186 Isn't it blinded this time?
(Thanks to friends for their encouragement, thanks to O Weiliang monthly pass for encouragement)
"Dr. Xu, let's talk to them. I can't wait, there is really a hypoxic brain injury, and even if I still have my life, I am suffering. Seeing that Xu Guosheng was still a little hesitant, Liu Banxia said anxiously.
"Okay, take a gamble, I'll take responsibility with you if something happens. Xu Guosheng dropped a sentence and walked into the ICU.
Liu Banxia sat directly on the ground, even in his heart, he was not completely sure, now was the only chance.
Bronchoscopy was the only thing he found that there was something abnormal, and even if it could give the patient a little relief, it would buy the patient more time.
At this time, Qingkova and Liang Xiaolin also rushed over, they came by elevator, but they were calm. When I saw Liu Banxia, I saw him sitting on the ground against the wall.
The two of them were taken aback, and their first thought was that the patient was not good, otherwise Liu Banxia would not be so depressed.
"Don't think about it, we've done our best. Liang Xiaolin squatted beside Liu Banxia and comforted her.
"Dr. Liu, I'll treat you to chicken thighs in the evening. Qingkova also gave encouragement.
She knew that there was a chicken leg terrier circulating in the second courtyard, but she didn't know exactly why. Then he felt that Liu Banxia must like to eat chicken legs, so it was not bad.
"It's not going to work yet, I'm tired from running the stairs. Liu Banxia said helplessly.
Liang Xiaolin was stunned for a moment, and glared at him by the way.
"Doctor Liu, it's done, with methylprednisolone, the blood oxygen has been increased. At this time, Xu Guosheng ran out of the ICU with an ecstatic smile on his face.
Ding!Daily Mission Complete (5/20)
Complete the Respiratory Distress Patient quest and gain 100 XP points and 200 diagnostic skill proficiency points
This mission is rated as Perfect, gaining 500 experience points, 500 diagnostic skill proficiency points, and 10 glory points
Liu Banxia was also happy, "It's okay, I won the bet, I don't have to worry about the patient's family suing." Hahaha......"
"You kid, you're good enough. One day there is time to drink together. Xu Guosheng gave a thumbs up.
"If you can't drink first, who will help me up first? I just ran so hard that it seems that my leg muscles are a little strained. Liu Banxia said pitifully.
Liang Xiaolin glared at him, but before she could act, Qingkova made a move and touched Liu Banxia's leg.
"Qingkova, what are you doing?" asked Liu Banxia curiously.
"I'm checking the damage. After a muscle strain, the muscles bulge and need to be ice and bandaging. Qingkova said as a matter of course.
"It's not that serious, but I don't exercise at all, and I run too hard this time. Now the feeling should be biceps, it's okay, it's not very serious, just spray some medicine. Liu Banxia said.
"Okay, Dr. Liu will be taken care of by you, and I'll go back to see the patient. I'll contact you when the patient wakes up, and it's a real lifesaver today. Xu Guosheng dropped a sentence and then went into the ICU again.
Most of the patients who can be admitted to the ICU are struggling on the edge of life and death. Today's patient, if he really follows the established treatment with antibiotics, he will definitely be ruined without thinking too much.
In light cases, it is hypoxic damage to the brain. When it was heavy, he went straight away. Either outcome is a failed cure.
And he is also a little envious of Liu Banxia in his heart, look at the level of the doctors brought by others, how much you care, they all chase after you.
"Actually, it's okay for me to walk slowly now, I don't need you to hold me like this. Liu Banxia looked at the two girls who were holding his arms on both sides, and said helplessly.
"No, muscle strains can get serious too. You may have compartment syndrome, rhabdomyolysis and more likely kidney failure. Qingkova said very seriously.
I can't tease Liang Xiaolin, and I'm in a really good mood now. The patient was saved, and Liu Banxia, who was taken care of by Qingkova, was still a little worried, which was something to be happy about.
She didn't want to think about it, she was also an accomplice on the other side. Now their combination is still very eye-catching when they pass by.
Liu Banxia reported the good news to Wei Yuan, and then turned a corner and came directly to the operating room with his two younger brothers.
Today's patients are complex cases, the problem of patients with respiratory distress is solved, and the patients who caused the accident also want to see what the situation is.
Look here, good guys, this operation was actually done in the teaching operating room. There were already several doctors in the observation room, and the arrival of their particular trio didn't attract any attention.
"This patient presented in a car accident with progressive paralysis that progressed rapidly. X-ray examination and MRI examination did not find vertebral fractures, and it was judged to be a vertebral hematoma. Xiao Zhaoqiu said.
