(Thanks to my friend Cool Wolf, Shu Qianji, Book Friend 20180602234327808, Northern Night Wolf, Book Friend 150512195143202, zwf1987127, Jiaqi in the Sun, Attack on the Clouds, Book Friend 121025081245993, ziluo134, and Social My Drag Master Monthly Pass Encouragement)

For today's three cases, the medical staff of the emergency center talked a lot. This is Liu Banxia's debut after resuming work, and it is still so successful.

However, Liu Banxia didn't take it too seriously, and just observed them separately during the night rounds. The three of them were in very good condition, especially the guy who received the last consultation, who slept soundly.

In fact, this is also the fun of ward rounds, seeing that patients are properly cared for, a little bit of recovery, for every medical staff will also have a good mood.

Of course, it is not possible for every patient in the ward to be like this, and there are some patients who are seriously ill.

Meimei slept all night, and it could be regarded as taking care of him, a "wounded", so she didn't come over so early to call him to take up the post.

In fact, this is also a conscience account, and the longer and shorter ones depend on the relationship between each other. The relationship is in place, and it is not a matter of half an hour and a half late. What about the relationship not in place? A minute is also a contradiction.

"You're a good kid, and when you come back, you make such a big move, I've heard about it at home. Shi Lei, who came to work in the morning, said.

"No, I didn't save the patient. Liu Banxia said.

"It's the one Director Xu invited you to consult. I just saw the case and was almost able to do it this afternoon, and my health is not as bad as we thought. Shi Lei said.

"It's okay, you'll have to do it anyway, in fact, my hands are really itchy. But the stitches have to be removed the day after tomorrow, and I have to continue to boil it. Liu Banxia said.

"It's a good thing that you don't get off the operating table, which proves that our emergency center can still be busy, and there aren't so many emergency patients to be rescued. Shi Lei said with a smile.

"But I glanced at it, and it seems that there are a lot of people waiting for you to have a small incision appendectomy, and it seems that you have really become the little prince of the appendix. ”

"Laugh, laugh, compared to the boss, your little prince Aiju, I'm still short of the fire. Liu Banxia said seriously.

"Fuck off, I won't work for you next time. Shi Lei glared at him.

Liu Banxia is not afraid at all, the relationship between the two is very "complicated". It is a master and apprentice, a friend, and a brother. In fact, if you make trouble with Shi Lei, you can increase your feelings.

Wei Yuan can also do the surgery for the patient with celiac artery compression syndrome, but the first thing he thinks of will be Shi Lei.

After the idle talk, you have to get into the intense work. As a surgeon in an emergency center, in addition to handling the surgeries you arrange, you must also be ready to take emergency patients at all times.

Some patients are small here, and some are really emergency. There are a lot of patients, and Liu Banxia can't watch the excitement, so he has to follow the treatment.

"I see that when you registered, you complained of a cold?" asked Liu Banxia.

The girl sitting across from her nodded, "It's been a few days." But I'm busy revising for exams? Want to boil it out? It's a little hard today. ”

Liu Banxia nodded, "I need to give you a physical examination?" Including auscultation, blood pressure, body temperature? Only then can the next judgment be made. ”

This must be made clear to the girl, and it is also because she is too busy today? Otherwise, he would call Liu Yiqing or promise to come over for a physical examination.

"Teacher Liu, is your body temperature very high? 39.2 degrees. Low blood pressure? 60/80。 The nurse hurriedly reported after the examination.

Liu Banxia, who was auscultating, frowned, he also heard a faint "crackling" sound when he was auscultating his chest, and he couldn't figure out that the patient's chest cavity was accumulating.

"Doctor, I have a bad cold. "Isn't it very good to see Liu Banxia's face? The patient hurriedly asked.

Liu Banxia hung up the stethoscope? "You're not just having a cold right now, are you always feeling tired lately?"

The patient nodded, "Isn't that what happens when you have a cold? ”

"Do your legs also feel a little swollen?" Liu Banxia asked again.

The patient looked at him, "A little bit, really?" It's only been in the past two days. ”

"Roll up your trousers and I'll see. Liu Banxia said? I sighed in my heart.

The patient rolled up the trouser tube, and Liu Banxia pressed it casually on her leg? A small pit was left behind.

"High fever, pitting edema, fatigue, low blood pressure, plus your chest auscultation suspects fluid buildup? I judge that you may have a problem with heart function. Liu Banxia said.

"Your blood pressure is so low? Doesn't it look like it's caused by anemia? This means that your heart is not pumping enough. In layman's terms, the heart is not fully operational, and there is only less than half of the usual work efficiency. ”

"My next diagnosis is to give you a heart ultrasound to see how your heart is doing. And then I'm going to call the cardiologist to come and consult with me, he's the one who is the expert in this area, okay?"

"Okay, thank you, doctor. Listening to Liu Banxia's slow and logical words, the patient's nervousness eased slightly.

"Xiao Wang, call someone to push the mobile ultrasound over, and then help me call Director Meng in my heart. Liu Banxia looked at the nurse and said.

