Chapter 504 367: Massive Biliary Tract Hemorrhage, Help!

"What's going on?"

When the door was pushed open, Qin Feng saw the person panting heavily and quickly asked.

"Director Qin, there's a patient with severe abdominal pain."

Nurse Xia Xiaoxiao said.

"Has an examination been done?"

"It's being done, the patient has a history of cholecystectomy."

"Take me to see." Qin Feng immediately picked up his stethoscope, "Xiaoxiao, I'll leave this to you."

"Okay."

Han Xiaoxiao nodded in agreement, and then Qin Feng followed Xia Xiaoxiao out in quick strides.

They crossed the courtyard directly to the ultrasound examination room, where Director Wang Yang was already performing an ultrasound on the patient.

At the door of the examination room, there was a crowd of elderly waiting for their turn, craning their necks to look into the room.

As soon as they stepped in, they could hear cries of pain from the room, something was not right.

"Please, everyone move aside!"

Xia Xiaoxiao walked ahead, clearing a path through the elderly crowd, allowing Qin Feng to pass through smoothly.

At the doorway, Qin Feng saw the elderly patient on the bed crying out in pain, and his pupils contracted.

Blood!

The bright red around the old man's mouth immediately made his hair stand on end.

The patient was vomiting blood...

Such symptoms are extremely dangerous because vomiting blood is generally seen in upper gastrointestinal diseases, mainly esophageal, gastric ulcers, duodenal ulcers, or liver cirrhosis.

Usually, before vomiting blood, there would be discomfort in the upper abdomen, such as pain, bloating, nausea, and possibly vomiting.

But if it's not gastrointestinal bleeding, then fear...

"Xiaoxiao, organize a diversion for the crowd waiting for their physical exams, don't let them gather here."

Having said that, Qin Feng walked into the examination room and closed the door,

"Director Wang, what's the situation?"

"Director Qin."

Upon hearing this, Wang Yang turned his head, his expression extremely grim, his features twisted together.

Qin Feng's gaze fell on the screen of the ultrasound computer and immediately his expression became solemn.

All blurry!

The entire abdominal cavity was filled with a greyish hue, which was nothing but blood!

Such a large volume of bleeding in the abdominal cavity is absolutely critical.

Qin Feng caught sight of a medical case file on the table and immediately picked it up to review.

The patient is a 56-year-old male who had undergone cholecystectomy at the county hospital half a month ago and had just been discharged home three days ago.

"Doctor, how is my father?"

By the bedside, a plainly dressed man with yellowish-black skin, sweating profusely, asked in broken Mandarin, clearly anxious.

Qin Feng glanced at him, noting the broad, calloused hands tightly gripping the elderly man's hand on the bed, unable to stop trembling.

"Wow~"

At this moment, the elderly man suddenly threw his head back, and a mouthful of fresh blood burst out from his throat, the scene truly terrifying.

"There's no time, prepare for exploratory laparotomy."

Upon seeing this, Qin Feng spoke in a deep voice,

"Xiaoxiao, take the patient to the operating room for pre-surgery preparation, I'll be there shortly."

"Okay."

With that, the elderly patient was wheeled out of the ultrasound room.

As the door opened, a cacophony of startled cries echoed through the corridor, the elderly outside had never witnessed such a bloody and terrifying scene?

So much so that two or three old ladies almost collapsed to the floor.

They were truly frightened!

"Director Qin."

Qin Feng was just about to follow when Wang Yang called out from behind.

"What's the matter, Director Wang?"

He turned around and asked.

"Director Qin, this might not work, right?"

Wang Yang quickly closed the door with furrowed brows, leaned in, and lowered his voice,

"Based on the examination, I suspect it's likely postoperative biliary hemorrhage. The current conditions here aren't adequate for proper preparation, let alone the OR is makeshift and can't meet the requirements for such a major surgery.

If anything goes wrong during the operation...

Why don't we try to stabilize the patient first, I'll immediately contact the city to arrange for equipment and the lead surgeon to come over.

This is in the countryside, safety first!"

As Wang Yang finished speaking, Qin Feng hesitated for a moment, but it quickly passed.

Wang Yang's concerns were valid, from the standpoint of both current resources and the patient's condition, proceeding with the surgery could very well be a matter of life and death.

Carrying out a rescue in the absence of proper surgical conditions and vital signs is no different than snatching someone from King Yama.

Moreover, the chances of survival are slim!

