Chapter 618: 618
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Chen Cang staggered to the Department of Cardiovascular Surgery, East University First Hospital.
He wants to be hospitalized now.
But I want to come and go without knowing what department to run!
沧 Cang Cang would like to ask the pain department to cure the buttock pain, but when asked the cause, Chen Cang didn't know how to answer.
Did he say that ... the gluteal muscle was beaten by Jeet Kune Do?
Hey……
Tired!
Qin Xiaolick, Qin Xiaolick, why do you run so fast!
This is your dear, you don't stop.
沧 Cang Cang feels anxious.
I arrived at the department at half past six, and as soon as I came in, I saw Sanbo standing up!
"Chen Cang is here!"
Immediately, Ge Huai pressed Chen Cang to his chair: "Little Chen, Niubi, even took the first place in the group and played on behalf of Dongyang. What do you think?"
Cang Cang 噌 stood up!
How do you feel?
He hurt me!
Bo Er Zhang Ye pressed Chen Cang to the chair: "Xiao Chen, you are so amazing, we haven't found that you are so bullish, sit down quickly, and have a surgery, you have to teach us well, we prepared tonight Three operations! "
Cang Cang immediately stood up, this time he glanced at Bosan, took the chair away, and said lightly:
"Good to say, I won't sit ... for a day."
Mengxi came in at this time and said with a smile, "Come here."
沧 Cang Cang smiled: "Miss Meng!"
Xun Mengxi nodded: "Sit down first, Doctor Ge, go to bed 12 and get the discharge notice first, as well as the discharge certificate. The family members of the patient will come early tomorrow morning to handle the procedures."
Chen Cang smiled: "I won't sit, Doctor Ge, let me give you a discharge certificate."
Ge Gehuai nodded: "Thank Xiao Chen."
After the discharge certificate was written, Meng Xi signed it, and the date was written tomorrow.
Department of Cardiac Surgery on Tuesday Xia's director had a large round of investigations. At this time, on Tuesday and Friday, he should prescribe a large amount of medicine according to the situation of the patient.
This is about to prescribe medicines in various departments of the hospital. Generally, people usually prescribe medicines twice a week.
Medical prescribing means that if you prescribe on Tuesday, prescribe it directly to Friday, take three days of fluid, and take a long-term medical order.
修改 It is also convenient to modify the temporary doctor's order, just replace it in time.
This way, it is also convenient for the nurse to take the medicine, and it is also convenient for the doctor to order the doctor.
If you prescribe medicine today, he will prescribe it tomorrow, which will affect the order of the department.
And ... don't think that a nurse belongs to a doctor's subordinate.
Non-cooperation of nurses is a troublesome task for doctors.
So, collaboration between doctors and nurses is very necessary.
Even directly affects all aspects of medical work.
Tuesday morning is very busy, so many things basically can be done in the evening beforehand, do not think that when the director inspects the house, you can do your own thing ...
After being busy with a series of things, everyone is preparing to go to the operating room.
Suddenly the nurse hurried in: "Director Meng! Doctor Ge, it's not good. The 12-bed patient suddenly fainted."
In a word, Meng Xi flew towards the 12 bed directly!
Chen Cang followed closely behind, while Ge Huai got up and turned back, and took the medical record folder.
Bed 12 is a patient of Ge Huai and Meng Xi. They are responsible for any problems.
I just came into the ward, and suddenly found that the patient was lying on the ground. He was a young man of only thirty-five years old.
大 "Doctor! Why did you faint?"
Tong Mengxi looked serious and said to the woman, "Don't be nervous, calm down."
"ECG monitor, blood oxygen protection, urgent blood glucose check!"
"Xiao Chen, lift the patient to bed!"
"Xiao Yang, the electrocardiograph!"
"Nurse station gives emergency consultation to emergency department!"
Uh ...
Mengxi made a few doctor's orders instantly.
Cardiac surgery patients faint, the first consideration is the sequelae of the heart.
After all, after surgery, there will be more or less postoperative complications, some will cause arrhythmia and so on.
