Medical road
Chapter 249 King vs. King!
One pillar to top the sky!
"Quickly, my heart is failing!" The director in his heart and Ouyang said quickly.Ouyang gave way, no need to say anything at this time, heart failure is too common in hospitals.However, this patient's posture is a bit funny. It was a very serious scene, but he couldn't be serious about it!
Because of their special posture, Zhang Fan and a few young male doctors hurriedly helped the patient to sit up, and a few young nurses in the emergency department in the distance secretly covered their mouths and laughed!The director of the emergency department rolled his eyes and glanced, but it was useless, not to mention the little nurses. Even many female doctors had their mouths raised. This kind of scene is too rare!
The heart is a simple and complex organ in the human body. It’s very simple. It’s just four cavities and four doors. How do you describe it? It’s like four cavities connected together, like a car engine. Keep doing systolic and diastolic exercises, pumping blood out and in.
This cycle is divided into two cycles, a large cycle and a small cycle.The small circulation is the circulation between the heart and the lungs, replacing carbon dioxide-rich blood with oxygen-rich blood, and then transmitting the oxygen-rich blood.
The big circulation is to transfer these oxygen-rich blood to various parts of the body, replace it with carbon dioxide blood, and then recycle it back. It is as simple as that. It is very similar to the power system of a car. If you connect the exhaust pipe of the car to the engine , It is directly a nature.
It's difficult, but it's also super difficult.Heart disease is actually an abbreviation. It really means cardiovascular and circulatory diseases. This term includes two systems.
The heart is like a house, with rooms, channels, and circuits. The circuits manage the heart's orderly muscle contraction and relaxation.Once the circulation is not smooth, then there is a problem with the passage.Problems with access can also cause problems with circuits. This is a chain reaction.
The heart and the lungs are connected. The heart has problems and then the lungs have problems. Normal heart problems can't be seen by ordinary people. The first thing that shows up is lung problems, breathing difficulties!
There was a problem with the lungs, and Tsundere's brain began to be in a daze. As soon as the carbon dioxide was stored, it was like drunk and began to fall into confusion.Then, in order to protect this arrogant brain, the body began to tighten the blood vessels throughout the body, sending oxygen as far as possible to the brain.
Then, the other organs of the body are not happy. First, the kidneys begin to rebound, oliguria begins, and then they begin to store toxins, and then the other organs of the body also have problems.
This is the general process of organ failure. The time for other diseases to cause this organ failure is not very fast. There is time for the doctors in the hospital to slowly stop and block this process.
One heart and one brain, especially the heart, have major problems, and various organs fail very quickly. Once the kidneys cannot stop them, there is no chance!Even after rescued, the sequelae are very difficult.
Therefore, the rescue of the heart needs to be quite rapid. The rescue of other organs can be divided by hours, but the heart is calculated in seconds.Once a threshold is exceeded, the damage is very serious.
Heart failure, drug-induced heart failure.At this time, there is no time to worry about his Yizhu Optimus, let's help first!The hospital is only for diseases and not for people, but people are a complicated social animal.Often times, there is a suffix after the last name, such as boss!
Because this kind of person is like a spider, involving many, many relationship lines, and then connecting many, many energetic people, and many people with 120 feet.
A woman, a woman in her thirties, and a woman who just arrived in her 50s."Sister, go and see what the hell is going on. What should I do if he dies! Sister, hurry up!" The younger woman said to the older woman, after all, young people walk fast.
"What are you afraid of? I can't die! What can I do even if I die! So are you. I let you in. Is that how you control him?"
"Sister, I was wrong! Isn't it OK if I was wrong!" The young woman took a closer look, and it was like a dewy flower, so delicate at such an age!It's really not a woman that ordinary people can raise!It’s nothing more than that.
Older women, with national characters and statutory patterns, round eyes, big nose, no beauty, but a bit heroic, with a cold face, boss Wang’s subordinates are very polite to older women , "Li Dong!" Nodding all the way.
The bank’s leaders also hurriedly stepped down the stairs, "Leaders, please rest assured, even if the old king is not good, I will definitely accept the account. Please look at the past feelings and give us a chance to breathe. ."
"As long as Li Dong can come out, we are not in a hurry!" Sometimes, so-called assets and so-called collateral are actually a joke.
In the emergency department of a hospital.The doctors started the rescue busily, and the director in her heart was the first rescue physician. She kept giving oral instructions: "Take a sitting position, legs drooping. Oxygen, mask oxygen, Bipap (bilevel airway oxygen) Oxygen, all monitoring installations!" The voice was quick and calm. There was only her voice in the rescue room, and even Ouyang stood quietly on the side!This is her battlefield for Ren Li!
