264 A wave is not settled, and another wave rises
(Thanks to friends for their encouragement)
As a frequent driver, driving can be boring. No matter what kind of car you drive, what is the point of driving for two or three hours a day?
But what about beginners who are just learning to drive? Now Liu Banxia is a serious novice, serious and passionate.
Before he got on the expressway, his speed had reached the normal level, and he occasionally overtook a small car.
Let Wang Xiaoyan and Jiaojiao, who were sitting in the back, look at each other, can people really be so powerful?
Is it a person to put aside first, Liu Banxia is really beautiful. After getting on the fast road, I pressed the accelerator down again.
It is said to be an expressway, but it is actually the ring highway of Binhai City. The speed limit is 100, and Liu Banxia walked at this speed when he was driving.
I also have to say that a good car is not ordinary, and the speed is really powerful. Liu Banxia felt that if he stepped deeper, jumping up to one hundred and eighteen, two hundred, it would be very easy.
There is no such indiscriminate drag racing that is often encountered in film and television works, he drove all the way to Lin Yushu without incident, and carried Qiao Qiao into the house and put him on the bed, and rubbed the jelly beans by the way, and then he left.
According to his thoughts, he actually wanted to take a taxi back to the hospital. It's just that today's driving is in full swing, so let's borrow Qiaoqiao's car rudely first. Otherwise, even if it is called Didi, it is estimated that it will take about 40 minutes to send a car here.
This is a serious rich area, and two or three cars are standard for a family. Including the garage and the parking space outside, there are four.
"Yanzi, why are you paying attention, do you want to get Qiao Qiao together with Dr. Liu?" asked Jiaojiao with a smile.
"Hehe, this stupid girl doesn't know about herself, in fact, she can't remember Dr. Liu. And then, she treated her as a buddy. Wang Xiaoyan said.
"This girl is still asleep on the road, and you say that if she is half drunk and half awake as usual, how fun it would be to come home and take off her clothes. ”
Jiaojiao was also happy, "Yanzi, you knew Dr. Liu earlier, so do you think Dr. Liu has feelings for Qiaoqiao? Actually, our Qiaoqiao is not bad, to be beautiful and beautiful, to have wealth, but the temper is almost and the education is low." ”
"I don't know, let's get them together first. Wang Xiaoyan said.
"I've also observed, and the most threatening ones at the moment are Linlin and Qingkova. According to Western life, when Qingkova is tempted, Dr. Liu will be able to resist it. ”
"Linlin, it's a more subtle type, but it doesn't seem to have that idea about Dr. Liu at the moment. As for Dr. Liu, you haven't noticed it yet, this is a straight man of steel. ”
"But it's a shame, otherwise their hospital wouldn't be in a mess. So this is Jojo's chance, and it's hard to find it if you miss it. ”
"Hey...... , Dr. Liu is a straight man of steel, and Qiao Qiao is also a straight woman of steel, and it is more difficult to get these two together. Jiaojiao said with a wry smile.
Wang Xiaoyan glanced at Qiao Qiao, who was sleeping soundly with jelly beans in her arms, and she was also full of powerlessness, and Qiao Qiao never played cards according to serious routines.
Liu Banxia's car here was quite enjoyable, and it took less than an hour to drive to the second courtyard.
"Boss, I'm back, what's the situation?" asked Liu Banxia.
"It's nothing, not even the drunk. Then I'll leave first, and I'll have to get some sleep when I get home. Shi Lei stretched.
"Doctor Liu, you've been out for a day, didn't you bring us anything delicious?" Xu Dan asked pitifully, followed by Xu Yinuo and Liu Yiqing, who were on duty.
"If I tell you that I can't come back, you won't believe me. Do you eat fruit?" Liu Banxia said.
"Hey, we've eaten a round. Actually, I want to eat ice cream, and I'm afraid that I will eat a lump in my stomach. Xu Dan said with a smile.
"Then buy you some fried chicken? Our new restaurant project, I heard them say it tastes good. Chicken cutlets, chicken nuggets, sweet potatoes and so on. Liu Banxia said with a smile.
Hearing his words, the three girls were a little worried. Fried chicken is delicious, but you'll get fat after eating it.
I also know that the restaurant has a new snack like this, which is to meet the requirements of foodies. But in addition to eating in groups, I'm really embarrassed to order it myself.
"I fought hard, I had to eat. After hesitating for a while, Xu Dan gritted his teeth.
"Haha, call directly with the other side to order, come for two hundred yuan, otherwise it won't be enough for the big guys to eat, everyone will try it, don't expect to be full." Liu Banxia said with a smile.
This girl is not polite to him, and it can be regarded as his habit of inviting everyone to eat during this time. I will buy some every once in a while. There are not many people on the night shift in the emergency department, and dozens of dollars can be eaten, and some high-end ones can be done for one or two hundred yuan.
"Mr. Liu, are you looking forward to the new office building? It is said that you will be able to move in about half a month. Xu Hui, who came over, asked.
"Hey, the original plan has passed now, and I'm really looking forward to having more friends, and saving us from calling back and forth for consultation. Liu Banxia said.