Of course, there are many reasons for fainting. Naturally, it cannot be generalized, but it is imperative that cardiac surgery should rule out heart problems.
At this time, Ge Huai already ran in with the medical records.
All nurses are working in an orderly manner.
Mengxi observes the patient, and helps Chen Cang to take the patient to his bed and unbutton his clothes.
Pouting and asking about Ge Huai's condition.
"What history does the patient have? Is there hypertension, diabetes, hyperlipidemia ..."
Ge Huai shook his head: "No! The admission examinations were normal. The patient's previous physical examination, this time was an aortic aneurysm resection, no hepatitis tuberculosis was found ..."
After hearing that, Meng Xi said to the nurse who was dripping test strips, "What is the urgent blood glucose check?"
After seeing the results, Nurse Ning said immediately: "Blood glucose 9.8!"
Normal!
Mengxi turned and asked Ge Huai, "Have you done cerebrovascular nuclear magnetic resonance when you came?"
Ge Huai a moment!
Who does this?
We are cardiac surgery, not neurology or neurosurgery.
However, Meng Xi is also considering that this sudden onset of fainting should consider the problem of cerebral blood vessels, even if there is no hypertension, if the patient has a cerebral vascular malformation, or the patient has an intracranial aneurysm, An aneurysm rupture can also cause coma!
This cannot be ruled out!
After all, some people have an aneurysm in more than one place ~ www.novelhall.com ~ Ge Huai took a deep breath and shook his head: "Without doing so, the patient had a skull CT without any abnormalities."
He also knows that the skull CT can only be seen roughly, and it is invisible to many things.
If you do a CT at this time, you can see whether there is cerebral hemorrhage, but at this moment, the patient is at the front line of life and death, and there is no chance to send to the CT room.
Moreover, the probability of rupture of an intracranial aneurysm is too low!
Just at this time.
Cang Chen said: "The pupils on both sides are large and equal. I haven't found the pupils to dilate and reflect light normally ... I don't feel like a brain hemorrhage!"
Chen Cang's words made Meng Xi's eyes light up, yeah ... the most basic physical examination and nervous system examination were ignored.
Although cerebral hemorrhage cannot be completely ruled out, it is still inseparable.
Sometimes, diagnosis is really an exclusion method, especially if the cause is not clear. To quickly and clearly diagnose, the exclusion method is also the best method.
The process of rectification seems to be long, but in fact it takes less than a minute!
就 And at this time, the ECG machine is connected!
But before the ECG machine vomited the film, the nurse suddenly said, "Director Meng! It's a ventricular fibrillation!"
A word, everyone's face suddenly changed!
Meng Xi immediately hesitated and said quickly: "Contact the emergency department, get a defibrillator, hurry up!".
This is dangerous!
The patient had just undergone an aortic aneurysm resection, and now suddenly encountered ventricular fibrillation, the risk coefficient soared.
Please report us if you find any errors so we can fix it asap!
Chen Cang staggered to the Department of Cardiovascular Surgery, East University First Hospital.
He wants to be hospitalized now.
But I want to come and go without knowing what department to run!
沧 Cang Cang would like to ask the pain department to cure the buttock pain, but when asked the cause, Chen Cang didn't know how to answer.
Did he say that ... the gluteal muscle was beaten by Jeet Kune Do?
Hey……
Tired!
Qin Xiaolick, Qin Xiaolick, why do you run so fast!
This is your dear, you don't stop.
沧 Cang Cang feels anxious.
I arrived at the department at half past six, and as soon as I came in, I saw Sanbo standing up!
"Chen Cang is here!"
Immediately, Ge Huai pressed Chen Cang to his chair: "Little Chen, Niubi, even took the first place in the group and played on behalf of Dongyang. What do you think?"
Cang Cang 噌 stood up!
How do you feel?
He hurt me!
Bo Er Zhang Ye pressed Chen Cang to the chair: "Xiao Chen, you are so amazing, we haven't found that you are so bullish, sit down quickly, and have a surgery, you have to teach us well, we prepared tonight Three operations! "
Cang Cang immediately stood up, this time he glanced at Bosan, took the chair away, and said lightly:
"Good to say, I won't sit ... for a day."
