Chapter 104 Delayed Bleeding One Month After Surgery

Day by day, the emergency department is getting busier and busier.

In one week, Zheng Ren performed sixteen surgeries for appendicitis and seven surgeries for acute cholecystitis. He also rescued a stab wound patient and underwent splenectomy.

Days in the emergency department are just that, busy and fulfilling.

With the efforts of Director Pan and the coincidence of chance, Corey's manpower is gradually becoming more and more abundant.

Director Liu recovered and was discharged from the hospital, and the First Division of General Surgery was reshuffled.

Cen Meng resigned and went to the Second Affiliated Hospital of the Medical University in the provincial capital. At that time, Yang Lei, a friend who tipped off Zheng Ren, took the initiative to apply, fled the First Department of General Surgery, and came to the emergency ward.

There was only one more doctor, but the nurse side was more lively.

It is said that the Nursing Department has been disturbed recently.

At least a few dozen people have applied to be transferred to the emergency ward.

Zheng Ren knew that this was all due to Su Yun, that guy was like a walking sildenafil citrate... Wrong, it should be the kind for women.

In short, the emergency ward is on the right track very quickly.

Zheng Ren is a hard-working hospital manager. The more patients, the harder it is.

Thanks to the backing of the operation, there were almost no postoperative complications, otherwise I wouldn't be able to sleep all night.

The weather is getting colder, and the clouds are dense every day, but it doesn't snow, which makes people feel a little depressed.

Zheng Ren doesn't care. The big pig's hoof in the system has been extremely quiet recently, and no new quests have been issued. Zheng Ren just got 50 skill points and 5,000 experience points by completing 5 rounds of main quests.

The general surgery skill increased from 3161 to 3185, and the inventory skill was 1789. There are also 88620 experience points, and three silver treasure chests.

Zheng Ren felt that as long as it went on like this, he would be able to improve his general surgery skills to a master level in one month, relying on general surgery and reading books.

With the help of Chang Yue and Yang Lei, the affairs in the ward are kept in good order.

Zheng Ren only needs to do surgery and read books every day, and this kind of life is quite comfortable. It's just that Su Yun is like his own shadow every day, following around, attracting countless hostile eyes.

Gradually, Zheng Ren got used to it. Anyway, he wasn't bent, and he didn't care what others thought.

On this day, I was reading a book, and I had read the last hundred pages of the thick book "Hepatobiliary and Pancreatic Surgery". The emergency ward received a call, saying that the urology department needed consultation.

Urology? Zheng Ren didn't want to go when he heard the name of this department.

It's not because the urology department involves the lower three channels, but because I only worked in the department of urology for a month when I was an intern many years ago, and I don't know the situation at all.

There are two skill books, but the expert-level crane tail level is estimated to be no better than the director of the urology department. The experience value is definitely not enough to cultivate his expertise in urological surgery, so Zheng Ren feels that it is unnecessary to go or not.

But since there is a consultation, or an emergency consultation, you must arrive within 5 minutes.

No way, closed the book, Zheng Ren hurried to the Urology Department.

"Guess what kind of patient it is?" Su Yun still followed Zheng Ren and said with a smile.

"I'm not an immortal." Zheng Ren replied to Su Yun's words, which became more and more simple and rude, and even Zheng Ren didn't notice the change in the middle.

"Intelligence is a hard injury." Su Yun sighed, "You are not from the urology department. If you are consulted, you can still perform surgery? It's not because of your level of intervention."

Of course Zheng Ren had already guessed this, but he just couldn't get used to Su Yun's handsome appearance. Walking with him, the rate of return is almost 80%, and I have become the ugly best friend who helped to set off beside the beauty.

It just so happened that Su Yun was still like a piece of brown candy, unable to get away.

Silent all the way, rushed to the urology department.

A deputy director surnamed Shen stood anxiously in the corridor, constantly looking at the time on his phone and at the gate.

When Zheng Ren and Su Yun appeared, he calmed down a bit.

"Mr. Zheng, there is a patient who wants you to take a look." Deputy Director Shen said anxiously.

"What patient?"

"Young male patient, diagnosed with left kidney cancer. 29 days ago, nephrectomy was performed at the Imperial Capital Hospital, and the upper segment of the left kidney was removed. Hematuria occurred this morning and was admitted to the ward from the emergency department. Hematuria was present for 5 hours, The hemostatic drugs are ineffective, so consider bleeding from the left nephrectomy segment." Deputy Director Shen described the medical history professionally.

The medical history is clear and there is nothing suspicious.

Because the patient was young, consideration was given to preserving the left kidney.

However, the kidney is relatively fragile, and various means of ligation and suture can not guarantee that there will be no postoperative bleeding.

Especially if it is placed on other organs, it will heal up in 29 days. But for the kidneys... no, there was a sudden hemorrhage, and it was estimated that which blood vessel had opened again.

"The patient's family called the surgeon, and they said there are two solutions. If the bleeding can be stopped by interventional surgery, it can be simply stopped. If there is no interventional support, the left kidney can only be removed." Deputy Director Shen After speaking, he let out a long breath.

Zheng Ren recalled that in interventional surgery, this kind of bleeding was not difficult to stop.

"Mr. Zheng, can you do it? You also know the situation in our hospital. I heard that you had two emergency hemostasis operations a few days ago, so I tried to ask." Deputy Director Shen saw Zheng Ren pondering. In a second, he couldn't wait to ask.

This is also the main reason that the dog's stomach can't hold two taels of sesame oil.

But when it comes to a patient's kidney problem, it's no wonder he is anxious.

"Take a look at the patient." Zheng Ren did not directly take a look at the patient, but offered to take a look at the patient.

When I arrived at the intensive care unit, a prompt was given on the system panel, and the diagnosis was simple, hemorrhagic shock. The reason is indeed the bleeding of the left nephrectomy segment. It seems that intervention to stop the bleeding is enough.

"Is there enough time for fasting water?" Zheng Ren asked.

"Enough!" Deputy Director Shen came to the spirit.

"Let the family members come with me and do the preoperative explanation. You are pushing the patient to the emergency intervention operating room. Ask the blood bank to prepare 10u more red blood cells and some plasma."

A bunch of family members stayed aside with suppressed impatience and uneasiness. Hearing what Zheng Ren said, hope suddenly ignited.

"Immediate family members, those who can sign, come with me." Zheng Ren also simply.

A young woman in her twenties, who should be the patient's lover, and two elderly people under sixty years old followed Zheng Ren all the way to the emergency ward.

Zheng Ren simply communicated with the patient's family, because before the operation in the imperial capital, all postoperative complications were clearly explained, especially the postoperative bleeding, which was explained countless times.

Therefore, the family members are considered to be half doctors. They have some understanding of the evolution of the disease, and they do not need to go into details.

They chose to remove the renal segment at that time, and they were already prepared for postoperative bleeding.

I just didn't expect that the bleeding came so late.

After the explanation, Zheng Ren threw the matter to Chang Yue and asked her to explain it before the operation, especially the possibility of ectopic embolization and necrosis, which would lead to nephrectomy.

This side explained before the operation, Zheng Ren and Su Yun came to the operating room to change clothes and prepare for the operation.

After changing his clothes, Zheng Ren was going to pack up the surgical supplies.

Su Yun's voice came: "The consumables are ready, Mr. Zheng, you can go directly to the surgery."

Huh?

Thanks to Y weight loss ing, that night's technetium style, and Xi Baoer's reading time.