Chapter 1522: 1475 Hematochezia, coma, rescue (Alliance Leader Yunjian Youwu extra chapter 1)

1475 Hematochezia, coma, rescue (Alliance Leader Yunjian Youwu extra chapter 1)

"You tell me about this." Director Wei sighed, he didn't say anything, but one look and you know whether to do surgery or not, this decision is hard to make.

Although the intestine already showed signs of incomplete obstruction, Director Wei still wanted conservative treatment.

If possible, conserve, avoid surgery as much as possible.

Even a minimally invasive surgery is still surgery, a blow to the patient.

Most importantly, even Zheng Lao Ban couldn't give a diagnosis; it looks somewhat difficult.

The two were just about to return to the operating room when Li Yufen hurried back, her hands trembling, her whole body seeming unable to stand, both feet and legs already going weak.

Zheng Ren felt a sudden tension.

The patient had an accident!

Director Wei hurried to support Li Yufen, helping her onto a chair, loudly advising her in her ear to stay calm.

But Li Yufen's face was deathly pale; after Director Wei helped her onto the chair, her body went limp like a dough ball and she slid straight down.

Director Wei momentarily dazed, Li Yufen sat down on the floor.

Her hastily tied ponytail came loose, hair disheveled, her eyes vacant staring ahead, hollow like a dead person.

Zheng Ren felt a bit tense inside; seeing the patient's mother, surely the child had an accident. The condition worsened; hopefully it's not intestinal perforation or something.

Damn it!

What Zheng Ren fears most is the child having an accident.

The difficulty of surgery is secondary; now that the two-child policy has just been opened, when parents' love meets today's situation, it becomes a human tragedy.

The patient's mother went limp like a puddle of mud, unable to be held up.

Although Zheng Ren is an outsider, he still felt sorrow seeing this. But when a problem arises, we must solve it; as long as the person isn't dead, there is hope to save them.

He strode forward, pressed his hand firmly on Li Yufen's philtrum, and squeezed hard.

Not because the philtrum point has any effect; Zheng Ren studies Western medicine, and during school he took a half-semester of Chinese medicine lessons, so he had some exposure.

But even for someone like Zheng Ren with photographic memory, only half a year of exposure makes it hard to diagnose and treat using Chinese medicine theory.

The philtrum is a relatively sensitive pain point on the human body.

Li Yufen isn't the type to fake death; pressing a harsher, more painful point would be inconvenient for Zheng Ren.

The philtrum point is a relatively good choice.

1′23″ later, Li Yufen exhaled a breath, her airway slightly spasming; one could hear the air being inhaled, the roar as it struck the tracheal wall.

"What happened!" Director Wei shouted.

"Bleeding, bleeding." Li Yufen said in a daze.

Unlike her earlier coherent actions amidst the chaos, now her mind is fuzzy and her speech is becoming incoherent.

"Director Wei, do you have the phone number of her loved one?" Zheng Ren asked.

"Zheng Lao Ban, keep an eye on her for me, I'll go make a call." Director Wei stood up, his waist went soft again, almost falling.

Now is not the time for a photo in the operating room; Director Wei didn't say anything, forced himself to stand, took out his phone and began dialing.

Zheng Ren saw that the patient's mother's system panel showed no disease diagnosis, but he didn't dare be careless, quietly guarding her side.

If there is a problem, such as airway spasms causing breathing difficulty, at least emergency rescue can still be done.

Even Zheng Ren has considered that if an emergency occurs, he could enter the system operating room to train for the corresponding rescue.

Soon, Director Wei hurried back, saying, "Zheng Lao Ban, go down together, help keep an eye."

"Mm." Zheng Ren nodded without hesitation.

"The patient suddenly had hematochezia, the amount…… said to be large, but based on the description I estimate it's several tens of milliliters." Director Wei said.

Zheng Ren slightly relaxed his breath.

Possibly the sharp edge of the bottle cap scratched the intestine, causing the bleeding. Intestinal bleeding differs from other solid organ bleeds, not as dangerous.

Sent to the hospital, direct surgery should be fine.

After briefly exchanging the information Director Wei had gathered, a gastroenterology team-leading professor rushed over.

Director Wei assigned him to look after Li Yufen, while he and Zheng Ren put on white coats and returned to the ward.

Along the way, the two said nothing, their expressions solemn.

Hematochezia, hoping it's not too severe……

Not having seen the patient yet, that's all we can hope for.

The information we have is pitifully little; we only know the patient swallowed a bottle cap lodged in the lower right abdomen, causing bleeding three days later.

Prepare for surgery; regardless, any bleeding is an indication for surgery.

More than ten minutes later, the shrill siren of the 120 emergency rescue vehicle came from afar, stopping at the entrance of the inpatient department.

Normally, the 120 emergency rescue vehicle does not send patients to the ward, but to the emergency department, where the ED triages patients based on condition.

But with Director Wei's phone call, the intermediate emergency rescue step in the ED is omitted.

The gurney rumbled; Zheng Ren stood in the hallway, nurses and the inpatient chief had prepared all rescue supplies in the resuscitation room, ready and waiting.

The patient appeared, the system panel showed deep red, serious but not extremely so.

Zheng Ren relaxed a little.

Upon careful observation, the diagnosis had several items; among them, Meckel's diverticulum foreign body impaction made Zheng Ren suddenly understand.

It turned out the patient had a concealed Meckel's diverticulum in the lower right abdomen, which caused the bottle cap to lodge in the intestine, leading to impaction, incomplete intestinal obstruction, and the current bleeding.

Meckel's diverticulum is a finger-like protrusion on the wall of the distal ileum, a congenital anomaly left from the incomplete closure of the vitelline duct; Meckel first gave a relatively complete description of this condition in 1809, so lesions at this site are also called Meckel's diverticulum.

Meckel's diverticulum without complications is asymptomatic; when complications arise, various symptoms may appear.

For example, intestinal obstruction, bleeding, diverticulitis, perforation, etc.

After seeing the patient's diagnosis, Zheng Ren, while the nurse established venous access and placed a gastric tube for preoperative preparation, went directly to the system space and purchased surgical training time.

System Operating Room rose up from the ground, Zheng Ren stepped inside, and began Surgical Training.

……

Director Wei looked at the ECG Monitor displaying a blood pressure of 70/45 mmHg, feeling some Worry, yet some relief.

Children's blood pressure tends to be low, which is normal. Even for adults, this blood pressure can be diagnosed as hemorrhagic shock, but it is not considered very low; it belongs to the type that is likely to be rescued.

But as soon as he examined the patient, he discovered an abnormality.

The child's abdomen was as hard as a board, rock‑solid and impossible to press. Moreover, it was unclear whether this was due to hemorrhagic shock or pain, but the patient was in a coma.

"Zheng Lao Ban, what do you think?" Director Wei had his own opinion, but in the critical moment he instinctively asked Zheng Ren.

"Prepare for Shou Bing, let's examine and see." Zheng Ren said in a low voice: "It should not be a big problem."