Drunk, drunk again! The pain of the medical staff who received the patient

At five o'clock in the morning, Xiao Li, who was on duty, heard the phone ringing while he was half asleep.

Although his body was unwilling to accept the reality that this might be an emergency surgery, his subconscious told him that he had to get up because emergency surgeries were mostly life-saving.

Because he had a cesarean section in the middle of the night, his body was almost out of control: he could barely stand up, was afraid of falling, and even had to hold on to the wall to walk a few steps.

I picked up the phone and it turned out to be an emergency operation. My colleague from the general surgery department said that there was a ruptured spleen and emergency surgery was required.

At this moment, his body seemed to be instantly filled with energy. He turned around and ran to the operating room. He knew that this type of patient was very dangerous. Every minute of delay would reduce the success rate of rescue.

When he was ready, the nurse rushed in a patient with abrasions all over his face. Obviously, he might be seriously injured.

After lifting the patient onto the operating table, in order to judge the patient's state of consciousness and to learn as much as possible about the patient's underlying disease, Xiao Li prepared anesthesia while asking for patient information.

Unexpectedly, the patient showed a particularly negative attitude. After much effort, Xiao Li finally managed to get the general information with his consolation, politeness and apology.

Yes, what can the doctor do when faced with such a drunk patient?

After the operation began, more than 1,000 milliliters of blood were cleared from the patient's abdominal cavity. In order to ensure the patient's life safety and to minimize the impact of blood loss on postoperative recovery, Xiao Li used a blood recovery machine to collect all the blood. After filtering and washing, it was returned to the patient.

It was like a battle, and when you see the enemy surrender, you can finally breathe a sigh of relief. At this time, Xiao Li and his surgical colleagues on the stage asked about the injury.

It was not a big deal to ask, but Xiao Li was furious. It turned out that this person was not just sent in. The surgeon said that he came in three hours ago. However, because he was drunk and excited, he did not cooperate with the examination at all, so the diagnosis could not be confirmed.

How was it diagnosed?

The surgeon said: After everyone's earnest persuasion, he was given an abdominal ultrasound. As expected, there was indeed an organ rupture. If it was just a skin injury, we would let him go, but we were afraid that we would miss the internal injury.

During this period, we also tried to contact his family. However, due to his frequent alcoholism, his family had long been indifferent. They only left one sentence: We don't care anymore, you can do whatever you want.

Looking back at the patient who had fallen asleep, Xiao Li felt mixed emotions and was in great pain!

If you are not experienced, you may mistake the excited state of hemorrhagic shock for drunkenness. If that happens, the consequences will be hard to predict.

[Knowledge Point] After a major accident, you must be careful to prevent damage to the liver, spleen and other internal organs. Damage to these parts generally does not cause any special sensations. Once symptoms appear, it has entered the decompensated stage of hemorrhagic shock, and the best time for rescue has almost been missed.

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