Doctor of Healing

However, due to the general sensitivity of hospitalization, he still asked the doctor on duty to call the third-line professor on duty, and asked the superior doctor to take a look.

Although he will be scolded tomorrow, Xu Leyu doesn't care about that much.

It seems that something is wrong, Xu Leyu always feels that he has overlooked something, but he doesn't know what is wrong.

He went around the hospital bed, looked at the patient from head to toe twice, and finally found out that there were two points that he had just missed.

One is that the urine volume in the patient's urine bag has not increased, which means that the patient has acute renal failure.

The second is... the skin on the left thigh seems to be shiny, which means that the broken end of the fracture has just bled a lot, the subcutaneous pressure has increased, and the elasticity of the skin has been stretched to the extreme, so it is shiny.

Xu Leyu took out a small tape measure to measure the swelling of the patient's left thigh.

After recording the values ​​and comparing them, Xu Leyu found that the diameter of the patient's left thigh increased.

There must be bleeding, maybe you need to go to surgery directly.

But the patient's femoral shaft fracture is obviously not that serious, or is it caused by a blood transfusion reaction?

Xu Leyu felt that he was in trouble.

The third-line professor came to the hospital with a stern face. He glanced at the patient and gave no special treatment.

The professor on duty also knew that he was here to take the blame, and asked Xu Leyu to continue looking for a consultation.

There is no other way, Xu Leyu can only call the relevant departments, ask the resident manager and third-line professors to take a look and complete the medical records.

Just finished working, when Xu Leyu returned to the ward to take another look at the patient, he deliberately took a small flashlight to see the pupils.

Otherwise, when the people in the internal medicine department asked how the pupils on both sides were, if they didn't know, they would definitely be despised.

Opening the patient's eyelids, Xu Leyu was shocked.

The patient's eyeballs were bloodshot, and bloody exudate could even be faintly seen!

It's like the patient is shedding blood and tears!

At the same time, a trace of bloody fluid flowed from the patient's nasal cavity.

I am!

How is this going!

Chapter 756

When other doctors arrived, the patient's facial features showed signs of bleeding.

"I think it's a hemolytic reaction after blood transfusion, hurry up and send it to the ICU!" The professor in charge of internal medicine gave a diagnosis after taking a look at it.

Xu Leyu thought the same way, and he immediately contacted the ICU to transfer the patient.

The patient was transferred away, but Xu Leyu was very worried.

If it is a blood transfusion reaction, I have little responsibility. After all, I have done everything according to the procedures. Even if the patient's condition worsens and eventually leads to medical disputes, I will not have an accident.

but!

but! !

There is another possibility for a similar reaction!

Xu Leyu thought of a possibility that he could not accept - the blood type of the blood transfusion was wrong.

He returned to the department and called the nurse over immediately.

"Is the patient's blood transfusion checked?"

Xu Leyu was very nervous, his voice became sharp.

The little nurse was stunned for a moment, she felt something was wrong from Xu Leyu's serious expression.

Now it's different from eating and driving just now, the little nurse took out all the blood transfusion slips and checklists.

While tidying up, Xu Leyu saw the little nurse's hands shaking.

Emergency rescue, there are always omissions, I hope, there will be no problems.

At this moment, both Xu Leyu and the little nurse were secretly praying.

If the patient was transfused with blood of a different blood type, it would be fucking fucked up.

A proper medical accident is still a major medical accident.

A few minutes later, Xu Leyu looked at the verification information on the blood transfusion form and let out a sigh of relief.

The eight items before blood transfusion are complete.

Eight items to check - two medical staff are required to check the patient's department, name, gender, hospital number, cross-matching blood results, blood bag number, type of blood product, and dose of blood product at the same time.

It is confirmed that the blood type is A.

The signature information of the checker is also on the work file.

Nothing wrong, absolutely nothing wrong.

The little nurse wiped her hands vigorously on the white clothes, and grinned wryly.

"Brother Xu, you scared me to death."

"I was also scared to death. The patient was bleeding from the seven orifices. I guess it was a hemolytic reaction, and there was a large area of ​​bleeding in the body. If it was caused by the wrong blood transfusion, both of us would have to be laid off."

The little nurse shuddered.

"Impossible. The eight checks are the most important thing. If I don't check it, the blood transfusion department will have to check it."

"It's fine to check, it's fine."

Xu Leyu let out a long breath.

The little nurse and the doctor on duty took the time to complete the case and transferred the electronic medical record to the ICU within half an hour.

Although the difficult patient was sent away, Xu Leyu was still not at ease.

His obsessive-compulsive disorder broke out, and he went through the blood bag again, and personally sent the blood bag, various verification reports, and blood transfusion slips to the ICU.

Icu's doctor also considered the wrong blood type transfusion. When he saw the list sent by Mr. Xu, the two checked it again to make sure it was correct.

"Oh, that means the patient's life is not good." The boss of the ICU sighed, "Now the patient's kidneys are failing, and he is going to undergo hemofiltration to see if he can be saved."

"Mr. Gao, have you ever seen a similar situation?"

"I have never seen such a severe hemolytic reaction except for one wrong blood transfusion during my internship."

