Chapter 764: 764
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Behind the patient, a group of people hurriedly rushed in behind him. One by one, he was seventeen or eighteen, and the oldest was twenty.
His face was terrified, his expression uneasy, and one of them was already in tears.
"Doctor! Please, save him!"
"Yes! I gave you a hoe!"
Uh ...
Suddenly, the biggest guy was helpless, and threw himself to the door of the rescue room, his face full of tension and worry.
The head nurse, Tian Xianglan, was also there, and hurried out, looking at a group of young people who were only in their twenties.
He quickly said, "Boy, get up first."
"Where's your boss? Haven't come yet?"
The older young man also couldn't help but swallowed: "Come on! We've called and called, we must save him ..."
I said here, even a few young people don't have the bottom of their hearts, not sure if the boss will come.
Putian Xianglan felt a possibility as soon as she heard the tone, and suddenly she was too angry.
Work injury compensation is required by law, and no one can be exempted.
However, many times, there are a lot of skinny issues involved in not counting work injuries.
Especially these small factories, small workshops, employing young people, signed labor contracts may have many problems in small factories.
However, now is not the time to worry about this, it is important to save people first.
Putian Xianglan quickly helped to handle the arrears and let the old boy contact his family.
Uh ...
Uh ...
The doctors in the emergency department hurried in, and after seeing the patients, they could not help numb their scalp, and their hearts shrank suddenly.
Then, just at this moment, Chen Cang watched the patient's eyes change.
He suddenly discovered that a virtual human body model appeared in front of his eyes!
沧 Cang Cang looked at the model and was shocked!
Because he clearly felt that this model was the condition of the patient at this moment, he could clearly see which glass was penetrated how deep, what blood vessels were injured, and whether he had hurt internal organs ...
At this time, the whole patient's body structure and blood flow diagram, as well as breathing, heartbeat, liver-gut circulation, etc., all appeared in Chen Cang's virtual four-dimensional map.
Suddenly, at this time, the patient suddenly started to breathe fast, and the value on the ECG monitor showed that the blood pressure dropped suddenly.
On the basis of Chen Cang's virtual four-dimensional human body model, he quickly made a judgment!
This is like Chen Cang's clinical thinking model!
Yes!
Chen Cang suddenly realized that this four-dimensional map was a four-model model map that he had formed in his mind for patients.
And when the patient was short of breath, the virtual map quickly changed.
Chen Cang can see that after the patient's peeling pierces the pleural cavity, air enters, the negative pressure disappears ... the lungs are accumulated, causing breathing Kunnen!
The answer is obvious!
Pneumothorax!
Correct!
I'm pneumothorax!
I looked at this virtual man, Chen Cang was a little excited.
虚拟 This virtual four-dimensional map is too good, right?
I was able to judge the patient's physical condition. Is there any stronger skill for an emergency surgeon?
No diagnostic skills are more powerful now than this 4D map!
I am so awesome!
God level!
Definitely God Level!
I think of this, Chen Cang is trembling, this passive skill is likely to be his strongest at present.
I made a lot of money!
Really!
Thinking of this, Chen Cang was a little excited.
At this time, Kobayashi said aloud, "Director Chen, shortness of breath, reaching 110 times per minute!"
沧 Cang Cang immediately reacted and said to Zhang Wenfu, "Patient has pneumothorax, ready for thoracentesis! Here ..."
There was a momentary stun for everyone and a curious glance at Chen Cang!
Zhang Wenfu nodded and immediately began to prepare the drainage tube for thoracentesis!
Chen Cang did not do it himself, he is still judging the vital signs of the patient.
After a short time, the chest cavity was aspirated, and the patient's breathing calmed down.
At this moment, everyone's eyes saw Chen Cang's eyes admired instantly and made a judgment instantly. What a keen and accurate clinical judgment!
Uh ...
之前 Before surgery, Chen Cang must ensure that the patient's vital signs are stable, think of all the dangerous situations that can be thought of, and control the amount of bleeding.
Chen Cang looked at blood pressure, breathing, heartbeat ... and the condition of the patient, and suddenly said to Wang Yong aside.
