blenderwars Chapter 236
Chapter 236
Chapter 236
The patient is in critical condition, and three intravenous channels have been opened for blood transfusion, fluid infusion, and medication.
Lin Feng asked as he ordered the shock rehydration program.
“How much blood did your father vomit?”
“I don’t know, a total of 3 times, each time it is quite a lot…about a few cups…”
“1000 ml?”
“Almost~~~”
Lin Feng nodded.
Instructed the nurse Xiao Ai: “Take a blood routine, pay attention to retaining urine, do a urine routine…”
Xiao Ai: “Yes.”
Lin Feng continued to ask his son: “Did your father vomit blood suddenly? Has he vomited before?”
The eldest son Wang Ming: “This is the second time. The first time was three months ago, but that time was not as serious as this time.”
Lin Feng thought.
Gastrointestinal bleeding is divided into [upper gastrointestinal] and [lower gastrointestinal] bleeding.
(The upper gastrointestinal tract is the esophagus, tube, stomach, and duodenum; the lower gastrointestinal tract, mainly the large intestine, small intestine, etc.. The dividing point is: the duodenal suspensory ligament, also called the dividing point of the flexor ligament.)
Upper gastrointestinal bleeding is mainly caused by “hematemesis”.
The gastrointestinal bleeding is mainly “blood in the stool”.
Obviously, this patient is “upper gastrointestinal bleeding.”
There are two most common causes of upper gastrointestinal bleeding:
·One is the rupture of esophageal and gastric varices caused by “cirrhosis of the liver”,
·The other is heavy bleeding caused by “peptic ulcer” (such as stomach ulcer).
Patients with liver cirrhosis generally have a more obvious hepatic face, with a dark and dull complexion.
But the patient Wang Daqiang in front of him, his face was relatively pale, and he couldn’t see the typical liver disease face.
Therefore, Lin Feng guessed that the immediate patient should be: peptic ulcer is more likely.
Lin Feng continued to inquire:
“Does your father have chronic gastritis or stomach ulcers?”
“No.” Wang Ming shook his head.
“So is there hepatitis B or cirrhosis?”
“Neither.” Wang Ming continued to shake his head.
“Then what was the cause of his vomiting blood last time, did the doctor find out?
“…”
“What’s wrong?”
Wang Ming hesitated: “It’s a lymphoma, which grows in the stomach, gastric lymphoma.”
The youngest son Wang Cheng moved his lips, but finally did not speak.
Gastric lymphoma?
Lin Feng suddenly understood!
This disease can naturally cause 960 bleeding in the rupture of the large blood vessels in the stomach.
Gastric lymphoma: refers to malignant tumors that originate in the stomach but also in the submucosal lymphoid tissues. It can also be a part of systemic malignant lymphomas.
Common clinical manifestations include upper abdominal pain, nausea, vomiting, anorexia, gastrointestinal bleeding, and upper abdominal palpation and masses.
(Abdominal pain, nausea, vomiting… and other symptoms are simply panacea. Basically, various abdominal diseases will have these symptoms.)
The harm of gastric lymphoma to human health is only lower than that of gastric cancer, but there is still hope for cure, but the treatment is very difficult and expensive.
Lin Feng continued to ask: “Have you ever had chemotherapy or something?”
The youngest son, Wang Cheng, said dissatisfiedly: “Said that he had done chemotherapy several times, but the effect was not very good. The white blood cells and platelets were very low. Later, there was no such treatment for these two months.”
Lin Feng was silent in his heart.
It seems that the patient, or the patient’s family, has given up treatment.
Lin Feng asked: “Now we must either surgically remove the tumor, or simply stop bleeding to treat shock?”
The eldest son Wang Ming: “I still hope that my father can live longer. I may not consider treatment for tumors anymore, but in the area of hemorrhagic shock, I hope I can do as much as possible.”
Lin Feng nodded, expressing understanding.
This is a malignant tumor, so it is difficult to treat. Even if Lin Feng has the surgery to cut off the cancerous tissue, the probability of recurrence is still very high. It is a different concept from ordinary tumors.
Lin Feng: “Then you have decided not to remove the tumor, have you? Then I will only do fluid supplementation, blood transfusion, and use some hemostatic drugs… and then do a gastroscope… But I can’t guarantee that the bleeding will really be stopped. ”
The eldest son Wang Ming nodded, “Yes, please Dr. Torlin.”
