Three emergency gastroscopes at once?

Zhang Tianyang's eyelids twitched violently a few times.

What's going on?

If you don't open for three years, you can eat for three years?

What's more critical is -

"How many doctors are on duty in the gastroenterology department? Three gastroscopes, is there enough manpower?"

Senior Brother Qiu Ming had already turned around quickly, got into the nearest gastroscopy room, and then turned on the computer and began to type on the keyboard.

"There are definitely not enough people!"

Quickly opened the doctor's workstation and typed in his account password, Senior Brother Qiu Ming took the time to explain to Zhang Tianyang.

"There is only one front-line doctor on duty in the gastroscopy room on the weekend, and under normal circumstances, it can be dealt with, but today is special, three sets, and he can't do it if he kills him!"

The interface had been opened, Qiu Ming quickly found the information of the three patients, and then smiled bitterly at Zhang Tianyang.

"I'm afraid I won't be able to leave. ”

"I'll stay too. ”

The cold Tang Zhizhi was expressionless, and sat down in front of another computer a little further in the room.

"The front-line doctors in the gastroscopy room should be able to deal with one, plus the two of you, it's really not good, and there are second-line and third-line doctors on duty, so I won't be in the way. ”

The chubby Senior Brother Long's face, which had been smiling a little, also showed a slightly serious look, "I'll go to the first area outside, make room for emergency patients, and give medical advice." ”

The three directors quickly did their own division of labor.

Senior Brother Qiu Ming and Dr. Tang, who were able to perform surgery, were ready to divide one patient into a mirror, while Dr. Long, who had poor hands-on ability, chose to be responsible for the internal medicine aftercare of the three patients.

"Senior Brother Zhang, I'm sorry, I suddenly encountered this kind of thing, and I thought I would invite you to a meal later. ”

Senior Brother Qiu Ming apologized to Zhang Tianyang, "If Senior Brother Zhang has something to do in the future, he can go out with Lao Long, and if he wants to see the operation together." ”

Zhang Tianyang didn't think about it for long, and made a decision in an instant.

"Shall I follow along?"

"You can look at the patient's profile. ”

Senior Brother Qiu Ming directly gave up his chair, and then went to the next door and moved a chair to sit next to him.

"You see, which patient is interested, let's pick that one to do. However, I personally recommend vomiting blood or blood in the stool......"

Zhang Tianyang clicked on the emergency medical records of the three patients respectively, and checked the results of emergency blood and various emergency examinations.

Outside the door, the nurses and nurses were already busy.

Cleaning, debugging, dispensing, and preparing things, the footsteps of coming and going show their anxious hearts.

Zhang Tianyang heard the nurse next door answering the phone, and the opposite side might be from the emergency department, and the nurse was so irritable that she yelled when she spoke.

"What's the matter with you! Push three at once! Where did we get so many people to open the stage!"

"Why don't you send your esophageal rupture to thoracic surgery?

"What? The thoracic surgeon just sent two?"

“......”

"You guys blew up over there, too......"

The nurse's tone gradually changed from irritable to calm, and Zhang Tianyang's ears were sharp, and he listened to it.

The emergency room seems to have exploded suddenly.

Suddenly, there were a lot of serious cases, emergency medicine, emergency surgery, and the emergency room, all of which were too busy in an instant.

The orthopedic department took three patients and the thoracic surgery department took two patients, all of whom were critically ill and required immediate emergency surgery.

Therefore, in addition to the two patients who should be digested by hematemesis and blood in the stool, patients with esophageal rupture were also pushed by the emergency department because of their involvement with the digestive system.

"Senior Brother Zhang. ”

Qiu Ming interrupted Zhang Tianyang's distraction with some concern, "You have been stopping at the information of this esophageal ruptured patient for a long time, should you ......?"

Seeing that Zhang Tianyang did not respond, the expression on Senior Brother Qiu Ming's face was tangled, he paused, and began to talk bitterly.