Generally, the rescue is a doctor, several nurses, and there is also a nurse who specializes in recording. At this time, the records are all abbreviated, staring at the abbreviation of the description of the time. For example, in this rescue, all the descriptions of the heart director are recorded in accordance with the time. .
Layers sometimes feel that the doctors did not try their best to rescue them, or that they did not deliver things or did their best. In fact, this is all based on falsehood.As long as it is an operation, a patient who is in emergency, on the stage, no matter what level of doctor, he will not dare to give gifts or not.
Laws and regulations are not for fun.At this time, if the patient dies and the family reports, the medical record is directly sealed and can only be opened for investigation by the superior.Therefore, in this situation, the police are standing behind the doctor. Sometimes they are helpless. The disease is not a simple question of right and wrong. It has a certain amount. In fact, doctors are also very entangled in using this medicine or not.Use, maybe it can save people, maybe it can kill.Whether it is used or not, this is the courage and professionalism of a doctor.
"Morphine, 5mg intravenously. Furosemide 40mg intravenously, finished within two minutes, timing!" With a calm voice, the emergency nurse beside Ren Li lay on a high tray and quickly recorded Ren Li's oral doctor's orders.
The doctors are all standing aside, listening to Ren Li's oral instructions, while observing the patient's condition. If the medicine fails to achieve the therapeutic effect, then it is time for the nurse to stop and the doctor to play.
This is not a good thing. Often when the nurse can’t solve it, it’s the moment when the cruelty begins. Therefore, the nurse is an angel in white, and there is nothing wrong with what he said. Many of the nurses’ treatments are non-invasive treatments, but when the doctors go up, it is often The bloody beginning, if this patient cannot be rescued, it is the time to move the knife.Intra-arterial balloon counter-wrestling and cardiopulmonary assist systems all require blood.
Ouyang stared blankly at the patient's changes. At this moment, the layman didn't understand, how can he know if the patient is getting better? A very simple method of observation is to see if there is any urine!
The body's self-protection mechanism is the most important priority for the brain. Once the condition has improved, blood will be quickly perfused toward the kidneys. Once the blood is perfused, it will be filtered, and once it has been filtered, there will be urine!
From the beginning to the end of this rescue, Ouyang only said a word, because Ren Li's technique is better than hers, so she will not interfere with Ren Li, because the little nurse hesitated when holding a pillar Qingtian, Ouyang Tieqing He said a word with his face: "Put in!"
The patient's state can be said to be between shock, and one step forward is shock.During the emergency rescue in the emergency department, the door of the emergency department was knocked gently.
Ouyang turned his head and saw that it was an officer of the Health Bureau. The little officer beckoned to Ouyang. The rescue room was really a place not to enter. The nervous figure inside, the serious scene, ordinary people did not dare to enter.
"What's the matter?" Ouyang's voice was a little rude. It really shouldn't interfere with her at this moment.
"Mr. Li wants to know about Mr. Wang's condition." The little officer said hurriedly.He didn't dare to be disrespectful to Ouyang, maybe Ouyang would go to the Health Bureau to be the head of the health bureau that day.
"Nothing will work. I don't have time to rescue the patient!" Ouyang was originally disgusted with this kind of person. Adding a businessman who is not small and commanding the health bureau, she was not prepared to face.
"You are the director of the hospital? Your tone is not small!" President Li appeared and gently pushed away the officer of the Health Bureau.
"It's not your turn to comment." Ouyang glanced at the woman before turning around and entering the ward.
"Stop and tell me clearly what's going on. If you don't make it clear about my man's situation, believe it or not, I will go to the CPPCC to complain to you!"
"Haha, you don't know what's the situation with your man? Don't slap your teeth and claws here. This is the hospital. I want to make a complaint and complain!" Ouyang has a temper, so he doesn't pee her.
"This is the hospital, this is the doctor. Come and see, I just want to ask about the situation. Look at her face, is there any law, and no one else is in charge." The woman had a stomachache. Her anger, mad at her own man's unwillingness, mad at the bank, shameless, and now she met Ouyang without showing any face, she broke out completely.
This woman is not simple. In the early years, she and Mr. Wang have made a huge world together. If it weren't for the inability to bear children, it is estimated that Pharaoh would not dare to steal the fish, and he would not interrupt his legs.For many years in the development, the employees who have been up to the leadership and down to the company are not respectful and reasonable to her.
