Chapter 160: A stone's throw away

In the early years, the medical care in Huaguo was almost all turned over, regardless of the establishment of discipline departments or the construction of hospital buildings.

Pretty much the same, for example, older people may remember the emergency department of the old hospital.

It is a long passage, the disposal room is divided into two sides, there are fewer people, it looks very good, you can see the end at a glance, it is very transparent and very clear, the door is to see the disease.

However, once there are many patients, all the people in this kind of building will become human flesh and eggs, you squeeze me, I squeeze you, sometimes, nurses and doctors push the patient number, and they can't get in, which is very inconvenient.

Therefore, later, many hospitals actually began to learn from Marukoko. Emergency centers are generally arranged in an octagonal shape.

Slightly a bit like gossip, or like a spider. The bigger the hospital, the more spider legs, and the smaller ones have fewer spider legs.

The triage table is in the middle, and the most eye-catching thing is the myocardial infarction emergency treatment room, with big red and blood-red characters, reminding patients and their families all the time.

Moreover, with the development of Chasu Hospital, the emergency center has been divided into several fine directions, with internal medicine on adjacent tentacles and surgical on other adjacent antennae.

There is an emergency room in the Department of Internal Medicine and an operating room in the Department of Surgery.

It can be said that the most modern department of Chasu Hospital is the current emergency center.

As long as it is not overloaded, dozens of patients come at the same time, the advantages of this building will be brought into play, and the triage table is the center, which regulates the work of doctors and nurses, does not interfere with each other, and can also use the fastest time to triage patients.

Don't look at the fact that Chasu Hospital is located in the frontier, but because of Zhang Fan's relationship, as far as the northwest region is concerned, the emergency center of Chasu Hospital can almost rank in the forefront.

Let's not talk about the staffing first, just look at the emergency 120 with more than a dozen cars parked at the door, and then look at the various instruments in the department, as well as the apron built on the roof, although the plane Ouyang has not flickered yet.

But it's already a bit modern.

Take a look at the equipment inside, hyperbaric oxygen chamber, gastric lavage machine, four-dimensional color ultrasound, X-ray projection room...... , just these instruments, to be honest, these instruments alone can be comparable to a secondary hospital.

In other departments during the Spring Festival, there are really two or three kittens in the department, which is particularly empty and quiet, and the big static word finally reflects its power at this time.

The emergency center is not, just like the morning market in the market, there are children injured by playing with firecrackers, there are men who were hungover, nauseous and vomiting last night, and ran to prescribe sobering medicine, and there are also brothers-in-law who broke their brother-in-law's head during the holidays, or husbands and wives tearing each other apart and getting injured and want to divorce.

Really, in the hospital, sometimes, anything strange can happen, especially on holidays.

The physicians carried the child into the internal medicine room on the front foot, and the surgeons carried the injured policeman into the surgical treatment room on the back foot.

In the originally chaotic and noisy emergency center, those who originally complained and quarreled quieted down.

Blood, blood, to be honest, as long as a normal person sees a large area of bleeding of the same kind, the first thing that arises in the heart is a sense of rejection, which is born with genes.

As if the body can feel the danger, try to stay away.

"Quick, how old is the child, have you ever been in a similar situation before? ”

There is no need for Ouyang to get started in the disposal room, and Ouyang was not idle at this time, and asked the parents about the child's situation as soon as possible.

The young mother was already teary-eyed, "The child is only eight months old, and there were occasional cases like this in the past, and I went to the county hospital to say that it was fine."

But who knows, when she got up this morning, her grandfather teased her, and she suddenly lost her voice when she laughed and laughed, and then slowly began to turn blue.

We went to the county hospital, but the doctors at the county hospital didn't let us in, and sent us directly to the city hospital with 120.

Doctor, you save the child, she's only eight months old, and she was fine yesterday.

If she has three long and two short, how can I live, my baby. As she spoke, the young mother began to cry again.

Seriously, in the hospital, there are many pitiful things, but the most touching people are the children.

Big, bright eyes look at the world with innocent eyes, and when the sickness comes, he or she may not be able to speak, and can only endure the pain that even adults can't bear.

Sometimes, when treating children, really, there is no time to practice, and after the start, the doctors and nurses themselves feel uncomfortable and dare not look at it.

Outside the emergency room, Ouyang helped collect information, and in the emergency room, Ren Li and the others had already found that something was wrong.

"Not good, the child is congenital heart disease, fast, color ultrasound, ready for interventional treatment!

Go and call the doctor, quick!"

The intake of oxygen did not improve the slightest change in the child.

The eight-month-old child was lying on the emergency bed, and the doctors watched her, breathing with difficulty.

The little man's fists were involuntarily half clenched because of his breath, and the sweat on his forehead was like soybeans, which appeared at this age that should not have appeared.

The nostrils are open, and the nose should be small and delicate, but at this time the nostrils become extraordinarily enlarged.

The mouth is like a fish on the shore, wide open, desperately trying to breathe in more oxygen.