"Satisfied, we are using new equipment, and the people in the inpatient department are too hungry. Wei Yuan answered.
"Haha, I'm actually looking forward to it more. At the very least, we can easily do bedside X-rays, saving the patient from having to run back and forth. Liu Banxia said.
"Morita, hurry up and change your clothes, there is a car accident patient who will be sent over immediately. The abdomen penetrated wound, which was supposed to be sent to the city hospital, has been in hemorrhagic shock and is turning towards us. At this time, Zhou Li shouted.
"Hurry up and prepare five bags of O-negative blood, notify the operating room to prepare, and call Dr. Shi to come out. Liu Banxia hurriedly said.
These people, who were originally very relaxed, suddenly became nervous, hemorrhagic shock, and if the rescue time was delayed, the final result would be the loss of life.
Liu Banxia, Shi Lei, and Wei Yuan also put on disposable surgical gowns and gloves and waited outside the waiting hall.
In less than five minutes, the ambulance stopped firmly in front of the door.
"The patient is a 27-year-old male. Impact injuries from a car accident, puncture wounds and lacerations to the abdomen from a barrier railing, and part of the bowel is exposed. He is currently in a coma, with a blood pressure of 50/70 and a heart rate of 100. On-site intubation, blood and fluid replacement, and family members reported no medical history. ”
"You must save Dongzi, save Dongzi. A young girl who came with her cried out heartbreakingly.
"Rescue a room, see if you can find the bleeding point to temporarily stop the bleeding and buy time. Families are behind. Liu Banxia said.
The current patient is pale, short of breath, and has a weak pulse, which is indeed consistent with the symptoms of hemorrhagic shock. It's just that there is a lot of gauze stuffed on the wound on his belly now, and it is impossible to judge for the time being.
"One, two, three, lift. Connect the monitor, and open another meridian channel to quickly expand the capacity for fluid rehydration. Rapid preoperative blood test, blood crossmatching, Dr. Shi did abdominal ultrasound. Liu Banxia said.
"In the middle of summer, my abdomen was filled with a lot of fluid, and I couldn't see anything clearly. The bleeding point can only be found as soon as possible by laparotomy on the spot, and I suspect that the patient may still have intestinal perforation and sepsis. Patients have a very low temperature and may be acidostic. Shi Lei said after an ultrasound examination.
"Okay, let's do it together. 150ml fentanyl, and then go to get some blood, I'm afraid I won't be able to make it to the operating room. Liu Banxia said.
"I'll open my abdomen in a while, and if my spleen ruptures, it will be repaired by Dr. Shi. Dr. Wei looked for the rupture of the bowel and I looked for the rest of the bleeding spots. Xu Yipromise to do a good job of suctioning, Liu Yiqing will bring another one, and you will do it together. ”
After finishing speaking, Liu Banxia also wiped the patient's abdomen with iodine, and after looking at Shi Lei and Wei Yuan, the scalpel cut down directly.
Liu Banxia is no stranger to such a scene, and the patient who stopped the bleeding with his bare hands at night is similar to the current patient. It's just that today's patient is more dangerous.
The patient had just been bleeding and was pinched by Liu Banxia, but this time the patient had been bleeding for some time and had reached the point of hemorrhagic shock.
As his knife slashed, Shi Lei and Wei Yuan, who had already prepared, directly opened their abdomen. A large stream of blood flowed from the open position to the bed.
"The spleen on the right side is fragmented, and the colon is about three centimeters torn. Hurry up and puff up. With just a glance, Liu Banxia shouted.
Xu Yinuo and Liu Yiqing, who were stunned for a moment, began to operate.
"There's too much bleeding, I'll touch it first. After a few seconds, I didn't see much less blood, Liu Banxia hurriedly said.
Wei Yuan on the side had already directly taken out the patient's intestines, and he needed to deal with the split intestine he had just seen, and also to see if there were any bleeding spots on the mesentery.
"The splenic artery ruptured and has been pinched out. Liu Banxia touched it for nearly two minutes, as he thought, with such a large amount of bleeding, the splenic artery had ruptured.
"There was no significant increase in the patient's blood pressure. Zhou Li, who had been staring at the monitor, said.
"The surgical field can be seen, and I will ligate the splenic artery. Shi Lei then shouted.
After Shi Lei started the operation, Liu Banxia carefully felt the flow of the newly accumulated blood in his abdomen. My heart chuckled suddenly, although it was very weak, but it seemed to be coming in the direction of the pancreas.
"It should be superior mesenteric artery bleeding, but the tear should not be very big, how is the blood pressure now?" Liu Banxia said.
"Blood pressure rises, 60/90, heart rate 100. Zhou Li's tone was full of joy.
The big guy let out a sigh of relief, and finally stopped the bleeding. Now, as long as these bleeding points are ligated, the patient can be pushed into the operating room for resuscitation.
Liu ...... Dr. Liu, patient pH, 7...... 7.1”
Just when everyone was the happiest, Xu Dan, who was out of breath, ran over and raised the inspection report in his hand.
All the hearts of all the people chuckled again for a moment, acidosis. It's really a wave of unsettled, wave after wave. 7.1, which is already very high.