I Can See Health

   Chapter 396 Bleeding Spot!

  Lu Chen quickly returned to the Nephrology Department.

   ran into the duty room, put on a white coat, took the stethoscope, and came to the doctor's office.

   "Lu Chen, you're here." Wang Jun was communicating with a patient's family about his condition. He seemed to be a patient with a very urgent condition, and his expression was very solemn.

   "Mr. Wang." Lu Chen nodded slightly, walked quickly to his side, and then looked around, the doctors in the nephrology department were very busy, "Where are the patients who need emergency dialysis you said on the phone?"

  Wang Jun immediately took out a medical record, "The patient who needs emergency dialysis is in bed 3, and Noble is communicating with the patient. You go and have a look, I'll take a look later."

   "Okay." Lu Chen took the medical record and opened it.

  Good guy, creatinine is 1249umol/L!

   This creatinine value has long reached the standard of dialysis.

   "Lu Chen, you and Gao Shang help the patient intubate first. I'll come over immediately after I've dealt with the patient at hand." Wang Jun has a lot of things at hand, and it's too late to deal with this emergency dialysis patient.

   "Okay, Teacher Wang." Lu Chen nodded.

  Noble is the attending doctor in the group, and his qualifications are relatively old. Lu Chen usually follows him.

  …

   Came to bed 3 with medical records.

  Lu Chen didn't see the patient. After asking the nurse, he learned that the patient had been pushed to the operating room, ready to be intubated for emergency dialysis.

  Lu Chen hurried to the operating room again, and saw Noble who was playing with an ultrasound machine.

   "Teacher Gao." Lu Chen whispered.

  Noble raised his head slightly and was stunned for a moment, "Lu Chen, aren't you resting today? Why did you come here?"

   "Mr. Wang called me." Lu Chen said, "He said Corey was busy and asked me to come and help."

   "Hey, I think you were on the night shift last night and wanted you to have a good rest." Noble said, "Okay, since you're here, please help. This patient will be put on a temporary tube for dialysis."

  Lu Chen nodded and started putting on gloves.

   He had seen the medical records before.

   The patient in front of me is very young, a male, only about thirty years old.

   It is relatively rare for such a young patient to suffer from renal failure and require dialysis treatment.

  Most kidney diseases may eventually lead to kidney failure, advanced kidney failure, which is what we often call uremia.

   When kidney function disappears, normal body functions cannot be maintained, and toxins in the body cannot be eliminated.

   Over time, toxins will accumulate in various organs of the body until systemic organ failure!

   "Teacher Gao, is this acute?" Lu Chen frowned.

   Renal failure can be divided into acute renal failure and chronic renal failure.

  Acute renal failure may be renal failure caused by sudden acute factors, such as drugs and food poisoning.

  Chronic renal failure, a chronic factor that causes persistent damage, or acute renal failure that is not cured and becomes chronic renal failure.

   "Well, at the moment we consider it to be acute renal failure." Noble said, "The blood routine was urgently checked, and there was no anemia."

   Generally, patients with chronic renal failure basically have chronic anemia, which is renal anemia.

   "Then what is the cause of renal failure?" Lu Chen asked again.

   "I haven't found it yet, the patient has no history of exposure to any nephrotoxic substances." Gao Shang shook his head, "But I asked carefully, and the most likely thing at present is... milk tea."

   "Milk tea?" Lu Chen said in shock, "Acute renal failure caused by milk tea?"

   "Yes." Noble nodded slightly, "All medical history has been asked. The only difference between the patient and before is that he drank a cup of milk tea last night."

  Lu Chen: "..."

   He also drank a cup of milk tea last night...

   Looking at the patient on the operating table, Lu Chen mourned for him for a few seconds.

   No matter what the cause is later found out, at least for now, he can't get rid of the title of "milk tea causes kidney failure".

   "Lu Chen, start cooperating with my acute dialysis intubation!" Gao Shang has used an ultrasound machine to examine the patient's neck blood vessels.

   The only cure for uremia is dialysis.

  Dialysis, the principle is very simple!

   In fact, it is to draw the blood from the human body. Since the detoxification function of the kidneys is gone, it will be processed by the machine in the body to artificially filter out the toxins, and then the blood will be returned to the human body.

  If the kidney function of the human body can be restored, after several dialysis sessions, dialysis can be stopped.

  If most of the kidney function has been damaged, dialysis will be required for life, about two to three times a week, depending on the specific condition of the patient.

   Therefore, the first step of dialysis is to draw out the patient's blood through vascular access.

Where does    come from, the most common ones are the veins in the neck (jugular vein), and the femoral vein.

  The jugular vein is generally used in nephrology.

   So in the hospital, I saw a tube inserted in someone's neck, which is the access catheter used for hemodialysis.

   After coming to the Nephrology Department, Lu Chen served as an assistant many times, helping Gao Shang or Wang Jun to intubate the jugular vein.

  Because this kind of operation is very risky, so far, Lu Chen has not done it alone.

   However, in the virtual operating room of the system, Lu Chen has already trained the skill of dialysis intubation very proficiently.

  …

   "I started." Noble experience is also very rich, very quickly found the jugular vein!

  After the needle is sucked back, there is dark red blood, which proves that it is venous blood.

   "Don't be nervous, we have found the blood vessel." Noble reminded the patient.

   This kind of puncture operation is all under local anesthesia, and the patient himself is conscious.

   "If you feel any discomfort, just raise your hand and don't speak!"

   about five minutes later.

   With the help of Lu Chen, Gao Shang successfully completed the cannulation of the jugular vein.

   A catheter, inserted directly into the patient's jugular vein!

   Through this catheter, the dialysis machine can draw the patient's blood.

   "I started sewing." Noble said.

   The catheter needs to be fastened to the neck, so two stitches are required.

   But at this moment, Lu Chen suddenly noticed that the place where the patient inserted the catheter began to seep blood continuously!

   The amount is not much, but after wiping it with the hemostatic step, the bleeding is still there.

   "Teacher Gao, look here!" Lu Chen stopped Gao Shang who was about to sew.

   Gao Shangke was also a senior doctor in charge, he immediately understood and looked in the direction Lu Chen pointed.

   Sure enough, there really is a hidden bleeding spot!

   This bleeding point is oozing blood constantly.

   What nephrologists fear most is mistakes during intubation.

   For example, when puncturing, the vein is pierced into an artery.

   Or it's bleeding!

"Oops!"

  Noble frowned, he immediately stopped his stitches and started looking for the location of this bleeding point.

   (end of this chapter)