NovelTags Chapter 234
Chapter 234
The patient was in critical condition and had three intravenous channels prescribed, with blood transfusion, infusion and medication.
Lin Feng asked while instructing the shock rehydration plan.
"How much blood did your dad vomit?"
"I don't know, a total of 3 times, each time is quite a lot... Maybe a few glasses..."
"1000 ml?"
"Almost~~~"
Lin Feng nodded.
Instructed nurse Xiao Ai: "Take a blood routine, pay attention to urine, do urine routine..."
Xiao Ai: "Yes. "
Lin Feng continued to ask his son: "Did your father suddenly vomit blood?" Have you ever vomited before? "
Eldest son Wang Ming: "This is the second time, the first time was three months ago, but that time is not as serious as this time." "
Lin Feng pondered.
Gastrointestinal bleeding, divided into [upper gastrointestinal tract] and [lower gastrointestinal] bleeding.
(The upper digestive tract is the pharynx, tube, stomach, duodenum; Lower digestive tract, mainly large intestine, small intestine, etc. The dividing point is: the duodenal suspension ligament, also called the Flex ligament dividing point. ）
Upper gastrointestinal bleeding is mainly "hematemesis".
Gastrointestinal bleeding is mainly "blood in the stool".
It is clear that the patient in front of him is "upper gastrointestinal bleeding".
There are two most common causes of upper gastrointestinal bleeding:
One is esophageal and gastric variceal bleeding caused by "cirrhosis",
The other is heavy bleeding caused by "peptic ulcers" (such as stomach ulcers).
Patients with cirrhosis generally have a more obvious hepatic complexion, dark complexion, and no luster.
But the patient in front of him, Wang Daqiang, his face is relatively pale, and he can't see the typical face of liver disease.
Therefore, Lin Feng guessed that the patient in front of him should be: peptic ulcer is more likely.
Lin Feng continued to interrogate:
"Does your father have chronic gastritis or stomach ulcers or something like that?"
"Nope." Wang Ming shook his head.
"Is there hepatitis B or cirrhosis?"
"None either." Wang Ming continued to shake his head.
"Then what was the reason for the last time he vomited blood, did the doctor find out at that time?"
“............"
"What's wrong?"
Wang Ming hesitated: "It's lymphoma, growing in the stomach, gastric lymphoma." "
The youngest son Wang Cheng's lips moved, and finally did not speak.
Gastric lymphoma?
Lin Feng suddenly realized!
This disease can naturally cause the rupture and bleeding of large blood vessels in the stomach.
Gastric lymphoma: refers to malignant tumors originating in the stomach and originating in submucosal lymphoid tissue, and can also be part of systemic malignant lymphoma.
Common clinical manifestations include epigastric pain, nausea, vomiting, anorexia, gastrointestinal bleeding, and epigastric palpation and mass.
(Abdominal pain, nausea, vomiting...) and other symptoms, it is simply a panacea, basically all kinds of 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 the cost is a lot.
Lin Feng continued to ask, "Have you ever done chemotherapy or something?" "
The youngest son Wang Cheng said very dissatisfied: "I said that I had done chemotherapy several times, the effect was not good, the white blood cells and platelets were very low, and there was no treatment in this area for the next two months." "
Lin Feng was silent in his heart.
It appears that the patient, or the patient's family, gave up treatment.
Lin Feng asked: "Now we either surgically remove the tumor, or simply stop bleeding to treat shock?" "
Eldest son Wang Ming: "I still hope that my father can live longer, I may not consider treatment for tumors, but in terms of hemorrhagic shock, I hope to do as much as I can." "
Lin Feng nodded in understanding.
This is a malignant tumor, so the treatment is difficult, even if Lin Feng is a great operation, the cancer tissue is cut off, the probability of recurrence is still very high. It is a different concept from ordinary tumors.
Lin Feng: "Then you decided not to remove the tumor surgically, right?" Then I will only do rehydration expansion, blood transfusion, and use some hemostatic drugs... Then do a gastroscope... But I can't guarantee that the bleeding will actually stop. "
The eldest son Wang Ming nodded: "Yes, please Dr. Lin." "
Lin Feng: "But... If your father vomited 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 billing,
Admitted to the hospital, real-time monitoring of the patient's blood pressure, constant control of infusion and rehydration, anti-shock, while using hemostatic drugs.
