Chapter 317 4th Degree Pain

There were no emergency patients yesterday, the ward was very stable, and there was nothing to say about the shift.

After shifts and ward rounds, Mr. Pan returned to his office to sit in charge.

Zheng Ren called in two people that Director Pan knew, asked about the patient's medical history, and checked the test report they had brought.

The patient is a 69-year-old male in good health. 1 week ago, because I accidentally bumped into a hard object, I went to the township hospital for examination. B-ultrasound found multiple liver space-occupying lesions, which were considered malignant tumors. The largest space-occupying was about 6×7cm.

The whole medical history is very simple, because the patient's liver space-occupying lesion has already had intrahepatic metastasis, so surgical resection is not possible.

At this time, intervention is the best option.

But the specific situation, such as whether it can be done and whether the postoperative effect is good, depends on the enhanced 64-slice CT.

After instructing Chang Yue to admit the patient to the hospital, Zheng Ren and Su Yun went to see other postoperative patients.

When he came to the Department of Gastroenterology, Director Xia's enthusiasm for Zheng Ren had obviously increased by two levels. Even Director Xia was not so enthusiastic about the chief directors of other departments in the hospital.

She personally led and took Zheng Ren to see the postoperative patients.

After the TIPS operation, the patient's hematemesis had improved significantly, and the symptoms of hepatic encephalopathy were not severe. Zheng Ren felt that after a day or two of observation, the second stent could be removed.

The patient's family thanked Zheng Ren a thousand times, and Zheng Ren just smiled. Zheng Ren had already obtained the greatest satisfaction by being able to "get" the patient back before the gate of hell.

As for the gratitude from the patient's family, it is actually not important to Zheng Ren.

Patients with cesspool syndrome are also doing better. Although they are still febrile, their body temperature has been controlled.

From 39.5 degrees Celsius before the operation yesterday to 38.5 degrees Celsius today, this change is huge.

Zheng Ren is confident in his operation. The most important thing for patients with cesspool syndrome is to treat sepsis. As long as she can survive this test, she will be considered alive.

After seeing the postoperative patients, Director Xia took Zheng Ren all the way to the gate of the ward.

Looking at it like that, Director Xia has already recognized Zheng Ren's level in his heart. Subconsciously, she thought that Zheng Ren had the right to be equal to herself.

After leaving the gastroenterology department, Zheng Ren and Su Yun rushed to the ICU again.

There was no trace of hangover on Su Yun's face, which was completely different from the eleven boxes of big green sticks that day.

Zheng Ren was also very surprised. It is said that the alcohol content of Scotch whiskey last night completely exceeded eleven boxes of big green sticks, but Su Yun was fine.

"Did you succeed last night?" Su Yun asked suddenly while walking.

Success... Zheng Ren didn't know how to answer this question.

If it is a hug, it should be successful. However, it is estimated that Su Yun didn't mean that.

"Looking at how you look in the morning, you should be pretty good. Don't worry, the strong girl is afraid of pestering her, so take it step by step." Su Yun earnestly taught.

Zheng Ren suddenly felt that what Su Yun said seemed to be good, at least the story yesterday made him rein in the precipice.

Otherwise, according to my own temper, I don't know which direction the situation is going to develop.

All the way to the ICU, changed clothes and went in. Director Qian and others had serious expressions and were discussing the condition.

"Xiao Zheng, here we come." Director Qian beckoned when Zheng Ren and Su Yun came to see the patient.

Knowing that there was a problem, Zheng Ren immediately walked over.

"The patient in the 5th bed was quite agitated. According to her condition, the endotracheal tube could be removed today and the ventilator stopped to assist her breathing. But after the sedative drugs wore off, she became agitated and her vital signs became unstable."

Director Qian said simply.

The five beds in the prison are the patients who were injured by falling from the high-altitude machine that Zheng Ren worked on the day before yesterday.

Something else happened?

Zheng Ren was a little puzzled. It is said that her condition should be getting better every day at this time, and she will be able to go to the orthopedics department for internal fixation of fractures in a few days.

The system gave Zheng Ren a task of [Saving people from fire and water], but Zheng Ren didn't want to complete it at all.

Chronic surgery is a slow surgery, and it must not be done in an emergency. Otherwise, the patient will suffer greater trauma, making physical recovery unpredictable.

What's going on here?

Zheng Ren glanced at the patient, the system panel on the upper right of his field of vision still had a faint red background.

This is also normal, she still has many fractures that have not been treated.

Looking at the diagnosis given by the system, there seems to be nothing special...

Zheng Ren was puzzled, and stood quietly behind the doctors in the ICU, listening carefully to their analysis of the patient's condition.

"Boss, I have a feeling that the patient is violently agitated when the concentration of sedative drugs decreases because of the severe pain of adenomyosis." Su Yun said in a low voice.

Zheng Ren also considered this point, but without quantitative standards, there is no way to be 100% sure.

He nodded, resting his chin on his right hand, frowning in thought.

"Xiao Su, what do you think?" Director Qian asked familiarly.

"Director Qian, I think the patient needs to try interventional embolization to treat adenomyosis. If there is no effect, the uterus must be removed." Su Yun did not wait for others to question, and continued: "The reason why the patient jumped from the building is Because of the severe pain caused by adenomyosis, I couldn't bear it, so I chose to commit suicide.

Exactly how high that peak of pain is, we can't guess. But what is certain is that it must be very high, and I estimate that it should be about 4 degrees of pain. "

Pain grades, 1-12 grades are fabricated by netizens. The pain classification in medicine, professionally speaking, is 0-4 degrees. Grade 4 is severe pain, accompanied by changes in blood pressure and pulse.

The doctors in the ICU seemed to be accustomed to Su Yun's infallibility, subconsciously substituting what he said.

Although the things Su Yun said were far-fetched, but after careful consideration, the more he thought about it, the more reasonable he felt.

Director Qian pondered.

"The pain of the fracture can be tolerated as long as you lie still. So I don't think the restlessness of the patient is due to the pain caused by the fracture.

I suggest explaining the condition to the patient's family. If that doesn't work, the uterus needs to be removed. Su Yun was still firm, "If it continues, the patient has been intubated for nearly 48 hours and will have a tracheotomy soon."

In that case, you will face complications such as lung infection, and it will be more difficult to recover. "

"You can try it." Although Zheng Ren was not sure whether the patient was restless due to the pain of adenomyosis, he still agreed with Su Yun.

Now that the patient no longer has the emergency trouble of hemorrhagic shock, there is no harm in trying the possibility.

After all, interventional surgery is a minimally invasive treatment.

If the patient does not have such a severe trauma, he will be able to move on the ground 24 hours after the operation.

Of course, if you have a series of high-value consumables such as the hemostatic plate from the imperial capital, you can go to the ground in 4-6 hours.

Director Qian found it incredible. After all, adenomyosis is not a particularly rare disease, but most people choose to have their uterus removed once and for all.

For women who have not yet given birth, this disease rarely occurs, and Director Qian has no experience.

After pondering for a long time, Director Qian finally made a decision: "I'll communicate with the family members and give it a try."