The emergency patient was in shock, but no bleeding point could be found. The colonoscopy during the operation was shocking.

The tranquility of the emergency department was broken by the call 120 late at night.

A pale-faced man was pushed into the emergency department on a stretcher. Judging from his clothes, he was probably in his 40s or 50s.

The rescue scene in the emergency department was discovered by Dr. Li who was sending a surgical patient back to the ward.

Intuitively, he thought this might be another emergency operation, so he quickened his pace to send the patient to the hospital. After settling the patient, he quickly returned to the emergency department.

At this time, colleagues in the emergency department have already connected various monitoring devices to the patient.

The results showed that the man was in a state of severe shock. Medically speaking, this should be considered a state of decompensated shock. If the shock is not corrected quickly, he may die soon.

Afterwards, everyone tried to rescue the patient from shock while looking for the cause.

Looking at the color of the lips and the eyelids, there was almost no blood, which indicated that the patient was most likely in hemorrhagic shock. The subsequent blood gas analysis confirmed this judgment.

However, the patient had no obvious bleeding spots anywhere, which left everyone puzzled.

The arrival of the ultrasound department gave us a preliminary goal: the ultrasound showed that the person's chest was fine, but there was a problem with the abdominal cavity. To be more precise, the person's intestines were abnormally full. This fullness seemed to be far beyond the normal state of the intestines.

Could it be that..., everyone has already guessed something.

If it is intestinal bleeding, the best way is colonoscopy.

A doctor who had rotated in general surgery suggested that we could do a finger examination first. If blood was found, we could basically determine the cause of the bleeding.

This suggestion quickly gained everyone's support.

As the digital examination progressed, a stream of black blood flowed down between the fingers.

There is blood! Someone couldn't help but shout out.

Such a large amount of intestinal bleeding obviously requires surgery, but the exact location of the bleeding still needs to be confirmed by colonoscopy.

After an emergency consultation, it was unanimously agreed to take the patient to the operating room and perform a colonoscopy during the operation.

Since the patient was in a state of shock, Dr. Li, who was in charge of anesthesia, was fully prepared: volume expansion, blood pressure increase, invasive monitoring, and even the defibrillator equipment was ready.

As the colonoscope was inserted, a shocking scene appeared on the colonoscope screen: the entire field of vision was filled with blood! The color was very dark.

Obviously, this is not fresh blood, the bleeding point must be deep.

However, colonoscopy was performed all the way to the ascending colon and no bleeding spots were found.

But one thing is basically certain, the bleeding point is still ahead.

The colonoscopist said that the small intestine could not be entered and the colonoscopy could only reach the ileocecal part and at most take a look into the small intestine.

At this time, the general surgeon made a suggestion to leave the colonoscope there. After opening the abdomen, they would push the colonoscope into the small intestine, and the colonoscopist would only need to help them watch.

As the colonoscope was inserted, the situation was quickly discovered: the ileum was interrupted, and a small artery that was bleeding was found.

At this point, the truth is revealed.

Doctor Li, who was in the audience, finally breathed a sigh of relief. Because only if the bleeding was controlled on stage, his blood transfusion, blood pressure increase and other measures would be effective. Otherwise, he could only say that he was persisting.

By the time the operation was almost over, Dr. Li had stabilized the patient's life. The only blood pressure medication he had was only used to protect his microcirculation.

The surgeon who had just closed the abdomen came over to ask the patient how he was. Dr. Li said, "It's OK. There's no major problem at the moment. Please stay in the intensive care unit for two days."

With a life saved, the hospital returned to peace, and different people gained experience in this rescue.

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