(Thanks to my friend for the encouragement of the silly monthly pass)

After returning from dinner, Liu Banxia's mood was also a little unbeautiful, and he was still worried about the job transfer task. Just like he had thought before, he was still worried about whether the difficulty would increase a lot when he was at level sixty or eighty.

It's not the time to get the system, it's easy to level up back then, it's only been a long time, and it's about to reach level 40. In the future, as the experience of leveling up increases, the amount of experience gained by doing tasks decreases, and it becomes more difficult to level up.

And just like today's patient, according to his understanding, it can be regarded as a line of incurable diseases. It is difficult to make a definitive diagnosis, and it may take a long time to get a diagnosis without talking to the patient.

But in the eyes of the system? It's just a routine small task. Because the patient's indications are actually quite clear, but he did not diagnose them all at once.

Therefore, the difficulty of receiving the treatment is not based on his understanding, but on the judgment of the system, which is why he is not given additional tasks.

With the improvement of my diagnostic skills again, I am afraid that ordinary reception is enough to increase my skill points.

"Banxia, ready to receive treatment. Car accident patient, family of three. The husband and son are in an emergency, and the wife is fine for the time being. Liu Banxia was still pondering, and Wang Ying walked over.

"Sister Wang, help me call Doctor Shi and Wang Chao, be safe. The rest are ready to be treated. Liu Banxia said.

The patient's condition is not very clear, and he does not know the extent of her husband and son's injuries. Wang Ying used urgency, it is definitely not as simple as a small bump.

After waiting for more than ten minutes, the ambulance stopped in front of the waiting hall.

"The patient was 41 years old with a blood pressure of 60/90 and a heart rate of 110. He was in a coma after a car accident with a head impact and a fractured left arm. Said the first responder pushing the gurney.

"Rescue room, Doctor Shi, you can take over the next patient with Wang Chao. After Liu Banxia said a word, he pushed the gurney and ran to the rescue room.

"Doctor, you must save him, if he falls, we will not be able to live. The patient's wife who followed up said anxiously.

"Does the patient have a medical history??, diabetes, high blood pressure, heart disease?" Liu Banxia asked quickly.

"No, none. The patient's wife hurriedly said.

"Wait outside, I'll call you if necessary. One, two, three, lift. Liu Banxia said.

Xu Yipromise to pay attention to protecting the airway, Xu Danlian monitor. Routine blood tests, blood biochemistry, cross-blood tests, mobile ultrasound, defibrillator preparation. An intravenous line is opened, fluids are given, and two bags of O-negative blood are prepared. ”

With that, he began to examine the patient's head injury. It's just a simple impact injury, and a few stitches are all that will do. Whether there is any brain damage or not has to be determined by CT.

After checking the abdomen with his hand, Liu Banxia frowned, the patient's blood pressure is also low, coupled with the touch on his hands, it is not good that there is already internal bleeding.

"The intravenous access is opened, and the fluids are started. ”

"Blood pressure was 60/90, heart rate was 110, and blood pressure didn't improve. ”

"When the blood bag is sent over to replenish the blood directly, I will check my arm first. Liu Banxia said.

The patient's left arm is twisted outward, so you can imagine how hard the impact was when the car accident occurred. After Liu Banxia carefully touched it with his hand, his brows furrowed even tighter.

"Called an orthopedic surgeon for consultation, there were two fractures in the distal radius that needed to be surgically repaired. Liu Banxia said.

If it was just a simple fracture, Liu Banxia would be able to deal with it, do a bone reduction, and then put on a plaster cast. However, this patient's fracture is not what he can fix now, and it is okay to have hard surgery, but it is not qualified.

At this time, the mobile ultrasound was also pushed over, Liu Banxia did not dare to delay, and began to do the examination after applying the couplant.

"There is a small amount of fluid in the abdomen, and judging by the indentation of the steering wheel in the patient's abdomen, there may be internal bleeding. Liu Banxia continued.

"After blood supplementation, the patient's blood pressure increased, 80/100, heart rate was 105, and vital signs tended to be stable. Xu Dan, who has been paying attention to the monitor, said.

"That's good, make an appointment in the operating room, take the patient for an urgent X-ray, and then go straight to the operating room. Liang Xiaolin and Xu Yinuo followed, bringing an intubation bag. Liu Banxia said.

His heart is somewhat calmer, and even if there is internal bleeding, it seems to be under control for now. It is definitely too late to do a CT scan, but taking a picture of the broken arm will save the patient a second operation.

"Sister Wang, how is the other patient?" asked Liu Banxia after walking out of the rescue room.

"There are no external injuries, just say that my stomach hurts. The ultrasound was not very clear, and Shi Lei sent it for CT. Wang Ying said.

"I heard a quarrel outside just now, what's going on?, why haven't the police left yet?" asked Liu Banxia curiously.

"Hey...... , this one is also quite difficult. What they mean is that the patient you just received just now rushed into someone's store for some reason. Wang Ying said.