Lin Feng: “But… if your father vomits blood again, it means that the situation will be very bad…”
The eldest son Wang Ming nodded: “I know, thank you Dr. Lin.”
soon,Lin Feng issued an order,
He was admitted to the hospital to monitor the patient’s blood pressure in real time, constantly control the infusion and rehydration, anti-shock, and use hemostatic drugs at the same time.
First insert the tracheal tube into the trachea to ensure the patient’s oxygen inhalation.
At the same time, Lin Feng took a set of gastroscope tools and began to insert a gastric tube to see the situation…
Just when he was preparing to intubate the gastroscope…
The patient Wang Daqiang’s body shook suddenly!
Vomit~~
Another mouthful of blood came out!
It is estimated that there are more than 200 ml of blood!
“not good!”
Lin Feng felt a little bit in his heart!
The most feared thing happened!
The situation hasn’t improved!
In other words, the body is still bleeding out!
“Xiao Ai!!”
“Quickly, come over with the suction device!”
Lin Feng shouted!
It is necessary to apply negative pressure suction to the patient immediately to draw out the blood, so as not to block the airway, enter the airway, lungs, and cause pulmonary embolism, then it will be a big trouble!
at this time,
Both sons became nervous.
Earlier, Dr. Lin Feng also said that it would be very troublesome if he vomiting blood, but he vomiting occurred within a few minutes.
Obviously the situation is very bad!
The surrounding doctors all looked over, and a few interns ran over to see if they could help Lin Feng.
There were also colleagues who had just arrived at the hospital from home and were about to change shifts and saw this scene.
“What’s wrong? The patient?”
“Bleeding in the digestive tract, I heard it is gastric lymphoma…”
“what?”
The doctors who just came to prepare for the shift were shocked!
“Gastroenterology?”
“Can Lin Feng do it?”
“Yes, isn’t he brain, heart, or thyroid?”
…
Lin Feng,
“Doctor Lin, here you are!”
Nurse Xiao Ai quickly pushed the suction device (more than twenty catties?) and ran over.
Turn on the attractor,
Quick intubation!
The patient appeared to be in pain, not knowing whether it was painful intubation or pain in the stomach.
Soon, the blood was sucked out of the mouth, and it was continuously sucked out, poured into the collection container through the hose, and quickly spread to the 100ml mark.
Lin Feng is worried.
With such a large amount of bleeding, the airway must have entered a lot of blood clots!
I’m afraid that the patient will be more miserable!
Next step,
Lin Feng quickly inserted a suction device into the trachea and sucked out a lot of blood.
Next,
Continue to insert the gastroscope.
Lin Feng needs to use a gastroscope to see what is happening in the body,
Is it arterial bleeding?
Is it venous bleeding?
How big is the bleeding?
How to treat?
All need to be checked by a gastroscope…
The mouth is full of blood, and the vision is blurred. Lin Feng withdrew from the laryngoscope, continued to attract, wiped the lens, and inserted the laryngoscope again.
After trying several times, I finally inserted the gastroscope into my stomach.
at this time……
“Doctor Lin, don’t save it!”
The youngest son Wang Cheng suddenly said something.
“what?”
Lin Feng turned his head and looked at this young son who was about 24 years old in shock.
The younger son Wang Cheng showed a hesitant but indifferent expression.
Lin Feng’s heart sank.
Family members have changed their minds!
This kind of crisis is what Lin Feng fears most.
What doctors are most afraid of is this kind of disagreement among family members.
This is very nonsense. The life of the old man is in the hands of his son, not in his own hands. However, the old man has passed out, and according to the regulations, he needs to obtain the same (aicc) consent of his family members.
The eldest son Wang Ming glared at Wang Cheng: “What did you say? Dead?!”
The youngest son, Wang Cheng, was expressionless: “We all know that we can save a life but not a lifetime, right?”
Wang Ming roared: “No! I don’t allow it, Doctor Lin, please save my dad!”
Wang Cheng: “No, I don’t agree, I can sign and give up treatment!”
Lin Feng secretly cried out for trouble!
This situation is a dilemma!
Wang Ming was extremely angry: “Wang Cheng, how can you be so cruel!”
Wang Cheng: “It’s not that you don’t know. No matter how you treat it, it will be in vain. It will not change Dad’s bad body…”
Wang Ming: “………………”
It takes about 10 seconds,
The two brothers have been staring at each other, with red eyes, tears in both eyes.
Lin Feng didn’t urge.