"..." Xu Leyu was speechless.

It is difficult to have any other explanation for the hemolytic reaction of bleeding from the seven orifices, except for the wrong blood transfusion.

However, the blood transfusion checklist and blood bags have been compared repeatedly, and after comparison by the hands of several people, there will be absolutely no mistakes.

Glancing at the patient's left femoral shaft, although the fracture of the femoral shaft was insignificant at this time, Xu Leyu still measured the diameter of the patient's femoral shaft.

The broken ends are still bleeding.

Whether there will be compartment syndrome is hard to say, and there is even a high probability that something will go wrong.

Xu Leyu stared blankly at the patient's bruised and shiny thighs, and then thought of the countless troubles that would follow, causing him to have a splitting headache.

It's useless to stay here, Xu Leyu sighed, explained a few words to the ICU hospital manager, and left.

What a surprise!

After a wonderful New Year's Eve, I encountered an acute hemolytic reaction.

Xu Leyu was so angry that he scolded his mother.

On the way back, he suddenly thought of something.

This can be considered a rare case. Thinking of his New Year's plans and ambitions, he touched the phone with his hand and hesitated.

But in the end Xu Leyu took out his mobile phone and called Ji Xiang.

After talking to Ji Xiang about the patient's condition, Xu Leyu said apologetically and hypocritically, "Xiaoji, I always feel that something is wrong. You have a good diagnosis. Can you take a look at it?"

"Wait a minute, we'll be there soon!"

Ji Xiang was not unhappy at all, and agreed without hesitation.

Only then did Xu Leyu heave a sigh of relief.

Xiaoji is still young and full of energy.The third-line professor on duty had a gloomy face after being woken up, and he never gave himself a good look.

Comparing... There's nothing to compare this thing to.

……

Ji Xiang changed his clothes, and saw his old man sitting in front of the computer with a purple clay pot in one hand, facing the screen. He didn't bother the old man, and rode a bicycle to the hospital without disturbing the old man.

The patient's condition was very urgent, and Jixiang reserved 30 minutes for himself.

If you can't find the correct diagnosis within this period of time, you can only go to the system operating room to ask the system npc for help.

Jixiang is consciously increasing his ability to solve problems independently, God knows when the system npc will leave him.

And subconsciously, Jixiang has a self-cognition of not admitting defeat, and that Lao Tzu is the best in the world.

This is what Ji Yongchang has instilled in him over the years.

It is not an exaggeration to say that it is genetic.

Along the way, while pedaling quickly, Jixiang thought over and over again what Xu Leyu and Mr. Xu had told him.

Fracture of the femoral shaft is just a minor illness, and an operation is enough.

There is bleeding, and the blood transfusion with hemoglobin below 60g is fine.

Eight checks, compared with two different medical staff, are still cautious and compliant.

Then the hemolytic reaction can only be caused by an allergic reaction, which belongs to the allergic reaction of the body's self-defense.

It's just relatively strong, and the reaction is bleeding from the seven orifices on the surface.

Ordinarily, there is nothing special about it. Whether the patient can be rescued depends on the fate of the patient.

Gradually, Jixiang also got used to thinking about treatment based on whether the patient's life is hard or not.

When he came to the hospital, Ji Xiang changed his clothes and came to the ICU again with Xu Leyu.

The patient's condition is not optimistic, and his blood pressure is still very low with the support of emergency infusion and various drugs.

Moreover, the B-ultrasound showed that the patient's chest and abdominal cavity began to have fluid accumulation.Neurological examination revealed signs of intracranial hemorrhage.

All of these mean one thing - extensive bleeding from multiple organs in the patient's body.

Ji Xiang didn't understand what the problem was, even though he had dealt with many emergency patients with Professor Zhou and Shen Lang when he felt the same way, he still had no clue.

He had no choice but to hold his breath and come to the operating room of the system.

Chapter 757 Professor Wei Is Not Worth Paying

"Professor Wei, come, let's have a drink!" Director Liu Zhiliu held a wine glass and drank.

After drinking for three rounds, the people on the table are already half drunk.

They all work in urology, and they are the future stars of the imperial capital. Director Liu has always been concerned about communication in this area.

Who doesn't want to leave a way out for themselves.

In case a certain operation cannot be performed one day, it is also a good story that an expert from the imperial capital flies to the provincial capital for consultation.

There are not many similar examples, but there are, and every similar incident will be gossiped by doctors as urban legends.

As lonely as Director Bai, he also has a strong relationship in Xiehe, but Director Bai rarely uses it.

Director Liu has heard and seen, and has this kind of thinking.

So when he knew that Professor Wei Fusiwei was going to Yuanliao for kidney transplantation, he contacted Professor Zhou in advance and made an appointment for them to have dinner together when they came back from the provincial capital.

Clink glasses and drink it all down.

"Professor Wei, Professor Zhou, with you in charge in the province, the kidney transplant operation has really started in the past two years." Director Liu praised.

"It's because your ideas are too outdated." Wei Fusi accepted Director Liu's compliment, but said very dissatisfied.

Director Liu was slightly taken aback.