Mengxi came in at this time and said with a smile, "Come here."
沧 Cang Cang smiled: "Miss Meng!"
Xun Mengxi nodded: "Sit down first, Doctor Ge, go to bed 12 and get the discharge notice first, as well as the discharge certificate. The family members of the patient will come early tomorrow morning to handle the procedures."
Chen Cang smiled: "I won't sit, Doctor Ge, let me give you a discharge certificate."
Ge Gehuai nodded: "Thank Xiao Chen."
After the discharge certificate was written, Meng Xi signed it, and the date was written tomorrow.
Department of Cardiac Surgery on Tuesday Xia's director had a large round of investigations. At this time, on Tuesday and Friday, he should prescribe a large amount of medicine according to the situation of the patient.
This is about to prescribe medicines in various departments of the hospital. Generally, people usually prescribe medicines twice a week.
Medical prescribing means that if you prescribe on Tuesday, prescribe it directly to Friday, take three days of fluid, and take a long-term medical order.
修改 It is also convenient to modify the temporary doctor's order, just replace it in time.
This way, it is also convenient for the nurse to take the medicine, and it is also convenient for the doctor to order the doctor.
If you prescribe medicine today, he will prescribe it tomorrow, which will affect the order of the department.
And ... don't think that a nurse belongs to a doctor's subordinate.
Non-cooperation of nurses is a troublesome task for doctors.
So, collaboration between doctors and nurses is very necessary.
Even directly affects all aspects of medical work.
Tuesday morning is very busy, so many things basically can be done in the evening beforehand, do not think that when the director inspects the house, you can do your own thing ...
After being busy with a series of things, everyone is preparing to go to the operating room.
Suddenly the nurse hurried in: "Director Meng! Doctor Ge, it's not good. The 12-bed patient suddenly fainted."
In a word, Meng Xi flew towards the 12 bed directly!
Chen Cang followed closely behind, while Ge Huai got up and turned back, and took the medical record folder.
Bed 12 is a patient of Ge Huai and Meng Xi. They are responsible for any problems.
I just came into the ward, and suddenly found that the patient was lying on the ground. He was a young man of only thirty-five years old.
大 "Doctor! Why did you faint?"
Tong Mengxi looked serious and said to the woman, "Don't be nervous, calm down."
"ECG monitor, blood oxygen protection, urgent blood glucose check!"
"Xiao Chen, lift the patient to bed!"
"Xiao Yang, the electrocardiograph!"
"Nurse station gives emergency consultation to emergency department!"
Uh ...
Mengxi made a few doctor's orders instantly.
Cardiac surgery patients faint, the first consideration is the sequelae of the heart.
After all, after surgery, there will be more or less postoperative complications, some will cause arrhythmia and so on.
Of course, there are many reasons for fainting. Naturally, it cannot be generalized, but it is imperative that cardiac surgery should rule out heart problems.
At this time, Ge Huai already ran in with the medical records.
All nurses are working in an orderly manner.
Mengxi observes the patient, and helps Chen Cang to take the patient to his bed and unbutton his clothes.
Pouting and asking about Ge Huai's condition.
"What history does the patient have? Is there hypertension, diabetes, hyperlipidemia ..."
Ge Huai shook his head: "No! The admission examinations were normal. The patient's previous physical examination, this time was an aortic aneurysm resection, no hepatitis tuberculosis was found ..."
After hearing that, Meng Xi said to the nurse who was dripping test strips, "What is the urgent blood glucose check?"
After seeing the results, Nurse Ning said immediately: "Blood glucose 9.8!"
Normal!
Mengxi turned and asked Ge Huai, "Have you done cerebrovascular nuclear magnetic resonance when you came?"
Ge Huai a moment!
Who does this?
We are cardiac surgery, not neurology or neurosurgery.
However, Meng Xi is also considering that this sudden onset of fainting should consider the problem of cerebral blood vessels, even if there is no hypertension, if the patient has a cerebral vascular malformation, or the patient has an intracranial aneurysm, An aneurysm rupture can also cause coma!