"The current blood loss is about 900-1000ml! The patient's bleeding rate is now about 100ml per minute, tell the blood transfusion department to prepare for various emergency preparations."
Although it looks terrible, it is a good thing that the large blood vessels have not been injured.
Everyone glanced at Chen Cang in confusion. Can this be judged?
Cang Cang continued to bend down and said to Xiaolin: "Cut off your clothes, cut them all off!"
Xiao Xiaolin nodded, exposing the patient's body.
"Ready to change the medicine pack!"
联系 "Contact the Color Doppler Room!"
Nurse Lele quickly prepared.
Chen Cang started to clear the glass residue from the chest area.
Only the anterior region of the heart was not removed quickly, because this piece of glass has penetrated into the pericardium, which is very troublesome to handle, and most importantly, this piece of glass has caused pericardial hemorrhage, although it is not yet the heart The tampon, but it must be prepared before surgery and the pericardial puncture is performed under ultrasound!
At this time, Li Baoshan also hurriedly returned to the emergency department.
I was shocked when I saw the patient.
There are many wounds on his body, even though Chen Cang has already dealt with a part, but because of this, the wounds and blood on the patient look terrible.
在 At this time, the doctor in the ultrasound room came with the B-machine.
Suddenly, under the command of Chen Cang, most of the broken residues have been cleared away.
This immediately made Li Baoshan hesitate, after all ... this unplugging the broken glass was not an easy job.
You must accurately judge whether each piece of glass hurts the vital points, whether it damages the blood vessels, and whether it can cause adverse consequences after being pulled out.
This is very difficult for a surgeon!
It is necessary to accurately think and judge the anatomical structure, and to draw accurate conclusions through detailed signs!
too difficult.
But ...
Looking at a large piece of glass **** around, Li Baoshan swallowed saliva and pulled out so much. The patient's physical signs turned out to be more stable, this little Chen ... It was really amazing.
Only Chen Cang was talking in the rescue room.
He gave all kinds of doctor's orders accurately, and the doctors around him didn't doubt it, they were all executing methodically.
The excess glass was cleaned up, and many bleeding points were also stitched up by other doctors. The amount of bleeding was getting less and less, and the patient was now aware of it.
But even with the effect of anesthetic, it still hurts!
Looking narrowly at the patient's body, there are still five or six large glass panes. Chen Cang took a deep breath: "Preparing for pericardial puncture under ultrasound, extracting pericardial effusion, contact the operating room, and prepare for surgery!"
Li Baoshan: 愣 Have pericardial effusion?
The doctors around you are also looking for Chen Cang.
Chen Cang nodded: "Well, yes, you see, the patient is now controlling the amount of bleeding, the blood pressure is slowly falling, and the breathing is still accelerating under the intubation ... Now all the conditions can be ruled out, there is only one possibility, that is This piece of glass has penetrated into the pericardium, causing slow pericardial bleeding ~ www.novelhall.com ~ Although it will not cause pericardial tamponade, but ... it is not conducive to the operation and needs to be removed in advance. The operation will be much easier in a while. "
"I estimate that there should be about 50-100 ml of pericardial hemorrhage now!"
The crowd suddenly stunned!
This ... can this be determined?
The doctor in the ultrasound room looked at the probe and nodded, "Yes, Director Chen is right, there is indeed blood in the pericardial cavity, probably between 75-90ml."
Cang Cang nodded. The reason why he didn't say 75ml was simply because he didn't want to be too exaggerated. He guessed too accurate, not very good ...
Suddenly, the whole room fell silent.
This ... isn't logical thinking so good?
多么 How well do you know the human body to get such a judgment.
宝 Li Baoshan's look at Chen Cang was a little surprised.
This kid ... is getting weirder.
This clinical judgment, especially the grasp of each organ of the human body and the circulation, can be understood through every detail, this clinical thinking is really too strong!
Where there is no such practice for decades!
Li Baoshan has seen an old director, he is so strong, but ... people are already in their 70s, but how old is Chen Cang?
Li Baoshan couldn't help but whispered, "Rely on ... pervert!"
Uh ...
Uh ...
