Chapter 129: Is It So Powerful?
The chief brother of the hematology department was grabbed by Zhang Tianyang's arm and walked out passively.
The intern hurriedly followed behind in fear, opening his mouth to scold Zhang Tianyang not to be like this, but he didn't dare to speak.
Hematology hospitalizations are always busy.
After all, the hematology department of Dongfang Hospital is also one of the best in Guangdong Province, and patients with blood diseases in the entire Guangdong Province and some small surrounding provinces will come here.
The general inpatient arranges inpatients every day, and has to run all kinds of consultations up and down the whole hospital, and is busy with his feet not touching the ground.
The interns have only been following this for two and a half days, but they have already deeply experienced it.
In such a busy situation, if a doctor bothers the chief brother of the hospital with a patient who does not need to be consulted, the senior brother will directly scold.
Not to mention this kind of situation where a patient has just arrived, and he pulls the chief brother of the hospital to see it without writing the consultation list.
If you don't scold the other party, the bloody head is not the general style of the hematology hospital.
What's even more terrifying is that after the chief brother of the hospital scolded the doctor in charge of the bed, he often had no anger and scolded him, an innocent intern, too!
It's so hard!
So in just a distance of more than ten meters, the internship vividly wanted to take the lead in standing up and scolding Zhang Tianyang several times, but in the end he didn't say a word.
This Senior Brother Zhang looks like a senior doctor, he doesn't dare to scold!
Along the way, the intern has been waiting for the hospitalization to explode and scold.
To the surprise of the interns, until Zhang Tianyang ran to the side of the new patient with the chief brother of the hospital, the chief brother of the hospital did not show a trace of impatience.
Not to mention scolding "call me again after the consultation record is written".
He didn't even resist Zhang Tianyang's hand holding his arm!
Finally, a few white coats saw the patient.
The patient had just been carried out of the ambulance, and at this time the whole person was lying on the flat car, wrapped in a quilt, and only a painful expression could be seen on his somewhat pale face.
"What's the situation?"
As soon as the hospitalized senior brother asked, Zhang Tianyang had already begun to consciously report his condition.
"The patient transferred from a lower level hospital, a 28-year-old male, was admitted to the hospital for 3 hours because he was unconscious.
Comatose state, fever, chills, anaemia on examination, subcutaneous hemorrhage spots in the abdomen and part of the chest.
The infection index of the lower level hospital was high, the blood routine showed that the trilineage was reduced, the proportion of lymphocytes was increased, the neutrophils were less than 0.5*10^9, and the reticulocyte examination was supplemented but the results were not yet available, and the bone puncture had not been done. ”
A quick and concise statement of the condition and important symptoms, signs, and test results related to the haematology.
Zhang Tianyang stuffed the stack of examination sheets he was holding in his hand to the general manager of the hematology department, and then helped push the patient to the emergency room.
The intern's reaction was half a beat slower, and he was glared at and kicked by the general manager of the hematology department before he reacted, and hurriedly went to take a hand.
Only then did the chief senior brother of the hospital pay attention to the stack of checklists in his hand, and suddenly raised his eyebrows.
These are basically all the test results, and the lower level hospitals may not be at ease, so they directly check the patient's full set, and the items are complicated.
What's even more desperate is that the lower level hospitals did not summarize the results of these tests!
But wasn't that Senior Brother Zhang quite organized when he reported his condition and important examination indicators to himself? I heard all the results I wanted to hear, and there were no results that I didn't need to care about.
The chief senior brother of the hospital wondered in his heart, "Could it be that he summed it up by himself in such a short period of time?"
"I think he's just an intern, about the same as my intern?"
Is it so powerful?
......
"Goo-goo"
The noise made by the contact between the board car and the ground, but this was an emergency, and no one felt that it was inappropriate, so everyone took the initiative to avoid it.
There seemed to be a few people on the right-hand side who wanted to stop the car, but for some reason they were pulled back again.
The journey was fast and unhindered, and Zhang Tianyang and a doctor from a lower-level hospital who came with the car sent the new patient to the emergency room.
The intern was half a beat slower, and was caught by Nurse Ouyang, and the data cable of ECG monitoring was directly stuffed in his hand.
Seeing that the intern was stunned in place, Nurse Ouyang began to yell, "Get started!"
"I ......"
Where have interns ever seen the race against time in the emergency room?
The two white coats and Nurse Ouyang were busy helping the patient get over the bed;
The nurse's sister grabbed the patient's right foot to see where venous access could be established;
The chief inpatient brother of the hematology department was frowning and browsing through the various examination results and medical records brought by the lower hospital;
Professor Yang and Brother Tang gathered around the bedside of another patient who was in a state of condition;
Everyone seems to be busy, the atmosphere is tense, and he alone can't do anything!
The intern blushed.
"I won't...... Won't even be connected to this ......."
"I'll do it. ”
Zhang Tianyang just passed the patient over the bed and sent away the doctor who came from the lower hospital, and at this time he directly took over the things and skillfully picked up the patient.
The intern breathed a sigh of relief and hurriedly hid beside the general manager of the hematology department, but saw him frowning and walking to Zhang Tianyang with the thick stack of examination sheets.
"Senior brother, look at the ecchymosis on his abdomen and chest. ”
Zhang Tianyang glanced at the chief brother of the hospital, pulled open the patient's quilt and clothes, and showed him the patient's abdomen.
"Purple ecchymosis scattered all over the abdomen and part of the chest, about 5 mm to 1 cm in diameter. ”
After thinking about it, Zhang Tianyang continued to say his thoughts.
"Coupled with the anemia of the face, now the symptoms are unclear, fever, chills, blood infection indicators are elevated, the trilineage is reduced, the proportion of lymphocytes is increased, and neutrophils are reduced, which is considered to be severe aplastic anemia. ”
"Huh?"
The chief senior brother of the hematology department raised his eyebrows, "The diagnosis given by the lower hospital? I don't seem to see the discharge summary or anything like that." ”
Zhang Tianyang shook his head, "No, it's my judgment." ”
He pulled down the patient's clothes again, covered the quilt, and pointed to the stack of materials in the hand of the chief senior brother of the hematology department.
"These are the only things that the lower level hospitals have brought over, all of which are the results of the examination, and there is only one emergency admission in the paperwork, and there is no record or summary of the course of the disease. But I think the evidence is very strong, and it should be this diagnosis. ”
The chief senior brother of the hematology department nodded, and turned over the results that Zhang Tianyang said just now to look at them carefully.
At the same time, Zhang Tianyang was not idle, and had already returned to the computer to start typing the doctor's order.
Clicking on the patient information, Zhang Tianyang thought for a second, and raised his head to urge the chief senior brother of the hematology department.
"Senior brother, this patient is at most symptomatic treatment in our place, which can only fight infection, reduce fever, and stop bleeding, if you can apply for a blood transfusion, of course, it is better, but now the blood is tight, I see enough. ”
"So, do you accept aplastic anemia?"
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