Insert the tracheal hose first into the trachea to ensure the patient's oxygen.
At the same time, Lin Feng took a set of gastroscopic tools and began to insert a gastric tube to see the situation...
Just as he was preparing for the gastroscopy intubation...
Patient Wang Daqiang's body shook violently!
Vomit~~
Another mouthful of blood vomited out!
It is estimated that there are more than 200 ml of blood!
"Not good!"
Lin Feng chuckled in his heart!
The most feared thing happened!
The situation is not getting better!
In other words, the body is still bleeding out!
"Xiao Ai!!"
"Quick, bring the attractor!"
Lin Feng shouted!
It is necessary to immediately do negative pressure suction to the patient and draw the blood out, so as not to block the airway, enter the airway, lungs, and cause pulmonary embolism, which is a big trouble!
At this point,
Both sons tensed.
Earlier, Dr. Lin Feng also said that if you vomit blood, it would be very troublesome, and as a result, vomiting blood appeared within a few minutes.
Apparently the situation is not good!
The surrounding doctors all looked over, and a few interns ran over to see if they could help Lin Feng.
There are also colleagues who have just come to the hospital from home and are preparing to change shifts, and saw this scene.
"What's wrong? The patient? "
"Gastrointestinal bleeding, I heard that it is gastric lymphoma..."
"Huh?"
The doctors who had just arrived to prepare for the shift were shocked!
"Gastroenterology?"
"Can Lin Feng get it?"
"Yes, isn't he brain, extracardial, thyroid?"
......
Lin Feng's side,
"Doctor Lin, bring it!"
Nurse Xiao Ai quickly pushed the suction device (more than twenty pounds?) ), run over.
Turn on the attractor,
Cannate quickly!
The patient appears to be in pain, and I don't know if it's the pain of intubation or the pain on the stomach side.
Soon, the blood was sucked out of the mouth, continuously pumped out, through the hose, injected into the collection container, and soon spread to the 100ml scale.
Lin Feng was worried.
With such a large amount of bleeding, the airway must have entered a lot of blood clots!
The patient is afraid to be fierce!
Next
Lin Feng quickly inserted the suction device into the trachea and sucked out a lot of blood.
Next
Continue with the gastroscope.
Lin Feng needs to go through a gastroscope to see what is happening in his body,
Is arterial bleeding?
Is it venous bleeding?
How much bleeding?
How is it treated?
All need to be examined by gastroscopy...
The mouth is bloody, 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 the stomach.
Just then...
"Doctor Lin, don't save!"
The youngest son, Wang Cheng, suddenly said.
"Huh?"
Lin Feng turned around and looked at this young son who was about 24 years old in shock.
The youngest son, Wang Cheng, showed a hesitant but indifferent expression.
Lin Feng's heart sank.
The family has changed!
At this critical moment, Lin Feng was most afraid of this kind of thing.
And what doctors are most afraid of is this kind of disagreement among family members.
This matter is very nonsense, the old man's life is in the hands of his son, not his own. However, the elderly have fainted, and according to the regulations, the consent of the family members is required.
The eldest son Wang Ming looked at Wang Cheng angrily: "What do you say?" Dead?! "
The youngest son Wang Cheng was expressionless: "We all know that if we can save a while, we can't save a lifetime, right?" "
Wang Ming roared: "No! I don't allow it, Dr. Lin, trouble you to save my dad! "
Wang Cheng: "No, I don't agree, I can sign and give up treatment!" "
Lin Feng secretly said trouble!
This situation is a dilemma!
Wang Ming was extremely angry: "Wang Cheng, how can you be ruthless with such a heart!" "
Wang Cheng: "It's not that you don't know, no matter how you treat it, it's in vain, and it can't change Dad's bad body..."
Wang Ming: ".................."
It's about 10 seconds.
The two brothers kept looking at each other, their eyes were red, and both had tears in their eyes.
Lin Feng did not urge.
Lin Feng also understood his youngest son's thoughts,
The disease of gastric lymphoma is basically not curable, and they have tried chemotherapy, the effect is not good, no matter how much treatment is indeed only a short extension of time, can not significantly improve the quality of life of the elderly.
