Chapter 806: Investigation
On the other side, two other injured people also arrived at the hospital one after another, and several specialists from other departments also arrived in the emergency department.
"Traumatic liver and spleen rupture, tension pneumothorax with fracture displacement, the situation is very serious. ”
Chen Peizhong looked at the CT of his chest and abdomen, and his brows instantly wrinkled into the word "Sichuan".
"Director Chen, is it very difficult?" a doctor on the side asked Chen Peizhong.
"Tension pneumothorax, formed because of the transfer of fractures, this is a critical evidence, the patient is now unconscious, and the worst thing is that it is accompanied by the rupture of the liver and spleen.
As he spoke, Chen Peizhong instructed: "No matter what, you always have to save, you can't do nothing, get started first, deal with the pneumothorax problem, and then look at the liver and spleen rupture ......"
Pneumothorax refers to the entry of air into the pleural space, causing a state of pneumothorax, which is called pneumothorax.
Pneumothorax is one of the emergencies, and now the patient is accompanied by liver and spleen rupture, no matter which of the two, it can kill the patient if it is not treated in time.
But the problem is that there is a pneumothorax, and the patient cannot be put on a ventilator, so if he is on a ventilator, he will not burp immediately.
However, if you don't get on a ventilator, with the patient's condition, liver and spleen resection surgery cannot be done at all.
"Prepare for thoracostomy drainage, and resolve the pneumothorax first. ”
Qian Xiaolin took the CT and looked at it, and made a decisive decision.
"Well, let's do thoracostomy drainage first, Director Qian will do it himself, and I'll take over here. Chen Peizhong nodded.
As they spoke, Chen Peizhong, Qian Xiaolin and the others walked towards the operating room, and as they walked, Chen Peizhong asked, "I heard that the policewoman sent before is Xiao Fang's girlfriend?"
"Hmm. Qian Xiaolin nodded.
"What's the situation now, let Xiao Fang be responsible alone?"
"I just went to see it, and it seems that it should be more optimistic at present, closed chest injury, rib fracture, broken end alignment wiring is very good, no surgery is required, as for whether there are other conditions, it needs further observation and investigation. ”
The rib fracture is broken and the end of the rib is well aligned, which means that although the rib is broken, it is not displaced, which is the same as the situation of being reduced after the fracture, no surgery is required, only need to rest and recuperate, and the rib displacement can be avoided.
The treatment of rib fracture displacement is nothing more than to reduce the broken end and then fix it, and Long Yaxin's situation is indeed better.
Now the one Qian Xiaolin and Chen Peizhong are going to rescue is more unlucky, the rib fracture is displaced, the pneumothorax is produced, and the liver and spleen are ruptured, which is a lot of trouble.
Of course, there are times when you can't just look at the indication.
Especially for patients in this kind of car accident, sometimes it seems that the problem is not big on the surface, and the initial examination is not too dangerous, but if there is a detail that is overlooked, once it breaks out, it will be fatal.
This kind of thing is encountered in the emergency department a lot, not one or two cases.
This kind of car accident impact is very damaging to the viscera, liver, spleen, heart, etc., not to mention, there are many possibilities for a single heart injury.
If the intima ruptures and blood seeps into the middle of the aortic wall, there may be no symptoms at first, but if it is not detected in time, a dissected hematoma may form......
The patients who were traumatized by the car accident were nothing serious at the time, and many of them were sent to the hospital after a day or two to be critically ill, and some of them were hospitalized for more than half a month and suddenly became critically ill.
Qian Xiaolin is an old emergency, and Chen Peizhong is also experienced, so both of them are aware of some accidents.
"Xiao Fang's state is okay, he should be able to deal with it, and I have already informed the old Guan outside the chest that it has passed. ”
As they spoke, the two of them had already entered the operating room, and the patient was also sent to the operating room, and Qian Xiaolin personally performed closed abdominal drainage for the patient.......
......
"Dr. Fang, this is done with an ultrasound of the heart and a CT of the head. ”
Wang Haobo took the results he had just done.
After debridement and suturing, Fang Han arranged a head cranial CT and cardiac ultrasound.
Since Long Yaxin had a brief coma, accompanied by a rapid heart rate, a cranial CT scan must be done, and Fang Han suggested that an additional cardiac ultrasound be done.
For simple trauma first aid, Fang Han's experience is insufficient, but Fang Han can still rule out some abnormalities through pulse diagnosis and observation.
Combined with the pulse and symptoms, if you rule out brain problems, then the heart is left.
Fang Han stretched out his hand to take the cranial CT scan and took a look, there was no craniocerebral hemorrhage, and there were no problems such as cerebral obstruction.
"What's going on with an ultrasound?" Fang Han asked Wang Haobo.
For some examination reports of Western medicine, Fang Han can not understand every one, and he is only at the level of cardiac ultrasound.
"Doctor Fang, I actually don't understand it......
Wang Haobo was a little embarrassed, but hurriedly said, "I'll go and ask the director of the ultrasound department." ”
Saying that, Wang Haobo hurriedly walked out of the rescue room with the results.
......
In Yanjing Hospital, a Land Rover rushed into the hospital and went straight to the emergency department, Zhang Xiaoquan quickly jumped out of the car without waiting for the car to stop completely, and rushed to the emergency department in a hurry.
