Pay homage to Chinese doctor uncle’s bloody throat, like a tap on, in the strong smell of blood, spread the speed of life and death

There was always a faint smell of blood in the air of the emergency room. In the night when the senses become sensitive, the smell is magnified several times, especially obvious. < p > < p > they come from bleeding wounds of trauma patients, hematemesis of patients with gastrointestinal bleeding, and even sudden redness of puerpera Chai Yueyang, a doctor in the emergency medicine department of the Second Affiliated Hospital of Zhejiang University, has been used to dealing with these accidental bleeding calmly and quickly. < p > < p > but when he saw an uncle vomiting blood several times in a row, even splashed on the nurse, he still couldn’t help but take a breath. “Get three cavities and two sachets!” At an order, the emergency room doctors began to rescue in the strong smell of blood < p > < p > this patient is a 60 year old uncle who was sent to the emergency room of the second hospital of Zhejiang University for hematemesis. After examination and evaluation, the doctor found that he had a history of liver cirrhosis and gastrointestinal bleeding. This hematemesis was due to the rupture of esophageal and gastric varices caused by portal hypertension in cirrhosis. The family members told the doctor that he loved to drink wine. For 20 or 30 years, he drank half a kilogram of white wine every day. Until he had liver cirrhosis, he gave up drinking completely. < / P > < p > after emergency medication, uncle no longer vomit blood, vital signs temporarily stable, further treatment in the rescue room. But when Chai Yueyang was busy dealing with other patients, he always paid attention to his uncle’s condition. “Judging from his past medical history and examination, there is a risk of hematemesis again at any time.” As expected, in the middle of the night, uncle suddenly felt sick and vomited, and a mouthful of blood gushed out. The nurse quickly came to the bedside, while turning him to the side lying position, while patting his back, to prevent his hypoxia asphyxia. < / P > < p > the hematemesis was fierce. His throat was like an open faucet, and he could not stop bleeding. He vomited blood 4 or 5 times in a few minutes, with 200-300 ml each time. The blood spattered on the clothes, masks and shoes of the doctors and nurses. At this time, Chai Yueyang gave instructions for rapid rehydration and applied for transfusion of red blood cells and plasma to the blood bank. At the same time, he took out a three lumen two capsule tube and prepared for emergency catheterization for hemostasis. < p > < p > three lumen and two balloon tube is a kind of gastric tube with two air bags. After intubation and inflation, the two air bags squeeze the gastric wall and esophageal wall respectively, so as to stop the venous bleeding. But uncle’s continuous hematemesis constantly stimulates the throat, causing severe nausea and vomiting, which makes intubation very difficult. < / P > < p > the second time, the tube successfully passed through the nasal cavity and throat, and slowly extended into the stomach. Seeing that it was about to succeed, uncle suddenly vomited violently and failed again. < / P > < p > the third time, the tube successfully reached the stomach again. While encouraging the uncle to take a deep breath to resist the feeling of vomiting, he quickly injected air, and finally the air bag was successfully opened! < p > < p > after the airbag was opened, uncle’s gastrointestinal bleeding was temporarily stopped. Although he was already in a half coma at that time, he still held Chai Yueyang’s hand in tears, and the expression of gratitude could be seen in his weak eyes. < / P > < p > the emergency room catheterization hemostasis is only temporary, the purpose is to save lives, for the next step of treatment for more time and opportunities. After that, Chai Yueyang informed the digestive physician for urgent consultation, and the uncle was sent to the operating room within an hour to continue endoscopic hemostasis. After the operation, he entered the intensive care unit for further treatment. After the rescue of stress stimulation, Chai Yueyang got a short breath. At rest, his mind went back to a few years ago, the same deep night, the same massive hemorrhage caused by liver cirrhosis, but the outcome was completely different. < p > < p > he was a 37 year old patient, but his condition was more serious, because he had hepatitis B for ten years, his liver had almost failed, and his illness also led to severe depression. Before rescue, he and his family had signed to give up treatment. < p > < p > at the critical moment, Chai Yueyang and his colleagues couldn’t bear to try catheterization, but the patient was extremely uncooperative and resisted Finally, the wife on the side said, “forget it.” < / P > < p > in the emergency room late at night, some people walked through the door of hell and got a new life; others left in helplessness and despair What Chai Yueyang and his colleagues can do is to give every patient more hope for life. < p > < p > Chai: I have been a doctor for 8 years, especially in the emergency department for 8 years. I have undergone great physical and mental changes and have received different kinds of emergency patients every day. I have developed a strong heart. < p > < p > Chai: I have been wavering and confused, especially when I often encounter patients who don’t reason with you in emergency department, and no matter how the communication is not smooth, I have thought about why I had to learn medicine, and the psychological pressure is still quite great. < p > < p > Chai: if someone wants to study medicine, my answer is if you have a dedicated love, your physical and psychological quality is excellent, and you love medicine, please do not hesitate to apply for the examination! < A= target=_ blank>BEAUTY&SKIN CARE