Lin Feng thinks again,
If you are like this in your old age, you will have no quality of life.
It is estimated that he may choose euthanasia instead of lying there all the time suffering (intubation, anesthesia, injections, oxygen...). These are very painful things.)
"Hey..."
Finally, the elder brother Wang Ming let out a long sigh.
"Then forget it, let it be... Dr. Lin, since the endotracheal intubation has been inserted, it will be inserted, but other measures have not been done, and there is no rescue..."
He gave in.
It is estimated that he has also struggled in his heart for a long time.
Lin Feng was in a complicated mood, a little angry, and a little understanding...
"Xiao Ai, take the "Consent Form for Giving Up Treatment" and sign it..."
"Yes."
Soon, the two brothers signed the consent form, writing down the date and time.
Lin Feng waved his hand: "You brothers, accompany the old man on the last ride..."
Wang Ming and Wang Cheng nodded bitterly: "Thank you Dr. Lin for understanding." "
Lin Feng shook his head and left.
At this time, it was almost 12 o'clock in the morning.
Lin Feng handed over the shift with the next group of doctors and went home.
......
The next day,
Lin Feng works the day shift.
When I came to the department, I learned about the patient from the nurse.
24:30 a.m.,
The old man woke up once, and then explained something to his two sons.
The two sons cried for more than ten minutes.
At 1:03 a.m. ...
The old man's blood pressure did not stabilize and he died.
The two brothers cried and sent the old man to the funeral car and sent it to the funeral home.
......
This is the second patient to die at Lin Feng's hands.
Lin Feng was a little not in a good mood.
Continue to sit.
The call machine opens.
......
......
4 km away, a certain building.
A superior company, white-collar employees,
Zhang Tiefeng, a clerk, pulled his hair with his hands and looked pained.
He was listening to a phone call.
"Zhang Tiefeng, I tell you, now the profit has reached 400,000 yuan, if you don't pay back, don't force me to go to your house, make your whole family unpeaceful..."
"Don't inquire and inquire, who is my tiger brother, dare not pay back, I will let your two sons have no books, so that your wife can't go to work, and it's hard for you to die..."
On the other side of the phone, Brother Hu said viciously.
Zhang Tiefeng panicked: "Please, don't hurt my family!" "
Brother Hu sneered: "Then you pay back the money as soon as possible!" "
"I don't have any money!"
"No money, limit you to 10 days, take out 10,000 top interest, otherwise don't blame me for being unkind!"
Toot toot ~~~~
Hang up!
Zhang Tiefeng squatted on the ground,
Grabbing his hair, he cried bitterly.
I was very annoyed and regretted.
Last month, he was introduced by a friend and liked the foreign dealer betting on the Internet, and easily won thousands at the beginning, but he didn't know that it was a trap!
Then, he began to lose all the way ...
shows the loss of hundreds of thousands of family savings...
And then crazy he ran to borrow money ...
And then, run to borrow usury ...
Now, the profit rolls directly to 400,000!
...
An hour later...
10:10 minutes...
His face showed a hideous look!
He looked at the company and he came up with an idea!
He's going to kill himself!
......
10：40......
He bought a bottle of paraquat, a bottle of iced tea, mixed with water...
Then I wrote a piece of paper, to my wife's:
Content: The effect is that he owes 400,000 yuan for gambling, is threatened and urged, unable to repay, in order to save some living expenses for his two children, he plans to commit suicide in the factory, and after he dies, remember to go to the factory to make trouble and claim 500,000 yuan. At the same time, if you want to go to the hospital to make trouble, if you can't save people, ask the hospital for at least 200,000. (And refer to the Fish Killing Incident)
He then sewed the note inside his panties, very hidden.
He did not dare to call his wife and told her for fear that her wife would object.
......
10:50 minutes...
Drink paraquat mixed with ...
Foaming at the mouth, falling down ...
......
10:52 min...,
Colleagues found out, quickly call 120 first aid ...
......
11:20 minutes...
The ambulance sent Zhang Tiefeng to the emergency department of Harmony Hospital!
By chance, it was delivered to Lin Feng.
。