Chapter 246: Neglected Critically Ill Patients

One morning a few days later.

Gu Jianqiu and Xia Xueting were seeing a doctor in the Chinese medicine department, and during this time, there were more patients who came to see them, and they were busy until they got off work at noon.

Gu Jianqiu finished seeing the patient first, and Xia Xueting still had a patient who didn't finish reading, so Gu Jianqiu waited for him at the door.

At this time, a 12o ambulance came to the emergency department. Next to their TCM clinic is the emergency center 12o. When they reached the door, the nurse panicked and pushed a patient out of the car and reported to the doctor that the patient's heart had stopped.

Last time, the director of the emergency center had a misdiagnosis of Yan Zòng and almost killed the internationally famous movie star Reika Sakai, so he has been transferred away and replaced with a director, surnamed Wu.

Director Wu is very experienced and immediately organized cardiac resuscitation.

Gu Jianqiu was waiting for Xia Xueting, but Xia Xueting was still treating the last patient, she looked at it very carefully, and she couldn't finish it for a while, so Gu Jianqiu bored and walked to the door of the emergency room to see them busy.

At this time, on the bench in the corner of Gu Jianqiu's emergency room, a middle-aged woman was sitting, a middle-aged man was standing next to him, and two and a half children were standing.

This middle-aged woman had a sickly face, her abdomen was high and bulging, her spirit was very poor, and she seemed to have weak energy.

Because it was right next to the door, Gu Jianqiu could see very clearly that she should not be pregnant at this age, and her sick appearance aroused Gu Jianqiu's vigilance.

Gu Jianqiu casually asked the middle-aged man standing next to her, "What's wrong with her?" ”

Because Gu Jianqiu had already taken off his white coat and hung it in the outpatient room, and now he was wearing civilian clothes, the middle-aged man glanced at him. I thought it was a lively view, but people kindly asked, and he didn't mind answering, and said simply: "Stomach pain, constipation." ”

Gu Jianqiu frowned, if it was simply constipation. There will be no such mental state, judging from her face, her face is full of illness, but it is not just constipation, and she asked: "Look at her mental state is very poor, it seems that it is not just constipation, right?" ”

When the middle-aged man heard this, he glanced at Gu Jianqiu again. There was some admiration in his eyes, and he said, "Yes, yesterday, when my wife was mopping the floor." The ground was too slippery, and I fell carelessly, and my stomach hit the coffee table, and I said that my stomach hurt from then on, and I came to do a check yesterday afternoon, and I didn't find any results. But last night my stomach hurt even more, so I came today, but there were too many people at the outpatient clinic, and I couldn't wait. I came here to see the emergency department, but I'm so busy here, waiting for the doctor to see me. ”

Gu Jianqiu said: "Can I touch his pulse?" I am a doctor at Jianteman Hospital, a doctor in the Department of Traditional Chinese Medicine. I don't think she's very good. ”

As soon as he said that he was a doctor and that his wife's illness was not good, the middle-aged man was a little nervous and hurriedly agreed. As a patient's family, of course, the doctor is willing to see him. Even if it is a doctor from another department, as long as they can care, it is a kind of touching.

Gu Jianqiu took the patient's wrist to check the pulse. Now there is an obvious pulse halo point on the pulse part of her right hand. Because the right hand is located in the spleen and stomach, that is to say, the patient's spleen and stomach have a problem. Gu Jianqiu said in a deep voice: "Is your wife's spleen and stomach sick?" Or have you ever been injured? ”

The man was taken aback, looked up at Gu Jianqiu, and said, "Yes, doctor, how do you know?" ”

"What is wrong with the patient's spleen and stomach? Quickly tell me that the patient's condition is very bad, and we should hurry up and don't ask too much. ”

"Okay, my wife had gastrointestinal bleeding last month, went to the hospital for surgery, and was discharged later."

"Gastrointestinal bleeding? What exactly is the bleeding? Figured it out? ”

The middle-aged man thought about it and looked at his wife again. The woman said in a weak voice, "The doctor said yes, the stomach mucosa is ...... The blood vessels are broken......"

As soon as he said this, the middle-aged man also remembered it, and hurriedly said: "Yes, yes, I remember, it seems to be called a ruptured and bleeding artery under the gastric mucosa, but I have already undergone surgery, and I was discharged from the hospital after the operation." ”

Gu Jianqiu shook his head and said, "Your wife's condition is very bad, I suggest that you conduct the relevant examination immediately." Not only constipation or abdominal trauma, but it is estimated that there is a problem with the original surgery, so it is necessary to check it as much as possible. ”

"Wouldn't it? My wife was cured and discharged from the hospital, and the surgeon said that the operation was successful, how could something go wrong? The middle-aged man didn't seem to be very impressed by Gu Jianqiu's conclusion just now, so he ignored him. Still anxiously looking at the patients and nurses, waiting for them to come and see their wives when they were done.

At this time, Xia Xueting had already seen a doctor, walked over, and said to Gu Jianqiu: "Hurry up and change your clothes, let's go back, I'm starving to death." ”

"Wait a minute, there's something wrong here, I'm not quite right with this patient's condition, I want to remind them." As he spoke, he walked into the emergency room, came behind Director Wu, and said, "Director, a patient waiting over there has been waiting for a long time, and I am now in a critical condition, can you show her first?" ”

Director Wu was a little impatient, he was very busy now, turned around and saw that it was Gu Jianqiu, and couldn't help but quickly put away the displeasure on his face. Gu Jianqiu is not an ordinary person now, he not only has a very good relationship with the vice president Charlie Long, but also created a miracle in the hospital for the first few times, including saving the international movie star Reika Sakai, and that time it was a problem in the emergency center and a misdiagnosis.

