In the lobby on the first floor.

A group of nurses are gathered around a hospital bed.

The sharp alarm of the hemodialysis machine kept ringing. Although the nurse next to him kept pressing the silence button, the problem was not solved. The hemodialysis machine still dutifully restarted the alarm every minute.

The hemodialysis patients who had just fallen asleep all woke up one after another, their heads nervously paying attention to the real-time developments on the hospital bed.

Uncle He was already standing beside the bed and was communicating with the nurse on duty.

"What's going on? How come the catheter is blocked all the time?"

While talking, Uncle He had already put on gloves and adjusted the temporary catheter located in the patient's left femoral vein.

Connect the 20ml syringe to the arterial segment of the catheter and aspirate hard...it won't work at all!

Switch to the venous end and aspirate hard...it won't move at all.

Try to pump the salt water again to see if it can be pushed... What's desperate is that the catheter is as if it has been poured with cement. It cannot be pumped or pushed at all. What's more, Uncle He dare not push with all his strength. What if the catheter

If there is a thrombus in the blood, it will push into the blood circulation and cause embolism wherever it flows.

Pulmonary embolism, cerebral embolism, cardiac embolism...each of them can be fatal!

The nurse nervously replied at this time: "The catheter function was not good when I put the machine on Gujiatuo today. I debugged it for a long time and finally got it on, but the machine kept alarming. Finally, the pump couldn't move at all and was disconnected.

, I tried pumping out the catheter, only to find that the catheter was completely blocked..."

"The catheter function is not good, he should not have been put on the machine in the first place!" The good-tempered Uncle He couldn't help scolding him at this time.

Su Jie was listening to the communication between the two. Seeing Uncle He being very busy, his brows could not help but gradually wrinkled. Su Mengru still didn't understand what happened, so she asked in a low voice: "Brother, what's going on? Catheter

What does blocked mean?"

Su Jie then explained: "Didn't I tell you before? The process of dialysis treatment is that the hemodialysis machine pulls out the patient's blood through the vascular access and purifies it. The most important part of this is the vascular access on the patient's body.

"

"Vascular access is a lifeline for dialysis patients."

"This patient used a temporary catheter in the femoral vein, but now the tube may be blocked due to blood clots, discounts, etc. The blood cannot be pumped out or pushed in, and treatment cannot be performed."

Su Mengru nodded, and couldn't help but glance at the hemodialysis machine. The dialysis tubing was still hanging on the machine, which was filled with dark red blood.

"The tube is blocked, what to do with the blood?"

Su Jie said helplessly: "Without vascular access, the blood cannot be transfused back in a short period of time. It will solidify later, and it will have to be discarded."

"Ah? Did you just throw away so much blood?" Su Mengru said in surprise.

Su Jie nodded silently: "It is indeed a pity. The blood in the pipeline must be at least 300ml. Uremic patients are already weak. In addition, with the reduction of erythropoietin on the surface of the kidneys, the red blood cells in the blood are still lower than normal. Abandon them.

So much blood... it does a lot of damage to their bodies."

Su Mengru didn't understand this, because the blood therapy had nothing to do with her and had no personal interests involved.

And the seven or eight patients lying on the bed at this time know this all too well!

Seeing that Dean He was at a loss, the blood in the tubes would solidify at any time, and several patients couldn't help but start muttering to each other:

"Sure enough, private hospitals are still unreliable. Lao Zhu, last time you went to the hemodialysis room of the city hospital, did you get in line?"

"No, the hemodialysis rooms in public hospitals are full, and they are all filled with related patients. I have been waiting in line for more than half a month, and there is no news at all."

At this time, someone next to you asked: "Did you two go to contact the hemodialysis room of the public hospital privately? We were the first ones brought over by Director He, and we just left like this. Isn't it bad? Director He has also been away from us during this period."

It’s quite difficult.”

"You're not mistaken, you're using your own life as a favor. Lao Wu came here earlier than us and was sent to a public hospital for dialysis by his family. Haven't there been fewer incidents in private hemodialysis rooms in the past few years?

You are not afraid, I am!"

"I feel so flustered when you say that. Lao Zhu, do you have the contact information for the hemodialysis room of the city hospital? I'll go and consult."

