Chapter 60: Now Now, Now
"Here, here!"
The little nurse on duty took Zhang Tianyang to the 59-bed ward quickly.
"What's going on?"
The 59-bed ward is a double room, and after the 58-bed uncle has changed to 8-bed, the new 58-bed is a 50-year-old uncle.
But when Zhang Tianyang arrived, the new 58-bed uncle was standing beside his hospital bed with a helpless face.
And the 58-bed man lying on the bed is the 8-bed uncle who went back to eat his grandson's ten-year-old wine today.
The lower half of the uncle's body is still in a sitting position, with slippers half hanging on his feet, hanging beside the hospital bed.
The upper body was planted headlong into the quilt on the 58 bed, and the half-exposed face could clearly see the painful look.
Uncle 59 looked okay, but he was obviously scared enough, so he took the initiative to raise his hand at this time.
"I, I rang the bell, what happened to him ......"
"What's the matter, didn't you put him in custody, why are you still walking around?!"
Obviously something happened, Zhang Tianyang's whole nerves were tense, his adrenaline was surging, and he unconsciously began to speak and roar.
"Here, take a hand and get him back to custody!"
Zhang Tianyang, the little nurse, and even the new 58-bed uncle all took a hand together to lift the uncle up.
"No, don't lift people, lift machines!"
The uncle who had the accident was put back on bed 58, and at this time his right hand stretched out and wanted to say something, but Zhang Tianyang and the little nurse quickly ran out.
I quickly ran back to bed 8 and brought the monitor over.
Quickly monitor and then inhale oxygen.
The old man's face was much better than just now, and he was still pale, and then he stretched out his hand to greet the two white coats.
"I was dizzy for a while just now, it's okay......"
"Shut up!"
The unceremonious reprimand, and the solemn expression on his face, directly frightened the uncle lying on the bed and shut his mouth.
The 59-bed uncle next to him who wanted to say something was also so frightened that he lost his voice.
Zhang Tianyang stared at the monitor, and the uncle's words just now caused the data to fluctuate, and after waiting for about ten seconds, he gradually saw the accurate value.
At this time, the blood pressure was also measured, and the value dropped to the edge of the shock standard.
"Blood pressure 93/56mmHg!Heart rate 95 beats per minute!"
Zhang Tianyang's heart tightened, and he yelled at the uncle who had the accident, "I'll ask you to answer!"
"Did you vomit blood?"
"No ......"
"Do you have dizziness, thirst, or fatigue?"
"It seems to be ......"
"Is there any black stool?"
"This ......"
"Is there any?"
"Yes......"
"Doctor, I'm ......"
"Shut up!"
Zhang Tianyang turned his head and explained to the little nurse, "Rehydrate, ensure smooth intravenous access! Adrenaline and dopamine are all prepared for me!"
"Is there a flat bed?
"Right now!"
As soon as the words fell, Zhang Tianyang had already disappeared at the door of the ward.
Decreased blood pressure and increased heart rate are early signs of shock.
There are many causes of shock, but in this old man's case, the most likely cause is - hemorrhage!
Cirrhosis of the liver leads to esophageal and gastric varices, and when the pressure is too high, the blood vessels rupture, and there will be heavy bleeding!
If the bleeding cannot be stopped in time, the patient can only die of excessive blood loss, and the gods are difficult to save!
And this kind of bleeding, the danger is that it is "not visible".
It is often not discovered until the patient begins to vomit blood and vomit blood and has obvious symptoms.
But by the time you vomit blood, how much blood should be in your stomach?
Zhang Tianyang quickly ran back to the doctor's office, but Senior Brother He was not there.
"Where's the 33 bed?!"
Turning around quickly, Zhang Tianyang finally found Senior Brother He in the 33-bed ward.
But Senior Brother He's things here are not as easy as those on his side.
Except for Senior Brother He, who pressed the patient with his hands straightened next to the bed, almost all the nurses on duty were waiting by him.
"This patient is in respiratory cardiac arrest and is doing CPR. ”
The nurse next to him gave Zhang Tianyang a brief introduction to his condition, and in these few seconds, a small nurse took over Senior Brother He's compression work.
"What's going on over there?"
"I suspect esophageal and gastric varices, the patient had black stools before, and now the symptoms of blood loss are obvious, the blood pressure is lowered, the heart rate is increased, but the patient has not vomited blood. ”
"I have to deal with it here, I can't get by. ”
Senior Brother He glanced back at the 33 beds that were being rescued, and the suppressed cries of the family members next to him came faintly.
"Contact the second line, there is also a gastrointestinal endoscopy room, and the emergency gastroscopy will be checked!"
"Okay!"
Zhang Tianyang ran back to the 58.59-bed ward again.
On the way, a phone call woke up the second-line doctor who was sleeping.
"You deal with it first, and I'll contact the gastroscopy immediately!"
Today's second-line doctor is a deputy chief physician, and the moment he received the call, he bounced out of bed, wore only one shoe and ran downstairs.
The doctor's lounge is on the top floor, and the gastrointestinal endoscopy room dedicated to infectious diseases is on the next floor of the doctor's lounge.
When the second line arrived, it was discovered that at this point, the gastroscopy room was brightly lit.
"Damn, it's the third emergency gastroscope!
Ordered Ma to upload to Zhang Tianyang, he answered and hung up the phone directly.
This is not the time to worry about whether you can hang up the phone of the senior doctor, and every moment must not be wasted.
Quickly give verbal medical advice, direct the remaining nurses, contact the family, quickly inform the patient, and sign the consent form.
"How so, doctor, old man, he didn't mean not to mess with your guardian ......"
The old man on the 59th bed was anxiously defending beside him, and his eyes seemed to be red.
"He really just came out to the toilet and then came to see me, whatever, whatever...... You're kidding, you're scaring both of us, aren't you?"
But Zhang Tianyang only scolded him with "Shut up!", and didn't explain anything else.
The 58-bed uncle who occupied the hospital bed was huddled on the chair next to him aggrievedly at this time, watching the medical staff come and go in a hurry, and his heart was mixed for a while.
The family of the uncle who had the accident currently has only one granddaughter who accompanies the bed, who is still young, looks like junior high school and high school, and is still wearing a school uniform and carrying a schoolbag.
Seeing a few white coats nervously doing this and that for their grandfather, the little girl was so frightened that she almost cried, but she still forced her composure, and tears rolled in her eyes.
"Brother doctor, I'm an adult, I can make a decision, I'll sign it now!
The little girl's voice trembled, her hands trembled, and she firmly wrote her name on the consent form.
Zhang Tianyang could see at a glance that she was not an adult at all, but it was too late, and there would be less hope of saving her by delaying one more minute.
The uncle's face is becoming paler at a speed that is visible to the naked eye, and the hemorrhage is not running!
Just hopefully, it's still too late......
The flat car has been pushed over, and the two medical staff, plus the 58-bed uncle and the uncle's granddaughter, several people work together to transfer the uncle to the flat car.
"Let's go!"