No matter whether Lao Wang can do it or not, she has to ask the government for trouble and relieve the pressure of repayment. Maybe she really hopes that the hospital can't save Lao Wang!When money reaches a certain level, although it is said that there is no difference, it is actually wrong. When this thing reaches a certain level, it can be transformed into rights.
Rights are addictive to such people as drugs.
"Do you treat the patient's family like this? Is this the kind of treatment that we pay so much tax a year? You must give me an explanation, otherwise today is endless!"
"President Li, calm down, Mr. Wang is still rescued!" The president of one of the banks hurried out to calm down.
After all, this is the door of the rescue room, Ouyang didn't want to argue with her, she didn't want to affect the doctor in the rescue room.
But this woman, President Li, is endless, "Why, this kind of person can become the hospital director, what hope does this hospital have? If Lao Wang is buried here today, can you take this responsibility? Rubbish! Rubbish! hospital!"
"Security Division, go, push her out! If you want to make a complaint, go now!" Ouyang fired directly by this, and she said with a cold face.
The security department of the hospital, especially the security department of the frontiers, is actually organized. Almost all of these people are from the army and go out to exercise as usual.The Security Division didn't care what you were, and just pushed this woman out.
In fact, this matter is just a rush. The hospital is trying to rescue. No matter what the situation is, it will not explain the situation to you at this time. Do you want to live or die, or ask your family to sign.
Today, if ordinary family members would not ask about the situation at this moment, Mr. Li, because he wants to know the situation early, make plans for the next step, and because he thinks he has status and should be respected.
As for Ouyang, he was a bit disgusted with such people, and he was being rescued, so he was not very polite.
Many times, under special circumstances, the dean is required to make decisions.At the moment of rescue, there are some special circumstances and special characters. For example, if you want to use an uncertain drug, whether to use it or not. At this time, the hospital director must decide. Therefore, if the director of many hospitals is a layman, it is over. If you can't bear the responsibility, you have no corresponding rights.The doctor below does not urinate directly to you.
Although the Security Department was pushing, it was actually pulling the woman out of the emergency room in a disguised form.Ouyang Li ignored a few of the bankers and went directly to the emergency department.
Mr. Li, he exploded directly.One of the exquisite curly hair that was originally exquisite, made himself three or seven points."Are you all wood? Is it wood standing here? Can't you see me being bullied? Give me a shot, I will be responsible if something goes wrong."
A few bodyguards and the middle-level team who accompanied Mr. Wang to play immediately shot.The bodyguards don't say anything. These middle-level managers rely on these two men to make money to support their families. Besides, the hospital security guards are on the opposite side. They are not afraid. If it is really a gangster, they have to weigh them.
The two sides became a ball.The emergency department was nervous about rescuing the patients, and there was a lot of fists outside."Dean~~" The director of the Security Department quietly said to the dean.
"Go, call, and ask the male doctors in the hospital to gather. I don't believe it anymore. It's great if you have money?" Ouyang went out of the emergency department and did not interfere with the rescue.
After a while, the male doctors of internal medicine and surgery gathered at the door of the emergency department.From which age Ouyang came, he had never seen anything before, and was originally a passionate woman.Fear of things, for her, it can't be said!
"Take off the white coat, one of them counts as one, and kick them out. This is not the place for these gangsters to make trouble. Take out the shovel from the warehouse." Ouyang shouted while standing on the steps holding up a megaphone.The male doctors stood neatly in front of Ouyang, in front of the dean who usually protects the calf.
The secretary of the Health Bureau and several leaders of the bank almost fainted when they saw it. It was too hot.Is this still a woman?They are not directly under the leadership, and there is no way to direct them.The phone immediately began to report.If something really happened today, none of them could bear this responsibility.
Riot team!Police station!Here comes menacingly.The scene seems to be very hot, but in fact there is really no injury. The bodyguard is not a private vengeance against the security guard, that is, it is played for the leaders, and the middle-level cadres of the company can't fight anything. They have no strength and can fight. what!When the male doctors gathered.
The riot team also came and separated the crowd directly.
"Sodium nitroprusside 5ug (kg.min) is activated, and the second channel gives 10ugmin of nitroglycerin to monitor blood pressure. Dopamine 2ug (kg.min)." The shouting outside did not affect the doctor inside at all.At this time, even if a knife is taken outside, it will not affect them, because saving people is their first task and mission.
"Naughty!" The leader in charge of sanitation was confused and his lips trembled.Ouyang has good skills, ability, and is a superior health doctor, and President Li is a big profit and tax collector, which is not good.
He is angry, angry because he has nothing to do with these two people!