Chapter 1094: Preparing for Surgery
Changqing County Hospital.
Fang Haoyang and the others were all napping in the duty room at this time.
After a busy day during the day, they continued to be on duty at night, and at four or five o'clock, several people were a little unable to hold on, some leaned on chairs, some lay on their desks, and the duty room sounded snoring.
For most emergency doctors and surgeons, sleeping upside down, no matter where you can sleep, is basically a necessary skill, emergency doctors and some surgeons, especially surgeons below the associate high level, if they can't adapt to high-intensity work, it is basically difficult to get ahead in a place like a hospital.
The opportunity to go to surgery is rare, you can't hold it, some people are on it, once you can't hold it, the position is replaced by someone, and it is difficult to get it back.
Basically, the surgeon who has just started the surgeon has a period of excitement, and he finally got through it, and he can operate independently, and he has the opportunity to do the surgery vigorously, and there are quite a lot of surgeons, surgical freaks and workaholics, as assistants, he can't keep up with the rhythm of the chief surgeon, and he still wants to get ahead, which is just a dream.
Therefore, taking time to sleep and sleeping in various environments is a necessary skill, otherwise, there are really few people who can hold it.
In particular, the anesthesiologists in some large hospitals basically sleep in the operating room, taking advantage of the operation to sleep for a while, what environment, what soft bed, these are all extravagant expectations.
In the emergency room, there are nurses who are also watching at any time.
At about five o'clock, the patient finished taking the first prescription left by Fang Han in three parts.
"Keep an eye on it, the patient may have hiccups. ”
The director of the TCM department came in and gave advice to the nurse on duty.
The nurse answered, listless, and many people were quite sleepy at this time.
"Not that godly, right?"
One resident doctor even complained a little.
"You know, in this kind of thing, it's better to be careful than careless, the patient has had major surgery, and once there is hiccups, it is quite dangerous. ”
As he spoke, the director of the TCM department had just returned to the duty room when a nurse came in to inform him.
"The patient has a hiccups!" the director of the TCM department was dumbfounded.
Although he explained so just now, he actually didn't believe it in his heart.
A powerful doctor can predict what the patient's condition will be after taking the medicine, what symptoms may occur, etc., but when Fang Han left, the patient's first dose of medicine had not been used up?
"Is the second prescription left by Dr. Fang ready?"
"It's ready, it's ready when the last dose is almost finished. ”
"Give the patient medication as soon as possible. ”
As he spoke, the director of the TCM department returned to the emergency room and watched the patient take the medicine with his own eyes.
When he walked into the emergency room, the patient's hiccups were still quite severe, but with the medication, in just a few minutes, the patient's hiccups quickly began to improve, and in about ten minutes, the patient returned to normal.
"Do you see it now?"
The director of the TCM department looked back at the resident doctor next to him.
"If your own level is low, don't judge others with your own thoughts. ”
The resident doctor opened his mouth, well, his level is low, sit in the well and watch the sky.
"How's the patient?"
As soon as the two of them came out of the rescue room, Fang Haoyang came in.
As an emergency doctor, I can sleep at any time, and I can also wake up when I sleep.
Most surgeons and emergency physicians don't sleep very well, they are always used to being woken up, and over the years they have developed a habit of light sleep.
This also leads to the widespread overwork of emergency physicians and surgeons.
"I just had a hiccups, and I've gotten better with the medicine. ”
Fang Haoyang and others entered the emergency room, first gave the patient a comprehensive examination, and then arranged for routine other examinations.
"Judging by the vital signs, the patient's condition has improved and he is out of danger for the time being. ”
Liu Zhanxun opened his mouth, and the other party Haoyang said: "Director Fang, it's not early, let's go have a meal together." ”
"It's fine. ”
Fang Haoyang nodded: "It's dawn, and some patients will be transferred to the hospital later, and Director Kuang and I can go back to rest." ”
After staying up all night, Fang Haoyang was too sleepy at this time, and said as he walked: "I don't know what happened to Fang Han's side." ”
As he spoke, Fang Haoyang dialed Fang Han over.
......
Duty room of the hospital attached to the hospital.
Long Yaxin bought it and came back early: "Sister Tian, Fang Han, you all eat a little." ”
"Xiao Han, eat it, I don't have much appetite. ”
Ms. Tian Ling's eyes were slightly red, and her face was haggard.
Don't look at the usual Ms. Tian Ling and Comrade Lao Fang joking, Comrade Lao Fang also complains all day long that he has no status at home, but in fact, Ms. Tian Ling and Comrade Lao Fang are very affectionate.
There is one thing that Comrade Lao Fang really didn't brag, and it was really Ms. Tian Ling who chased after him back then.
"Mom, eat as much as you want, how can you have the energy to take care of my dad if you don't eat?"
Fang Han helped Ms. Tian Ling insert the straw, handed the soy milk to Ms. Tian Ling, and said, "Even if my dad is discharged from the hospital, he will definitely let you take care of it in a short time, the time will definitely not be short, if you can't hold it, who will take care of it then, do I have to ask for leave?"
"That's what you said!"
