Chen Xiaoli's condition itself is special. A few days ago, oral administration of enemy mice led to abnormal coagulation and induced bleeding.
Are you taking medicine again?
For a time, this possibility reappeared in people's minds!
Ma Yuehui hesitated and got up and walked towards the ward.
Chen Xiaoli was frightened at this time!
People are like this. Suicide belongs to "impulse consumption", which is only the life of this consumption. After it is lost and recovered, most people regret it.
Chen Xiaoli was like this. She thought she was reborn after the robbery. Now she suddenly began to bleed and was frightened!
Are you... Dying?
Ma Yuehui saw Chen Xiaoli with a pale face and hurriedly asked, "didn't you drink any more medicine?"
Chen Xiaoli's face changed and shook her head: "no..."
"Have you eaten anything special lately?"
"No, during the two days of hospitalization, I ate all the meals in the hospital canteen." these were bought by Chen Xiaoli's mother and used Chen Cang's meal card.
Chen Cang doesn't live in the hospital for 600 yuan a month. He often doesn't need it, so he gave it to Chen Xiaoli's mother for them to use.
Ma Yuehui continued to ask, "do you have a similar history of bleeding in your family?"
Chen Xiaoli frowned and glanced at her mother.
"No... none."
Ma Yuehui frowned, which was strange.
Is it the follow-up reaction of enemy mice?
After returning, Ma Yuehui hurriedly started the examination with the members of the Department, hoping to find some diagnostic clues, and then screened with a relatively simple test to find out the link of the cause of bleeding, and then did a complex diagnostic test.
This is the routine of diagnosis.
If you don't make up your mind, quantum mechanics will certainly not work in the field of medicine.
Old Ma told the doctor in charge: "blood routine, once every two days, and then check a blood cell manual classification, screening test, platelet adhesion and aggregation test, coagulation..."
Such bleeding is not a thing at all.
Nosebleed is better, but if the central system bleeds, the consequences will be serious, and a small amount of bleeding can lead to death.
The cause must be found out!
In fact, for doctors, the most terrible disease is not the most serious disease, but an unknown risk.
Is the tumor terrible?
But are you worried when you see the oncology doctor?
Of course not, because they have a set of detailed compass to make plans for the situation of patients.
And nosebleed is a big thing?
Big or small!
At 10:12 a.m., Chen Xiaoli began to have nosebleed again!
At 10:40 am, I began to cough up blood!
At 11 a.m., the bleeding worsened again!
……
For a time, the competent doctor was at a loss. Ma Yuehui immediately invited consulting experts and the directors of Hematology, otolaryngology, respiratory, endocrinology, rheumatology and immunology to come for consultation!
Everyone also began to have a tense discussion.
Now the bleeding can't stop!
Blood routine, coagulation and other indicators are normal, which means that coagulation treatment can not be carried out.
But where did the blood come from?
It's not abnormal coagulation. Is it internal organ bleeding?
leukemia?
Or a tumor?
However, the examination results of leukemia do not support it at all.
Is it a tumor or internal organ bleeding?
First make a laryngoscope gastroscope to see if there is bleeding in the gastric mucosa and if there is damage to the throat.
This group of directors are very interested in such a strange disease.
This exploration of the unknown is their favorite thing to do at this age.
If... If they find a disease they've never had before, they'll be great.
However, half an hour later, the results showed that there was no bleeding in the esophagus and stomach.
All of a sudden, people became curious.
"Do a CT check to see if it's lung damage."
The words of the director of respiratory department made everyone nod immediately.
There is a history of rodenticide poisoning, and the patient has hemoptysis and nosebleed. It is necessary to consider whether it comes from respiratory tract and lung.
Chen Xiaoli was transferred to the radiology department again.
Ma Yuehui and others are discussing the condition outside and waiting for the results.
At this time, the radiologist suddenly came out in a hurry and opened the door: "no, the patient's heart stopped suddenly!"
A word immediately frightened everyone!
How
What's going on?
Okay, how's cardiac arrest!
The old horse hurried in: "what's going on?"
Director Yang of the radiology department is also sweating anxiously: "pericardial tamponade! It is likely that pericardial tamponade. I think the heart shadow is very big. Hurry to have a color Doppler ultrasound."
When they heard what the director of Radiology said, they were stunned.
How did pericardial tamponade happen?
Pericardium pericardium is a closed fibrous serosal sac wrapped outside the heart. There is a small amount of serous in it, which plays a lubricating role when the heart beats.
Once there is bleeding, it will inevitably oppress the heart and affect the pulse!
Once this happens, the patient is basically a narrow escape.
Therefore, these directors are veterans on the battlefield. No matter how shocked and curious, they have not forgotten what to do now.
The radiology department and the emergency department were on the first floor, and the nurse soon pushed the car.
Chen Xiaoli was also rushed to the rescue room.
For a time, the emergency department was busy again.
The old horse operated the knife himself and began to puncture and draw fluid under ultrasound.
Lao Ma is very skilled, and his long-term emergency experience makes him comfortable.
Pericardiocentesis succeeded!
Chen Xiaoli's heartbeat began to recover, but her blood pressure was still very low.
In other words, the situation is still not optimistic!
Before the old horse could breathe, a frightening thing happened. Chen Xiaoli's eyes, mouth, nose and ears began to bleed!
At such a moment, people were really frightened!
There was no blood on the pale face!
And now suddenly there are seven orifices bleeding like ashes?
The whole emergency department saw this situation, even the well-informed people were afraid at this moment!
Even the rescue nurses were distressed to see the girl.
Is there any hope of survival?
Do you want to continue the rescue?
Can we... Save you?
At this time, these problems appeared in everyone's mind.
Everyone was a little overwhelmed.
Rescue... Shock... Hemostasis... Blood transfusion
This has become the main theme now.
Maybe
As long as we transfuse blood fast enough, the patient won't die, will he?
The old horse sighed, with some regret and helplessness.
This is the emergency.
When we think we have succeeded, we will always encounter such things.
"What should I do?" asked the young doctor in charge.
However, no one answered this time.
Because we don't know how to answer.
Is it so confused to die?
At this time, the doctor in charge suddenly said, "do you want to call Professor Chen?"