I Can See Health

Lu Chen quickly returned to the Nephrology Department.

I ran into the duty room, put on my white coat, picked up my stethoscope, and went 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 whose condition was very urgent. His expression was very solemn.

"Teacher Wang." Lu Chen nodded slightly, walked quickly to his side, and then looked around. The doctors in the Department of Nephrology were all very busy, "Where are the patients who need emergency dialysis that you operated on over the phone?"

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

"Okay." Lu Chen took the medical record and opened it to take a look.

Good guy, creatinine is 1249umol/L!

This creatinine value has long reached the standard for dialysis.

"Lu Chen, you and Gao Shang will intubate the patient first. I'll come over right away after I finish handling the patient at hand." Wang Jun had a lot of things on hand and didn't have time to deal with this emergency dialysis patient.

"Okay, Teacher Wang." Lu Chen nodded.

Gao Shang is one of the attending doctors in the team, and his qualifications are relatively old. Lu Chen usually follows him.

…

Went to bed 3 with the medical records.

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

Lu Chen hurriedly rushed to the operation room and saw Gao Shang playing with the ultrasound instrument.

"Teacher Gao." Lu Chen called softly.

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

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

"Hey, I think you worked the night shift last night, and I want you to have a good rest." Gao Shang said, "Okay, since you are here, please help. This patient needs a temporary dialysis tube."

Lu Chen nodded and started to put 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 kidney failure and require dialysis treatment.

Most kidney diseases may eventually lead to renal failure. Late-stage renal failure 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 the whole body organs fail!

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

Renal failure, from the perspective of the course of the disease, is divided into acute renal failure and chronic renal failure.

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

Chronic renal failure occurs when a chronic factor causes persistent damage, or acute renal failure is not cured and turns into chronic renal failure.

"Well, we are currently considering it to be acute renal failure." Gao Shang said, "An urgent blood test showed no evidence of anemia."

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

"Then what causes kidney failure?" Lu Chen asked again.

"It hasn't been found yet. The patient has no history of exposure to nephrotoxic substances." Gao Shang shook his head, "But I asked carefully, and the most likely thing at the moment is... milk tea."

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

"Yes." Gao Shang nodded slightly, "After asking about all the medical history, the only difference between the patient and the previous one 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 in silence for a few seconds.

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

"Lu Chen, start cooperating with me for acute dialysis intubation!" Gao Shang had already used the ultrasound machine to check the patient's neck blood vessels.

The only treatment for uremia is dialysis.

Dialysis, the principle is very simple!

In fact, it is to extract the blood from the human body. Since the detoxification function of the kidneys is gone, the toxins are artificially filtered out through machine processing in the body, and then the blood is returned to the human body.

If the body's kidney function can be restored, after a few dialysis sessions, dialysis can no longer be performed.

If the kidney function has been mostly damaged, lifelong dialysis is required, which is about two to three times a week. This number depends on the patient's specific condition.

Therefore, the first step in dialysis is to extract the patient's blood through the vascular access.

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

The jugular vein is generally used in nephrology.

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

After arriving at the Nephrology Department, Lu Chen worked as an assistant many times, helping Gao Shang or Wang Jun perform jugular vein cannulation.

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

However, Lu Chen was already very skilled in the skill of dialysis intubation in the system's virtual operating room.

…

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

After the needle sucked back, there was dark red blood, which proved that it was venous blood.

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

This puncture operation is performed under local anesthesia, and the patient is conscious.

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

About five minutes later.

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

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

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

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

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

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 wasn't much, but after wiping it with a hemostatic step, the bleeding still continued.

"Teacher Gao, look here!" Lu Chen called to Gao Shang who was about to make peace.

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

Sure enough, there really is a hidden bleeding point!

This bleeding point is constantly oozing blood.

What nephrologists fear most is making mistakes during intubation.

For example, during puncture, a vein is punctured into an artery.

Or maybe it's bleeding!

"Oops!"

Gao Shang frowned. He immediately stopped sewing and began to search for the location of the bleeding point.