Lin Feng also understands the youngest son’s thoughts,
Gastric lymphoma is basically incurable, and they have tried chemotherapy, but the effect is not good. No matter how much treatment it is, it will only extend the time for a short time, and it will not significantly improve the quality of life of the elderly.
Lin Feng will think again,
If you do the same in your later years, there is no quality of life at all.
I guess I might choose euthanasia instead of lying there and suffering (intubation, anesthesia, injections, oxygen… these are all very painful things).
“Hey……”
Finally, the elder brother Wang Ming sighed.
“Then forget it, let the flow go… Dr. Lin, since the tracheal intubation has been inserted, it will be inserted, but other measures have not been done, no rescue…”
He succumbed.
It is estimated that he also struggled for a long time.
Lin Feng feels complicated, a little angry, and a little understanding…
“Xiao Ai, take the “Consent to Abandon Treatment” and sign them…”
“Yes.”
Soon, the two brothers signed the agreement and wrote down the date and time.
Lin Feng waved: “Brothers, please accompany the old man on the last journey…”
Wang Ming and Wang Cheng nodded in pain, “Thank you, Doctor Lin, for your understanding.”
Lin Feng shook his head and left.
At this time, it was almost 12 o’clock in the morning.
Lin Feng handed over to the next group of doctors and went home.
…
the next day,
Lin Feng works day shift.
When I came to the department, I learned about the patient from the nurse.
24:30 in the morning,
The old man woke up once, and then explained something to the two sons.
The two sons cried for ten minutes.
1:03 in the morning…
The old man’s blood pressure didn’t stabilize and he passed away.
The two brothers cried and sent the old man to the funeral van and to the funeral home.
…
This is the second patient to die in Lin Feng’s hands.
Lin Feng was in a bad mood.
Continue to sit on the clinic.
The number calling machine is turned on.
…
…
A building is 4 kilometers away.
A boss company, white-collar staff,
Staff Zhang Tiefeng grabbed his hair with a pained expression on his face.
He is listening to a phone call.
“Zhang Tiefeng, I’m telling you, now it has reached 400,000 yuan. If you don’t pay the money again, don’t force me to go to your house. It will make your whole family uneasy…”
“Don’t ask, who is my brother Tiger? I dare not pay back the money. I will leave your two sons with no books to read, so that your wife will not be able to go to work, and it will be hard for you to die…”
On the other side of the phone, Brother Tiger said viciously.
Zhang Tiefeng panicked: “Please, don’t hurt my family!”
Brother Tiger sneered: “Then you pay back the money as soon as possible!”
“I have no money!”
“You have no money, you are limited to 10 days, and you can take out 10,000 in interest, otherwise don’t blame me for being polite!”
Toot toot~~~~
hang up the phone!
Zhang Tiefeng squatted on the ground,
Grabbing her hair, wept bitterly.
Very upset and regretful in my heart.
Last month, he was introduced by a friend and fell in love with online foreign croupiers betting on X. He won a few thousand easily at the beginning. It was too good, but he didn’t know that it was a trap!
Then, he started to lose all the way…
It shows that the family savings of more than 100,000 yuan have been lost…
Then crazy he ran to borrow money…
Then, ran to borrow usury…
Now, Ligunli rolled directly to 400,000!
…
after an hour……
10: 10 minutes…
There was a hideous look on his face!
He looked at this company and he thought of an idea!
He is going to commit suicide!
…
10:40…
He bought a bottle of paraquat, a bottle of ice tea, and mixed it with water…
Then I wrote a piece of paper to my wife:
Content: To the effect that he owed 400,000 yuan in gambling, he was threatened and urged and was unable to pay back. In order to save some living expenses for the two children, he planned to commit suicide in the factory. After death, remember to go to the factory to make trouble and claim 500,000 yuan. At the same time, I have to go to the hospital to make trouble, and if I can’t save people, I ask the hospital for at least 200,000 yuan. (Also refer to the killing of fish brother incident)
Then I sewed the strip of paper into my underwear, which was very concealed.
He didn’t dare to call his wife, telling his wife, for fear that his wife would object.
…
10:50 minutes…
Drink it mixed with paraquat…
Foaming at the mouth, falling down…
…
10:52 minutes…,
My colleague found out that he should call 120 first aid immediately…
…
11:20 minutes…
The ambulance took Zhang Tiefeng to the emergency department of Harmony Hospital!
By coincidence, it happened to be delivered to Lin Feng.
. .