Chapter 2 Internal bleeding

"It's over. Sun Lien sighed hard in his heart, but he didn't dare to say it. It doesn't matter if you can become a doctor in the future, but if you don't even know whether you are a man or a woman, I'm afraid that there will be big problems in the future.

"Little Sun!" Zhou Jun shouted several times in a row, and then dragged Sun Lien back from a panic. He was disgruntled, "What are you doing?"

On the contrary, Deputy Director Liu on the side said generously, "Xiao Sun has just come to our emergency department, and it is inevitable that he will be a little distracted when he sees such a serious external injury. However, we should still pay attention to control our emotions, after all, the life of a patient often depends on our decision. Be cautious. ”

Sun Lien coughed twice, a little uncertain, "Teacher Zhou, something seems to be wrong." ”

"What's wrong?" Zhou Jun followed Sun Lien's gaze and looked at Lin Lan's body, and glanced at the instrument again, "No problem." ”

"Look here. Sun Lien stood in place, his hand raised slightly, pointed to an old belt on her stomach and whispered, "This belt buckle, is it a little too tight?"

Zhou Jun still had a confused expression, "Tight, then loosen it......" Before the words fell, he suddenly saw Deputy Director Liu rushing to the patient's side, and untied Lin Lan's belt with a nervous expression.

"There may be internal bleeding. After lightly tapping Lin Lan's abdomen a few times with his fingers, Deputy Director Liu quickly made a judgment with a serious face, "The amount of bleeding is very large, and it is estimated that there will be more than five hundred milliliters." Send it for CT examination immediately, don't wait for the patient's family, contact the medical department for emergency surgery authorization, and wait for the CT results to come out and operate immediately!"

Doctors in other departments should never operate on patients without the consent of the patient and his family. This involves very complex legal issues such as the right to know. But the emergency department is different. For humanitarian reasons, if the patient's condition is very urgent, the emergency department may operate on the patient without notifying the family, with the permission of the hospital's medical department.

And Lin Lan's current situation belongs to the category of very urgent situations.

Sun Lien was also a little confused, in fact, he just thought of the words in the hallucination, and at the same time felt that the belt was too tight and might affect the patient's breathing, after all, Lin Lan's stomach had been strangled out of a deep gully. No matter who wears such a tight belt, I'm afraid it will be uncomfortable. Unexpectedly, Deputy Director Liu Tangchun really checked out internal bleeding.

"Look at this little girl's physique, she should exercise regularly, but she is still an athlete. Deputy Director Liu explained to his protΓ©gΓ© Zhou Jun, "Thanks to this, her body fat content is very low, and her waist circumference is also small, and internal bleeding can easily lead to waist circumference changes." If it is an ordinary person, internal bleeding should be more than 1000 ml to cause a significant change in waist circumference. He nodded a little scared, "Xiao Sun is good, he is very keenly observant." ”

Sun Lien nodded embarrassedly, not daring to say that he was just worried about the patient's poor breathing. After the nurse carried the heated blood bag and transfused blood for Lin Lan, Deputy Director Liu personally led the team, and Sun Lien, who had just made a meritorious service, also followed, with two nurses, and four people pushed the hospital bed and walked towards the CT room outside the rescue room.

There are a lot of people queuing outside the CT room of the emergency department, but most of them are fourth-level patients who are not in danger, they have time and life to wait, but Lin Lan on the hospital bed does not have so much time. Sun Lien and his entourage directly bypassed the waiting area that was still queuing, pushed the bed and entered the CT room.

There was some commotion in the waiting crowd, and in addition to those who registered in the emergency department, many people "felt that they were in a hurry" in addition to serious life-threatening diseases. They may just have symptoms such as headache, fever, runny nose, etc., and therefore feel that their symptoms are urgent and need immediate treatment. Unexpectedly, after registering, he could only walk around the examination departments as a fourth-level patient.

"Come first and then come later, don't you understand?" an old lady with gauze wrapped in her head shouted at Sun Lien very dissatisfied, "My old lady has been waiting at the door for almost an hour, and no one cares about her head broken like this, why can your relationship family lie on the bed and cut in line?"

Sun Lien ignored her, and by the way, he ignored the line on the old lady's head - Lin Lan on the hospital bed needed to do a CT scan to explore the abdominal bleeding immediately. In the race against death, if they stop because of such a trivial matter, it is the patient's life that will be delayed.

"Ready, one, two, three!" Sun Lien shouted slogans with the other two little nurses, dragging the sheets and transferring Lin Lan to the examination table of the CT machine. But just like that, the monitor next to it began to sound a sharp alarm.

"Blood pressure is down again. Liu Tangchun frowned, "Push another needle to remove the nail and maintain blood pressure first." In any case, make sure she completes the check-up......"

Sun Lien hurriedly took out the syringe from the ambulance next to him, and was about to tear the package, but suddenly felt that his body was hot. But it was Lin Lan, who was lying on the examination bed, opened her mouth and spit on him. "She's awake?" Sun Lien didn't care that his body was still full of dirt, so he prepared to go over to check.

"Hold her!" Director Liu showed the same reaction speed as a young man, and rushed to Lin Lan's side who had just vomited in one arrow step. His two hands pressed her upper limbs tightly, and at the same time shouted at Lin Lan, "Don't move, we are doctors, we are saving you!"

It is hard to imagine that a twenty-three-year-old girl would have such great strength, and Liu Tangchun, who is one meter seven tall, was even thrown by her and almost fell to the ground. While Lin Lan was struggling, she kept coughing in her throat.

Sun Lien also rushed up to help when he saw that the situation was not good, and the bodies of two big men and a nurse were pressed against Lin Lan's body, which barely suppressed her struggle. "The patient is agitated, there may be ......"

"Cerebral hemorrhage. Liu Tangchun and Sun Lien have the same opinion. "Take a bottle of mannitol, five milligrams of haloperidol. Liu Tangchun then instructed, "Mannitol will be injected immediately, and haloperidol will be given as an intravenous bolus." Anyway, do the check-up first!"

Under the effect of haloperidol, Lin Lan's struggle quickly and completely subsided. Sun Lien was finally able to take off the white coat covered with vomit on his body, and temporarily freed himself from the smell of stomach acid. Then, he walked out of the CT room, intending to put the white coat in the break room first.

"Young man. The aunt who was protesting outside the door just now was quick and grabbed Sun Lien, "You guys are so wrong, how can you cut the line?

"The girl who was brought in just now is a critically ill patient. Sun Lien reluctantly explained, "If it weren't for the serious injury, we wouldn't have been escorted by the director himself." "The aunt is also on her head like everyone else, with a line of words on her head," Zhao Weihong, female, 67 years old, with a torn scalp of about 0.3 cm. ”

"What kind of critical patient, I think it's pretending to be sick. "Aunt is like a wise man who has gone through countless vicissitudes, and she is extremely confident in her vision, and at the same time she begins to skillfully mess around. "A young girl, in order not to queue up, even used this kind of trick!

Sun Lien couldn't help but laugh and said, "If people are good, why do you go to the hospital? She was injured in a car accident......

"You tell me I don't understand this kind of thing. The aunt scoffed at Sun Lien's explanation, "You will definitely not work if you cut the queue, my head is bleeding, and the doctor will not give me an examination! When this related household finishes the examination, you will also examine me! And you will have to examine two more parts for me." Otherwise, I'll complain to you!"