(Thanks to my friend for my encouragement, and thanks to my friend Xykd007 for my encouragement)

Liu Banxia just felt that the performance of the wound was a little unusual, but he didn't expect that a task would jump out. This made him nervous, and the illness of the task often requires special attention.

Wang Chao, who was reminded by him, looked carefully and felt that something was wrong with the wound on the patient's back.

The patient fell on the coffee table and lay on it, so it stands to reason that there would not have been such a serious bruise. And the wound is not big now, but the bruise marks around the wound are a little large.

It's just that although Wang Chao saw that something was wrong, he was a little unsure of what kind of inspection to do next.

"Uncle, do you have any other discomfort in your body?" asked Liu Banxia.

"It's nothing, I'm still a little dizzy, and my back hurts a little. The patient said.

Liu Banxia frowned, the patient may not have recovered from the state of falling and falling unconscious, so the expression was a little unclear. However, the bruise on his back was so glaring, it was definitely not a simple fall or scrape.

"Dr. Wang, do a bedside ultrasound to see what is going on in the abdominal cavity. Liu Banxia thought about it for a while and said.

Wang Chao did not hesitate, went to the side to push the mobile ultrasound over, and began to do abdominal ultrasound on the patient.

After just a few sweeps, the color on both Wang Chao and Liu Banxia's faces changed.

"Sister Wang, help me call Dr. Shi or Dr. Wei to prepare in the operating room, abdominal aortic aneurysm. Liu Banxia shouted.

Ding!Strange Wound quest completed

Gain 400 XP, 500 Diagnostics Skill Proficiency, and 3 Glory

This mission is rated as Flawless, gaining 500 XP points, 500 diagnostic skill proficiency points, and 5 glory points

"The patient has a small aneurysm in his abdominal cavity that is in danger of rupturing at any time, and we need to operate on the patient right away. Wang Chao also said anxiously to the patient's son.

The patient's son was stunned for a long time and didn't react, and he didn't know what to do next.

"Don't worry. Although the aortic aneurysm is very dangerous and can rupture at any time, we are in the hospital, and even if there is a condition, it is too late. Liu Banxia said.

"The next step is to prepare for the surgery, and you want to be as emotionally stable as possible. If you can make it to the operating room, then it's even better. ”

"But...... , I have a bit of a stomach ache right now. The patient frowned and pressed his hand to his left lower abdomen.

Liu Banxia's heart "chuckled" suddenly, "The tumor has ruptured, and it will be sent to the operating room immediately to stop the bleeding." ”

This is also a medical common sense, when the abdominal aortic aneurysm ruptures, it is often accompanied by sudden abdominal pain, which spreads to the groin along the left lower quadrant.

The patient's tumor is not small, and the amount of bleeding must be a lot, so the next development is hemorrhagic shock and loss of consciousness, which will be life-threatening if the rescue is not timely.

"In Banxia, Dr. Wei had just stepped down and was waiting in the No. 2 operating room. Wang Ying shouted.

Liu Banxia and they were pushing the gurney and running wildly, which was also a race for time. If Wang Ying hadn't shouted that he had prepared the operating room, he would probably have opened his abdomen to stop the bleeding at the scene.

"Dr. Wei, the abdominal aortic aneurysm has ruptured and is about 6 centimeters in diameter. The blood type is not clear for the time being, the blood pressure is high on weekdays, and there is no history of diabetes or heart disease. After pushing to the operating room, Liu Banxia shouted.

The front is to explain the condition to Wei Yuan, and the back is to explain the situation to the rest of the people in the operating room, especially the anesthesiologist.

"Leave it to me, Wang Chao brushed his hands on stage. Wei Yuan nodded, and then took the patient over and carried him to the operating table.

Liu Banxia didn't leave directly, and when he saw that the anesthesia was over, Wei Yuan also cut open his abdomen, and his heart fell to the ground.

"Brother Wei, just now thanks to Mr. Liu, I have to let the patient go. After seeing the success of stopping the bleeding, Wang Chao dared to speak.

"The patient's condition is too hidden, and we pay too much attention to the head condition after receiving the consultation. Liu Banxia said.

"Such a large tumor will definitely have some manifestations in normal life, but the patient himself didn't pay much attention to it, and it was difficult for us to find it when we first received it. ”

"Mr. Liu, then how did you find out? But it's really hanging, there is blood after the abdomen, and I wonder why you didn't open your abdomen to stop the bleeding below. Wei Yuan asked.

"I just think that the congestion is a little different, and there is often a 'sentinel hemorrhage' phenomenon in a cerebral aneurysm, which is often ignored. Liu Banxia said.

"The tumor was already close to the edge of rupture, which had a certain impact on the patient's blood pressure, which made the patient fall at home. The injuries on the back were not actually caused by the fall, but may have been a sentinel hemorrhage from the rupture of some capillaries. ”

"If you want to say that I am also cheating, after all, I did a brain CT, and I didn't see anything wrong. X-rays can take a lot of time, and abdominal ultrasound is the most convenient. ”

"Hey...... , I can't compare to this carefulness. Then why didn't you stop the bleeding directly?" Wei Yuan said curiously.

