(Thanks to my friends for encouraging me to start and extinguish myself, Eagle Flying Eagle Monthly Pass)

"How's your condition? If it's in a lot of pain, tell the truth, don't put up with it. ”

Liu Banxia came to the bedside of the appendicitis guy.

"It's not...... It hurts. The patient said with a struggle.

Liu Banxia frowned, he received Zhou Qian's notice and felt that the patient's condition had deteriorated. Although the patient now vehemently denied it, the look on his face betrayed him.

"Are you kidding with your own life? If you do get a piercing, you're not far from death. Let's do another ultrasound. Liu Banxia said.

The patient looked at him, and although he still didn't want to do it, he lifted his clothes.

Liu Banxia did the ultrasound again, looked at the displayed images, and sighed in his heart, "If you stay up for another half an hour, it is likely to be perforated." At that time, even if the surgery is successful, your risk is high. ”

"Look at this is your current appendix, this image is the appendix you swept out when you first came, you compare it yourself, it's really too dangerous. ”

This is Zhou Qian's timely discovery, otherwise the result would be really difficult to say.

"Wang Chao, appendicitis is suppurating, make an appointment in the operating room. Liu Banxia shouted.

"Doctor, can't you wait any longer?" the patient asked.

"Wait any longer? It's too late to wait, and you'll probably end up in the ICU. Liu Banxia said calmly.

The patient opened his mouth, I don't know why, Liu Banxia said so calmly, but it made him feel a little scared.

Ding! Completion of the consultation

Gain 100 XP and 100 Diagnostics Skill Mastery

He doesn't need to take care of the rest of the things, Wang Chao will take care of it. Whether it is a laparoscopic or normal incision, the patient can choose one.

He was really disappointed in this patient, he had already made it clear and told him about the corresponding dangers, but he still wanted to "mix" with it.

Who's fooling? It's not the doctors, it's the patients themselves. The price to be paid may be his life.

"Mr. Liu, a car accident patient will be sent soon, and a chest tube has been inserted on the spot. At this time, the dispatch nurse shouted.

"Liang Xiaolin and I are ready to receive a consultation, notify the cardiologist, and prepare 2 units of positive blood type O. Liu Banxia shouted.

The patient's condition should be critical, or the chest tube would not be inserted on the spot.

"The patient is a 19-year-old male who lost consciousness after getting into an ambulance. Blood pressure 7090, heart rate 130, left intubation. Said the first responder who brought the patient to the scene.

"Rescue the second room. Has the patient's chest been hit?" Liu Banxia said.

"It should be that the driver of the vehicle involved in the accident belonged to a wine rack and was taken away at the scene. The traffic police who followed him said.

"One, two, three, lift. Even the monitor, prepare X-rays, make an appointment in the operating room. After coming to the second rescue room, Liu Banxia said.

"How's the situation?" At this time, Chen Xuehai also rushed to the second rescue room.

"I was about to take an X-ray, and I guess I have broken ribs and a lot of internal organs. Liu Banxia said.

"Dididi, Didi......"

As soon as the monitor was connected, the machine screamed frantically.

"Blood pressure and blood oxygen dropped rapidly, and blood oxygen was 76. The nurse hurried to report.

"100 units of succinylcholine, 20 units of etomidate, Miao Rui was intubated, and the head and neck were examined. Liang Xiaolin opened the intravenous channel and immediately replenished blood. Liu Banxia said.

Hearing Liu Banxia's orders, Miao Rui and Liang Xiaolin took action.

Liu Banxia was not idle, and began to examine the patient in the process of their rescue.

"If you have a broken rib, do an ultrasound to see if there is any abdominal bleeding, and then take an X-ray. Liu Banxia said.

Chen Xuehai nodded, Liu Banxia's choice was correct, the patient's blood pressure just now dropped too fast. Even now that Liang Xiaolin has begun to replenish his blood, he has only lifted it up a little.

"Trouble, there is no fluid in the abdomen. Get out of the way and take X-rays. After the ultrasound scan, Liu Banxia became anxious.

Hearing his order, everyone retreated to the side. The doctor who controls the X-ray inserts the pad into the patient and takes the picture directly.

"The left side is blank, the mediastinal cavity is shifted to the right, hypertensive hemothorax. It's too late to go to the operating room, so open your chest on the spot. Open chest bag, 12 mm catheter. Chen Xuehai said, and hurriedly put on gloves.

Liu Banxia stepped aside, and that was what he was worried about just now.

If the patient's blood pressure drops suddenly, there must be something wrong with the body. If there is no fluid in the abdominal cavity, it means that there is a condition in the chest cavity. Now the patient's X-ray performance is very bad.

Chen Xuehai's eyes were solemn, and he also had a very bad premonition.

"Drip ......"

There was a long beep from the monitor, and Chen Xuehai also stopped what he was doing.

"Time of death, 9:42 a.m. When the pericardium was opened, it was found that the right atrium had detached from the vena cava. Chen Xuehai said.