Ms. Tian Ling took the soy milk, and there was a rare smile on her face: "Your father usually complains that I cheated him, saying that I don't pour water for him when he gets married, and I don't cook for him much, but I really have to take good care of him this time." ”
"Fang Han, you can eat some too, go see Uncle Fang after eating, and then you can go to sleep for a while." ”
Long Yaxin also handed Fang Han a cup of soy milk.
Ms. Tian Ling said with a smile: "It's still my son who is blessed to find a sensible girlfriend like Xinxin, and when your Uncle Fang is ready, he will find a chance to do things for you and Xiaohan. ”
Long Yaxin was silent, embarrassed to speak.
While the three of them were talking, Fang Haoyang called.
"Hey, Director Fang!"
"How's your dad doing?"
"When I arrived, the teacher had already arrived, and he prescribed a prescription, which was fine. ”
Fang Han didn't elaborate, there was no need to let everyone worry.
"That's good, if your father's condition is stable, you can also find a chance to sleep for a while, it's been two days and two nights. ”
"I know, there's nothing going on in Shangqing County, right?" Fang Han asked.
"The patient is no different from what you said, and with the medicine, it has improved a lot compared to last night, so you don't have to worry. ”
......
"Seat belt protection, no major problem in the brain, the cause of the coma is currently judged to be excessive blood loss, hemorrhagic shock ......"
In the rescue room of the Affiliated Hospital, Zhao Shichao and others were rescuing and examining Wu Haojie.
"First sit on an abdominal B ultrasound, if the blood type comes out, give the patient a blood transfusion as soon as possible. ”
"Director Zhao, what are you looking at here?"
"The spleen is bleeding under the capsule, and the spleen is damaged, but the amount of bleeding should not be large, otherwise it will not last at this time. ”
Zhao Shichao took a look at the situation and said, "The patient's electrocardiogram is abnormal, let's do another cardiac ultrasound, I suspect that it is not a simple subcapsular hemorrhage, has the patient's family arrived?"
It has been at least more than two hours since the accident of the patient, although there is subcapsular hemorrhage in the spleen, Zhao Shichao judged that the spleen damage should not be large, otherwise the patient would not have been able to persist at all.
Clinically, spleen rupture is also a small probability event, but once the spleen bleeds, it is often more dangerous, the large arteries of the spleen are very thick, and once the spleen is seriously damaged, the amount of bleeding is very large.
Just as he was asking, a middle-aged man walked into the emergency room.
"Doctor!"
"Mr. Wu?"
Zhao Shichao raised his head and recognized Wu Kaiyun who came in, Wu Kaiyun is also a big celebrity in Jiangzhou Province, and he also came to the Affiliated Hospital of the Medical Institution for examination and treatment before, Zhao Shichao knew Wu Kaiyun.
"Are you a family member of a patient?"
"It was my son who was hurt. ”
Wu Kaiyun hurriedly asked, "Director Zhao, what is my son's current situation, isn't it very serious?"
"Hemorrhagic shock, subcapsular hemorrhage in the spleen, and other aspects are still being investigated. ”
"Director Zhao, please. ”
Wu Kaiyun was still relatively polite in the face of Zhao Shichao, after all, his son's life was in the hands of other doctors at this time.
Anyone who understands will not be angry with the doctor and get angry with the doctor before he does the rescue or prepares for surgery.
Although the doctor will not do anything illegal because of the attitude of the patient's family, it can affect the doctor's mood to some extent if he is angry with the doctor at a critical time.
And even if the doctor doesn't have any violations, the patient's family may have a lot of thoughts in their hearts.
"Director Zhao!"
Zhao Shichao was talking to Wu Kaiyun, Leng Cen shouted, and Zhao Shichao hurriedly walked over.
"Director Zhao, look here!"
"Pericardial effusion ......"
Zhao Shichao took a detailed look, and his face changed slightly.
"Yes, pericardial effusion, which means that the patient's heart is likely to be damaged, but it should not be completely broken. ”
Leng Cen said: "The operation must be performed immediately, if cardiac tamponade is formed, the patient's life may be in danger." ”
"I'm going to get ready for surgery right away, and I'm going to talk to the patient's family. ”
Zhao Shichao commanded, then walked up to Wu Kaiyun and explained the situation to Wu Kaiyun.
"Mr. Wu, the cardiac ultrasound found fluid accumulation in the patient's pericardium, which may cause heart damage and requires immediate surgery. ”
"Heart damage?"
Wu Kaiyun's face changed, and he hurriedly asked, "Director Zhao, is it dangerous?"
"The risk is not small, the degree of spleen damage is not clear for the time being, and whether there are other problems is not completely certain now, but the operation should be done as soon as possible, the longer the delay, the greater the risk, does the patient have any contraindications or allergies?"
"Nope. ”
Wu Kaiyun shook his head and asked, "Director Zhao, who will do this operation?"
"Director Leng Cen Leng on our chest. ”
Zhao Shichao said: "Director Leng is a cardiology expert who came back from a big foreign hospital......
"Leng Cen?"
Wu Kaiyun frowned, he hadn't heard of it.
"Director Zhao, I heard that Dr. Fang Hanfang from the Emergency Department of Jiangzhong Hospital has done a very good job in heart surgery and liver surgery, can you ask Dr. Fang to operate on my son?"