The sternum is visibly inverted, and the muscles between the ribs and the ribs have collapsed into it, like a small skeletal frame.

Then look at the color of the skin, eye circles, lips, the heaviest color, blue to purple, blue.

The child's body was bruised as if it had been hit by a serious car accident.

The little head tilted weakly, and the small eyes looked at the group of white-clothed adults around him blankly.

Heart, there was once a surgeon, who pushed surgery to the flower of medical treatment, once said such a sentence:

Performing surgery on the heart is a desecration of the art of surgery, and anyone who tries to perform a surgical heart surgery will end up in disrepute!

From this sentence, you can imagine how much the doctors were afraid of heart disease back then.

When young parents greet the birth of their children with great joy.

What they saw was the child's weak and struggling breathing in front of them, changing from pink to bruised, until finally dying in the struggle.

Really, this kind of blow is nothing more than the worst tragedy in the world for young parents.

This kind of child has a pronoun, the blue baby, and according to the current evidence-based statistics, the mortality rate of children with congenital heart disease accounts for the first place in infant and child mortality.

This disease is a boss-level disease, especially in higher altitude areas, and the incidence of this disease is quite high.

What is going on with this blue disease, in medical terms, it is very troublesome, not only to talk about cardiac dissection, but also to talk about the basis of circulation, which is very troublesome.

To use an analogy, the arteries and veins of the heart can actually be said in this way, and they are distinct.

There are two houses and two bedrooms in the heart, like a four-compartment, arranged up and down, left and right.

The venous blood in the body first enters the right side of the house, then is squeezed into the right side of the bedroom, and finally presses this blood into the lungs in the right ventricle.

Then the cells in the lungs are busy taking out the carbon dioxide from the venous blood and stuffing it with oxygen as they breathe in and inhale.

At this time, venous blood becomes arterial blood. Looking through the veins, the dark blue blood began to turn bright red.

Then the blood that turned into arterial blood was pressed into the house on the left, and then as the doors of the house and bedroom opened, they entered the bedroom on the left.

Eventually, the most muscular left bedroom pressed the arterial blood into the large arteries and into the whole body.

This is a general heart cycle.

Whether you eat braised pork heart or roast sheep heart, do you think this heart is a bit like a crooked peach?

Yes, it's because of the relationship between several rooms and bedrooms in the heart, and the heart is a little crooked.

The bedroom on the left is on the far left, and because the blood is pressed into the body, this bedroom is the largest and has the most muscles.

When it fluctuates, it is also the most powerful, so generally people see the heartbeat on the chest and hear the sound of the heartbeat, which is emitted by the fluctuation of this bedroom.

The different functions also contribute to the different thickness of their muscles. And some children, because of congenital poor development.

A passage is opened in the wall between the house and the house, the bedroom and the five, or between the house and the bedroom, creating a gap.

With the gap, the arterial blood becomes venous blood, sending carbon dioxide-rich blood to the body.

The organs in the body can not admit it, and it is clear that it becomes the same stream of pollution, and then the body is abnormal.

In this disease, the younger you are, the milder the symptoms, and the older you are, the more obvious the symptoms.

If left untreated, children tend to wither and die when they are in their teens and twenties.

Nor do we talk about mitral valves, tricuspid valves, or aortic insufficiency.

This disease probably means that the heart has one or more eyes that should not appear, or one eye that is larger or smaller.

Therefore, people must not have too many eyes on the heart!

"Secretary Ren, the child's atrioventricular defect is in a semi-detached state, and he usually covers up his condition, but now this situation suddenly appears, I'm afraid it's ......"

While doing cardiac ultrasound in person, Director Re reported the results to Ren Li.

When Ren Li heard this, she quickly let go of the child, looked at Caichao, and saw that the hope in Ren Li's heart fell into the abyss.

"Why hasn't the doctor come yet, urgent consultation, this is an urgent consultation, hurry up!"

The gentle Ren Li was also anxious at this time, in fact, it didn't take more than two minutes to finish the emergency consultation.

Doctors need to be professional, Ren Li is professional enough, but the younger the child, the higher the degree of professionalism.

The same organ, such as the heart, is more difficult to deal with in a little kid who wants to eat and pull.

There is a famous saying in pediatric surgery that you may only need one hand to pick up your patient number and put it on the operating table, but you may not be able to solve his problem with both hands.

So there's an iron rule in the medical world, unless you have special training in infant surgery, leave this kind of child in the hands of a pediatric surgeon, no matter how far away.

It's all about blood and life.

Pediatric surgery, hehe, this department, really, can only make people laugh when it comes to it.

There is a chain of contempt in the medical community in China, where internal medicine looks down on infectious diseases, and surgery looks down on internal medicine.

Adult doctors look down on pediatric doctors, and pediatricians are reluctant to do pediatric surgery.

A hospital, a big hospital, is in full swing, but the development of pediatric surgery is extremely slow.

There are many reasons for this.

The pediatric surgery of theanin cannot escape the shackles of slow development.

