180 Hematemesis

(Thanks to friends for their encouragement and encouragement, and Xu Ke's monthly ticket for encouragement)

"If you know the approximate location, can you get an enema directly?" asked the patient after a moment of silence.

"That's not good, it depends on the situation. Because we also need to prepare enema fluid, we use different formulas according to different conditions. ”

"It's not very far from the anus, can't you just inject it?" said the patient.

"Uh...... That's right. Liu Banxia glanced at Wei Yuan as he spoke, and Wei Yuan replied with a helpless smile.

"Doctor Liang, Qingkova, you can see if there are any other patients outside who need to be treated, and I can come with Dr. Wei here. Liu Banxia said.

Liang Xiaolin glanced at him, and didn't understand why she wanted to drive herself away with Qingkova. It's not that if you leave Qingkova, the patient will be able to receive an instrument examination.

"Tell me what you put in and how long it's been. After Liang Xiaolin and the others left, Liu Banxia pulled the chain again.

"Signature pen, it's been a week. "The patient's voice is very small, but he can still hear it clearly.

As expected, the patient was so playful that he put a pen where he shouldn't have been. But this is not unusual, there are many things that I have seen in the emergency department over the years.

"Go directly to the anorectal department, you have been here for a long time, and it is estimated that you need a combination of enema and colonoscopy to get it out. Liu Banxia said.

"However, I suggest that you should shoot a film first, and after determining the specific location, the process of taking it out can be smoother. When we get to the hospital, we've seen a lot of this. ”

"Haven't everyone else seen that row of films? The patient said hesitantly.

"Look, it's our doctor's view. What are you afraid of? Do you want to drain yourself and then fail to do so?" asked Liu Banxia.

The patient nodded, "At first, I was able to defecate, but it never came out." Later, they said that eating coarse fiber vegetables could help to drain out, but they didn't expect to block it. ”

"If that's the case, I can't transfer you to the proctology department for the time being. Let's take a film first, there may be a need for surgical intervention. If intestinal obstruction occurs after extensive adhesion of the intestinal wall, an enema is not possible. Liu Banxia said.

"For the sake of your life, don't think about anything else now. This is a hospital, not a vegetable market, and we are all professionals. You said that you and we have been delayed for so long, and under normal circumstances, the film is finished. ”

"Alright then, I'll shoot one. The patient hesitated for a moment and finally agreed.

"What's the situation? Is it true that he can agree to make a film if he separates us? We weren't there at the beginning. After Liu Banxia came out, Liang Xiaolin asked.

"It involves the privacy of the patient, and it is inconvenient for me to disclose it to you. Liu Banxia said seriously.

Liang Xiaolin blinked, what is the situation?

"Foreign body, the patient is a little shy. Wei Yuan said with a smile.

Liang Xiaolin understood, and she was also a little depressed. I thought it was a big deal, but it turned out to be this.

"Dr. Liu, the test results of this patient have just come out. At this time, Xu Dan walked over.

Liu Banxia took a look and walked up to the patient, "See, you can't have calcium and vitamin D, and your electrolyte levels are also a little low, all of which are caused by your excessive dieting." ”

"Although the film hasn't come out yet, the lightest is a bone crack, and if it doesn't work, it's a fracture. If you continue to over-diet, you may break a bone in the future. Your current skeletal standards are the same as those of an old lady in your sixties and seventies. ”

"Doctor, is it really that serious?" the patient asked with a wry smile.

"Can I still tease you?" Liu Banxia said.

"Now you guys are playing very well on the Internet, you can check the value yourself on the Internet to know what's going on. No matter what you want to do, you must do it under the premise of being able to ensure your health. ”

"Okay, then I'm not going to lose weight, so let's leave it at that. It didn't have much effect, and it made me suffer a lot of crimes. The patient nodded.

"Then don't overeat, your gastrointestinal function must be declining now, you still have to take your time. Liu Banxia said.

"We can't go from one extreme to the other, and I found that you're not particularly fat, why are you abusing yourself so much?"

"My ex-girlfriend thought I was fat and broke up. I can't help it, I eat and I grow meat. The patient said.

"Let's watch the film later, just in time I'll call the orthopedic surgeon over again to see how to get it. Liu Banxia nodded.

This is the situation where there is no cure, and turnip and cabbage have their own love. Anyway, he looked at the guy, although he was a little fat, and he looked quite well-proportioned.

"Oh, Angkor, why did you come so quickly. After waiting for a while, Wu Mingyu, the attending doctor of orthopedics, came over, and Liu Banxia greeted him warmly.

"You too, don't you have to call me if you deal with it yourself. Is the film out?" asked Wu Mingyu.