Ps: Thanks to the leader "Bai Jingjing's husband" for 80,000 rewards, plus more!
Thank you for the 20,000 reward on October 25th.
Please report us if you find any errors so we can fix it asap!
Behind the patient, a group of people hurriedly rushed in behind him. One by one, he was seventeen or eighteen, and the oldest was twenty.
His face was terrified, his expression uneasy, and one of them was already in tears.
"Doctor! Please, save him!"
"Yes! I gave you a hoe!"
Uh ...
Suddenly, the biggest guy was helpless, and threw himself to the door of the rescue room, his face full of tension and worry.
The head nurse, Tian Xianglan, was also there, and hurried out, looking at a group of young people who were only in their twenties.
He quickly said, "Boy, get up first."
"Where's your boss? Haven't come yet?"
The older young man also couldn't help but swallowed: "Come on! We've called and called, we must save him ..."
I said here, even a few young people don't have the bottom of their hearts, not sure if the boss will come.
Putian Xianglan felt a possibility as soon as she heard the tone, and suddenly she was too angry.
Work injury compensation is required by law, and no one can be exempted.
However, many times, there are a lot of skinny issues involved in not counting work injuries.
Especially these small factories, small workshops, employing young people, signed labor contracts may have many problems in small factories.
However, now is not the time to worry about this, it is important to save people first.
Putian Xianglan quickly helped to handle the arrears and let the old boy contact his family.
Uh ...
Uh ...
The doctors in the emergency department hurried in, and after seeing the patients, they could not help numb their scalp, and their hearts shrank suddenly.
Then, just at this moment, Chen Cang watched the patient's eyes change.
He suddenly discovered that a virtual human body model appeared in front of his eyes!
沧 Cang Cang looked at the model and was shocked!
Because he clearly felt that this model was the condition of the patient at this moment, he could clearly see which glass was penetrated how deep, what blood vessels were injured, and whether he had hurt internal organs ...
At this time, the whole patient's body structure and blood flow diagram, as well as breathing, heartbeat, liver-gut circulation, etc., all appeared in Chen Cang's virtual four-dimensional map.
Suddenly, at this time, the patient suddenly started to breathe fast, and the value on the ECG monitor showed that the blood pressure dropped suddenly.
On the basis of Chen Cang's virtual four-dimensional human body model, he quickly made a judgment!
This is like Chen Cang's clinical thinking model!
Yes!
Chen Cang suddenly realized that this four-dimensional map was a four-model model map that he had formed in his mind for patients.
And when the patient was short of breath, the virtual map quickly changed.
Chen Cang can see that after the patient's peeling pierces the pleural cavity, air enters, the negative pressure disappears ... the lungs are accumulated, causing breathing Kunnen!
The answer is obvious!
Pneumothorax!
Correct!
I'm pneumothorax!
I looked at this virtual man, Chen Cang was a little excited.
虚拟 This virtual four-dimensional map is too good, right?
I was able to judge the patient's physical condition. Is there any stronger skill for an emergency surgeon?
No diagnostic skills are more powerful now than this 4D map!
I am so awesome!
God level!
Definitely God Level!
I think of this, Chen Cang is trembling, this passive skill is likely to be his strongest at present.
I made a lot of money!
Really!
Thinking of this, Chen Cang was a little excited.
At this time, Kobayashi said aloud, "Director Chen, shortness of breath, reaching 110 times per minute!"
沧 Cang Cang immediately reacted and said to Zhang Wenfu, "Patient has pneumothorax, ready for thoracentesis! Here ..."
There was a momentary stun for everyone and a curious glance at Chen Cang!
Zhang Wenfu nodded and immediately began to prepare the drainage tube for thoracentesis!
Chen Cang did not do it himself, he is still judging the vital signs of the patient.
After a short time, the chest cavity was aspirated, and the patient's breathing calmed down.
At this moment, everyone's eyes saw Chen Cang's eyes admired instantly and made a judgment instantly. What a keen and accurate clinical judgment!
Uh ...
之前 Before surgery, Chen Cang must ensure that the patient's vital signs are stable, think of all the dangerous situations that can be thought of, and control the amount of bleeding.
