A 38-year-old woman, an executive of a company, is as beautiful as a woman at work.

But soon she seemed unable to do so.

She came out of the toilet again that day, looking at the toilet dyed red. Others didn't know, but she couldn't say anything about it because she was bleeding again, and it was like it was raining. It was a bit special for female patients to get bleeding. You have to figure out whether it was bleeding from the uterus or bleeding from the digestive tract (bloody stool). Don't think it's very simple. Sometimes if the doctor doesn't check it in person, it may be misunderstood.

She notified her husband by phone, and after she arrived at the company, she rushed to the hospital.

Emergency clinic.

You are very brave. In this case, you should call 120 and take it back to the hospital. You also asked your husband to send you off your pants and fart. Dr. Lao Ma in the emergency department scolded the patients, taught them a lesson, and told them that there would be such a situation next time that they should find 120 as soon as possible. If it is delayed, someone will die.

Dr. Lao Ma’s concerns make sense, because when the patient came to the emergency room, his face was pale and sweated all over his body. He entered the emergency room. Once the electrocardiogram monitoring was connected, his blood pressure was only 90/50mmHg and his heart rate was 120 beats/minute.

The patient is in shock. Low blood pressure is a sign of late shock.

And it is hemorrhagic shock.

It is obvious that the patient has hemorrhagic shock. In addition to the patient who said he was bleeding, he has been bleeding several times in the past month, and today it is the most serious this time. Secondly, you can see the patient's pants, which are all blood. After lying on the rescue bed, the sheets were dyed red.

How much blood does the patient lose? Dr. Lao Ma estimated that at least 2,000ml of blood in the blood vessels of the adult body should be about 5,000ml. When 400ml of blood is lost in a short period of time, it is generally not hindered (blood donation volume), but if it exceeds 800ml, it will be possible to get shock. If the blood volume exceeds 2,000ml, it will definitely be shock. If the blood volume is not replenished in time, the patient will soon fall into a coma due to ischemia and hypoxia, and then die! It is not fun at all.

It doesn’t matter if my wife is. The patient’s husband is very worried and keeps asking Lao Ma this question. Lao Ma is impatient when asked and said that he is in danger of his life. Now he has officially issued a notice of critical illness. If you are waiting outside, we will deal with it first.

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The patient's current bloody stool is clear, and there is hemorrhagic shock. For the sake of the present, two measures are the most critical. One is to replenish blood and liquid as soon as possible and restore effective circulating blood volume as soon as possible. Lao Ma asked the nurse to open two venous channels to the patient, and took two steps to replenish fluids together. The liquid directly penetrated the patient's vein. At the same time, he contacted the blood bank and told them that they should use blood, red blood cells, and plasma urgently.

The second measure is to cure the root cause, which is to quickly find out where the bleeding is bleeding and stop the bleeding immediately.

The emergency department where Lao Ma is in is unable to stop bleeding. What Lao Ma can do is to quickly replenish fluids and replenish blood, and then ask a gastroenterologist to come for consultation and ask them to solve the problem of stopping bleeding.

At this time, the patient's consciousness began to blur. When asked where she felt uncomfortable, she could no longer answer clearly.

The patient entered the gates of hell with one foot.

There is so much blood in a day, no matter how strong you are, you can't stand it. The soldiers on the battlefield are strong enough, but if they are shot and bleeding, they will die soon. The cause of death is hemorrhagic shock. Of course, if you are shot in the heart or head, you will die on the spot, and there is no chance to wait for the hemorrhagic shock to occur.

After the gastroenterologist arrived, he believed that the patient had indications for an emergency colonoscopy. The patient had so much blood in the stool, and all blood was flowing out. The most likely he was bleeding from the lower digestive tract. The digestive tract of the human body is divided into two parts: upper and lower parts. The upper digestive tract starts from the mouth and all the way to the esophagus → stomach → duodenum → part of the jejunum (as bounded by the Que’s ligament), and the lower digestive tract is the jejunum → ileum → colon → rectum. Generally speaking, the jejunum and the ileum are collectively called the middle digestive tract, so the upper, middle and lower ones are better understood.

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The gastroenterologist believes that the patient has lower gastrointestinal bleeding, especially the possibility of colon bleeding, so he recommends having a colonoscopy immediately. If the mirror enters the mirror and sees a bleeding point, stop the bleeding immediately and treat it. This suggestion by the gastroenterologist is very correct.

The patient's husband expressed that he would do whatever he could be treated and signed. When he said this, his lips began to tremble slightly, and of course he was scared.

The blood from the blood bank was sent, so Lao Ma quickly let the blood transfusion. If there was no blood at this time, the patient would be dead. If there was enough blood, the patient might be able to withstand it.

Some bleeding stops the bleeding by itself as it is released, while some bleeding cannot be stopped and doctors must be involved.

In this case, it is not appropriate to go directly to the endoscopy room of the gastroenterology department. This way, I will be admitted to the ICU. Under the close monitoring of the ICU, we will do a colonoscopy for her to see if it can stop bleeding. The gastroenterologist said that his suggestion is appropriate. On the one hand, the ICU monitoring is in place. If the heart stops or other accidents, efficient rescue can be organized immediately. With the ICU doctor to protect him, he can rest assured.

After entering the ICU, the patient's blood pressure is slightly stabilized, which is because of rapid blood transfusion and replenishing fluids. All organs in the human body need blood because blood can bring nutrients and can carry oxygen. Blood is like a freighter, and all organs are waiting for the arrival of the freighter. If there is less blood and less freighter, the nutrients and oxygen will naturally be reduced, and the organs will have to endure hunger. They are very delicate and will soon be hungry, and they will die in a day, half, or even a few hours.

Seeing the bright red blood flowing out of the patient's anus, it was really as anxious as a knife cut. The ICU doctors wanted to reach out and pinch the bleeding mouth.

It would be so easy.

Look at the gastroenterologist. Their colonoscopy entered the patient's anus and kept seeing the rectum, sigmoid colon, descending colon, transverse colon, ascending colon... I watched it repeatedly and washed it many times, but I couldn't see the bleeding point.

Damn it. The director of the Department of Gastroenterology cursed and said that it must be a colon bleeding, so why can't the bleeding point be found? All the intestinal walls are naked, only traces of blood flowing, and no active bleeding opening is seen.

Why is this happening? There are two reasons: First, it is not colonic bleeding at all. The colonoscopy can only look at the colon, and there is no way to look at the ileum and jejunum above. After all, the colonoscopy is so thick and only has a small length, and it is beyond the reach of it. Maybe the bleeding point is in the jejunum and ileum. Second, the patient temporarily stopped the bleeding by the colonoscopy, so the bleeding point disappeared. At this time, the colonoscopy could not see the bleeding point.
Chapter completed!