"It should be soon, there is a patient with suspected intestinal obstruction, and the film can almost be produced together. Liu Banxia said.

"Brother Ang, let me tell me, who is coming to the orthopedic department? I heard our Director Zhou say that it seems that the list has been almost determined. ”

"If there is one of me, I don't know about the others. Wu Mingyu said with a smile.

"However, our orthopedic doctors will come back after the new building is put into use, and for the time being, it is still mainly calling. Now there is not such a large number of patients in the emergency department, and it is a waste to come too early. ”

"Haha, that's good. As Director Xu's protΓ©gΓ©, it would be appropriate to have Angkor in charge. Liu Banxia said happily.

"You kid, let Director Xu never forget it. That's the piece you brought over, right?" Wu Mingyu asked.

Liu Banxia looked up and saw that Xu Dan was trotting over.

After taking the film handed over by Xu Dan, Liu Banxia checked the foreign body patient first, and sighed in his heart, "Brother Wei, I'm afraid I have to go on stage." The nib of the pen compresses the intestinal wall, almost avascular necrosis. ”

Wei Yuan took the film and glanced at it, and nodded, "You're not coming?"

"I'm lazy, Qingkova follows Dr. Wei. Liu Banxia said.

"Ah...... , Dr. Liu, why did you drive me away?" asked Qingkova very unhappily.

Amused the big guys, Liu Banxia looked at her helplessly, "Isn't this a chance for you? Do you think intestinal repair or intestinal resection surgery is really so easy to encounter? ”

β€œOK。 Qingkova replied happily.

"Okay, whoever follows you for an internship won't lose anything. Wu Mingyu said with a smile.

"How do you get this? I don't think the displacement is very big, is it surgery?" Liu Banxia handed over the fragment of the fracture patient again.

Wu Mingyu took the film and took a look, "The displacement is not big, conservative treatment is fine." Reduction, fixation, observation of blood flow for a day is not affected, and then a film is taken. I'll leave it to you?"

"No, you've come over, I'll have to learn the craft. Liu Banxia hurriedly said.

Ding!Daily Mission Complete (1/20)

Upon completion of the consultation, you will receive 30 XP points and 30 diagnostic skill proficiency points

Don't look at him now, he also has a certain understanding of orthopedic reduction, but that is also in the general situation. As high as the swelling today, his certainty is not very great.

After all, he learned this craft by relying on system strengthening, and in real terms, it is indeed a skin, and there are not many cases encountered. Unless he wasted some glory points in the dream space to simulate practice, it would be a real waste.

Wu Mingyu was really unambiguous, watched the film carefully, and then held the guy's swollen ankle.

"How is it? I just heard Dr. Liu say that he was abandoned by his girlfriend?

"Doctor, I know you're trying to distract me, but you can't use it...... Ah......h

As soon as he was halfway through speaking, the guy just shouted.

He said it when he looked at Wu Mingyu, and Wu Mingyu was also looking at him, and he had to stare at his ankle when he wanted to give himself a straight bone. Where did you think that Wu Mingyu would come directly so suddenly, it was really heartbreaking.

"Put a cast on the cast, and prepare for the recovery period of at least about three months. Wu Mingyu said.

"Doctor, do you want to, take so long?" the guy wiped the sweat from his head.

"And that's if you're able to replenish your nutrients quickly. The calcium level in your body is too low, don't abuse yourself so much in the future. Wu Mingyu said.

"Hey...... That's it. The guy said with a wry smile.

"After working hard Angkor, we can take care of the rest. Liu Banxia said with a smile.

"Okay, call me if you have something after filming. Wu Mingyu said.

"Morita, we've already made it clear to the patient. The patient's family is on their way here, and we are ready to go on stage. At this time, Wei Yuan shouted.

"Okay, there's me and Dr. Liang here. Liu Banxia said.

Sometimes it's just so helpless, normally the young man is an enema can almost solve the problem. It's fine now, but I still have to have surgery.

It's also that the young man is a little too back, and if it's something else, sleeker, it may be nothing. It was because I didn't want to come to the hospital for fear of being embarrassed that I had such serious consequences.

"Doctor, can you take another film later? I'm feeling sick right now. At this time, the fat guy lying on the bed said a little uncomfortable.

"What kind of disgusting? Do you want to vomit?" asked Liu Banxia with a frown.

The guy nodded.

"Come, sit up first and see, it may also be caused by your dieting and weight loss, don't you dare in the future." Liu Banxia helped the guy sit up.

"Doctor, I want to ...... ...... vomit"

The guy was halfway through speaking, his face was distorted, and he vomited out of his mouth with a mouthful of blood. But it wasn't just this one, he vomited several times in succession, and the bed was full of blood.