His assessment was very much in line with Wang Yang's; given the patient's current condition and bleeding, based on Qin Feng's surgical experience, it was leaning towards biliary hemorrhage.

Without other diseases or trauma, such a large volume of bleeding leaves only this possibility.

According to the ultrasound images just now, the amount of bleeding has already reached a terrifying 1000-1500 ml.

Once the abdominal cavity is opened, the blood will instantly flood the surgical field, requiring at least 5-6 units of transfusion to gain enough surgical time.

In other words, the patient's chances of survival are very slim.

But Qin Feng is a doctor, a doctor with a system!

If he can't do it, then the patient has no hope of survival!

Even performing basic resuscitation now can't sustain until the instruments and doctors from the city arrive, which will take at least over 4 hours.

4 hours?

The patient's current rate of bleeding is enough to die twice over!

"Director Wang, come help me."

Thinking of this, Qin Feng's gaze became more determined, speaking in a low, unquestionable voice.

He had to give it a try!

Not for himself, just for the last hope of this life.

"Director Qin, you....."

Boom!

Hearing Qin Feng's words, Wang Yang was also stunned for a moment. Before he could speak, the door of the consultation room was forcefully pushed open again.

"Director Qin, the patient is in ventricular fibrillation!"

Hearing this, Qin Feng didn't have time to think and rushed out immediately.

Behind him, Wang Yang's heart also tightened. He sighed helplessly in his heart but still gritted his teeth and quickly followed out of the consultation room.

It's no longer a question of whether to take risks or not, but that the patient will be gone soon.

Since Qin Feng was going to force a surgery, he had no reason or way to refuse!

Regardless of so much, let's save the patient first~~~

The operating room, to put it bluntly, was just an ordinary consultation room, except that it had an extra compartment inside.

The outer room serves as a preoperative preparation room, while the inner compartment is fully sanitized, serving as a temporary operating room.

The ceiling tiles might be the most luxurious thing in the whole room...

"Xiaoxiao, go get the AUD, is the defibrillator in place?"

"It has been delivered."

"Good."

Qin Feng nodded, then changed into a blue surgical gown and put on a mask.

After performing a second disinfection at the door, he stepped into the inner compartment.

Meanwhile, Wang Yang had just arrived. Seeing Qin Feng had entered, he hurriedly washed up to make preparations.

Inside the operating room,

instrument nurse Cai Xiaowen was performing compressions, assisted by a circulating nurse nearby.

"Director Qin."

Seeing Qin Feng walk in, the tension that had reached its peak instantly eased as if someone had cut the string, giving them a feeling of reassurance.

"Vital signs!"

"Heart rate: 140, Blood pressure: 40/70, Blood oxygen: 78%, Patient in severe ventricular fibrillation, lost autonomous respiration."

"Administer norepinephrine bolus, prepare for intubation and oxygen supply via bag, establish IV line for fluid replacement, notify family for blood testing and plasma separation."

"Laryngoscope!"

Without any hesitation, Qin Feng stood beside the operating table, speaking sternly.

Cai Xiaowen stopped her cardiac resuscitation, immediately handed over the instrument, then pulled out a pillow to place under the patient's neck, fully extending the throat.

He pried open the patient's mouth, holding the laryngoscope and slowly inserting it along the curve of the tongue.

"Tube."

Then, with his right hand, he quickly inserted the endotracheal tube, removed the stylet, placed a bite block, and withdrew the laryngoscope.

"Check breath sounds."

"Bilateral breath sounds are normal."

After Cai Xiaowen checked, she showed an OK gesture. The circulating nurse who had just injected the epinephrine immediately connected the bag and performed continuous manual oxygen supply.

There was no automatic oxygen supply equipment here, so they could only use this method.

"Alright, defibrillator."

Glancing at the monitor, Qin Feng ignored the declining blood pressure and blood oxygen levels and continued the emergency procedures.

"150J, charge!"

"Charging completed."

"Clear!"

Boom~

Placating the defibrillator back, they began performing CPR.

After four cycles without restoring sinus rhythm, they proceeded to a second defibrillation.

"Clear!"

Boom~

At this moment, Wang Yang, having disinfected and changed clothes, walked into the inner compartment, coming to stand beside Qin Feng.

"Let me do it."

Hearing this, Qin Feng glanced at him, said nothing more, and stepped aside, handing over the CPR.

Because up next, there was still a battle between life and death to be fought...