Chapter 391 Bleeding Point!

Lu Chen quickly returned to the Nephrology Department.

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

"Lu Chen, you're here." Wang Jun was communicating with a patient's family about the condition. It seemed that the patient was in a very urgent condition, and his expression was very solemn.

"Teacher Wang." Lu Chen nodded slightly, walked quickly to his side, and then looked around. The doctors in the Nephrology Department were very busy. "Where is the patient who needs emergency dialysis you talked about on the phone?"

Wang Jun immediately took out a medical record, "The patient who needs emergency dialysis is in bed 3. Gao Shang is communicating with the patient. You go and see first, I'll go and see later."

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

Wow, creatinine 1249umol/L!

This creatinine value has long reached the standard for dialysis.

"Lu Chen, you and Gao Shang help the patient with intubation first. I will come over immediately after I finish dealing with the patient on hand." Wang Jun had a lot of things on hand and had no time to deal with this patient who needed emergency dialysis.

"Okay, Teacher Wang." Lu Chen nodded.

Gao Shang is a chief physician in the group, with a relatively old qualification, and Lu Chen usually follows him.

...

Take the medical record to bed 3.

Lu Chen did not see the patient. After asking the nurse, he learned that the patient was pushed to the operating room and was ready for emergency dialysis intubation.

Lu Chen hurried to the operating room again, and saw Gao Shang fiddling with the ultrasound instrument.

"Teacher Gao." Lu Chen called softly.

Gao Shang raised his head slightly and was slightly stunned, "Lu Chen, aren't you resting today? Why are you here?"

"It was Teacher Wang who called me." Lu Chen said, "He said the department was very busy and asked me to come and help."

"Hey, I thought you were on night shift yesterday, and I wanted you to have a good rest." Gao Shang said, "Okay, since you are here, help. This patient needs a temporary dialysis tube."

Lu Chen nodded and began to put on gloves.

He had read the medical records before.

The patient in front of him was very young, a man, only about 30 years old.

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

Most kidney diseases may eventually lead to renal failure. Late-stage renal failure is what we often call uremia.

When the kidney function disappears, it is impossible to maintain normal body functions, and the toxins in the body cannot be eliminated.

Over time, toxins will accumulate in various organs of the body until the whole body fails!

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

Renal failure is divided into acute renal failure and chronic renal failure in terms of the severity of the disease.

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

Chronic renal failure is caused by a chronic factor that causes persistent damage, or acute renal failure is not cured and turns into chronic renal failure.

"Well, we are currently considering acute renal failure." Gao Shang said, "Emergency blood routine test, no anemia."

Generally, patients with chronic renal failure have chronic anemia, that is, renal anemia.

"Then what causes renal failure?" Lu Chen said again.

"It has not been found yet. The patient has no history of contact with any nephrotoxic substances." Gao Shang shook his head, "But I asked carefully, and the most likely one at present is... milk tea."

"Milk tea?" Lu Chen was surprised, "Acute renal failure caused by milk tea?"

"Yes." Gao Shang nodded slightly, "All medical histories have been asked, and 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 in his heart.

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

"Lu Chen, start cooperating with me to insert the catheter for acute dialysis!" Gao Shang has used an ultrasound machine to check the patient's neck blood vessels.

The only treatment for uremia is dialysis.

The principle of dialysis is very simple!

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

If the kidney function of the human body can be restored, after a few dialysis, dialysis can be stopped.

If the kidney function has been mostly damaged, lifelong dialysis is required, about two to three dialysis per week, and the number depends on the specific condition of the patient.

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

Where to draw from? The most common ones are the neck blood vessels (jugular vein) and the femoral vein.

Nephrology generally uses the jugular vein.

So in the hospital, if you see a tube inserted in someone's neck, it is the access catheter used for hemodialysis.

After coming to the nephrology department, Lu Chen has been an assistant many times, helping Gao Shang or Wang Jun to insert the jugular vein.

Because this operation is very risky, Lu Chen has not yet operated alone.

However, Lu Chen has been trained very well in the system's virtual operating room, and he has mastered the skill of dialysis insertion.

...

"I'm starting." Gao Shang is also very experienced and found the jugular vein very quickly!

After the needle tube was sucked back, it was dark red blood, proving that it was venous blood.

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

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

"If you feel uncomfortable, just raise your hand and don't talk!"

About five minutes later.

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

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

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

"I'm starting to sew." Gao Shang said.

The catheter needs to be fixed on the neck, so two stitches are needed.

But at this moment, UU reading www.uukanshu． net Lu Chen suddenly noticed that the place where the patient inserted the catheter began to bleed continuously!

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

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

Gao Shangke was also a senior attending physician. He immediately understood and looked in the direction Lu Chen pointed.

Sure enough, there was a hidden bleeding point!

This bleeding point was constantly oozing blood.

What nephrologists fear most is mistakes during cannulation.

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

Or bleeding!

"Oh no!"

Gao Shang frowned. He immediately stopped his stitches and began to look for the location of the bleeding point.