Chapter 153: Three-lumen and two-capsule tubes are not a good thing
Faced with this question, the director of the cardiology department didn't think about it and answered it casually.
"Accept it! It's all ventricular, you must take it, you can't let him out of the hospital!"
At this point, the director of the Department of Cardiology has the same idea as Zhang Tianyang.
This kind of high-risk patient must not be discharged from the hospital, otherwise he may be gone!
"I'll get in touch now to see if there are any beds. ”
The director was resolute, took out his mobile phone and made a call, and quickly got a reply.
"Acceptable, bed. You prescribe a hospitalization for him, let the family pay the money, and the person who has a hospitalization certificate can send it to him.
So what, I still have a few surgeries, and I'm going first. ”
Zhang Tianyang grabbed the director of the cardiology department who was about to leave.
"Director, there is something wrong with his family. ”
The head of the cardiology department stopped.
"That's right, you should pay attention to the fact that the patient's family now has only one old lady, and she lacks medical knowledge, and she almost didn't keep him because of his family. ”
Zhang Tianyang explained to the director of the Department of Cardiology.
"It seems quite reasonable now, but the knowledge system is a hard flaw, and I am afraid that it will be difficult to communicate if I encounter things in the future.
The other family members and children are not there, and they can't be contacted, do you want to let your bedside doctor pay attention?"
"Call a medical officer, or do a notarization from the Public Security Bureau?"
The head of the cardiology department looked up at the sky.
"Eh, that's a problem. ”
When encountering difficult patients and family members, who have a tendency to make medical troubles, or such as such risky patients, the director is generally reluctant to accept them, and will let them go back to the local hospital for treatment.
After all, no one wants to put a ticking time bomb on their department.
But this old man is too dangerous, if he really pushes it out, maybe there will be ventricular fibrillation again on the road, and the person will be gone.
In the midst of his own risk and the safety of the patient's life, the director of the cardiology department thought for two seconds and quickly made a decision.
"I have to see the family, you stand at the door and show me, and I'll observe it myself. ”
If the family members are not the kind of people who are really difficult to entangle, they will definitely make trouble if they are brought in, and the director of the cardiology department feels that he gritted his teeth and accepted it.
Take a little risk, he still has the ability as a director.
But if you encounter the kind of person who is really excessive, who blows up the inpatient department if he can't cure the patient, then there is no choice but to stay in the emergency department for observation, and then resign himself to fate.
After all, people are mutual.
Hello, hello, everyone.
Zhang Tianyang shook the induction door of the rescue room, let the door open, and then pointed out the direction of the old lady to the director of the cardiology department.
"Okay, I'll take a look, you wait a minute. ”
The director of the cardiology department walked out of the emergency room, and the door lost its sense and slowly closed.
Through the last gap, Zhang Tianyang saw that the director of the cardiology department walked quickly to a place two meters away from the old lady, suddenly took out his mobile phone and put it to his ear, and "answered" the phone.
I don't know if it's a real phone call or a fake one.
"Bang"
The door was closed, and the rescue room became a world of its own.
"Whew!"
"Tired to death, tired to death!"
"This has been rescued for more than forty minutes, right?
Zhang Tianyang hurriedly turned around, and behind him, there was still a curtain around the bedside of the bed of the patient who had been rescuing, but there were low cheers and sucking pains inside.
Soon, there was a fluctuation on the curtain, and then it was pulled open with a "bang".
Zhang Tianyang's eyes swept between a group of white clothes, and he saw the monitor behind him through the gap between their bodies.
I have a self-directed heart rate!
The patient is back in resuscitation!
The medical workers who rubbed their fists and supported their waists and spread out in all directions, although their mouths were complaining, the corners of their mouths were upturned.
Zhang Tianyang couldn't help laughing.
Although he didn't know what the patient's illness was, he didn't know what the problem was when he suddenly went into respiratory and cardiac arrest, and he didn't participate in the rescue.
But he was still sincerely happy to see the success of the rescue.
"It's not easy......"
Senior Brother Deng sighed behind Zhang Tianyang.
The joy of a successful rescue diluted his sour taste.
He participated in the rescue of this patient, and his hands were sore from chest compressions, and it was not easy to come back to life now.
"Senior brother!"
He subconsciously patted Zhang Tianyang's shoulder.
"Ordinary patients can't press back chest compressions, but today they saved two at once!
Brother, this may be the first and last time you have witnessed such a miracle in your medical career!"
"It's amazing, it's not easy, it's not easy......"
Senior Brother Deng muttered, and a bright light burst out of his eyes, almost flashing Zhang Tianyang's eyes.
Seeing that his waist was suddenly sore, his legs were no longer painful, and he rushed to the computer to write a doctor's order and write a rescue record, Zhang Tianyang couldn't help but smile and shake his head.
Senior Brother Deng said that this may be the first time Zhang Tianyang has witnessed a miracle in his medical career.
But actually, maybe he was talking about himself.
Zhang Tianyang shook his head, and then walked in the direction of Professor Yang.
Although this patient is not in his charge, after all, he is also a member of the emergency room, and now that the rescue is over, it is not so urgent, and he also wants to know about the condition.
And, as far as he could see, the most striking thing about this patient was the three-lumen two-sac tube that was pulled out of the nose.
The entire tube was pulled out of the nasal cavity, and on the other side was attached a heavy-looking water bag, which was hung on the infusion stand at the foot with a lever principle.
The force of the three-chamber and two-capsule tube pulling was so great that half of his small body was pulled and floated up slightly.
Three-lumen and two-capsule tube compression to stop bleeding......
Zhang Tianyang sighed silently in his heart.
When he was infecting patients with liver disease in the Department of Internal Medicine, he always heard his senior brothers and sisters and senior doctors mention the "three-lumen and two-cyst tubes".
The old man who drank wine and vomited blood almost used this thing when he was on night duty, but fortunately, he had enough eyesight to snatch the old man back from the hands of death.
Therefore, until he was discharged from the department, he didn't have a chance to see what the three-lumen and two-capsule tubes in the East Hospital looked like.
Unexpectedly, I saw it in the emergency department this time.
But it's not a good thing.
If he guessed correctly, the end of the tube that has not entered the nasal cavity and cannot be seen from the outside should be left in the patient's stomach to compress and stop the bleeding.
Often, patients who need to use a three-lumen two-cyst tube to stop bleeding are patients with advanced liver cirrhosis, severe esophageal and gastric variceal bleeding, and there is no way to stop the bleeding.
To put it bluntly, it is, a patient waiting to die.
Think of the group of patient family members outside the door with blank eyes in anticipation, think of the anxiety when they surrounded them, and think of the benches they carefully ceded.
Zhang Tianyang always felt that he had to do something.
"Teacher Yang, he ...... this patient"
"Teacher Yang, what's wrong with you!"
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