"Sister Dragon, Sister Dragon!"
As he walked in, Zhang Xiaoquan shouted loudly.
A nurse hurriedly stepped forward and asked, "Hello sir, are you looking for someone or .......?"
"What about my sister Long, the policewoman who just arrived at the hospital......."
"I'm in the rescue room, I'll take you there. "
The nurse hurriedly led the way, Zhang Xiaoquan followed behind, and asked as she walked, "What is my sister Long's situation now, is there any danger?"
"I don't know this very well, Dr. Fang is resuscitating inside. ”
Zhang Xiaoquan was already anxious at this time, and he didn't pay attention to who Doctor Fang was, and when he heard that the nurse was not clear about the situation, he was even more anxious.
When he arrived at the rescue room, Zhang Xiaoquan directly pushed the door and walked in, shouting as he walked: "Sister Long......."
"What are you shouting?"
Fang Han turned back suddenly: "This is the rescue room, what are you yelling for?"
Zhang Xiaoquan was startled, only then did he see clearly that it was Fang Han, and hurriedly said, "Master......"
"Zhang Xiaoquan!"
Fang Han saw that it was Zhang Xiaoquan, he really didn't know who it was just now, but he heard someone shouting and subconsciously scolded.
To be honest, Fang Han looked calm on the surface at this moment, but in fact, he was still a little out of shape in his heart, I don't know why, there was an indescribable irritability, if this was normal, Fang Han would definitely not have such a big anger.
"Master!"
Zhang Xiaoquan smiled, also saw Long Yaxin on the hospital bed, and hurriedly asked, "Is Sister Long okay?"
"It's okay for the time being. Fang Han replied, still holding Long Yaxin's wrist.
"With Master here, I'm relieved. ”
Zhang Xiaoquan said and looked at Long Yaxin on the hospital bed, Long Yaxin was still awake at this time, and when she saw Zhang Xiaoquan, she smiled slightly, and asked in a low voice, "Why did you come to Yanjing?"
"I came with Director Fang, and I heard that it was snowing in Yanjing, so I came to have fun. ”
Seeing that Long Yaxin was awake and Fang Han was also on the side, Zhang Xiaoquan was a lot relieved in his heart.
Although Zhang Xiaoquan and Long Yaxin are not related by blood, the two are really like sisters and brothers, the two families are world friends, and Zhang Xiaoquan's grandfather is Long Yaxin's master.
Before Zhang Xiaoquan was sensible, Mr. Zhang had always regarded Long Yaxin as his future daughter-in-law, but as the two grew up, there was more family affection, but there was no other affection.
Childhood sweethearts are sometimes not necessarily a good thing.,Too close.,A lot of times it's almost like a brother and sister.。
No matter how beautiful my sister is, in the eyes of my younger brother, she is just an older sister, and she won't have any other ideas, and vice versa.
"Did Director Fang also come to Yanjing?"
"Rub my plane. Zhang Xiaoquan said.
"Your plane?" Fang Han didn't understand, but Yang Jianying interjected on the side: "The Zhang family has its own private jet." ”
Only then did Fang Han understand what he meant, and he was really a big dog.
Li Junxian on the side was also surprised.
Own private jet?
can have his own private jet in China, it is definitely a fighter among local tyrants, this guy who looks like a fool is the son of a top wealthy family.
The main thing is that this guy seems to be afraid of Dr. Fang.
Fang Han was talking to Zhang Xiaoquan when two middle-aged doctors walked in, and Li Junxian hurriedly greeted: "Director Guan, Director Wang." ”
One of these two is a specialist in the chest and the other is an expert in cardiology.
This time, the emergency department sent three critically ill patients at a time, and the emergency departments of chest, cardio-brain, brain and liver surgery departments were all notified, and they were told that they were critical, and at least one deputy chief physician came from other departments.
The two directors just nodded, and then looked at Long Yaxin on the hospital bed.
"Is the patient conscious all the time?"
"There was a brief coma, about a minute .......or two," Fang Han hurriedly explained the situation.
Each has its own strengths and weaknesses, Fang Han is very clear about his ability, to say that in terms of traditional Chinese medicine, he is definitely very confident, but for this kind of traumatic situation caused by a car accident, traditional Chinese medicine is really lacking.
Although Chinese medicine also has first aid, there are also different types of first aid.
In terms of Western medicine, Fang Han is also good at hepatic surgery and orthopedics, and he is a layman in other aspects.
"Here is a CT scan of the patient's head and some examination reports. Li Junxian also hurriedly handed over some of the inspections just now.
"There was also a cardiac ultrasound, and I took it to the director of the ultrasound department. Li Junxian added at the same time.
"Cardiac ultrasound?"
Director Wang was stunned: "Is this a suspicion that the patient has a heart problem?"
Generally speaking, for patients like Long Yaxin, chest and abdomen CT and cranial CT are done at the same time after being sent, and then they are gradually investigated, but in the case of cardiac ultrasound, it really can't be lined up, and if there are no obvious symptoms, they won't even do it deliberately.
"Dr. Fang......."
Wang Haobo hurriedly walked in with a cardiac ultrasound, and then whispered a few words in Fang Han's ear, and Fang Han's heart was chuckling at the moment....... Really.......
In the treatment of diseases and saving people, it is true that no detail can be ignored.....