Chen Cang looked at blood pressure, breathing, heartbeat ... and the condition of the patient, and suddenly said to Wang Yong aside.
"The current blood loss is about 900-1000ml! The patient's bleeding rate is now about 100ml per minute, tell the blood transfusion department to prepare for various emergency preparations."
Although it looks terrible, it is a good thing that the large blood vessels have not been injured.
Everyone glanced at Chen Cang in confusion. Can this be judged?
Cang Cang continued to bend down and said to Xiaolin: "Cut off your clothes, cut them all off!"
Xiao Xiaolin nodded, exposing the patient's body.
"Ready to change the medicine pack!"
联系 "Contact the Color Doppler Room!"
Nurse Lele quickly prepared.
Chen Cang started to clear the glass residue from the chest area.
Only the anterior region of the heart was not removed quickly, because this piece of glass has penetrated into the pericardium, which is very troublesome to handle, and most importantly, this piece of glass has caused pericardial hemorrhage, although it is not yet the heart The tampon, but it must be prepared before surgery and the pericardial puncture is performed under ultrasound!
At this time, Li Baoshan also hurriedly returned to the emergency department.
I was shocked when I saw the patient.
There are many wounds on his body, even though Chen Cang has already dealt with a part, but because of this, the wounds and blood on the patient look terrible.
在 At this time, the doctor in the ultrasound room came with the B-machine.
Suddenly, under the command of Chen Cang, most of the broken residues have been cleared away.
This immediately made Li Baoshan hesitate, after all ... this unplugging the broken glass was not an easy job.
You must accurately judge whether each piece of glass hurts the vital points, whether it damages the blood vessels, and whether it can cause adverse consequences after being pulled out.
This is very difficult for a surgeon!
It is necessary to accurately think and judge the anatomical structure, and to draw accurate conclusions through detailed signs!
too difficult.
But ...
Looking at a large piece of glass **** around, Li Baoshan swallowed saliva and pulled out so much. The patient's physical signs turned out to be more stable, this little Chen ... It was really amazing.
Only Chen Cang was talking in the rescue room.
He gave all kinds of doctor's orders accurately, and the doctors around him didn't doubt it, they were all executing methodically.
The excess glass was cleaned up, and many bleeding points were also stitched up by other doctors. The amount of bleeding was getting less and less, and the patient was now aware of it.
But even with the effect of anesthetic, it still hurts!
Looking narrowly at the patient's body, there are still five or six large glass panes. Chen Cang took a deep breath: "Preparing for pericardial puncture under ultrasound, extracting pericardial effusion, contact the operating room, and prepare for surgery!"
Li Baoshan: 愣 Have pericardial effusion?
The doctors around you are also looking for Chen Cang.
Chen Cang nodded: "Well, yes, you see, the patient is now controlling the amount of bleeding, the blood pressure is slowly falling, and the breathing is still accelerating under the intubation ... Now all the conditions can be ruled out, there is only one possibility, that is This piece of glass has penetrated into the pericardium, causing slow pericardial bleeding ~ www.novelhall.com ~ Although it will not cause pericardial tamponade, but ... it is not conducive to the operation and needs to be removed in advance. The operation will be much easier in a while. "
"I estimate that there should be about 50-100 ml of pericardial hemorrhage now!"
The crowd suddenly stunned!
This ... can this be determined?
The doctor in the ultrasound room looked at the probe and nodded, "Yes, Director Chen is right, there is indeed blood in the pericardial cavity, probably between 75-90ml."
Cang Cang nodded. The reason why he didn't say 75ml was simply because he didn't want to be too exaggerated. He guessed too accurate, not very good ...
Suddenly, the whole room fell silent.
This ... isn't logical thinking so good?
多么 How well do you know the human body to get such a judgment.
宝 Li Baoshan's look at Chen Cang was a little surprised.
This kid ... is getting weirder.
This clinical judgment, especially the grasp of each organ of the human body and the circulation, can be understood through every detail, this clinical thinking is really too strong!
Where there is no such practice for decades!
Li Baoshan has seen an old director, he is so strong, but ... people are already in their 70s, but how old is Chen Cang?