"You have to obey the rules, Sister Wang said that you are already ready in the operating room, which is enough rescue time. Okay, you guys are busy, I'll go and inform the patient's family. Liu Banxia said.

"Do you have a feeling that our President Liu is more mature?" Wei Yuan asked with a smile after Liu Banxia left.

"Teacher Wei, is there any? Why do I think Teacher Liu is the same as before. Miao Rui said curiously.

"That's because you don't know what kind of character your respected Teacher Liu used to be, and he can do anything about opening the abdomen and chest in the emergency room. At that time, it was still an emergency department, and he dared to quarrel with the director. Wei Yuan said with a smile.

"Before, he had nothing else on his mind but patients. I can't say that such thoughts are bad, but sometimes if you are too obsessed, you will lose your normal judgment. ”

"If this were the same as before, he would definitely have directly opened his stomach to stop the bleeding. It will be effective and can quickly stop the bleeding for the patient. However, it also causes an additional burden on the patient's body, that is, excessive blood loss for too long. ”

"It takes time for him to open his abdomen to stop the bleeding, and it still takes time to get him to the operating room for surgery, which can only be done if he has to. ”

"Right now we're doing a good job of minimizing the excessive impact on the patient's body as much as possible. The recovery period of patients will also be greatly shortened, which can reduce the possibility of many complications. ”

"It's not bad at all, I can prove it. Wang Chao took over the conversation.

"In fact, I was able to stay in our second hospital, and I even joined the emergency department at that time, and the main reason was also influenced by this kid. ”

"I really didn't want to enter the emergency center when I was training, and my family didn't agree with me staying in the second hospital, because they all knew that being a doctor was hard and tiring. ”

"But I've been with this kid for a long time, and I'm slowly led astray by him. Then our emergency department also caught up with the opportunity to upgrade, and with a ruthless heart and gritted teeth, this came in. ”

"You all have to be careful about this, Mr. Liu is even more powerful now than before. In the past, he was just bored, but now he has a lot of things on his mind. If you look closely, you'll definitely learn a lot. ”

"Actually, I'm not afraid of your jokes, I'm also learning from you. It's not easy to be a doctor, but with him by your side, you can learn a lot as long as you are willing to work hard. ”

"If you change to another hospital, whether it is a city hospital or an affiliated hospital, who can give you so many opportunities to practice. That is, he can, and he dares. ”

These are Wang Chao's sincere words, and now he still has a sense of fear. If such a patient is delayed, the possible outcome is that he cannot be saved.

This is an aortic aneurysm, and the amount of bleeding is not comparable to ordinary internal bleeding, not at all on the same order of magnitude.

If there is no reminder from Liu Banxia, because he did not observe carefully and caused the death of the patient, I really don't know if I will have the confidence to receive patients in the future.

Miao Rui and Liu Yiqing know more about Liu Banxia today, but they didn't expect the previous Teacher Liu to be so "powerful".

After all, they haven't been in the Second Hospital for a long time, and their understanding of Liu Banxia is also based on the identity of "Teacher Liu". At that time, Liu Banxia had become much calmer, which was different from before.

"This kid is only going to get better. Wei Yuan said.

"The director doesn't have that much time to guide us through the operation, so let's keep an eye on this kid in the future. He just abides by the rules of the director, and the wound on his body is not removed and he is not allowed to have surgery, otherwise today's operation can be faster. ”

"Wang Chao, how did you study that small incision appendectomy? can it replace Banxia in the future, and we can let him have more surgeries." ”

Wang Chao shook his head, "It's still slower to find the appendix, but it's barely possible now." If it's purulent, I'll have to use laparoscopy, which can't be compared with him. ”

"His hands are not human anymore. You can feel the subtle differences, otherwise the bones will not be so slippery. Didn't he go to the orthopedic department for a consultation last time? he was there to take over from Director Xu to correct the patient's bones. ”

"The senior brother over there has said that people have to die more than others, and then they don't compare with him. It's a symbolic film, take a look at it and get started directly. ”

"At the beginning of the manual diagnosis, the description of the patient's injury was basically not bad, and it came out as soon as the film was taken. I've touched it too, but I haven't touched anything. ”

Miao Rui and Liu Yiqing listened happily, they have also received Liu Banxia's dressing change teaching, and they have all felt the sensitivity of Liu Banxia's fingers.

In this regard, Liu Banxia is really one of the best.

The two were very happy, so they didn't notice that Wei Yuan and Wang Chao exchanged glances.

Praising Liu Banxia is a sincere boast, and what he says is the truth. Now he also regards Liu Banxia as a tool man, hoping to keep the interns.

As long as you want to improve your medical skills in the future, staying by Liu Banxia's side is not bad at all.