Chapter 104: Amazing (Kneeling for Subscription, Monthly Pass)
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Today, the emergency department of Shashi City Hospital is not very busy, from dark to 11 o'clock in the evening, a few patients have come, but after 12 o'clock, there is no patient, not even a visit.
Sun Dong thought that today's night shift would be like this, but who wants to have a patient in the ICU at one o'clock in the morning who needs to do tracheostomy, tracheostomy belongs to the otolaryngology department, originally this kind of small outpatient surgery can be done by an ordinary otolaryngologists, but who would have thought that today is also a coincidence, the ordinary doctors in the otolaryngology department have something to ask for leave, of course, they told their director Zhou Liang that Zhou Liang came to the emergency department to deal with it.
Zhou Liang is not young, he is in his fifties, and seeing that he is going to retire next year, the doctor in the ICU feels that it is not appropriate to let Zhou Liang come over by himself in the middle of the night, after all, it is freezing this day, Zhou Liang is also old, and he is saying that the car in the middle of the night is not easy to play, so he called the emergency department to communicate with Sun Dong, and asked if the emergency department was busy, and if he didn't go to the clinic, let the emergency department send an ambulance to pick up Zhou Liang.
The emergency department is equipped with two cars, if there is a car to go to the clinic, the other car can not pick up Zhou Liang, what if you come to the emergency department, but today the two cars did not go to the clinic, so Sun Dong agreed to come down and send a driver to pick up Zhou Liang.
Seeing that it was almost two o'clock in the morning, Sun Dong couldn't stay up, so he wanted to go to the duty room to lie down for a while, and the patient asked the nurse to call him, but as soon as he left the office, Lao Wang ran over.
As soon as Sun Dong heard that the patient was coming, he called a nurse to go out and carry Xiao Er in the ambulance into the consultation room. This method of re-establishing the respiratory tract with a broken pen is also very rare.
Senior doctors have no problem with old doctors like Zhou Liang. But don't think about other doctors, it is not easy to perform a tracheostomy without instruments. It is also risky, and inexperienced doctors cannot do this job.
Sun Dongzheng wondered who did the emergency treatment, and suddenly remembered that Su Hongwen used a broken pen to save Xia Lingxue and his grandfather in the shopping mall, and when he thought of that kid running to the side of the vulture valley, he felt a sense of pity for Su Hongwen.
Sun Dong didn't expect that this broken pen was put in by Su Hongwen, and now it is important to treat the patient first, as for who did this tracheotomy, I will ask the family later.
Sun Dong suppressed the curiosity in his heart, and first checked the patient to see that he was fine. So he brought Deng Yue'e to ask Xiao Er's condition.
Xiao Er is laryngeal inflammation that was not treated in time, which eventually caused acute laryngeal obstruction, and now that the tracheotomy has been done, Xiao Er is fine, just go back and use some medicine.
After listening to Deng Yue'e, Sun Dong nodded, opened a test sheet, asked the nurse to draw blood for testing, and then prescribed the medicine and handed it to another nurse to let her go and get the medicine for Xiao Er. ”
Deng Yue'e didn't answer this question first, but said, "Doctor, is my family okay?" ”
Sun Dong hurriedly said: "It's okay, but his illness is dangerous enough." If no one had given him emergency treatment, that is, a tracheotomy, his life would have been explained. ”
Deng Yue'e was very grateful to Su Hongwen when she heard this, and opened her mouth and said, "I must thank Dr. Xiao Su when I go back." I sent him a pennant. ”
Hearing this, Sun Dong was stunned for a moment, and said hurriedly: "Doctor Xiaosu? What's his name? Is it called Su Hongwen? ”
Deng Yue'e listened to Wang Manzhu and Xiaomei call Su Hongwen and Dr. Su, but she didn't know his full name. I was stunned when I heard Sun Dong ask.
Lao Wang, who had not left on the side, took over the conversation and said, "Yes, yes." It was Su Hongwen who did it, do you know him? ”
Sun Dong smiled bitterly when he heard this. Su Hongwen, why did this kid use a broken pen to save people that time, first pneumothorax, and then an acute laryngeal obstruction, this kid is amazing.
Thinking of this, Sun Dong wondered for a while, isn't Su Hongwen very good at emergency surgery in thoracic surgery? Why is this an emergency surgery in otolaryngology?
Sun Dongzheng thought of this and suddenly the door opened, Zhou Liang walked in and said urgently: "Old Sun heard that you have a patient with acute laryngeal obstruction?" The patient was reconstructed with a broken pen, is there such a thing? ”
Zhou Liang came down after tracheostomy on the patient in the ICU, and when he went to the laboratory department, he heard a nurse in the emergency department sending blood, and was chatting with a doctor in the laboratory department.
This nurse is very young and has not been working for a few years, she is still the first time to see someone use a broken pen as a tracheal cannula, it feels very fresh, and when she arrived at the laboratory department, she sent Xiao Er's blood into it and stood there and told the doctor inside about it, and happened to be heard by Zhou Liang who came down.
Zhou Liang has been working in otolaryngology all his life, and he has seen this thing of using a broken pen as a tracheal cannula, but there are not many times, so he ran to the emergency department to ask Sun Dong when he was curious.