This cannot be ruled out!
After all, some people have an aneurysm in more than one place ~ www.novelhall.com ~ Ge Huai took a deep breath and shook his head: "Without doing so, the patient had a skull CT without any abnormalities."
He also knows that the skull CT can only be seen roughly, and it is invisible to many things.
If you do a CT at this time, you can see whether there is cerebral hemorrhage, but at this moment, the patient is at the front line of life and death, and there is no chance to send to the CT room.
Moreover, the probability of rupture of an intracranial aneurysm is too low!
Just at this time.
Cang Chen said: "The pupils on both sides are large and equal. I haven't found the pupils to dilate and reflect light normally ... I don't feel like a brain hemorrhage!"
Chen Cang's words made Meng Xi's eyes light up, yeah ... the most basic physical examination and nervous system examination were ignored.
Although cerebral hemorrhage cannot be completely ruled out, it is still inseparable.
Sometimes, diagnosis is really an exclusion method, especially if the cause is not clear. To quickly and clearly diagnose, the exclusion method is also the best method.
The process of rectification seems to be long, but in fact it takes less than a minute!
就 And at this time, the ECG machine is connected!
But before the ECG machine vomited the film, the nurse suddenly said, "Director Meng! It's a ventricular fibrillation!"
A word, everyone's face suddenly changed!
Meng Xi immediately hesitated and said quickly: "Contact the emergency department, get a defibrillator, hurry up!".
This is dangerous!
The patient had just undergone an aortic aneurysm resection, and now suddenly encountered ventricular fibrillation, the risk coefficient soared.
Chen Cang staggered to the Department of Cardiovascular Surgery, East University First Hospital.He wants to be hospitalized now.But I want to come and go without knowing what department to run! Cang Cang would like to ask the pain department to cure the buttock pain, but when asked the cause, Chen Cang didn't know how to answer.Did he say that ... the gluteal muscle was beaten by Jeet Kune Do?HeyTired!Qin Xiaolick, Qin Xiaolick, why do you run so fast!This is your dear, you don't stop. Cang Cang feels anxious.I arrived at the department at half past six, and as soon as I came in, I saw Sanbo standing up!"Chen Cang is here!"Immediately, Ge Huai pressed Chen Cang to his chair: "Little Chen, Niubi, even took the first place in the group and played on behalf of Dongyang. What do you think?"Cang Cang stood up!How do you feel?He hurt me!Bo Er Zhang Ye pressed Chen Cang to the chair: "Xiao Chen, you are so amazing, we haven't found that you are so bullish, sit down quickly, and have a surgery, you have to teach us well, we prepared tonight Three operations! "Cang Cang immediately stood up, this time he glanced at Bosan, took the chair away, and said lightly:"Good to say, I won't sit ... for a day."Mengxi came in at this time and said with a smile, "Come here." Cang Cang smiled: "Miss Meng!"Xun Mengxi nodded: "Sit down first, Doctor Ge, go to bed 12 and get the discharge notice first, as well as the discharge certificate. The family members of the patient will come early tomorrow morning to handle the procedures."Chen Cang smiled: "I won't sit, Doctor Ge, let me give you a discharge certificate."Ge Gehuai nodded: "Thank Xiao Chen."After the discharge certificate was written, Meng Xi signed it, and the date was written tomorrow.Department of Cardiac Surgery on Tuesday Xia's director had a large round of investigations. At this time, on Tuesday and Friday, he should prescribe a large amount of medicine according to the situation of the patient.This is about to prescribe medicines in various departments of the hospital. Generally, people usually prescribe medicines twice a week.Medical prescribing means that if you prescribe on Tuesday, prescribe it directly to Friday, take three days of fluid, and take a long-term medical order. It is also convenient to modify the temporary doctor's order, just replace it in time.This way, it is also convenient for the nurse to take the medicine, and it is also convenient for the doctor to order the doctor.If you prescribe medicine today, he will prescribe it tomorrow, which will affect the order of the department.And ... don't think that a nurse belongs to a doctor's subordinate.Non-cooperation of nurses is a troublesome task for doctors.So, collaboration between doctors and nurses is very