[Third Update!] It's the last three days of February! If you don't vote for the monthly pass, it will be invalid. Lao Yu is now in urgent need of monthly ticket support from all brothers and sisters! How can you keep the fourth place! 】

Watching Lu Haokun's family leave with a thousand thanks, Qin Chuan also sighed. Saving one person's life is equivalent to saving one family, or even two families. Every time at this time, Qin Chuan will experience the sense of accomplishment and pride of being a doctor.

Jiang Lingling walked over, "Lu Haokun's family is gone?" ”

Qin Chuan nodded: "Well, it's okay, Lu Haokun is very stable, as long as he continues to take medicine, the chance of recovery is very great." ”

"Is there a sense of accomplishment?" Jiang Lingling snuggled up to Qin Chuan's side.

"Yes. I really enjoy the sense of accomplishment. Qin Chuan said with a smile.

"I want to be a doctor." Jiang Lingling said.

"Why? Being a nurse can also be of great help to patients! I have always felt that doctors and nurses are indispensable to the recovery of patients. Qin Chuan didn't quite understand why Jiang Lingling suddenly had such thoughts.

"However, I want to give you the greatest help. If I were a doctor, I would be able to be there for you all the time. Jiang Lingling said.

"If you become a doctor, you can't be on the same medical team as me." Qin Chuan said with a smile.

"Why?" Jiang Lingling asked puzzled.

"Because of the profession. If two people are in the same medical team, it is easy to bring family affairs into the work. may adversely affect the team's exhibition. Do you understand? Qin Chuan asked.

"So?" This time, Jiang Lingling was a little hesitant.

"yes. You're doing a good job as a nurse. I see that the patients in the department smile when they see you. And, you love the job too. If you don't like the job at any point, be a stay-at-home wife in the future. I'll raise you. Qin Chuan said with a smile.

"If you want to be beautiful, I won't be a full-time wife." Jiang Lingling threw a small flattering look at Qin Chuan, but her face turned crimson with shame. People come and go. Talking about this kind of thing will inevitably make girls shy.

"That's troublesome, my parents are still counting on you to have a few more children!" Qin Chuan said with a smile.

"Liar. We're all in the hospital, can we have more children? You can only give birth to a maximum of two. Jiang Lingling's voice was very low.

"What do you say? I didn't hear it. Qin Chuan said deliberately. His hearing and vision are ordinary people, so close to each other, even if Jiang Lingling's voice is small. They can also be heard clearly.

"Didn't hear the pull." Jiang Lingling stretched out her little hand to pinch the fine flesh on someone's waist and twisted it vigorously, making someone immediately smile painfully.

The two of them were talking to me and me, and He Xiaokang hurriedly walked over.

"What's wrong?" Qin Chuan hurriedly asked.

"Small 18-bed patient had a supraventricular heartbeat!" He Xiaokang looked a little nervous.

"What's going on?" Qin Chuan asked.

"This patient's name is Xu Shubiao, and he was admitted to the hospital yesterday. Complaints of chest tightness, shortness of breath, and edema of both lower extremities upon entry. According to Xu Shubiao's family, he has been suffering from the disease for 11 years. Recently, I can't lie flat at home, especially in the last week. His family just took him to the hospital. When I came in, I made a clinical diagnosis based on the results of the examination. One is dilated cardiomyopathy, heart failure3. The second is type 2 diabetes. He Xiaokang said as he walked.

Qin Chuan also followed, "After that, how did you treat it?" ”

"I was given conventional anti-heart failure medicine plus traditional Chinese medicine." He Xiaokang didn't have time to elaborate, and walked quickly to the ward.

Qin Chuan followed closely behind He Xiaokang.

When he entered the ward, the patient's condition was more severe, and his shortness of breath worsened, and he sat up all of a sudden. All of a sudden, half-lying again. Obviously uncomfortable.

Qin Chuan glanced at the ECG monitoring and showed that it was 17o-18o/min. Blood pressure: 7o-8o/42-56mmHg.

Qin Chuan didn't speak, picked up the patient's case and looked at it.

The examination record of admission is: t36.2p94 times/min. BP1oo/8ommHg, limited when lying flat, coarse breath sounds in both lungs, fine rales in the left lower lung. The apical pulsation is in the left intercostal and axillary front, and the heart boundary is markedly enlarged. The sound of galloping horses can be heard. A grade 3/6 systolic murmur can be heard in the mitral and tricuspid valve. Mild digital pitting edema of both lower extremities. ECG: sinus rhythm, complete left bundle branch block. There is also a color map of the heart.

After Qin Chuan looked at it. There was no comment. He Xiaokang is still allowed to treat the patient. Qin Chuan felt that He Xiaokang's handling was also decent, and there was no problem.

Fang Ping has established intravenous access.

He Xiaokang was repeatedly given intravenous cardiotonic drugs and anti-arrhythmic drugs. But Xu Shubiao's symptoms eased slightly.

He Xiaokang let out a long breath.

After Qin Chuan left, Fang Ping asked, "Xiaokang, why are you so nervous today?" ”

"It's not that I'm afraid of making a mistake in front of Xiaochuan." He Xiaokang said casually.

