this was not a new patient. No wonder Dr. Zhang and his colleagues said that they did not need Dr. Wen, the chief resident, to help with the case. If an old patient had been hospitalized for a long time, the doctors in the department would at least have a clear idea of the diagnosis and treatment direction.
The patient had been hospitalized in the gastroenterology department for some time due to upper gastrointestinal bleeding. He was initially diagnosed with gastric ulcer and received conservative treatment.
It seems that the treatment is almost complete and there is no major problem, so I am ready to be discharged from the hospital and go home to recuperate.
Unexpectedly, the family members may not have been careful when feeding the patient this evening, and let the patient eat something without reporting it to the nurse and doctor on duty. Until midnight, the patient showed symptoms of gastrointestinal bleeding again, and the amount of bleeding was getting larger and larger, and it could not be stopped by medication alone.
In this case, the three-chamber two-balloon tube is definitely not helpful, and the only option is to do a digestive endoscopy. If the digestive endoscopy is unsuccessful, notify the general surgeon to come up and perform an exploratory surgery urgently.
The doctors and nurses around heard this and said: Uh!
Dr. Jiang Mingzhu did not exaggerate her patient's condition.
Liu Jingyun frowned: I don’t know, Sister Jiang’s patient’s operation will take a long time.
Why not give Li Fuai a short-acting general anesthesia first?
Here we need to see how confident Li Fuai is that his technique will be successful.
Here it comes. Outside the operating room door, the rollers under the two lathes gurgled and almost bumped into each other at the door.
"Are there any patients needing emergency surgery?" Dr. Chang Jiawei was surprised when another lathe came.
The doctors and nurses who were delivering the patient were also surprised: "Is this a surgical patient from the emergency department?"
"Are you from the Department of Gastroenterology?" Doctor Chang Jiawei saw the name of the department printed next to the other party's lathe: Gastroenterology.
"Yes. Doctor Chang, is your patient an orthopedic surgeon?"
"How did you guys from the digestive department end up in the operating room?"
"Gastrointestinal Endoscopic Surgery."
Dr. Chang Jiawei had a bad feeling and hurriedly called his old classmate Dr. Fu.
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