necessary.Even directly affects all aspects of medical work.Tuesday morning is very busy, so many things basically can be done in the evening beforehand, do not think that when the director inspects the house, you can do your own thing ...After being busy with a series of things, everyone is preparing to go to the operating room.Suddenly the nurse hurried in: "Director Meng! Doctor Ge, it's not good. The 12-bed patient suddenly fainted."In a word, Meng Xi flew towards the 12 bed directly!Chen Cang followed closely behind, while Ge Huai got up and turned back, and took the medical record folder.Bed 12 is a patient of Ge Huai and Meng Xi. They are responsible for any problems.I just came into the ward, and suddenly found that the patient was lying on the ground. He was a young man of only thirty-five years old. "Doctor! Why did you faint?"Tong Mengxi looked serious and said to the woman, "Don't be nervous, calm down.""ECG monitor, blood oxygen protection, urgent blood glucose check!""Xiao Chen, lift the patient to bed!""Xiao Yang, the electrocardiograph!""Nurse station gives emergency consultation to emergency department!"Uh ...Mengxi made a few doctor's orders instantly.Cardiac surgery patients faint, the first consideration is the sequelae of the heart.After all, after surgery, there will be more or less postoperative complications, some will cause arrhythmia and so on.Of course, there are many reasons for fainting. Naturally, it cannot be generalized, but it is imperative that cardiac surgery should rule out heart problems.At this time, Ge Huai already ran in with the medical records.All nurses are working in an orderly manner.Mengxi observes the patient, and helps Chen Cang to take the patient to his bed and unbutton his clothes.Pouting and asking about Ge Huai's condition."What history does the patient have? Is there hypertension, diabetes, hyperlipidemia ..."Ge Huai shook his head: "No! The admission examinations were normal. The patient's previous physical examination, this time was an aortic aneurysm resection, no hepatitis tuberculosis was found ..."After hearing that, Meng Xi said to the nurse who was dripping test strips, "What is the urgent blood glucose check?"After seeing the results, Nurse Ning said immediately: "Blood glucose 9.8!"Normal!Mengxi turned and asked Ge Huai, "Have you done cerebrovascular nuclear magnetic resonance when you came?"Ge Huai a moment!Who does this?We are cardiac surgery, not neurology or neurosurgery.However, Meng Xi is also considering that this sudden onset of fainting should consider the problem of cerebral blood vessels, even if there is no hypertension, if the patient has a cerebral vascular malformation, or the patient has an intracranial aneurysm, An aneurysm rupture can also cause coma!This cannot be ruled out!After all, some people have an aneurysm in more than one place ~ www.novelhall.com ~ Ge Huai took a deep breath and shook his head: "Without doing so, the patient had a skull CT without any abnormalities."He also knows that the skull CT can only be seen roughly, and it is invisible to many things.If you do a CT at this time, you can see whether there is cerebral hemorrhage, but at this moment, the patient is at the front line of life and death, and there is no chance to send to the CT room.Moreover, the probability of rupture of an intracranial aneurysm is too low!Just at this time.Cang Chen said: "The pupils on both sides are large and equal. I haven't found the pupils to dilate and reflect light normally ... I don't feel like a brain hemorrhage!"Chen Cang's words made Meng Xi's eyes light up, yeah ... the most basic physical examination and nervous system examination were ignored.Although cerebral hemorrhage cannot be completely ruled out, it is still inseparable.Sometimes, diagnosis is really an exclusion method, especially if the cause is not clear. To quickly and clearly diagnose, the exclusion method is also the best method.The process of rectification seems to be long, but in fact it takes less than a minute! And at this time, the ECG machine is connected!But before the ECG machine vomited the film, the nurse suddenly said, "Director Meng! It's a ventricular fibrillation!"A word, everyone's face suddenly changed!Meng Xi immediately hesitated and said quickly: "Contact the emergency department, get a defibrillator, hurry up!".This is dangerous!The patient had just undergone an aortic aneurysm resection, and now suddenly encountered ventricular fibrillation, the risk coefficient soared.