Li Baoshan couldn't help but whispered, "Rely on ... pervert!"
Uh ...
Uh ...
Ps: Thanks to the leader "Bai Jingjing's husband" for 80,000 rewards, plus more!
Thank you for the 20,000 reward on October 25th.
Behind the patient, a group of people hurriedly rushed in behind him. One by one, he was seventeen or eighteen, and the oldest was twenty.His face was terrified, his expression uneasy, and one of them was already in tears."Doctor! Please, save him!""Yes! I gave you a hoe!"Uh ...Suddenly, the biggest guy was helpless, and threw himself to the door of the rescue room, his face full of tension and worry.The head nurse, Tian Xianglan, was also there, and hurried out, looking at a group of young people who were only in their twenties.He quickly said, "Boy, get up first.""Where's your boss? Haven't come yet?"The older young man also couldn't help but swallowed: "Come on! We've called and called, we must save him ..."I said here, even a few young people don't have the bottom of their hearts, not sure if the boss will come.Putian Xianglan felt a possibility as soon as she heard the tone, and suddenly she was too angry.Work injury compensation is required by law, and no one can be exempted.However, many times, there are a lot of skinny issues involved in not counting work injuries.Especially these small factories, small workshops, employing young people, signed labor contracts may have many problems in small factories.However, now is not the time to worry about this, it is important to save people first.Putian Xianglan quickly helped to handle the arrears and let the old boy contact his family.Uh ...Uh ...The doctors in the emergency department hurried in, and after seeing the patients, they could not help numb their scalp, and their hearts shrank suddenly.Then, just at this moment, Chen Cang watched the patient's eyes change.He suddenly discovered that a virtual human body model appeared in front of his eyes! Cang Cang looked at the model and was shocked!Because he clearly felt that this model was the condition of the patient at this moment, he could clearly see which glass was penetrated how deep, what blood vessels were injured, and whether he had hurt internal organs ...At this time, the whole patient's body structure and blood flow diagram, as well as breathing, heartbeat, liver-gut circulation, etc., all appeared in Chen Cang's virtual four-dimensional map.Suddenly, at this time, the patient suddenly started to breathe fast, and the value on the ECG monitor showed that the blood pressure dropped suddenly.On the basis of Chen Cang's virtual four-dimensional human body model, he quickly made a judgment!This is like Chen Cang's clinical thinking model!Yes!Chen Cang suddenly realized that this four-dimensional map was a four-model model map that he had formed in his mind for patients.And when the patient was short of breath, the virtual map quickly changed.Chen Cang can see that after the patient's peeling pierces the pleural cavity, air enters, the negative pressure disappears ... the lungs are accumulated, causing breathing Kunnen!The answer is obvious!Pneumothorax!Correct!I'm pneumothorax!I looked at this virtual man, Chen Cang was a little excited. This virtual four-dimensional map is too good, right?I was able to judge the patient's physical condition. Is there any stronger skill for an emergency surgeon?No diagnostic skills are more powerful now than this 4D map!I am so awesome!God level!Definitely God Level!I think of this, Chen Cang is trembling, this passive skill is likely to be his strongest at present.I made a lot of money!Really!Thinking of this, Chen Cang was a little excited.At this time, Kobayashi said aloud, "Director Chen, shortness of breath, reaching 110 times per minute!" Cang Cang immediately reacted and said to Zhang Wenfu, "Patient has pneumothorax, ready for thoracentesis! Here ..."There was a momentary stun for everyone and a curious glance at Chen Cang!Zhang Wenfu nodded and immediately began to prepare the drainage tube for thoracentesis!Chen Cang did not do it himself, he is still judging the vital signs of the patient.After a short time, the chest cavity was aspirated, and the patient's breathing calmed down.At this moment, everyone's eyes saw Chen Cang's eyes admired instantly and made a judgment instantly. What a keen and accurate clinical judgment!Uh ... Before surgery, Chen Cang must ensure that the patient's vital signs are stable, think of all the dangerous situations that can be thought of, and control the amount of bleeding.Chen Cang looked at blood pressure, breathing, heartbeat ... and the condition of the patient, and suddenly said to Wang Yong aside."The current blood loss is