Sun Dong smiled: "There is such a patient, how do you know Lao Zhou?" ”
Zhou Liang said: "I just heard a nurse in your department say, go, take me to see, use a broken pen as a tracheal cannula, then there must be no instruments during the operation, I am really curious who has this level in Shashi can do tracheostomy without surgical instruments." ”
Zhou Liang was about to turn his head to leave, but suddenly saw Deng Yue'e, retracted the foot he had just taken, and opened his mouth and said, "This eldest sister, you are the patient's family, right?" ”
Deng Yue'e looked at Zhou Liang and said, "Are you?" ”
Zhou Liang was not wearing a white coat, and Sun Dong was afraid that Deng Yue'e would misunderstand and quickly explained: "This is Director Zhou of the Otolaryngology Department of our hospital, and your husband's illness will have to be transferred to their department for treatment." ”
Hearing this, Deng Yue'e hurriedly said: "Hello Director Zhou, hello, I am a family member of the patient, you have to worry about my family's illness, give me good treatment, and our family is counting on him." ”
"Rest assured, we will definitely come up with the best treatment plan for your husband, and I would like to ask you now, what did the person who operated on your husband use to do it?" Zhou Liang was curious about this.
Deng Yue'e thought for a while and said: "He asked me for a paper cutter, a pen, by the way, and wine, and nothing else." ”
Zhou Liang was stunned when he heard this: "That's all? ”
Deng Yue'e nodded and said, "That's all." ”
Zhou Liang frowned and didn't speak, wondering in his heart how that person did this surgery? Just a paper cutter? Could it be that he cut the sternohyoid muscle and sternal thyroid muscle, if he really does this, the patient will definitely leave sequelae, thinking of this Zhou Liang to look left and right, and saw a few white coats hanging behind the door, he walked over and picked up one, wearing it as he walked, and shouted in his mouth: "Lao Sun go, let's go see the patient." ”
Sun Dong nodded at Deng Yue'e and followed, and the two of them went to the disposal room, where the two doctors were about to put a cannula on Xiao Er, and when they saw Sun Dong and Zhou Liang coming, they opened their mouths to say hello.
Zhou Liang put on a mask and walked over to signal them to get out of the way, then picked up a pair of gloves and took a look at the broken pen inserted in Xiao Er's neck, and after a while he said: "Prepare things to stop the bleeding first, and don't be in a hurry to pull out the broken pen." ”
The two doctors can do this little job of stopping the bleeding, but Zhou Liang is useless, he personally started to stop the bleeding for Zhou Liang, first the subcutaneous tissue, and once the bleeding is stopped, the muscles are underneath, Zhou Liang was worried just now that Su Hongwen and the first aid person directly used a paper cutter to cut the sternohyoid muscle and sternal thyroid muscle, but now it is not cut at all, but swims away.
I was stunned again when I saw this Zhou Liang, what is the situation? How the hell did that man do it? Just now, the patient said that he used a paper cutting knife, a pen, and wine, the wine was sterilized, the broken pen was used as a tracheal cannula, and the knife was used to cut the skin, so what did he use to swim away muscles, and there was no difference between the free muscles and those that were free with hemostats.
Zhou Liang couldn't think of a reason so he asked a doctor to go out and ask, Sun Dong stood next to him and said with a smile: "Old Zhou, do you believe that this muscle is used to swim away?" ”
Zhou Liang glared at Sun Dongdao: "? By hand? How is it possible, with his hands, how is it possible for him to find the junction of the muscles and the weak points and then separate? It's a bit hard to divide the muscles in this place with hemostatic forceps, let alone hands, how do you talk nonsense. ”
Sun Dong raised his head and said: "I saw a broken pen directly pierced into the bilateral chest cavity to deflate a few years ago, you said that the muscles on the chest wall are more resilient than the muscles in the neck?" ”
The last time Su Hongwen used a broken pen to deflate Xia Lingxue's grandfather, the city hospital had already spread all over the city, it was too rare, and it couldn't spread slowly, Zhou Liang had also heard it, and now when Sun Dong said this, he suddenly said: "Could it be that the kid did it this time?" ”
Sun Dong nodded with a wry smile and said: "It's not just that kid, you said that the muscles under the chest wall can be pierced into the weak point with a broken pen when he can't see it, so what is the difficulty for him to swim away from the muscles in the neck when he can see it?" ”
Zhou Liang heard that Su Hongwen's curiosity was even greater, he was good at chest first aid, and now he did such a good job in the emergency surgery of his department, how did that kid's head and hands grow?
The doctor who had just gone out came back and said, "The patient's family said that they didn't see what he was doing, and it seemed that they just clasped their hands a few times and then inserted the pen." ”
Hearing this, Zhou Liang also smiled bitterly, the kid surnamed Su was really okay, so he gave people a big surprise, thinking that Zhou Liang didn't say anything and quickly stopped the bleeding in the muscles.
After getting these things, Zhou Liang was ready to pull out the broken pen, but he didn't pull out the pen immediately, but said to the two doctors next to him: "You also learn a little, in the future, if you encounter patients with acute laryngeal obstruction outside, don't think about using a knife to directly open the trachea, there is nothing outside for you to stop bleeding from the subcutaneous and muscles, once you rashly cut the trachea, if the blood flows in, it will be troublesome, you can use this broken pen to insert it inside, so as to prevent the blood from flowing in." (To be continued......)