Emergency patients have shocked, but they can't find the bleeding point. The colonoscopy during the operation is shocking.
Author:Anesthesia Medical Group Time:2022.07.03
The emergency department late at night was broken by 120.
On a flat car, a man with a pale face of the emergency department. Looking at clothes, it is about 40 or fifty years old.
The scene of rescue of the emergency department was discovered by Dr. Li, who was being sent back to the ward.
With intuition, he believes that this may be another emergency surgery. Therefore, he accelerated his footsteps to send the patient. After calming the patient, return to the emergency department quickly.
At this time, colleagues in the emergency department have connected various monitoring equipment for patients.
The results showed that this person was in a state of severe shock. If it is defined from the medicine, it should be a state of shock losses. If you don't quickly correct the shock state, it may not work soon.
Subsequently, everyone looked for the reason while rescue the shock.
Seeing the color of the lips and cutting the eyelids, there is almost no blood color, which shows that the patient is likely to be a blood -loss shock. The subsequent blood gas analysis proves this judgment.
However, the patient had no obvious bleeding point anywhere, and everyone couldn't touch it for a while.
The arrival of the ultrasonic department gives everyone a preliminary goal: ultrasound display, this person's chest cavity is fine, but there is a problem with the abdominal cavity. To be precise, this person's intestinal tube is abnormal. This fullness seems to be far beyond the state of the normal intestine.
Could it be said ... everyone has guessed what.
If it is intestinal bleeding, the best way is colonoscopy.
A doctor's proposal in general surgery can be given a guidance first. If you find blood, you can basically determine the cause of bleeding.
This suggestion quickly received everyone's support.
As the fingers proceeded, a black blood flowed down the fingers.
Blood! Someone couldn't help shouting.
Such a large amount of intestinal bleeding is obviously surgery. But the specific bleeding must be confirmed by the colonoscopy.
After an emergency consultation, I agreed to pull it into the operating room and do colonoscopy during the operation.
Because the patient is in a shock state, Dr. Li, who is responsible for anesthesia, is also prepared to be fully prepared: expansion, boosting, and creative monitoring, and even the defibrillation equipment is ready.
With the entering of the colonoscopy, the scene that shocked everyone appeared on the colonoscopy screen: the full vision was all blood! The color is dark.
Obviously, these are not new blood, and the bleeding point must be in the deep part.
However, colonoscopy has not found bleeding points to rise.
But one thing can be basically determined that the bleeding point is still ahead.
The colonoscopy said that the small intestine could not go in, and the colonoscopy could only be used to return the blind part, and at most to take a look at the small intestine.
At this time, the general surgeon made a suggestion to let the colonoscopy stay there. After opening their abdomen, they sent the colonoscopy into the small intestine, and the colonoscopy only needed to help them watch it.
With the entering of the colonoscopy, the situation was quickly discovered: in the intestinal interruption, a small arteries that bleeded blood were found.
At this point, the truth is great.
Dr. Li under the stage finally relieved. Because, only on the stage controls bleeding, his measures such as blood transfusion and pressure can be obviously effective. Otherwise, it can only be said to persist again.
When the operation was about to end, Dr. Li had adjusted the patient's life steadily. Only a little boosting medicine is only used to protect microcirculation.
Surgery doctors who have closed their abdomen, at this time, came around and asked the patient how. Dr. Li said, OK, there is no major problem at present, staying for two days in the numerical care unit.
As a life is saved, the hospital is calm. Different people have increased their experience in this rescue.
[Reminder] Pay attention, there are a large number of professional science sciences here to reveal those things about surgical anesthesia ~
- END -
Jinlonghu Street, Xuzhou Economic Development District: Clean up construction waste and create a clean environment
In order to further build a safe, clean and tidy urban environment, timely clear u...
Ambassador to Gibbati attended the first batch of electric locomotive drivers and railway engineers awarding ceremony
On the morning of June 29, Djibouti Infrastructure and Equipment Department, Unite...