【1226】Need to know which department the disease is
Nose bleeding generally involves capillaries, and bleeding can be stopped quickly as long as the method is correct.
In addition to applying ice, Xie Wanying's gloved hands took the cotton ball brought by the nurse and stuffed the patient's bleeding nose to stop the bleeding.
Until the bleeding completely stops, the blood in the patient's nasal cavity will definitely continue to flow.
"Hey, hey, hey, don't tilt your head back." The nurse stabilized the patient's head.
Some people make habitual movements and have nosebleeds, thinking that maybe tilting their head up can allow the blood to flow back into the body. This idea is absurd. The blood flowing out of the blood vessels will never flow back into the blood vessels on its own unless it is transfused.
On the contrary, if the head is tilted back, the blood that does not flow back to the blood vessels will flow to the esophagus, stomach, trachea, and lungs. Because these organs are connected under the passage of the nose.
Blood flowing into the esophagus and stomach can cause nausea and vomiting.
If it flows to the trachea and lungs, the situation will be more serious and the patient will suffocate instantly.
If the patient had not lost too much blood when she came in and was pale, dizzy and unable to stand, she would have to lie down first. Otherwise, the doctor would ask her to sit up and lean forward slightly to let the blood flow out of the body.
Now the medical staff asks the patient to turn his head sideways to prevent blood from flowing back to the trachea and lungs.
Time passed by, and the atmosphere at the scene became a little tense.
Whether the bleeding can be stopped? Doctors need to quickly determine why the patient has massive nosebleeds?
Only by finding the cause of the disease can we cure it with medicine.
The doctor first asks the patient's medical history and then conducts a targeted physical examination.
"Has her nose been injured?" Xin Yanjun asked the patient's friend who accompanied the patient.
The first step is to rule out trauma. Although the doctor has not seen any traces of trauma on the patient for the time being, it would not be wrong to ask again just to be on the safe side.
"No. She suddenly had a nosebleed while eating dinner. We asked her to cover it at first, but she couldn't, so we had to take a taxi and rush to the hospital for treatment," said the patient's friend.
"Are you talking about today's situation? What about before? I'm talking about before today. Can you recall whether she had been in a car accident recently? Or had she accidentally fallen in such an accident?" The doctor continued.
Ask about the history of trauma.
"No. I have never heard that she was in a car accident." The patient's friend shook his head.
It seems that trauma can be ignored for the time being. The doctor next needs to consider whether the patient has nosebleeds caused by systemic diseases. For example, nosebleeds caused by coagulation disorders, such as leukemia that people often hear about, will have similar symptoms to this patient, anemia.
Bleeding.
"Draw some blood." Xin Yanjun gave the nurse a verbal order.
Take a blood test to see if there is any problem with the cells in the blood.
The nurse ran to get the blood drawing kit.
The doctor asked the patient's friend again: "Has she ever said she has any illness?"
"No, she is so young, how did she get the disease?" the patient's friend said, "You can ask her yourself."
After applying ice and lying down, the female patient's condition seemed to have improved. She could hear the conversation between the doctor and her friend, and nodded, confirming that her friend was right.
This means that even if the patient himself is ill, he does not know and cannot answer the doctor's questions.
"Should we call the otolaryngologist to come down and take a look?" The nurse asked from the side if he wanted to call the inpatient doctor for help.
It is necessary to find a specialist in the inpatient department. The problem is that the doctor in which department must be found correctly. Otherwise, it will be a waste of time and waste the time of patients and colleagues. Emergency doctors have this technical responsibility.