"You should go to another hospital. I can't even get a place in the queue at the city hospital, so don't come and join in the fun."

…

The patients' voices were not deliberately lowered. Su Jie heard them clearly and couldn't help but feel worried in his heart.

Uncle He's hemodialysis room doesn't have many patients now. Most of them were brought here when Uncle He was running around when the hemodialysis room was first established.

But now the reputation of private hemodialysis rooms is not good, and new patients are unwilling to come. If there is a large loss of old patients at this time... Uncle He's hemodialysis room will really close down.

At this moment, the anxious He Deshan sighed and said to the nurse next to him: "This catheter is completely blocked, prepare for thrombolysis."

"Thrombolysis?"

The nurse was stunned and asked in a low voice: "Then Dean He, so much blood..."

He Deshan looked at a tube of dark red blood, and couldn't help but show a hint of unbearability in his eyes. He turned to the patient and said: "Gu Jiatuo, your tube is no longer working. We have to give you thrombolysis. The thrombolysis will take at least twenty minutes. You are so in vitro."

The blood... probably won’t be needed.”

The patient named Gu Jiatuo had a pale face and bloodless lips. Su Jie knew at a glance that his hemoglobin must be low, and he might need blood transfusions to maintain it.

People are always extremely generous with things in abundance, and the less they have, the more stingy they are.

This kind of patient who is already suffering from ischemia is even more unacceptable when encountering the current situation.

"How can that be done? I was supposed to get a blood transfusion this week, but the blood bank couldn't apply for it. I've lost a lot of blood. Now you want to throw away my blood?"

He Deshan knew he was wrong, so he could only try his best to explain: "The catheter is blocked, there is no vascular access, and the blood cannot be transfused back for a while. There is no anticoagulation outside the body, and the blood will coagulate quickly."

Gu Jiatuo had a bright idea and said hurriedly: "This side is blocked, you can just wear it on the other side. Can you wear it quickly before the blood clots?"

He Deshan smiled bitterly and said: "You have a vascular malformation. I borrowed a B-ultrasound machine to put this temporary femoral vein catheter on you. It took me more than half an hour to put it on for you. How can it be so bad to wear another temporary catheter?"

How soon?"

"Then I don't care! I came to your hemodialysis room for treatment, but the treatment was not done for me, and my blood was just thrown away. What kind of hospital is this? Do private hospitals not care about the patient's life so much?"

"Gu Jiatuo, you can't say that. The catheter suddenly blocked. No one could have imagined this. We didn't deliberately waste your blood!" He Deshan frowned.

"I don't care! Your private hospital is making shady money. If you don't transfuse my blood today, it won't be over!" Gu Jiatuo yelled on the hospital bed, making the bed bang.

"You!!" He Deshan didn't know what to do for a while.

At this moment, Su Jie suddenly walked in through the crowd and said to He Deshan: "Uncle He, let me put the catheter on the other side of the patient. Southeast Hospital has a blind catheterization technique that can be used without a B-ultrasound machine.

Managing patients with vascular malformations."

"Didn't you just start your internship and you have already started puncturing deep veins on patients?" He Deshan said in disbelief.

Su Jie had long been able to keep his face calm in response to this kind of questioning, and nodded calmly: "Well, I am now an intern in the emergency department of Southeast Hospital. My instructor values ​​me very much and teaches me step by step.

I’ve punctured the femoral veins of many patients, so technically I’ve figured out how to do it.”

He Deshan still wanted to ask for details, but Su Jie did not dare to give him another chance. Uncle He was no better than Jiang Wu. If he continued to ask questions, sooner or later he would be exposed.

"Uncle He, get me the puncture kit quickly. The blood is still outside the body and will clot at any time!"

He Deshan glanced at the dark red blood in the pipeline. At this time, the blood pump was turned on to 100 rpm, and the blood could still run smoothly. But according to his experience, as long as another quarter of an hour passed... no, even shorter time,

The blood in the tube will begin to coagulate, and even if the catheter is threaded, it will be too late.

After thinking seriously for two or three seconds, He Deshan still found it unbelievable, but he still chose to believe in Su Jie, whom he had watched since childhood.

"Nurse, go get the puncture bag, sterile gloves, sterile cap, and white coat!"
Chapter completed!