Han Jiangke, a doctor outside Cha Suer, a native of Beihe, a typical northern man, a bit of a bearded posture, although he is shaved clean on weekdays, he can have a blue stubble, with a big mouth, a big nose and thick eyebrows, and a proper northern man.

With a height of more than one meter and eight meters, and a figure as wide as a door panel, no matter how you look at it, he is an orthopedic surgeon, but this young man turned out to be a master's student in pediatric surgery!

This man's temper and personality are gentle, but he was born with a robber face, and sometimes crying children dare not cry when they see him.

Dr. Han was wearing a pale pink hand-washing gown and a white coat over the pale pink hand washing gown, which is unique to pediatric surgery, and ran around the hospital like the wind.

In less than three minutes, Dr. Han ran to the emergency center.

"Quick, Dr. Han, quick, this way!" The nurse in the guidance desk at the door, like a runner waiting for the baton, pulled Dr. Han and began to run beyond the internal medicine processing room.

......

In another corner of the emergency center, a group of men in police uniforms waited anxiously and frustratedly outside the door of the surgical room.

Squatting, walking around, talking on the phone. However, all with the same expression, dejected, like a defeated army.

"The chief, three, three brothers, are in the hospital right now. ”

The director kept calling and reporting to his superiors.

"Quick, call the hospital infection office and report the occupational exposure!"

Xue Fei from the emergency center said anxiously to the head nurse.

"The hospital infection office didn't go to work, and there was no one today!"

"Need any help, tell me!" The crowd of jackets that had been forgotten in the corner came out.

"Manpower, we don't have enough manpower, and there are blockers, our hospital doesn't have enough blockers, the Municipal Center for Disease Control and Prevention has!"

The first wave of children, the second wave of police. followed by a group of ice brothers and ice girls.

And in the third wave of the crowd, there was a phenomenon of people in a coma, swallowing too much and overdosing!

In the emergency center on the first day of the Lunar New Year, Xue Fei's heart was hanging, don't look at the people with steel bracelets, lying there like mud, but who can guarantee that they will not break out and hurt people, who can guarantee that there will not be one or two deaths at this time.

And this group of people is said to be irritable AIDS carriers.

Don't look at these people who don't love pigs and dogs on weekdays, but once they die in the hospital, people who touch porcelain and find trouble abound.

In the disposal room, the three policemen let the doctors deal with it with a look of sadness on their faces that was more than death.

Yes, being a police officer, especially a police officer on the border, is too knowledgeable about drugs and AIDS.

A doctor, a police officer, their profession exposed, to be honest, unguardable.

To deal with this occupational exposure, the first thing to do is to clean, with plenty of water, and then directly with alcohol.

In general debridement and disinfection, alcohol should not be used for skin breakage, because it is too painful.

But now I can only rely on alcohol, hoping that it can kill some of the virus.

After Zhang Fan clamped it with tongs, the high-concentration medical alcohol cotton ball was stuffed into the meat like red-hot iron tongs.

The iron-blooded man, his brows were pimpled, and his painful chest made a muffled sound for a while.

Cotton balls, white alcohol-rich cotton balls, Zhang Fan gritted his teeth, stuffed directly into the broken muscles, went in and out, changed the cotton balls, went in and out, changed the cotton balls.

Every purge is really a heart-wrenching punishment, if there is only pain, really, for the police, no matter how painful it is, they can bear it, they can bear it, but now there is AIDS.

Outside the door of the internal medicine rescue room, "Quick, let the parents sign, which of you will sign, quickly." ”

"I'll sign!" the child's mother struggled to stand up, and the child's grandparents were already slumped in the chair, looking pitifully at the doctor who came out.

"What about the child's father?" The doctor looked at it, and his tone was involuntarily filled with resentment, when did the child feel sorry for him, but the child's father had not yet appeared, it was too irresponsible.

"The phone went through, but no one answered!" the child's mother signed with a gentle bite of her lip.

Then, after hesitating, I picked up the phone and called.

At this moment, the familiar bell rang in the passage next door, and in the ears of the child's mother, it was so familiar and so harsh.

The director of the police station held the phone of his injured brother, and he was at war with heaven and man, whether to answer or not, and when he did not answer.

If you don't pick it up, you will have to face it sooner or later, and if you take it, you can explain it to other people's families.

Suddenly, he looked up sharply, and around the corner, a woman holding on to the wall with tears on her face appeared in front of him.

When he saw his husband's mobile phone appear in the hands of his colleagues, look at the blood of these husband colleagues.

Her world collapsed.

The mountain-like man, looking at his brother's wife, opened his mouth, but couldn't say a word.

"He, what's wrong with him?" the child's mother asked, leaning against the wall, exerting all her strength.

If it weren't for the fact that she still had a child in her heart, really, she wanted to cry loudly, she wanted to scold loudly, and then be happy......

Really, when she married him, she would often dream in her dreams that she was in the hospital and saw her man covered in white sheets.

Unexpectedly, today, on one side is the child, and on the other side is the husband.