about 900-1000ml! The patient's bleeding rate is now about 100ml per minute, tell the blood transfusion department to prepare for various emergency preparations."Although it looks terrible, it is a good thing that the large blood vessels have not been injured.Everyone glanced at Chen Cang in confusion. Can this be judged?Cang Cang continued to bend down and said to Xiaolin: "Cut off your clothes, cut them all off!"Xiao Xiaolin nodded, exposing the patient's body."Ready to change the medicine pack!" "Contact the Color Doppler Room!"Nurse Lele quickly prepared.Chen Cang started to clear the glass residue from the chest area.Only the anterior region of the heart was not removed quickly, because this piece of glass has penetrated into the pericardium, which is very troublesome to handle, and most importantly, this piece of glass has caused pericardial hemorrhage, although it is not yet the heart The tampon, but it must be prepared before surgery and the pericardial puncture is performed under ultrasound!At this time, Li Baoshan also hurriedly returned to the emergency department.I was shocked when I saw the patient.There are many wounds on his body, even though Chen Cang has already dealt with a part, but because of this, the wounds and blood on the patient look terrible. At this time, the doctor in the ultrasound room came with the B-machine.Suddenly, under the command of Chen Cang, most of the broken residues have been cleared away.This immediately made Li Baoshan hesitate, after all ... this unplugging the broken glass was not an easy job.You must accurately judge whether each piece of glass hurts the vital points, whether it damages the blood vessels, and whether it can cause adverse consequences after being pulled out.This is very difficult for a surgeon!It is necessary to accurately think and judge the anatomical structure, and to draw accurate conclusions through detailed signs!too difficult.But ...Looking at a large piece of glass **** around, Li Baoshan swallowed saliva and pulled out so much. The patient's physical signs turned out to be more stable, this little Chen ... It was really amazing.Only Chen Cang was talking in the rescue room.He gave all kinds of doctor's orders accurately, and the doctors around him didn't doubt it, they were all executing methodically.The excess glass was cleaned up, and many bleeding points were also stitched up by other doctors. The amount of bleeding was getting less and less, and the patient was now aware of it.But even with the effect of anesthetic, it still hurts!Looking narrowly at the patient's body, there are still five or six large glass panes. Chen Cang took a deep breath: "Preparing for pericardial puncture under ultrasound, extracting pericardial effusion, contact the operating room, and prepare for surgery!"Li Baoshan: Have pericardial effusion?The doctors around you are also looking for Chen Cang.Chen Cang nodded: "Well, yes, you see, the patient is now controlling the amount of bleeding, the blood pressure is slowly falling, and the breathing is still accelerating under the intubation ... Now all the conditions can be ruled out, there is only one possibility, that is This piece of glass has penetrated into the pericardium, causing slow pericardial bleeding ~ www.novelhall.com ~ Although it will not cause pericardial tamponade, but ... it is not conducive to the operation and needs to be removed in advance. The operation will be much easier in a while. ""I estimate that there should be about 50-100 ml of pericardial hemorrhage now!"The crowd suddenly stunned!This ... can this be determined?The doctor in the ultrasound room looked at the probe and nodded, "Yes, Director Chen is right, there is indeed blood in the pericardial cavity, probably between 75-90ml."Cang Cang nodded. The reason why he didn't say 75ml was simply because he didn't want to be too exaggerated. He guessed too accurate, not very good ...Suddenly, the whole room fell silent.This ... isn't logical thinking so good? How well do you know the human body to get such a judgment. Li Baoshan's look at Chen Cang was a little surprised.This kid ... is getting weirder.This clinical judgment, especially the grasp of each organ of the human body and the circulation, can be understood through every detail, this clinical thinking is really too strong!Where there is no such practice for decades!Li Baoshan has seen an old director, he is so strong, but ... people are already in their 70s, but how old is Chen Cang?Li Baoshan couldn't help but whispered, "Rely on ... pervert!"Uh ...Uh ...Ps: Thanks to the leader "Bai Jingjing's husband" for 80,000 rewards, plus more!Thank you for the 20,000 reward on October 25th.
