"Mr. Zheng, I called a 120 ambulance, I didn't bring any money, you have money, right? Chang Yue's voice was still indifferent.

Zheng Ren let out a big sigh, and when he got up, he got up.

If you are an emergency patient, don't talk about getting out of bed, sometimes you don't even have time to put on your shoes. But when I received a call from Chang Yue in the morning, the face that was originally very delicate but always stiff appeared in front of me.

But Zheng Ren has always been good-tempered, and he still gets up and dissipates his anger.

These guys, they can't have drunk all night, right...... As soon as he thought of this, he immediately refreshed.

Damn, I drank it all night, and I didn't want to die?! I really called a 120 ambulance? I won't drink it until my stomach bleeds.

"Yes. Zheng Ren was nervous, "How are you?"

"I'm fine, I'm in good spirits, and I feel like it's okay to go straight to work. Su Yun is too much, and if he falls, it shouldn't be a big deal. Chang Yue said.

Zheng Ren relaxed slightly, and scolded in his heart, how could these two annoying guys drink all night?

"Mr. Zheng, I also picked up a patient, a middle-aged male, with a plate-like abdomen, what do you think?" Chang Yue said the most important thing about calling Zheng Ren.

"Go to the emergency room, I'll go down and take a look. After Zheng Ren finished speaking, he immediately changed his shoes, put on a white suit and went straight to the emergency room.

As soon as he went out, he turned around and came back, took 200 yuan from his wallet, and stuffed it into the jacket pocket of his isolation suit.

The 120 ambulance is not free, and it will be charged according to the distance after one visit. Even if it's your own family, there's nothing to take advantage of. After all, for the sake of a hundred or ten yuan, I have to brush the face of Director Pan, and I can't afford to lose it.

The shop where the crayfish eats is not far from the hospital, and at the same time that Zheng Ren arrived at the emergency department, the 120 ambulance also arrived.

Two flat carts were pushed over, and one was loaded onto Su Yun. He drank too much and drank well, curled up in a ball, muttering something that he didn't know what to say.

Chu Yanzhi followed beside him, looking helpless.

"I persuaded it, but I couldn't persuade it at all. Chu Yanzhi explained, as if this matter was all her fault.

"It's fine. Zheng Ren appeased Chu Yanzhi.

Zheng Ren glanced at it, and the system panel indicated acute alcohol poisoning...... It's a lot of drinking, drinking to the point of alcohol poisoning.

"Send him to the emergency room, get naloxone, and add 500 sugar plus two vitamin C. Zheng Ren explained to Chang Yue simply.

Chang Yue Muran, took the nurse and the flat car to take the elevator upstairs. Chu Yanzhi followed behind, fart-stricken, compared to Chang Yue, she was just a child, although the two were about the same age.

After walking away, Zheng Ren found that Chang Yue was barefoot, as if he was stained with water, and every step he took was a footprint.

One alcoholism, one shoe is gone...... Zheng Ren scolded in his heart.

However, this is not important, the patient with the plate-like abdomen is the focus of Zheng Ren's down.

On the other flat car lay a man, with a large skeleton, but very thin.

Zheng Ren looked at the system panel, and the mark on the upper right was blood-red, similar to the red of the patient on the day of acute nitrite poisoning.

Acute gangrenous appendicitis, septic shock.

Endangered!

Speeding up and pushing the flat cart to the emergency room, Zheng Ren shouted as he ran: "Find a B-ultrasound room to make the bedside, prepare a monitor, and inhale oxygen." ”

When they arrived at the emergency room, two nurses on the night shift began to take off the patient's coat and install the ECG monitor.

Zheng Ren checked his body, and as soon as he touched his hand, a hot feeling passed over.

OK......

Toxic shock, fever is normal. But if there is no fever, it is a cold shock in clinical terms, and you can basically tell your family to prepare for the future.

The patient also has a fever, which means that the body's own immune system is still working properly, which is dangerous, but not the most dangerous.

The heart rate is 130 beats per minute, and the oxygen saturation is only 93%. The abdomen is like a hard plank, and it can't be pressed at all.