"Because of the rapid progression of the disease, we didn't have time to do more detailed examinations and had to perform surgical exploration. This may also be encountered in our later medical careers, especially since these hematomas are very similar to cerebral hematomas and may be delayed. ”
"Of course, we are doing this now without a clear indication for surgery. What I would say is that while we are treating patients, we need to be mindful of the risks we should avoid and be brave enough to take them. The patient has entered anesthesia and is now open. ”
Liu Banxia outside watched Xiao Zhaoqiu's operation very seriously, this is the spine, you have to be careful during the whole operation.
Surgical exploration is very simple, but there is a lot of uncertainty in the actual operation process.
With the help of instrumental examination, the doctor can clearly grasp the location of the lesion. Or under the guidance of some clear symptoms, the doctor has a rough guess.
This time it was different, this time it was a probe of such a large section of the spine. You have to open them one by one, and then look for them slowly from top to bottom. How long will this surgery last? It's uncertain.
With any luck, you may be able to find the location of the hematoma in a few minutes. If you're unlucky, you may not be able to find it even if you search all the way.
Because this is an exploration in the spinal cavity, the hematoma may not be very large, and you may miss it if you are on the slightest mistake. If the hematoma is large, the patient will not show progressive paralysis and will be paraplegic.
Xiao Zhaoqiu's luck today is not very good, and now he has been exploring for two hours, and he still has not found a bleeding point under the third thoracic vertebrae.
At this moment, the alarm of the monitor sounded.
"Blood pressure 180/105, pulse 50, antihypertensin bolus. The anesthesiologist hurriedly said.
"What's going on?" asked Liang Xiaolin.
"It could be that the nervous system has been damaged, causing unstable blood pressure and pulse. Now there is some danger, if the hematoma is not found as soon as possible, it may cause irreversible damage, or ......," Liu said.
Even if he didn't finish his words, Liang Xiaolin knew that this meant that the patient might not be able to get off the operating table.
Liu Banxia and the others who were watching from the outside were all nervous, and they could imagine how much pressure Xiao Zhaoqiu would be on the operating table.
And now Xiao Zhaoqiu's hands are still so steady and calm after operating for so long.
This made Liu Banxia look very envious, and he felt that it was difficult for him to achieve such a degree. Even if he added his spirit, it was really too urgent now.
Now Xiao Zhaoqiu re-probed from the cervical spine again, Liu Banxia frowned, carefully recalling the surgical exploration picture he had just seen.
"Director Xiao, can you take a look at the third thoracic vertebrae, just now I saw that there was a bleeding spot in the color of the blood, and it seemed that something was wrong. After frowning and thinking for a while, Liu Banxia directly pressed the microphone.
His cold words startled everyone. It doesn't matter if it's someone in the operating room or someone watching from the outside.
To put it mildly, he cares about patients. To put it mildly, this is to guide Xiao Zhaoqiu, the supernatural director, to perform surgery. Whether it is small or big depends entirely on what Xiao Zhaoqiu thinks and what others think.
Liu Banxia also regretted it a little after speaking, it was really inconsiderate.
It's just that he was too involved when he thought about it just now, and he ignored the occasion and situation. After thinking about it, he habitually wanted to remind him.
Xiao Zhaoqiu glanced up at him, "Liu Banxia, are you sure?"
"Director Xiao, just when I was exploring the third thoracic vertebrae, I just caught up with the patient's blood pressure and heart rate fluctuations. I remember a little bit of blood in the third thoracic vertebra just now, maybe it was the hematoma. Liu Banxia had no choice but to say truthfully.
He could hear the doctors around him now, but it was already like this, and he could only bite the bullet. It's just that he also reminded himself in his heart that he must be more steady in doing things in the future.
"Probe the third thoracic vertebra again. Xiao Zhaoqiu said.
Liang Xiaolin became nervous, what would be the result if there was still no discovery in the third thoracic vertebrae? I'm afraid it's not just as simple as being embarrassed.
Liu Banxia was much more nervous than her, and as Xiao Zhaoqiu's exploration time increased, he was now wondering if his memory had been deviated just now, and he had seen it wrong.
"Found it, under the third thoracic vertebrae. Aspiration. ”
At this time, Xiao Zhaoqiu shouted, and his tone was full of excitement.
Ding!Daily mission completed (6/20)
Complete the healing quest and gain 30 XP and 30 Diagnostics Skill Mastery
If I heard that the patient's breathing had improved in front of the ICU ward, which made Liu Banxia feel a lot easier, now he is like a deflated ball, so he can't sit directly on the ground.
He was really nervous, even more nervous than he was doing surgery on stage. The nerves were tense, and now they were completely relaxed.
"The patient's blood pressure, heart rate, and blood oxygen returned to normal. "After the hematoma is aspirated, the anesthesiologist reports it in time.
"Liu Banxia, waiting for me at the door of the operating room. Xiao Zhaoqiu glanced up.
Liu Banxia is a little blindsided, and it seems that he still has to be criticized, his own mouth.
Liang Xiaolin glanced at him in surprise, feeling very confused. It's not blindfolded this time, is it? Probably not?