Multi -disciplinary collaboration, Zhuhai People's Hospital successfully treats patients with acute gastrointestinal bleeding patients

Text/Yangcheng Evening News all -media reporter Zheng Da correspondent Xu Xiaohong Yang Genyuan Yan Wei

Recently, the Department of Gastroenterology of Zhuhai City People's Hospital has successfully rescued a dangerous patient with a gastrointestinal bleeding in the medical department, cardiology, anesthesiology, inspection, and blood banks. Another successful example of intensive illness.

Not long ago, a prelude to the battle for death was slowly pulled away. On July 14, Mr. Luo (a pseudonym), who lives in the 84 -year -old in the seal -and -control area, stayed in the Cardiology Department of the Zhuhai People's Hospital for the "poor and weak 3 days". Mr. Luo Lao existed in chronic renal insufficiency and many basic diseases. He had previously performed coronary stent implantation in the hospital due to coronary heart disease and acute myocardial infarction in 2016. After several admission, Mr. Luo suddenly had the symptoms of acute upper gastrointestinal bleeding and blood -loss shock such as hacking, fatigue, and cold sweat. The gastrointestinal physicians have jointly treated Mr. Luo's acute gastrointestinal bleeding and blood -loss shock in comprehensive treatment of liquid recovery and suppression of gastric acid; due to the rapid hemorrhage and large amount of blood loss due to digestive tract, although medical staff can quickly and quickly recover liquid recovery The exact PPI pumping and other active treatments are still unstable, and hemoglobin is as low as 27g/L for a time, and the life is in danger.

Yin Rong, a doctor of digestive internal duty, judged that Mr. Luo urgently needed endoscopic inspection as soon as possible to clarify the bleeding site and give effective treatment under endoscopy to have a line of hope. In the urgent time, Yin Rong immediately dialed the call of the director of the department Xu Xiaohong and the director of the endoscopic center Huang Wei. The patient was in critical condition and the life -saving was tight, but the endoscopic operation was died due to vomiting blood or a large amount of blood clots, and the fiber bundle was full of stomach stomach. The cavity, unable to clear and block the examination and hemostatic vision may cause endoscopic hematopoietic rescue failure. Especially after the patient's age and coronary stent, severe anemia and shock state may occur during the transfer of patients and on the operating table at any time. Cardiac arrest.

When the patient's life signs were relatively stable after the blood transfusion 6U, Huang Wei judged that it was a suitable time for emergency endoscopy, and immediately arranged an emergency endoscopy in an orderly manner.

At 1:10 in the morning the next day, the N95 mask, head screen, two gloves, and then put on the protective clothing ... Yang Genyuan, deputy chief physician of the digestive department, and nurse Fu Zhenzhen stared at the surgical screen to avoid it The exposed vascular residues, the blood scabs attached to the esophagus and gastric mucosa, the cleaning accumulated in the stomach with a large amount of blood clots, and the titanium clip is quickly and accumulated. In 100 minutes, the precision hemostatic treatment of endoscopy was over at 3:50, and the patient turned to danger.

Source | Yangcheng Evening News · Yangcheng School

Editor -in -law | Huang Lei

School pair | Zhou Yong

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