Chapter 187 Upper gastrointestinal bleeding
"Let's go on a night check." Sun Jun took the lead and walked in front, and he couldn't wait to step out of the doctor's office with one foot.
Then he turned around and put on a pose with a hip on everyone in the doctor's office!
"What are you pretending to be? Old guy, you are shameless, you are just pretending to be cute." Hu Huan smiled and cursed directly when he saw this scene.
This kind of thing was typical of being disrespectful to the old man in ancient times.
Sun Jun also laughed: "If you don't understand, you will be bbled, you will be jumped, and you will have more than ten years of youth."
...
It was also silent in an instant.
Zhou Yewu was convinced by Sun Jun, the director of the Chinese and Western Hospital. He was really "naughty"...
After taking out the tablet with the key, Zhou Yewu found an abandoned medical record and put some white paper in it so that he could remember the doctor's orders during night check-in.
"I remember that we did this before, put paper in the medical record folder, tear the discarded white paper into four parts, and then put it together and order it into small notebooks to record medical instructions."
Chen Riyuan's eyes were affectionate, and he could see the light that the memories were flashing in his eyes.
Perhaps every doctor's youthful memories are probably the same.
So whenever I see the energetic little doctors below, I always think of a lot.
"Uncle Chen, let's go, we're all waiting for you." Zhou Yewu stood at the door, looked back, smiling.
After Chen Riyuan reacted, he whispered "Yeah".
The four of them walked into the intensive care unit for the first time.
Maybe it was the reason for the first round check, so the check was very detailed and I almost asked about my medical history again.
Fortunately, the patients in front were relatively mild.
Rather than treating the disease, it is better to talk about heart-to-heart talk so that he can feel at ease to treat it here.
There was a patient with depression, which impressed Zhou Yewu and sympathized with him.
He was an 18-year-old girl, who was also beautiful and charming.
Unfortunately, New G was plagued by depression, and her face was tortured and turned pale. Then his lips were also wrinkled and cracked, and blood was spread all over the corners of his eyes.
It was such a moving girl who only realized that his family had died in the new G when they were in the rounds.
Zhou Yewu saw a medicine bottle with antipyretics, probably the ingredients of ibuprofen.
He spoke up and wanted to advise the girl not to take her own medicine.
Because the packaging on it is obviously not the antipyretic drugs prescribed in the hospital.
But who knew that the girl said coldly: "That was originally bought for my mother, but now she is dead because of the new G. I'll keep a thought."
Zhou Yewu suddenly felt that he deserved to die at that moment.
It seems to touch the girl's inner defense.
Sure enough, within a few seconds, the girl cried loudly.
Zhou Yewu really couldn't bear to comfort her. The three directors almost held Zhou Yewu at the same time and prevented him from contacting these confirmed patients.
Otherwise, Zhou Yewu's hand would have almost touched the girl's head. Fortunately, he was reminded in time, so he handed a napkin and stepped back.
"Depression, it turns out that's how it is." Zhou Yewu murmured in a low voice.
And all three directors heard it.
Apart from helplessness, they can't do anything anymore.
After all, Chen Riyuan, Hu Huan and Sun Jun are just doctors, not gods!
Without the ability to revive the dead with just a breath of fairy air...
With regret and regret, the four people left the ward.
"Things of the world are impermanent, so you must cherish the present and live in the present." Chen Riyuan sighed a little.
After seeing this girl with depression, the four of them were covered with a layer of gloom and they couldn't be happy no matter how much.
Arrive at the next ward.
"Doctor 12, is this Xu Songren the one?" Zhou Yewu said to the middle-aged patient who was sleeping soundly on the bed.
"It looks very good when you look at the vital signs and other things. You really can't see any bleeding in the digestive tract."
The patient with bed 12 is connected to the electrocardiogram and pulse meter. How to see the heart rate, the electrocardiogram and blood oxygen saturation are very good.
Zhou Yewu put the tablet aside, then took out the stethoscope prepared beside the hospital bed, and he slowly walked towards the patient.
"Cooperate."
Zhou Yewu pulled open the patient's clothes, and then auscultated the intestinal rumbling sound of the umbilical.
I thought Xu Songren was asleep, but I didn't expect that when he blew a warm stethoscope in the air conditioning room and pressed it on his belly, he suddenly opened his eyes.
Zhou Yewu was so scared that he looked at him and jumped.
"I am a doctor, don't be nervous." Zhou Yewu auscultated for about a minute.
“The intestinal rumbling is not very active.”
Zhou Yewu put away the stethoscope and rolled it up and put it in the bucket beside him.
Each ward has a special stethoscope, and someone will disinfect it every day and is not allowed to be taken out of the ward.
Although it is probably to prevent cross-infection, there is no need to...
Instead, it wasted money on auscultation!
The intestinal rumbling sound is not very active, which is actually good news.
It proved that the effect was good after the gastrointestinal bleeding was entrapped and clamped under the gastroscopy.
Because upper gastrointestinal bleeding has a characteristic, that is, because bleeding will stimulate the peritoneum and cause active intestinal rumbling sounds.
"Let's take a look at the cases." Chen Riyuan looked at Xu Songren and suddenly wanted to learn about the medical history.
After a quick look, it was obviously difficult to remember the medical history characteristics of everyone!
Zhou Yewu took the tablet back.
Then, I quickly retrieved the electronic medical record after a few seconds. Fortunately, I had a work number of the doctor I handed over before, otherwise I would not be able to log in.
"Male, 45 years old, has two weeks of repeated black stools."
Zhou Yewu looked and said softly.
"Three weeks ago, I felt discomfort in my upper abdomen, occasionally belching, acid reflux, and it improved after taking oral omeprazole. However, I found that the stool was dark, and the number of times was roughly the same as before, 1-2 times per day, and it was still formed, so I didn't pay attention."
"A day ago, after drinking, the patient felt discomfort in the upper abdomen, accompanied by nausea, and had defecation and went to the toilet. He discharged about 500ml of asphalt stool and vomited about 400ml of blood. He fainted immediately. His family rushed to our hospital for Hb and 43g/L and was admitted to the hospital."
Just like introducing a medical history, Zhou Yewu actually read the characteristics of the cases on the tablet according to the script.
Anyway, the medical history is probably a very typical history of upper gastrointestinal bleeding, black stool, vomiting of blood and hemoglobin reduction.
Xu Songren also had obvious fatigue and normal sleep and weight, and occasionally had fever.
He went to the countryside in the 1970s and discovered HbsAg() in 1979, with a history of "gastric ulcer" for 10 years and commonly used acid-making agents.
Denying hypertension, heart disease history, tuberculosis history, drug allergy history.
"Do you guess it's new G, or is it the first upper gastrointestinal bleeding?" Chen Riyuan asked a question as he looked at the case.
Zhou Yewu said without thinking: "It should be that there is a new G first. The patient's chest CT seems to have been infected for a long time."
Chapter completed!