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1

Liang Bo sulked at the behavior of the strange couple just now, and when he returned to the emergency room to see that Director Jiang was also there, he told Director Jiang about it. Liang Bo was still in a state of confusion about the drunk's wife, and before he could vent his emotions, he heard the shout of "front yard": "Doctor Liang, there is an emergency!"

Liang Bo hurriedly ran to the emergency room, the clinic was suddenly full of people, standing in front of a family of three, the three of them surrounded a child, the child was sitting on the side of oxygen, Xiaoqi was preparing to give him an infusion.

The child's father is about 40 years old and slightly chubby. The mother is of medium stature. At first glance, the parents are kind people. The back is an old man about 60 or 70 years old, who should be the child's grandfather.

Before Liang Bo sat down, the boy's father hurriedly said: "Doctor, please help me take a look, my son is usually allergic to milk, but he didn't eat milk tonight, I don't know why he suddenly became red and swollen all over his body, and he said chest tightness and shortness of breath, so I took him to the hospital immediately." ”

"It was probably something made of milk. Liang Bo asked tentatively.

"I don't know, oh, I think I ate some bread not long ago. I don't know if it's made with milk. The child's mother added.

"That's it, the bread probably has milk in it. ”

"We didn't know there was milk in the bread!" said the mother, reproaching a little.

While he was talking, Liang Bo prescribed blood routine, kidney function and blood sugar tests, and prescribed relevant drugs, and handed the list to the child's father after typing it out.

"It's okay, let's go take the child for a check-up first, and then go hang up a drip. ”

The child's father took the list and thanked him, "Thank you, doctor." ”

When receiving children with allergies, several waves of patients came one after another, and the emergency room was surrounded all of a sudden, and they were all minor patients, and it was already more than 11 o'clock in the evening when Liang Bo finished dealing with the last person.

The emergency room was quiet at this time, Liang Bo stretched his arms, and when he saw Xiaoqi, he asked about the situation of the drunk man just now: "How was the person who got drunk and beat his wife just now?"

"I left early after hanging up the drip and left. Xiao Qi replied lightly.

"Her wife didn't react, did she?"

"I didn't pay attention, anyway, after the injection, the two left safely. ”

"Oh. ”

2

Liang Bo just wanted to go back to the duty room to rest, when he heard a commotion again, and faintly saw a group of people carrying a man into the emergency hall in the distance.

Liang Bo hurriedly walked over to take a look, and after a brief look, the four big men were carrying a middle-aged man in his 30s, the middle-aged man's forehead was a little bloodshot, and these four big men were all red-faced and drunk. Liang Bo took a cursory look at the patient being carried and didn't react, and immediately beckoned four big men to carry the patient to the consultation room.

Liang Bo gently shook the patient's shoulder, there was a slight reaction, the pupil and light reflex were checked, they were normal, but the other examinations performed were not cooperative, asking him questions, could not express normally, and could not cooperate with the diagnosis and treatment, which was an obvious phenomenon of alcohol poisoning. It's not the same as the drunk one just now, the one who is purely drunk, but this kind of patient who can't express his own situation makes it a lot more troublesome for the doctor to diagnose and treat.

Liang Bo turned around and asked the others who were accompanying him: "What's the situation with this forehead?"

"I accidentally touched the toilet when I went to the bathroom. The four men also drank a lot of alcohol, and one of them, who seemed to be more conscious, replied.

"How much did you drink?"

"Great... Probably.. 3. 4 bottles of liquor, 2 or 3 cases of beer bar... !" said another man who was still in a knot while drinking, "No. Not much... There were 5 or 6 of us!"

"How much did he drink alone?" Liang Bo continued.

"There were 6 of us, and we drank for a long time one after another, and on average, it may be quite a lot, and he vomited back and forth many times, and he didn't speak when asked, and he didn't feel very good, so he sent him to sober up. One of them added.

The man who was still knotted just now continued to say loudly: "Usually, no. . . If you're not sick, just sober up and give glucose!"

Several others also chimed in: "Yes, yes... Add some glucose. ”

Liang Bo saw that these drinking friends were not very clear, so he walked to the computer and took a blood routine, electrocardiogram, blood sugar, brain CT, and kidney function tests.

Liang Bo gave the examination report to the slightly more sober man just now and said, "You go and pay him a fee, and then go for the examination." ”

The other three sat staggered in their chairs at the door of the examination room.

A few minutes later, the payer excitedly asked, "Why do you have to take blood and do an electrocardiogram?" Didn't you say you just need to add some glucose?"

These words aroused the interest of the other three, and they all stood up and walked into the consultation room together and muttered to Liang Bo: "Yes, why do you still have to draw blood?

"His condition is considered to be alcoholism, and some tests need to be done to see if he is doing well. Liang Bo patiently replied.

"Then he doesn't have a heart attack, what kind of ECG do you do?" the drinkers continued.

