The cold is serious, uncomfortable all day, hurry up and write a chapter in the evening, let's change it today, uncomfortable, alas!

Chen Yan put down the medical records in his hand and went out without saying a word, and when he was about to reach the door, his steps froze and said, "Director Song, let's take a look." ”

Chen Yan is not lending patients to Song Wenhua to solve problems, the two sides can fight for power and profit in private, but Chen Yan will never use patients to stumble on each other, this is the bottom line, but also the principle, the reason why Chen Yan called Song Huawen is because even if he has not seen the patient, he knows how tricky this kind of patient is, and he needs more people to brainstorm to come up with the most reasonable and effective treatment plan.

Chen Yan thought so, but Song Huawen didn't think so, he just thought that Chen Yan was using the question to give him a problem, but he still went out, but his face was very ugly.

Li Xiujie naturally went out with him, and when he arrived at the rescue room, he gasped when he saw the patient lying on the diagnosis and treatment bed, the patient was not very old, and he was about twenty years old, looking at the migrant worker who was supposed to be working on the construction site, and a steel bar with blood stains penetrated his lower abdomen.

At this time, the patient was already unconscious, his face was pale, even his lips were bloodless, and excessive blood loss was obvious.

There were still a few migrant workers squatting at the door who kept smoking, and one of the older ones kept muttering: "How can I explain this to my second aunt, how can I explain it, Shucai, you must not have anything to do." ”

The first thing Chen Yan said after entering was: "Test blood type, blood transfusion immediately." ”

Song Wenhua looked at the patient and said impatiently: "Hurry up and send B supermarket or CT positioning to see where the steel bar is injured, don't stay with us." ”

There is no problem with Song Huawen's opinion, the emergency department in Huaxia is different from the emergency department in the United States, in the emergency department in the United States, there are special operating rooms and surgeons in various departments, most of them are directly operated on in the emergency department once diagnosed, but in the emergency department in Huaxia is more like a triage department, do some routine examinations to confirm which department the patient's disease belongs to and will immediately send it over, except for small problems such as cold and fever, most diseases will not make effective treatment measures.

The condition of the man in front of him should be sent to the B-ultrasound or CT room to take a film for positioning, and then send it to the general public.

As soon as the nurse heard this, she was about to lift the patient, Chen Yan's brows furrowed and he felt that something was wrong, but he didn't stop it, he had rich experience in first aid, but he had no experience in surgery, and he was helpless in the face of such a patient, and he couldn't come up with an effective treatment plan.

Just when the nurse was about to lift the patient, Li Xiujie said: "Wait, don't move first, prepare for bedside B ultrasound, his current situation is unknown, you can't move him rashly, if it causes bleeding, his life will not be saved." ”

Heavy bleeding is inevitable in front of the patient, and hemorrhagic shock has already occurred, and if he is rashly moved for examination, he will definitely die because the slight change in body position involves the wound and causes secondary bleeding.

Song Wenhua roared impatiently: "Is there a place for one of your interns to speak?" Can you afford to delay the patient's treatment and cause the patient's death? ”

Li Xiujie's eyes were shining, he stepped forward and looked directly at Song Wenhua, and said-for-tat: "If the patient has secondary bleeding due to handling, can you afford it?" At this moment, Li Xiujie's momentum was amazing, and Song Huawen was so suppressed that he didn't dare to look at him.

The next moment, Song Huawen came to his senses, and when he saw the strange eyes of the others, he immediately became angry and said, "You get out for me, get out." ”

Chen Yan said at this time: "Xiao Li is right, call the B-ultrasound room and ask them to send someone over to do bedside B-ultrasound immediately." ”

Li Xiujie was surprised: "Please invite someone from the B-ultrasound room to come?" Speaking ......of this, he realized that he was in a hospital in Huaxia, not the United States, and no one in the emergency department in Huaxia would do B-ultrasound, and if he needed B-ultrasound, he would ask someone from the B-ultrasound room to come and do it.

Thinking of this, he said: "It's too late, Corey has a bedside B-ultrasound, bring it immediately, I'll make it for him." ”

Song Huawen said in a strange manner: "You? Will you? Director Chen, is this intern crazy? Do you want to do a B-ultrasound for the patient? What international jokes? ”

Chen Yan ignored Song Huawen and said directly to the head nurse He Yingjun: "Go get it immediately." ”

Song Huawen never thought that Chen Yan would choose to believe Li Xiujie, an intern, and he was dissatisfied: "Director Chen, why are you messing around with him?" ”

Chen Yan said angrily: "You shut up for me, I called you to see what you learned in the capital, and now it seems that you haven't made much progress, you are still an old routine, and you are not as good as an intern." ”

Song Huawen didn't expect Chen Yan to be so faceless, and he actually ridiculed him in front of so many people, which made his heart flourish, and he clenched his fists and his face changed.

Li Xiujie didn't have time to deal with Song Huawen and said directly: "Urgently check the blood routine and coagulation four items, the four groups of venous channels are fully opened, first use 706 with plasma, put on the ECG monitor, closely monitor the changes in blood oxygen, notify the operating room to prepare for abdominal exploration, and let the people from ordinary people come over immediately, and ask the person who sent him about the patient's situation, and the past medical history must be asked clearly." ”

Li Xiujie entered this state and even Chen Yan subconsciously did what he said, completely forgetting that he was an intern without medical qualifications, this is the momentum, Li Xiujie has been in charge of the medical team for many years and has developed the momentum of saying the same, he is the emperor in the rescue, and no one dares to disobey him.