"Fortunately, no one was injured in the store, but the door of the store, the counter and the goods inside must also need someone to pay for it. Now we need our blood test results to see if it is drunk driving or drug driving. ”

"I heard from the police that I had to wait for the test results of the car to see if it was because the car broke down. However, the patient's wife said that she just drove the car and then hit the steering wheel, and the accelerator pedal was still very large. ”

"Okay, I'll go to the operating room to prepare first, let the patient's family also wait at the door of the operating room, and I will communicate with her if necessary. Liu Banxia said.

This is really a bad thing, but in Liu Banxia's subjective point of view, there should be no such irresponsible person, with his family in the car.

Of course, the specific reason why the patient drove the car like this has nothing to do with the hospital, no matter what the reason is, he has to treat the disease and save people.

But now that the patient's wife is here, it is his wife who can give the patient's permission to perform the surgery next.

The four people he brought into the operating room were Liang Xiaolin, Qing Keva, Liu Yiqing, and Xu Yinuo, these four female generals. The other four were also instructed to come directly to his operating room if the little patients on Shi Lei's side did not need surgery.

It's also about communicating at any time, so that they can all learn. Otherwise, if so many people continue to pour into an operating room, there must be people who can't see clearly.

"Ah, it's Brother Wang again. After brushing his hands into the operating room, he saw that it was still Wang Lei, and Liu Banxia was happy.

"What is the specific condition of the patient?" Wang Lei asked.

"There should be internal bleeding, but now that my vital signs are stable, I will send him for an X-ray first. I have a broken arm, and I try to do all the surgery. The results of the blood test will be sent in a moment," Liu Banxia said.

Wang Lei nodded, "It's pretty much the same, otherwise the data is not comprehensive, and my work here will be too difficult." ”

As he spoke, the patient was pushed in.

"Teacher Liu, after the X-ray, the patient had difficulty breathing and was intubated. Xu Yinuo said.

Liu Banxia nodded.

"Doctor Liu, what do you need me to do?Internal fixation?" At this time, Wu Mingyu, the chief orthopedic officer, also walked in.

"The X-rays that just came out, you can take a look. If there is a small problem, I won't bother you, just reset and put a plaster cast. Liu Banxia said.

"In the middle of summer, the patient's blood sugar is a little low, you have to pay attention to it. Wang Lei said.

"Liu Yiqing, the possible reason for low blood sugar. Liu Banxia asked.

"Functional or hepatogenic, as well as pancreatic and other endocrine diseases. Liu Yiqing hurriedly said.

Combined with the patient's examination report, the possible cause of the patient's hypoglycemia was determined. Liu Banxia asked again.

"I think...... I think it's pancreatic or endocrine. Liu Yiqing hesitated slightly.

"Then let's have a stomach and see. Xu Yipromise to make preoperative preparations, the first assistant, Liu Yiqing's second assistant, and the two of you observe. Liu Banxia said

Xu Yinuo is very excited, this is a serious help. Although Liu Banxia also did a helping hand when he had surgery a few days ago, the feeling of this emergency patient today is different.

The abdomen is opened layer by layer, and the entire abdominal cavity is exposed to the field of vision.

"A small amount of bleeding and oozing in the abdominal cavity was seen, and after exploration, it was found that there was a perforation of the duodenum and a slight injury to the tip of the pancreas. It is judged that the possible cause is caused by the impact, which is consistent with the position of the steering wheel indentation. Liu Banxia said after checking it.

"Duodenal perforation repair and partial pancreatectomy were performed, while the pancreas was examined for tumors. When I'm ready to do the ligation, I'm ready to rinse and suction. ”

After Liu Banxia finished speaking, he began to operate.

This is not the first time he has done intestinal repair, and this patient is also lucky, although this time he was injured and caused duodenal perforation, but his pancreatic damage is not very serious.

If the pancreatic damage also becomes severe, then a pancreaticoduodenectomy will be necessary, which is a major surgery. It was also the operation that Wang Xingxing did, and Liu Banxia may not be able to survive it himself.

After flushing the intestines and abdominal cavity, Liu Banxia directly sutured them. If there is a tumor or cyst in the pancreas, it will be checked later.

Liu Banxia's suturing skills have improved, and even he himself has a very enjoyable feeling after suturing this time. In less than twenty minutes, this piercing repair was completed.

Even though Liang Xiaolin and the others have watched Liu Banxia's stitching countless times, they have a pleasing feeling every time they look at it. Because Liu Banxia not only stitched fast, but also stitched well.

"Dr. Liu, the stitches are beautiful. Wu Mingyu, who was watching from the sidelines, said.

"Thank you Dr. Wu for the compliment, mainly because the piercing is not complicated this time. Now let's check the islets, and I think it may be that the islets are in condition, which is causing the patient's hypoglycemia. ”

"At present, the results of blood tests have ruled out alcohol racks and drug driving, and the most likely cause is that the patient has a physical condition that causes the patient to suddenly fall into a coma. ”

Liu Banxia was very careful when he inspected it, and he didn't let go of even a little bit. But after examination, he found nothing.