In this way, the drinking friends have been pestering Liang Bo, and they don't pay attention to Liang Bo's explanation, and they are about to collapse Liang Bo. This movement alarmed Director Jiang, who walked in and saw the noisy situation, briefly understood the situation, and just like the drunk man who made trouble before, he paused and said calmly: "You went to drink with him, and now you are drinking like this, if you don't check what happens, you will be responsible." ”

"Something happened to someone like you who was drunk and drunk, there was a case in our hospital some time ago, and it was also a group of people who drank but one person died because he was drunk and could not be rescued in time, and now the patient's family is still fighting a lawsuit with his drinking friends. Director Jiang narrated that the patient's drinking friends were obviously a little frightened, and they were silent and did not speak.

Director Jiang said to Liang Bo: "Come, Liang Bo, if you take the medical record book, if you really don't do the examination, let them sign the words 'refuse to be examined, and they will be responsible for all the consequences'." ”

"Yes, okay. Liang Bo cooperated with Director Jiang's words.

After saying this, several people looked at each other a few times, looked at the medical record book handed over by Liang Bo and passed the buck to each other, and they didn't dare to sign.

In the interval between their prevarication, Director Jiang observed the patient again, and saw that the patient's drinking friends had half of the enthusiastic momentum just now, so he said: "You should quickly inform his family, the situation is more serious. ”

Seeing that the old doctor said this, all the drinking friends hurriedly helped the patient to go for an examination, and notified the family in time.

3

After the patient left, Liang Bo finally stopped, looked at Director Jiang, and said admiringly: "Teacher Jiang, you are really amazing, just now I was so noisy by them that my head hurt, I can't explain it, I didn't expect you to say a few words, and they didn't dare to speak." ”

"Hehe... We have seen a lot of these drunkards, and there are all kinds of strange things, the drunkard in front of us and the unconscious who just came from this group of drinking friends are all frequent customers in our emergency department. And what I said just now is not alarmist, last year there was a similar situation, and in the end the person really suffered a cardiac arrest due to drunkenness. Director Jiang analyzed.

"Ahh

"Although there are few cases of this kind of drunken death, that is indeed an individual case, but there are still some, of course, it has nothing to do with our hospital, he is not good for the amount of alcohol itself, and the people who drink together have been persuaded to drink, this kind of drinking style is really not good, but now the country has issued eight regulations, it seems that there are fewer drunk people than before. ”

Director Jiang did not forget to complain, "I really think that the state should introduce a law for those who persuade alcohol like this, and if something happens, they will be held criminally responsible, and we will see if they will persuade them to drink like this." ”

"Uh-huh... yes!"

The two walked to the duty room while chatting, and as soon as they sat down, they heard the emergency nurse shouting again: "Doctor Liang, there is a patient in the emergency department." ”

Liang Bo immediately ran to the consultation room and continued to receive treatment.

About an hour later, just after the consultation room was busy, I saw a woman in her 30s holding the examination list to Liang Bo and said, "Doctor, please help me look at the examination results." ”

"Lin Xiaowei. Liang Bo read out loud while holding the checklist.

"Well, yes, the one who just got drunk. ”

"Oh, you are his family!" After speaking, Liang Bo looked at the examination report, blood sugar was 16.7, and other examination items were normal, Liang Bo's heart sank, and he quickly asked, "Does your husband have diabetes?"

"Yes, he's grade 2 diabetes. The patient's family replied, "Is it serious?"

"Now your husband's consciousness is not very clear, the glycemic index is very high, and it is considered to be diabetic ketoacidosis. ”

"Doctor, is it serious?" asked the patient's family excitedly.

"It's more serious, your husband's condition should be transferred to the internal medicine inpatient department for treatment immediately! My side is a surgical emergency, and the place where his head hits, the brain CT examination is fine. I'll contact an internist for a consultation, and I'm sure I'll be transferred to the endocrinology department soon. ”

"Uh-huh... ”

After speaking, Liang Bo walked out of the consultation room with his family, and saw that all the drinking friends just now were sitting outside the door of the clinic, and the patient's family complained to Liang Bo loudly: "I have told him many times, don't go out to fool around if you have diabetes, he always said that his friends were embarrassed not to go." ”

"In this case, he should avoid alcohol, so I'll arrange an internal medicine consultation now. ”

"Uh-huh,,, I won't let him drink anymore in the future. ”

The drinking friends on the side were stunned when they heard that they needed to be hospitalized, and one of the more sober people said: "Brother and sister, then you are almost here, and we will leave first." ”

"You want to leave now? Now he's going to be hospitalized, and if something goes wrong, you'll have to pay for the medical bills. The patient's family said viciously.

"Out... Go out... With that, the four of them ran away in a daze.

After internal medicine consultation, the patient was indeed diabetic ketoacidosis and was immediately transferred to the endocrinology department.

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