Ding! Completion of the consultation

Gain 100 XP, 100 Diagnostics Skill Proficiency, and 50 Osteopathy Skill Proficiency

"Comrade policeman, please contact the family, and we will send it to the morgue after the stitching. After coming out, Liu Banxia said.

The traffic police nodded, but he didn't expect the change to be so fast.

Losing a patient is something that no one wants to experience, even if the patient is sent in an emergency, the meaning is almost the same, and the patient is still very young.

"Doctor Qi, what surgeries do you want to consolidate recently?" Just as he saw Qi Wentao finish treating the patient, Liu Banxia walked to his side.

"Hmm...... , intestinal side. Among the common surgeries, appendectomy and gallbladder removal should be fine, and the bowel surgery is slightly worse. Qi Wentao said.

Liu Banxia nodded, "Then the surgery in this area will be tilted towards you, and I will also take the interns with me when I do it, so that they can observe it more." ”

"Good. Qi Wentao nodded vigorously.

Now he has long since lost those previous thoughts about Liu Banxia, and in terms of work, he really has no choice. And in terms of business ability, Liu Banxia has thrown off him a lot.

Now Wang Chao likes Liu Banxia to watch from the side many times when he does surgery, and he can help him provide guidance.

In fact, for Liu Banxia now, such minor surgeries will be left to everyone, providing everyone with an opportunity to hone their skills.

"Mr. Liu, the operation was successful. It was really almost perforated, and the appendix wall was already very thin. At this time, Wang Chao walked over.

"Okay, the surgical capacity has improved, this time so quickly. Liu Banxia praised.

"The regular incision chosen by the patient is less cumbersome to deal with. Besides, appendectomy is also a reserved item in our emergency center, and it can't be disgraced to you. Wang Chao said seriously.

"Well, that's a good idea. To reward you, you can be on duty first and eat later. Liu Banxia also replied seriously.

Wang Chao glanced at him very resentfully, and couldn't resist yet.

"Just experienced first aid?" Seeing the patient's body pushed out of the second rescue room, Wang Chao frowned.

"The right atrium of the car accident patient was knocked out of the vena cava. There was no chance of rescue, and there were no vital signs after the open chest. Liu Banxia said.

Wang Chao nodded, although he hadn't seen the scene, he could imagine the situation at that time.

"These interns, you usually help me keep an eye on them, and technically they are still okay, but they have experienced too few things. No matter how much we can stay, we have to cultivate it well. Liu Banxia said.

"Actually, they're really good, anyway, I think it's much better than when I was with them. Anyway, you're also a doctor, so you can't blame me for everything. ”

"I'm a little nervous with them now, and they're all very good. Wang Chao said.

"So you've got to work harder, get less sleep, read more books, and have more surgeries. Liu Banxia said.

At this moment, the alarm indicator light representing the surgical ward came on.

"Oops, it seems like it's my patient. Wang Chao shouted and ran away. Liu Banxia did not hesitate and ran to the ward.

That's the benefit of the new system, otherwise it would have to be transmitted to the nurses' station first, and the nurses' station would shout again.

"What's the situation?" asked Wang Chao after running to the ward.

"Teacher Wang, the body temperature has risen to 39 degrees, and the blood pressure has dropped to 5080. Su Wenhao, who was in the ward, hurriedly said.

Liu Banxia lifted the patient's quilt and uncovered the gauze on the knife edge, "The wound is very clean, and there is no sign of inflammation." There was a stain on the bed, and it was not possible to get it out of the anus. ”

"Give oxygen, take blood, do blood biochemistry, do toxin and bacterial cultures, tell the lab to expedit. 2 g meropenem, 500 mg paracetamol, intravenously. Do cardiac ultrasound, abdominal ultrasound. ”

The nurses on the side immediately sprang into action.

"Mr. Liu, what's the situation? Is it infected?" Wang Chao was a little frightened.

Liu Banxia frowned, "It's not clear yet, your incision is handled very well, and there are no symptoms of infection and inflammation." ”

"But the patient's sudden high fever and sudden drop in blood pressure are also consistent with infection. Su Wenhao, how is the ultrasound of the heart and abdomen? ”

"Mr. Liu, the electrocardiogram, cardiac ultrasound, and abdominal ultrasound are all normal. Su Wenhao said.

Ding!Quest Release: Postoperative recovery patient from sudden infection

The patient fainted and was sent to the hospital, and after appendectomy, he had a sudden infection, and further diagnosis was required to determine the cause. Task rewards will be awarded based on the diagnosis results

Although a new task popped up, Liu Banxia didn't pay any attention. Now he's listening carefully to the patient's lungs and heart, and this sudden infection is a real fuck.

Now the patient's condition is slightly stable, but what is the reason why the patient cannot control the sphincter and expel the feces from the intestines?

It may also be due to fecal incontinence caused by a high fever infection, and the question comes back, what caused the infection?