Chapter 63: Dangerous Trauma Patients (2nd Shift Ticket Collection)

"What, what?" Lin Feng couldn't help but be stunned when he heard this, and subconsciously asked, "Are you going to invite me to your house for dinner tonight?" ”

Since Lin Feng was subconscious, his voice was a little loud, which made several family members of patients not far away look at here.

Xu Jingjing couldn't help but look embarrassed when she saw this, and her face turned red as soon as she "brushed", but fortunately, the family members of those patients didn't know the situation, and they didn't know each other, so Xu Jingjing didn't feel so embarrassed.

"Why are you so loud? Want everyone to know? Xu Jingjing glanced at Lin Feng dissatisfied, with a look of coquettishness, completely dispelling Xu Jingjing's ice beauty's temperament and turning her into a little woman.

"Hehe, it's just a moment of excitement!" Lin Feng laughed twice, and then asked, "Why did you invite me to your house for dinner?" Isn't it a little too fast, I'm not ready yet! After speaking, Lin Feng laughed a few times with bad intentions.

Xu Jingjing didn't react for a while, and said: "Just eat, eat, how can there be so many reasons?!" Are you going or not? Give a good word! What else do you need to prepare? What's too fast? ”

When Lin Feng heard this, he just laughed a few times, but he didn't speak.

Xu Jingjing was stunned for a moment, then reacted, and couldn't help but turn even redder!

Lin Feng's words just now were obviously taking advantage of Xu Jingjing, if Lin Feng hadn't done this a few days ago, but since he had eaten at the Dalian Seafood House that night, the relationship between Lin Feng and Xu Jingjing had become much closer, so he dared to joke like this.

"Okay, beauty invited, of course I'm going! I just don't know, can the beauty reveal why she invited me to dinner? ”

"Less poor mouth! You'll find out when you go! Then it's decided, I'll wait for you at the west gate of the hospital after work in the evening, see you or leave! After Xu Jingjing said this, she turned around and left, leaving Lin Feng alone in the local area.

"Why did she invite me to dinner? Or in her house? But Lin Feng didn't think much about it, he knew it at night anyway, so Lin Feng walked quickly to the dressing room, changed into a white coat, and began to make rounds.

Most of the patients in the ward are in stable condition, nothing happens, and now Lin Feng's medical skills have been proven, although he is still a small doctor in name, but in fact, there is no need to make rounds with the director, but Lin Feng himself is taking a few young doctors to make rounds.

After seeing the three patients who needed surgery today, Lin Feng walked to the bed of a newly admitted traumatic patient.

"The 36-year-old patient, who was riding a motorcycle while drunk, crashed into a large truck that was stationary on the side of the road, causing a sudden shock, and was transferred to our hospital after being in the emergency department of the local county hospital to correct the shock. When he was admitted to our hospital, the patient was conscious and his general condition was acceptable, and he did abdominal ultrasound, head CT, chest and lung CT, cardiac color ultrasound, and abdominal CT in the outpatient clinic, and found a small amount of fluid in the lungs, heart contusion, liver and spleen contusion, and no abnormalities in the rest of the organs, and hemoglobin was maintained within the normal range, so symptomatic and conservative treatment was given for the time being. A graduate student briefly introduced the patient's condition to Lin Feng, and the patient was admitted by this graduate student.

After listening to the introduction of this graduate student, Lin Feng looked at the patient again, and his brows couldn't help but pile up together.

"Jiajun, what do you think is the reason for the patient's restlessness now?" Lin Feng pointed to the patient who was repeatedly agitated on the hospital bed and asked Huang Jiajun, a graduate student.

"It should be pain and heart factors! Generally, such patients will fall into fear for a long time after the accident, so the whole person will appear irritable, and even have radical behaviors, and after a period of psychological counseling, they will slowly get better. Huang Jiajun said expressionlessly.

In Huang Jiajun's heart, Lin Feng is just a graduate student, and he is a regular full-time graduate graduate, what happened to the department before, several other undergraduates are looking at themselves, but since Lin Feng became famous, these undergraduates have circled around Lin Feng, which makes Huang Jiajun feel very unhappy, and now this Lin Feng actually asked himself in front of so many people, Huang Jiajun is even more unhappy in his heart!

Lin Feng was noncommittal, but said to a small doctor next to him: "Xiao He, you go and see the changes in the patient's pupils." ”

The doctor named Xiao He left and walked up to the patient with a miniature flashlight, opened the patient's bilateral pupils, kept observing, and said after a while: "The patient's bilateral pupils are dilated and the light reflex is weakened. ”

Lin Feng nodded when he heard the words and said: "That's right, after the patient's trauma, the cranial CT did not see any abnormalities, which does not mean that there is no abnormality, but because in the first few hours of the trauma, the cranial CT cannot accurately find non-hemorrhagic brain parenchymal changes." ”

As he spoke, Lin Feng pointed to the data on the monitor, and then said: "You look at the patient's breathing rate, which is about 30-40 times per minute, which shows that the patient's breathing is shallow and fast, in addition to the contusion of the lungs, the other part is because of brain damage, and the next step will be cerebral edema, and even brain herniation, then it will be troublesome!" Therefore, the patient's condition is extremely dangerous, and many diseases, as long as the cause cannot be found, or the cause is completely ruled out, the cardiac factor can be considered. Jiajun, I think you can handle the next thing, right?! ”

After hearing Lin Feng's words, Huang Jiajun couldn't help sweating on his forehead, in fact, what Lin Feng said was extremely simple common sense, as long as he had been a doctor in the clinic for a few years, he would understand, but Huang Jiajun ignored this point, which almost led to serious consequences.

Hearing Lin Feng ask, Huang Jiajun nodded hurriedly, and then said, "I know!" The patient is now delirious, shortness of breath, pulmonary contusion and a small amount of fluid, which is already in line with the indications for endotracheal intubation, and mannitol should be used once every eight hours, 125 ml each time, to reduce intracranial pressure, dehydration, and prevent cerebral herniation caused by cerebral edema. Observe the patient closely and change the situation, and if signs of bleeding or hemoglobin are low, repeat the abdominal ultrasound immediately, and if there is a rupture of the liver and spleen, then the surgery is performed as soon as possible. ”

"Well, this patient may be in danger of his life at any time, so he must be closely observed." Lin Feng said with a smile.

The undergraduates around were stunned for a moment, and finally had a feeling of sudden realization, and couldn't help but remember this case in their hearts.

After this incident, Huang Jiajun was much less hostile to Lin Feng, but at this time, Huang Jiajun didn't have time to think about other things, so he hurriedly gave a doctor's order.

After Lin Feng finished dealing with the affairs in the ward, he rushed to the operating room to prepare for today's operation.