"Senior Brother Zhang, I know that you have always liked to challenge difficult medical records, but this esophageal rupture, I suggest you don't touch it. ”

"Why?"

Zhang Tianyang frowned slightly.

Senior Brother Qiu Ming obviously expressed that he did not want to be involved in the operation of a ruptured esophagus, and the nurse who called at the door also showed a sense of resistance of "why should this kind of patient push us".

"Because it's troublesome. ”

Qiu Ming's fingers were kneading back and forth a little anxiously, "Judging from the medical history, this patient has no history of trauma, and it is unlikely that the esophagus will rupture due to external blows, and it is more likely that it will be a spontaneous esophageal rupture." ”

"Spontaneous esophageal rupture is a very dangerous surgical emergency, and generally speaking, such patients should be sent to the emergency thoracic surgery department for thoracotomy, although I don't know why I have to send it to the gastroscopy room now, but this patient must be very troublesome. ”

Qiu Ming paused, his tone threatening.

"This is a severe disease with a mortality rate of up to 60%!"

However, his intimidation was ruthlessly debunked by Zhang Tianyang in the next moment.

"Senior Brother Qiu, you are exaggerating. ”

Zhang Tianyang calmly analyzed.

"The location of esophageal rupture is divided into cervical, thoracic, and abdominal segments.

The prognosis of cervical esophageal rupture is better, with a mortality rate of about 5%, and thoracic esophageal rupture is more dangerous, with a mortality rate of 20%-60%, but it also depends on specific circumstances.

Esophageal rupture in the abdominal segment has a slightly better prognosis than in the thoracic segment. ”

"Senior Brother Zhang......"

Senior Brother Qiu Ming was a little dumbfounded in an instant, and the look of madness on his face swept away.

"How do you know more about this data......

And I wrote it down!

You're just an intern, and you're not in gastroenterology at all!

Zhang Tianyang blinked innocently.

"I'm going to have a gastroscopy today, so I read all the relevant ones by the way before I came. ”

Ran goose, this explanation made Senior Brother Qiu Ming even more crazy.

Related to read it again......

From esophageal and gastric varices, to esophageal rupture......

It's really relevant!

Haven't you reviewed all the digestive parts of internal medicine?

"I would also advise against involvement. ”

The cold Tang didn't know when he came from behind.

"I just checked with a friend in the emergency department about the specific situation, this patient has a serious esophageal tear, and he was sent to the hospital because he couldn't handle it. ”

"Moreover, this is supposed to be the work of thoracic surgery, and now it is very stressful for us. ”

"The first line on duty has already called the second and third lines, and there should be a deputy chief physician. ”

Master Tang paused, "Moreover, although I believe in Teacher Zhang's ability, Teacher Zhang's current identity ......."

"I see. ”

Zhang Tianyang understood.

Because patients are very troublesome, there may be disputes in the future.

Therefore, he, an "intern", is still an intern who does not rotate in the gastroenterology department, so it is best not to get involved.

Otherwise, if someone catches the pigtails in the future, it will be difficult to deal with it.

In this regard, Zhang Tianyang expressed his understanding.

"So which one do we do for the rest?"

Senior Brother Qiu Ming breathed a sigh of relief, and just as he wanted to speak, the irritable nurse next door suddenly shouted at the top of her voice.

"The patient has arrived!

Several figures responded instantly, and quickly rushed past the doorway.

Senior Brother Qiu Ming, who was interrupted, glanced at Zhang Tianyang and Tang Zhizhi, and made a decision within a thousandth of a second.

The three figures sprang out at the same speed.

When the patient comes, he picks up the patient first.

Which one to do, which one to do, which one to do!

"Open the door, open the door!"

The little doctor in the emergency department who had just met hurriedly pushed open the door of the gastroscopy room, and the three flat cars "clanged" all the way.

Patient, here it is.

Stealing incense