Chapter 104: Delayed bleeding 1 month after surgery

As the day goes by, the emergency department is getting busy.
One week, Zheng Ren had performed 16 cases of appendicitis and seven cases of acute cholecystitis. He also rescued a knife wound patient and performed splenectomy.
The days of the emergency department are like this, busy and full.
With the hard work and chance of the old director Pan, the people of Corrie are now getting more and more surplus.
Director Liu was discharged from hospital and was reshuffled.
He resigned and went to the Second Affiliated Hospital of the Provincial Medical University. At that time, Yang Lei, a friend who confessed to Zheng Ren, took the initiative to apply and fled the general department to the emergency ward.
The doctor only added one person, but the nurse was more active.
It is said that the nursing department was recently jumped by a chicken.
At least dozens of people have applied for permission to transfer to the emergency ward.
Zheng Ren knows that this is the credit of Su Yun. The guy is like a walking sildenafil.... Wrong, it should be the kind of food for women.
In short, the emergency ward is on the right track very quickly.
Zheng Ren is a hard-working hospital, and the more patients, the harder it is.
Thanks to the surgery to do the bottom, there are few postoperative complications, or else you can't even sleep.
The weather is getting colder and colder, and every day there are clouds, but it doesn't snow, which makes people feel depressed.
Zheng Ren does not matter, the system of this big pig hoof has been exceptionally quiet recently, and no new tasks have been issued. Zheng Ren only got 50 points of skills and 5000 points of experience by completing 5 rounds of main line missions.
General surgery skills rose from 3,161 points to 3,185 points, and inventory skills point to 1789 points. There is also an experience value of 88,620 points, as well as three silver treasure chests.
Zheng Ren feels that as long as this goes on, there will be another month, by ordinary surgery and reading, he can upgrade the general surgery skills to the master level.
The size of the ward, relying on Chang Yue and Yang Lei, is well organized.
Zheng Ren can only do surgery every day ~ EbookFREE.me ~ can be, this day is also comfortable. It’s just that Su Yun is like his own shadow every day, and he is attracted by countless hostile eyes.
Gradually, Zheng Ren also adapted, anyway, he is not bent, how to think about others.
On this day, I was reading a book. A thick book on Hepatobiliary and Pancreatic Surgery has seen the last hundred pages. The emergency ward received a phone call saying that it is a urology clinic.
Urology? Zheng Ren did not want to go to the name of this department.
It is not because the urology involves the problem of the next three roads, but that he only had a urology rotation for a month when he was an intern many years ago, and he did not understand the situation at all.
There are two books in the skill book, but the level of the expert-class crane tail is estimated to be beyond the director of the urology department. The experience value is definitely not enough to cultivate your own urological surgery specialization, so Zheng Ren feels that it is not necessary to go.
However, since there is a consultation, or an urgent consultation, it must arrive within 5 minutes.
No way, close the book, Zheng Ren rushed to the urology.
"What do you guess is the patient?" Su Yun still followed Zheng Ren, laughing and laughing.
"I am not a god." Zheng Ren answered Su Yun's words, more and more simple and rude, and the process of change in the middle even Zheng Ren himself did not notice.
"IQ is hard." Su Yun sighed. "You are not a urologist, you are looking for a consultation, but you can also have surgery. It is not your level of involvement."
Of course, Zheng Ren has already guessed this point, that is, he can't understand the way Su Yun is so handsome. Walking with him, the rate of returning is almost 80%, and he has become the ugly girlfriend who helps to set off next to the beauty.
It is also a good idea that Su Yun is like a piece of leather candy.
Silent all the way, rushed to the urology department.
A deputy director of the group named Shen was anxiously standing in the hallway, watching the time on the phone and looking at the gate.
When Zheng Ren and Su Yun appeared, he was calm.
"Zheng Zong, there is a patient who wants you to look at it." Shen deputy director said eagerly.
"What patient?"
"Young male patient, diagnosed left kidney cancer. 29 days ago, he had a kidney cancer resection in the Imperial Hospital, and he was cut into the upper kidney segment of the left kidney. Hematuria appeared this morning, and he was admitted to the ward from the emergency department. Hematuria is 5 hours. The hemostatic drug is ineffective, considering the hemorrhage of the left kidney resection." Shen Shen is very professional about the history.
The medical history is clear and there are no doubts.
Because the patient is young, consider keeping the left kidney.
However, the kidneys are relatively brittle, and the various methods of ligation and suturing are not guaranteed to prevent bleeding after surgery.
Especially when it was placed on other organs, it took a long time to heal in 29 days. But the words of the kidney... This is not, suddenly bleeding, it is estimated which blood vessels are open again.
"The patient's family gave the surgeon a phone call. There are two solutions on the other side. If you can stop bleeding by interventional surgery, you can stop bleeding. If you don't have the strength to support it, you can only remove the left kidney." After that, it only took a long breath.
Zheng Ren recalled that in the interventional surgery, this bleeding is not difficult to stop bleeding.
"Zheng Zong, can you do it? You know the situation in the hospital. I heard that you did two emergency operations to stop bleeding a few days ago. Then I tried to ask." Shen Ren’s director saw Zheng Ren’s indifference. For a second, I couldn’t wait to ask.
This is also the owner of the dog's belly can not hold two or two sesame oil.
But when it comes to the problem of a patient's kidney, it does not blame him for being anxious.
"Go and take a look at the patient." Zheng Ren did not directly cover the big bag ~EbookFREE.me~ but proposed to take a look at the patient.
In the intensive care unit, the system panel gives a prompt, the diagnosis is very simple, hemorrhagic shock. The reason is indeed the left kidney resection section bleeding, it seems that as long as the intervention to stop bleeding, it is enough.

Is the time for fasting water enough?
asked Zheng Ren.
"Enough!" Shen deputy director came to the spirit.
"Let the family go with me and do the pre-operative explanation. You push the patient to the emergency room to intervene in the operating room. Let the blood bank prepare 10u red blood cells, and then some plasma."
A bunch of family members suppressed the impatience and embarrassed mood to keep aside, listening to Zheng Ren saying so, suddenly ignited hope.
"Direct family members, can sign, come with me." Zheng Ren is also simply.
A young woman in her twenties should be the patient's lover, and two elderly people under the age of 60, followed Zheng Ren all the way to the emergency room.
Zheng Ren simply communicated with the family members of the patient, because all the postoperative complications were clear before the operation in the Imperial Capital, especially the postoperative bleeding, which was explained innumerable times.
Therefore, the family members are also half a doctor. They have some understanding of the evolution of the disease and do not need to elaborate.
They chose to remove the kidney segment and were ready for postoperative bleeding.
Just did not expect that the bleeding came so late.
After the explanation, Zheng Ren threw things to Chang Yue, let her do the preoperative, especially the ectopic embolization necrosis, the possibility of nephrectomy should be emphasized.
This face was explained before surgery, Zheng Ren and Su Yun came to the operating room to change clothes and prepare for surgery.
After changing clothes, Zheng Ren is ready to clean up the surgical supplies.
Su Yun’s voice came:
The consumables are ready, Zheng Zong, you can go directly to the surgery.

Huh?