When a doctor opened a plug-in

Chen Cang hobbled to the Department of Cardiac Surgery, the First Hospital of Dongda University.

He wants to be hospitalized at this time.

But after thinking about it, I don’t know which department to run!

Chen Cang wanted to ask the pain department where the butt pain could not be cured, but when asked about the cause, Chen Cang didn't know how to answer it better.

Could it be that... was hit by Jeet Kune Do?

Hey……

Tired!

Qin Xiaoqiang, Qin Xiaoqiang, why are you running so fast!

This is your father, so don't stop you.

Chen Cang felt anxious.

It was half past six when I arrived in the department, and I just came in, I saw Sanbo standing up immediately!

"Chen Cang is here!"

Immediately, Ge Huai pressed Chen Cang on the chair: "Xiao Chen, awesome, he won the first place in the group and played for Dongyang. What do you think?"

Chen Cang stood up suddenly!

What do you think?

I am so painful!

Bo Er Zhang Dai pressed Chen Cang onto the chair: "Xiao Chen, you are so amazing. We didn’t realize that you are such an amazing cow. Sit down quickly and have the operation in a while. You have to teach us well. We will prepare specially tonight. Three operations!"

Chen Cang stood up immediately, this time he glanced at Bo San, took the chair away, and said lightly:

"It's easy to talk, I won't sit...I sat for a day."

Meng Xi walked in at this time and said with a smile: "Come here."

Chen Cang smiled: "Hello Teacher Meng!"

Meng Xi nodded: "Sit down first, Dr. Ge, go to bed 12 and get the discharge notice first, as well as the discharge certificate. The patient's family will come early tomorrow morning to complete the procedures."

Chen Cang smiled: "I won't sit down, Dr. Ge, I will give you a discharge certificate."

Ge Huai nodded: "Thanks to Xiao Chen."

After the discharge certificate was written, Meng Xi signed it, and the date was tomorrow.

Director Xia of the Department of Cardiac Surgery conducts a round on Tuesday. At this time, on Tuesday and Friday, he will prescribe drugs based on the patient's condition.

This is about prescribing drugs in various departments of the hospital. Generally, everyone habitually prescribes drugs twice a week.

To prescribe medicine means that if the medicine is to be prescribed on Tuesday, the medicine shall be prescribed directly to Friday, and the liquid for three days shall be taken under long-term medical advice.

However, it is convenient to modify the temporary doctor's order, just change it in time.

In this way, it is also convenient for nurses to take medicines, and for doctors to make medical orders.

If you prescribe medicine today, he will prescribe medicine tomorrow, which will affect the order of the department.

And... don't think that nurses are subordinate to doctors.

The non-cooperation of nurses is very troublesome for doctors.

Therefore, the collaboration between doctors and nurses is very necessary.

It is even directly related to all aspects of medical work.

Tuesday morning is very busy, so many things are basically done in advance in the evening. Don’t think that when the director rounds the ward, you can do your own thing at will...

After finishing a series of things, everyone is preparing to go to the operating room.

Suddenly the nurse rushed in: "Director Meng! Doctor Ge, it's not good, the 12-bed patient suddenly fainted."

In a word, Meng Xi flew directly towards the 12th bed!

Chen Cang followed close behind, while Ge Huai got up and turned back and took the medical record.

Bed 12 is the patients of Ge Huai and Meng Xi, and they are responsible for any problems.

As soon as I entered the ward, I suddenly found that the patient was lying on the ground. He was a young man who was only thirty-five and sixteen years old. His wife and children were frightened and at a loss.

"Doctor! How come you fainted well?"

Meng Xi looked serious and said to the woman, "Don't be nervous, calm down."

"ECG monitor, blood oxygen protection degree, urgent blood sugar check!"

"Xiao Chen, take the patient to bed!"

"Xiao Yang, ECG machine!"

"The nurse station gives an emergency consultation to the emergency department!"

...

Meng Xi made several medical orders instantly.

When a cardiac surgery patient faints, the first consideration is the sequelae of the heart.

After all, after the operation, some postoperative complications will occur more or less, some will cause arrhythmia and so on.

Of course, there are many reasons for fainting. Naturally, they cannot be generalized. However, it is imperative that the heart surgery should be eliminated.

At this time, Ge Huai had already ran in with the medical record book.

All the nurses are busy in an orderly manner.

While observing the patient, Meng Xi helped Chen Cang take the patient to bed and untie the clothes.

Asking about the situation of Ge Huai patient.

"What is the history of the patient? Do you have high blood pressure, diabetes, hyperlipidemia..."

Ge Huai shook his head: "No! The admission examination was normal. The patient had a previous physical examination. This time it was an aortic aneurysm resection. No hepatitis, tuberculosis, etc. were found..."

After hearing this, Meng Xi said to the nurse who was dripping the test paper: "How much is your blood sugar?"

After seeing the result, the nurse suddenly said: "Glucose 9.8!"

normal!

Meng Xi turned around and asked Ge Huai: "Have you had a cerebrovascular MRI when you came?"

Ge Huai was taken aback!

Who does this?

We are cardiology surgery, not neurology or neurosurgery.

However, Meng Xi was also right. For such sudden fainting, cerebrovascular problems should be considered. Even if there is no high blood pressure, if the patient has cerebrovascular malformations, or the patient has an intracranial aneurysm, A ruptured aneurysm can also cause coma!

This cannot be ruled out!

After all, some people have aneurysms in more than one place.

Ge Huai took a deep breath and shook his head: "Without doing it, the patient underwent a head CT without any abnormalities."

He also knows that head CT can only look at a rough picture, and cannot see many things.

At this time, if you do a CT, you can see whether there is cerebral hemorrhage, but at this moment, the patient is on the line of life and death, and there is no chance to be sent to the CT room.

Moreover, the probability of intracranial aneurysm rupture is too low!

Just at this time.

Chen Cang said: "The pupils on both sides are of equal size, but the pupils are not dilated, and they reflect normal light... I don't feel like a brain hemorrhage!"

Chen Cang's words made Meng Xi's eyes brighten, yes... the most basic physical examination and neurological examination were ignored.

Although cerebral hemorrhage cannot be completely ruled out now, it is still inevitable.

Sometimes, diagnosis is really a method of exclusion, especially when the cause is unknown, it is also the best method to make a clear diagnosis quickly.

The whole process seems to be long, but in fact it takes less than a minute!

And at this time, the ECG machine has been connected!

However, when the ECG machine hadn't spit out the film, the nurse suddenly said, "Director Meng! It's ventricular fibrillation!"

In a word, everyone's face changed suddenly!

Meng Xi was taken aback for a moment, and said quickly: "Call the emergency department, get a defibrillator, hurry up!"

It's dangerous now!

The patient himself had just undergone an aortic aneurysm resection, and now suddenly encountered ventricular fibrillation, and the risk factor soared.