So Director Wu didn't dare to slack off, and hurriedly laughed and said, "Doctor Gu is you, I didn't hear what you just said." ”

Gu Jianqiu turned around and pointed to the middle-aged woman who was waiting on a chair at the door and said, "That patient has a high bulge in the abdomen and edema of the abdominal wall, and the family said that she had gastrointestinal bleeding surgery last month. I just touched her pulse, and now she has a problem with her stomach, and I recommend that you hurry up and give her the corresponding treatment and examination. ”

"However, this patient's heart has been arresting here, so let's wait a little longer, okay?"

Director Wu didn't dare to speak too hard, so he said to Gu Jianqiu in a consultative tone.

Gu Jianqiu said in a deep voice: "I see that there are enough people to rescue on your side, and you can take out two of them to examine that patient, and it will not affect your side for cardiac resuscitation." That patient is also in critical condition and will be dangerous if measures are not taken in time. If you are in danger, it will be too late to rescue you! ”

Of course, Director Wu didn't know that the director of the emergency center who was removed from his post before was Gu Jian Qiujian, who gave Sakai Lixiang a detailed physical examination, but was refused, and finally almost caused a catastrophe. This time, Director Wu already knew that Gu Jianqiu was not easy to mess with, and he didn't want to make trouble, so he said to Gu Jianqiu: "Is this good?" Help see what to do, you decide, I'll call two nurses to take her for a check-up. ”

"Yes, immediately inhale oxygen, then puncture the abdominal cavity and send ascites for testing, and immediately establish intravenous access in case of a critical illness, and rescue can be done in time."

Although Gu Jianqiu is a traditional Chinese medicine, he has to learn Western medicine in traditional Chinese medicine hospitals, and he is also very solid in Western medicine, especially during this time, he has read a lot of books, including Western medicine.

Director Wu just wanted to do his best to defeat Gu Jianqiu, so as not to delay his rescue, so he nodded and said, "Okay, I'll send someone to take measures immediately." ”

Director Wu's side did have enough manpower to rescue the patient with cardiac arrest and could draw people out, so he arranged two nurses, according to what Gu Jianqiu just said, to immediately take corresponding measures such as oxygen inhalation, establishment of intravenous access, and pumping ascites for testing.

When the patient's family saw that Gu Jianqiu actually said a few words, the doctor immediately arranged for his wife to take corresponding examination measures, and naturally they were very grateful, and they kept nodding and smiling at Gu Jianqiu.

He could laugh, but Gu Jianqiu couldn't, because he felt that this patient's condition could not be ignored, and if a doctor said that he ignored the patient's critical condition, it might leave lifelong regrets and guilt, so Gu Jianqiu thought about it and said to the middle-aged man, "I'll accompany you to the examination." ”

The middle-aged man was very grateful.

Gu Jianqiu accompanied them to check.

Xia Xueting knew that Gu Jianqiu was not a very emotional person, he was very rational in medicine, he was so cautious, there must be a reason for him, so he followed silently.

After the examination, while waiting for the results of the examination, the patient suddenly had a sharp drop in blood pressure and went into shock.

Gu Jianqiu used his true qi to control his heart to avoid cardiac arrest, and on the other hand, he hurriedly followed the nurse and pushed the patient back to the emergency center.

The patient on Director Wu's side who had had stopped beating his heart had recovered his heartbeat after rescue and was transferred to the intensive care unit for observation. He was just trying to relax, when he saw Gu Jianqiu and them rushing to push the patient back, he immediately had a bad feeling, and when he heard the nurse say that the patient's blood pressure was very low, he was almost in shock, and he was immediately frightened into a cold sweat, and quickly organized the rescue of the patient.

Because intravenous access and oxygen had been established in advance, the rescue was carried out quickly and the shock symptoms were quickly and effectively corrected.

At this time, the laboratory test results came out, and the ascites routine reported three plus pus.

Septic shock!

Director Wu's eyes widened, and he immediately decided to transfer to the intensive care unit as a critical patient.

After entering the intensive care and further examination, it was revealed that the patient had ruptured and bleeding in the gastric submucosal constant diameter artery last month, and had an abdominal infection after surgery, but the patient was forcibly discharged from the hospital without waiting for cure. This time, if it weren't for Gu Jianqiu's timely appearance, I was afraid that it would be dangerous.

Director Wu couldn't help but hold Gu Jianqiu's hand and shook it vigorously, and said gratefully: "Thank you, Doctor Gu, for reminding me, otherwise there would be a big problem!" ”

Gu Jianqiu also felt very lucky, if he wasn't waiting for Xia Xueting to be bored, he casually transferred to the emergency center to take a look, and this situation really wouldn't have happened. Of course, if he hadn't been attentive to observing, and if it weren't for the fact that his cultivation level had reached the sixth level, he wouldn't have been able to determine that the patient's condition was critically ill from the patient's face, and the patient's life should not have been extinguished. (To be continued!)

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