This is a typical sign of peritonitis, where inflammation irritates the peritoneum and tensions occur in the abdominal muscles, also known as a lamellar abdomen.

It is usually common when the cavity organs rupture, and digestive juices flow into the abdominal cavity. Or it is caused by rupture and bleeding of solid organs, and blood irritation of the peritoneum.

The doctor in the ultrasound room quickly arrived with a cart and asked the patient's name while applying couplant to the patient's stomach. ”

Because there is a report to be issued later, the name is always asked. This is a routine process, otherwise a careless report will make a mistake and delay the patient's diagnosis and treatment, which is a big deal.

"Anonymous, male, 35 years old. Zheng Ren looked at the patient's face, estimated the age of the patient, and reported it casually.

"Lower abdominal mass, consider periappendiceal abscess, or perforated appendix. There is a large amount of gas in other parts, and it is difficult to see clearly on ultrasound. There is a small amount of fluid in the pelvis, and the remainder is negative. The doctor in the ultrasound room quickly reported all the major diagnoses to Zheng Ren.

The condition is very serious and requires surgery.

While instructing the medical staff to escort the patient to the emergency ward, Zheng Ren picked up the phone, hesitated slightly, and dialed out.

It's a bit bad to disturb Director Pan so early. But this kind of thing must be reported to the senior doctor, and it is not a joke.

If the patient is really alone, it is fine, once the operation is wrong or because the condition is very serious, it cannot be saved, many times relatives and friends immediately jump out of the cracks in the ground, crying and howling.

This is still secondary, and Zheng Ren doesn't even have time to think about it. The main problem is in front of us, there is an operation, and no one signs it.

Director Pan picked up the phone as soon as possible, and his tone was very serious.

"Xiao Zheng, what's wrong. ”

Zheng Ren rarely disturbed Director Pan's sleep, this was the first time he came to the emergency department. Therefore, Director Pan was a little nervous, which was all the doctor's instinctive reaction.

"Anonymous, male, about thirty-five years old. Acute gangrenous appendicitis, acute toxic shock, and no family contact information is considered. Zheng Ren reported the main issues clearly in one go.

"To prepare for the surgery, I contacted the medical office. Director Pan did not hesitate and replied immediately.

Zheng Ren hung up the phone and trotted upstairs, not even waiting for the elevator, and walked to the fire escape.

"Do preoperative preparation. While directing the nurses, Zheng Ren picked up the phone and called Chu Yanran and Shay to prepare for the operation.

Emergency blood collection, electrocardiogram and other examination items reported, Zheng Ren glanced at it and took the patient who had been indwelling gastric tube and urinary tube to the operating room on the third floor.

handed over the patient to Chu Yanran and Chu Yanzhi, and then returned to the emergency ward.

At this time, Director Pan was already on the road, and the staff on duty in the medical department came to the doctor's office in the emergency ward with video equipment.

When Director Pan arrived, the staff of the medical department began to record video files with legal effect.

Zheng Ren reported the medical history, described the patient's status and solutions, and proposed that because there was no patient's family, it was impossible to communicate and sign before the operation.

Next, the medical department authorized Director Pan on behalf of the hospital that the emergency ward had the right to perform the operation.

Such procedures are essential and are an act of self-protection for health care workers.

After recording the video, the staff of the medical department returned to the office with the equipment and sleepy-eyed.

Zheng Ren was a little embarrassed, "Director Pan, I'm sorry to wake you up so early." ”

"People are old and young, and they have already woken up. Director Pan waved his hand, "Let's go for surgery, are you sure?"

In the face of toxic shock, no one is absolutely sure.

Unlike shock caused by nitrite poisoning, toxic shock caused by diffuse peritonitis does not have symptomatic drugs, and the source of contamination can only be blocked by surgery, and a large number of antibiotics should be used to solve the problem after surgery.

As for whether or not the patient can recover, it depends on the patient's own condition.

The man...... Zheng Ren remembered that skinny body, his expression was a little gloomy, and he shook his head.

"Do your best. Director Pan patted Zheng Ren on the shoulder, "In terms of expenses, I'll go to the hospital to ask for instructions after I get to work." ”

Zheng Ren nodded and hurriedly went to the operating room.