"Are you so afraid of Ogawa now? Ogawa also looks quite easy-going, huh? Fang Ping was very strange.

"I don't know. Anyway, in front of Ogawa, I felt a lot of pressure. I'm afraid he'll say I'm doing something wrong. This guy is so wicked. Such a short time to the hospital. It's so powerful. He Xiaokang said.

He didn't seem to say anything just now. Didn't say you did anything wrong. Why are you so nervous? Fang Ping then asked.

"But he's not sure what I'm doing! It shows that he still has some different views on my disposition. I just felt that my disposition was not very wrong, so he didn't say anything. He is very demanding of our medical team. So every time we encounter something, we always have to solve it ourselves. Avoid us being overly dependent on him. But looking at the way he looked just now, it seems that I didn't do a very good job. He Xiaokang was a little distressed, in that situation just now, he seemed to have done what he could.

He Xiaokang returned to the emergency department and wanted to ask Qin Chuan about Xu Shubiao's treatment.

Qin Chuan thought for a while and said, "There is no problem with your disposal for the time being. Then treat it according to your treatment. However, the patient's illness has been repeated for 11 years, and you should take precautions against the complicated course of the disease. Therefore, patients with 18 beds must pay close attention. It's your evening shift, right? ”

"Yes." He Xiaokang nodded.

"Special attention was paid to the 18-bed patient at night. I always felt that his condition was not simple. You don't have to be nervous, and you don't have much of a problem with your disposal. It's just that the patient's condition is too complicated. I don't go back at night. Just look at some information in the department. You should also check the information to see if you can find similar cases. After Qin Chuan finished speaking, he walked out.

Qin Chuan is not like Yue Yi, after all, Qin Chuan can't do all the things of a medical team. As a team, only when everyone in the team does their best and fully exerts their due role, can the strength of the team be fully unleashed.

"What, Xiaokang, something is wrong with your patient?" Gao Zhanting walked in and asked while cleaning up her things. It's time to get off work, and Gao Zhanting is ready to go home from work.

"Hmm. For patients with heart failure, treatment did not improve. Something doesn't feel right. He Xiaokang said.

"What did Ogawa say?" Gao Zhanting stopped what she was doing and asked.

"Didn't say anything. However, Ogawa asked me to focus on this patient. He Xiaokang said.

"Then you should be careful. I think Xiao Chuan is deliberately testing you. You should pay attention. Others say that the educational level of our team is too low, and they are generally not optimistic about our prospects. Ogawa now is the opportunity to work hard for everyone to exercise. Well-off, don't rely on the old and sell the old. When the time comes, you can't keep up with the pace of the team, even if Xiaochuan doesn't clean you up, are you embarrassed to drag the team back? Gao Zhanting said.

He Xiaokang nodded, and now Qin Chuan has become the undisputed leader of this team. Qin Chuan also began to adapt to this role and began to help the entire team improve.

After getting off work, Qin Chuan sent Jiang Lingling home, and after having dinner at Jiang's house, he returned to the hospital. The emergency department is now divided into two teams, each with its own patient. The emergency department is divided into two. Since the team had just been formed, Qin Chuan was a little relieved. During this period, I often worked overtime in the hospital. On this day, Qin Chuan stayed because he was not at ease with the 18-bed patient. He Xiaokang's handling is also decent, but Xu Shubiao's condition is too complicated.

Sure enough, Qin Chuan's worries were not superfluous. In the evening, Xu Shubiao's condition recurred.

He Xiaokang hurriedly gave Xu Shubiao intravenous cedilan O.8mg, Da Da Long 165 omg, and adenosine triphosphate 14 omg. However, Xu Shubiao's blood pressure was further reduced to 7O/5OmmHg, and his heart failure was further aggravated.

He Xiaokang didn't know what to do at this time. While hesitating, Xu Shubiao fell into a coma and had ventricular fibrillation.

"Not good! Well-off, the patient has ventricular fibrillation! Hurry up and find a way to rescue it! Fang Ping urged a little nervously.

"Prepare for defibrillation!" After all, He Xiaokang is an emergency doctor, and this situation is often encountered.

Fang Ping hurriedly untied Xu Shubiao's clothes, and He Xiaokang quickly prepared a defibrillator. After charging, accurately target the area and deliver the first shock. Xu Shubiao shook violently under the electric shock.

But this time the click did not work, and Xu Shubiao's ventricular fibrillation still could not be relieved. The situation remains critical.

"Come again!" He Xiaokang charged again. Aimed at Xu Shubiao's chest and gave another electric shock. This time, it finally worked.

"Lidoca 1oomg intravenously." He Xiaokang continued.

Fang Ping quickly found the drug, prepared it and injected it into the patient's body. However, the patient's heartbeat is still not relieved.

"Continue to inject, pay attention to the total amount of control within 30 minutes, but only 3oomg." He Xiaokang thought for a while and said.

The patient's condition eased slightly, and He Xiaokang's whole body was already drenched in sweat.

Qin Chuan walked in: "Xiaokang, how is the patient's condition?" ”

"Just had ventricular fibrillation. What a hanging! He Xiaokang sighed.

"Maybe we should think differently." Qin Chuan said. (To be continued!)

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