"Okay, I'll go. Xiao Wang answered the doctor and ran out.

"You lie down slowly on the consultation bed first, how long have you felt like this?" Liu Banxia asked the patient again.

"It's been four or five days, right? I've been so busy reviewing my homework that I haven't paid much attention. The patient said.

"Generally, heart diseases require hospitalization for observation, can you contact your counselor or class teacher?" Liu Banxia then asked.

"Huh, do you still need to be hospital......ized? What should I do with the exam?" the patient was a little anxious.

"Don't worry, there should be a few days left before the exam. Any school recognizes the sick leave I prescribed, and I can also help you communicate with the school. Let's see if you really miss the exam, you can't count as a failure. Liu Banxia said comfortingly.

He didn't dare to make the patient too excited, and now he has symptoms of heart failure, and if he is too excited, he is likely to have a heart attack.

At this time, Meng Qingfan, the deputy chief physician of the heart, and the nurse walked in with a mobile ultrasound, and Liu Banxia came to Meng Qingfan's side and whispered the basic situation of the patient.

"Let's do an ultrasound first to see what the heart is like. Meng Qingfan said.

"This is the deputy chief physician of our hospital, an expert in cardiology. Liu Banxia introduced the patient again, the purpose is to stabilize the mood.

The patient nodded, still very cooperative with the examination.

Looking at the image displayed on the monitor, Meng Qingfan frowned, "The left ventricle is a little distended, and the movement of the ventricular wall is very weak. Go on the monitor, the heart is beating weakly. ”

"The initial thought is heart failure, which is very uncommon depending on your age. It may be caused by thyroid imbalance, kidney disease, viruses, etc., and further tests are needed. ”

The patient breathed a sigh of relief, although there was something wrong with the heart, but it was not that the heart could not work, but that it was caused by other reasons.

"Didi...... Didi Di ......"

At this time, the monitor screamed frantically.

"Ventricular fibrillation, push the defibrillator, charge 200 joules. 1 unit of adrenaline, I'll press the heart. Liu Banxia shouted.

"Teacher Liu, the charge is complete. ”

"Leave the hand"

"Smack"

"Charge 200 joules"

"Leave the hand"

"Smack"

"Well, there's a pulse and a heartbeat. Liu Banxia, who put down the electrode plate, wiped his sweat.

"Let's send it to the catheterization lab first, I guess there is a blood clot. In the cath lab, I did a detailed examination, and it was estimated that it was viral myocarditis. Meng Qingfan said.

Liu Banxia nodded, didn't talk nonsense, and ran out directly with the nurse pushing the patient.

The patient's condition is only temporarily improving, and if he does not intervene immediately, he will still develop ventricular fibrillation. And if it's really viral myocarditis, the next treatment will be troublesome.

Ding! Patient reception is done

Gain 200 XP and 200 Diagnostics Skill Mastery

It's really not like jumping out of danger or anything, and after returning to the reception hall, Liu Banxia sighed in his heart.

"Teacher Liu, do you still have patients? If not, help me take a look. Before he could wait for the consultation room, Xu Yinuo called him.

Liu Banxia nodded and came directly to the side of the bed.

"Mr. Liu, the patient took the initiative to seek medical treatment after a fall. There was a laceration on the leg and pain in the back. Xu Yinuo said.

"What do you need my help with?" asked Liu Banxia.

"Can you help the patient look at his back? The patient was diagnosed with breast cancer two years ago, had chemotherapy, and is now recovering well. However, due to the nerve damage caused by chemotherapy, walking can sometimes be a little laborious. Xu Yinuo said.

Liu Banxia frowned, "Do you judge that it is a spinal injury?"

Xu Yinuo hurriedly nodded, "The patient said it was fine, but I didn't feel at ease." She didn't want to do an instrumental check, so she ...... So ......"

After saying this, I can't go on with a promise.

Liu Banxia didn't know what to say, this girl regarded herself as an orthopedic X-ray, and she hoped that she would touch her bones to help make sure.

It's also because this girl cares about patients, but things can't be done like this. This is a female patient, and if it is really a spinal injury, it needs to be carefully touched to find out.

"If you suspect a spinal injury, you still need to take an X-ray or CT to see it clearly. After this fall, did you feel more pain in your back?" asked Liu Banxia.

The patient frowned slightly, "It seems to have some pain, but it's not particularly painful." If the spine is really injured, doesn't it have to hurt my heart?"

"It doesn't have to be, it still depends on the extent of the damage. How long have your legs been inconvenient?" Liu Banxia asked again.

They said that the pain in my back was also neuralgia caused by chemotherapy, but it wasn't too bad. The patient said.

Liu Banxia frowned, "I have the same opinion as Dr. Xu, but I don't recommend X-rays, but spine CT, which can see more clearly." ”

"Although you have been diagnosed in other hospitals, you have back pain and leg mobility, so we need to consider it due to a spinal injury. Make a promise, this is my guideline, you can discuss it with the patient. ”

With that, he walked out.

This is a test of promise, and such a patient always needs to solve it herself.