It didn't take long for He Yingjun to take the bedside B-ultrasound, because he was in a hurry, he didn't have time to wipe the ashes on it, Li Xiujie smiled bitterly after taking it, no one in the emergency department of Songcheng People's Hospital would use bedside B-ultrasound, what are they doing?

But what can be said? This is related to the medical education in China, those who study clinical are those who study clinical, and they will never learn imaging, and those who study imaging will definitely not learn clinical, which ultimately leads to clinical people who do not understand imaging, and those who do not understand clinical imaging.

Li Xiujie shook his head helplessly, and then hurriedly installed the bedside B, and at this time, a nurse had already cut the clothes on the patient's upper body with scissors.

Li Xiujie picked up the couplant and smeared it on the skin around the steel bar, and then put the probe on it, and the people in the rescue room all poked their heads to the monitor, Li Xiujie skillfully operated B ultrasound, but his brows were wrinkled deeper and deeper, and he suddenly pointed to a position on the monitor and said: "The steel bar pierced the inferior vena cava, which is very tricky." ”

The inferior vena cava is the largest vein in the abdomen, the steel bar runs through this vein and causes massive bleeding, if you want to save the patient, you must first transfuse blood to ensure blood volume and blood oxygen, the next step is to pull out the steel bar, but the difficulty is here, the steel bar penetrates the inferior vena cava, which leads to bleeding, but at the same time it also delays the bleeding, once the steel bar is rashly pulled out, the blood will gush out, and the patient will die of excessive blood loss in an instant, this vein is too big.

If you want to save the patient, unless you can stop the bleeding at the moment when you pull out the steel bar, but this is almost impossible, the abdominal cavity is full of blood, once you open the abdominal cavity because of the sudden reduction of pressure, the blood will gush out, no matter how much suction device is used, it will not be clean, if the steel bar is pulled out, the blood will come out more, you can't see the surgical field clearly, you can't see how to stop the bleeding? Is it possible to ligate the inferior vena cava?

This is no different from murdering a patient, the inferior vena cava is the most important vein in the human body, once the venous blood of the lower limbs and many organs in the abdominal cavity is ligated, the venous blood will lose its channel, and the blood circulation will be blocked, and the patient will definitely die.

But without ligation, there is no surgical field, and how to suture blood vessels to stop bleeding without surgical field? This is simply an unsolvable puzzle.

Chen Yan sighed after seeing it and said, "Wait for people from outside the world to come and see what they are talking about, I hope they can have a way." ”

Song Huawen pursed his lips and muttered: "It's useless for anyone to come in this situation, wait for death." ”

As soon as Li Xiujie heard this, his brows immediately furrowed, and he glanced at Song Huawen in disgust, this bastard is not a doctor at all, and there is a saying that patients should wait for death.

The door opened, Yu Wen, the director of Puwai, walked in, and Chen Yan hurriedly said when he arrived: "Old Yu hurry up and come over and have a look." ”

Yu Wen stepped behind Li Xiujie and gasped when he saw the B-ultrasound: "This ...... There's no way to save it! ”

Chen Yan's face darkened, and his last hope was dashed, he waved his hand weakly and said to a doctor: "Go and give a critical illness notice, so that the family can be prepared." ”

Li Xiujie was staring at the monitor and thinking about something, and when he heard Chen Yan's words, he suddenly said, "Wait." ”

At this time, Yu Wencai saw Li Xiujie, and when he saw his badge, he knew that he was an intern, he had heard of Li Xiujie's name, and now he saw that he could use bedside B ultrasound, and couldn't help but ask in surprise: "Do you still use B ultrasound?" ”

Li Xiujie didn't expect Yu Wen to care about this matter, he turned his head and looked at Yu Wen's badge and said with a wry smile: "Director Yu, I will talk about B-ultrasound, let's talk about it later, now let's talk about how to save the patient." ”

Song Wenhua, who was embarrassed one after another, couldn't help but sneer: "Save the patient? How to save? You are a god, a golden pill can bring the patient back to life? Do you really think of yourself as a big expert and a big professor? ”

Li Xiujie said coldly: "What if I can save the patient?" ”

Song Wenhua was so agitated by Li Xiujie and immediately shouted like a fried rooster: "If you can save him, you can do whatever you say, but you can't save that?" ”

Li Xiujie stood up and looked at Song Wenhua coldly and said, "I can't save me from the hospital, but if I can save this patient, all the medical expenses and the living expenses for the follow-up home recuperation will be paid by you." ”

Song Wenhua slapped his face and said, "Okay, remember what you said, I'll wait for you to get out of the hospital." ”

Li Xiujie snorted and said, "Deputy Director Song, you better hurry up and get the money ready, how can you get 50,000 yuan." ”

Still saying this, Li Xiujie said to Wen: "Director Yu's surgery can't be done in the operating room, you have to be here, you can't move the patient, you have to give me a hand in a while." ”

Yu Wen looked at Li Xiujie and said, "You want to operate on him?" Or is it here? What can you do? ”