"Eight floors, eight and two. ”

In the wee hours of the morning, the elevators in residential buildings are basically unused, and they automatically fall back to the first floor. Therefore, when they pressed the elevator button, the door opened immediately, and the speed of running was very fast, and when the group came to the eighth floor, the door of room 802 was hidden, and the lights in the room shone out of the cracks in the door, which was brighter than the voice-activated lights outside.

"Come in, I hear the elevator coming. Uncle Jiang's voice also came from the other side of the door, "It's pretty fast today." ”

"Drive faster at night. The king pigeon answered, pulled the cart open the door, and went straight into the house.

Uncle Jiang squatted on the ground, guarding the patient, and heard that the voice of the person who answered was a little familiar, and when he turned around, he saw the king pigeon for the first time. "Yo, night shift. ”

Wang Ge put the cart into the living room, dodged away and let Li Wenguang and Shi Cuiping in.

"Night shift, I heard that something happened to you here, so I hurried over. Li Wenguang replied.

The medical staff who came from the Second Hospital of Yaxiang Mansion tonight are all old faces to Uncle Jiang, even if they haven't worked for a long time, they have known each other for more than a year.

"How is the patient?" Li Wenguang also squatted down next to Uncle Jiang and touched the patient lying on the ground, the carotid artery was still pulsating. But the patient's expression was very unsightly, his face was pale, and although the air conditioner was turned on at home, he was still sweating profusely. Sweat is not from the heat, but from the pain in the legs. The patient was speechless in pain.

How can an old man in his sixties stand this kind of toss. Li Wenguang hurriedly took out his stethoscope and began to check the patient's vital signs to rule out high blood pressure and heart disease.

Uncle Jiang's figure is still a little fat, it is easy to squat and it is difficult to get up, Wang Ge saw Uncle Jiang about to get up again, and hurriedly stepped forward to help him and let him get up slowly.

Uncle Jiang is not very convenient to move, the old man still has high blood pressure, and it may be dangerous to sit up and down. After standing firm, Uncle Jiang opened his mouth. "I didn't say much, I didn't dare to let him talk more, save some energy, it looked too painful. About fifteen minutes ago, I got up at night to go to the toilet, got out of bed and walked a few steps before I felt that my leg was numb, I accidentally didn't stand firm, I fell to the ground and couldn't get up, saying that my right leg hurt badly, so I called. I came over to see that the right ankle was swollen and tall, and the problem should be more serious. ”

"There is no abnormality in cardiopulmonary function, head nurse, what is your blood pressure?" Li Wenguang nodded and said to Shi Cuiping.

"One hundred and thirty, one hundred and ten millimeters of mercury, a little bit taller. As soon as the head nurse came, she rolled up her sleeves and began to measure her blood pressure, ready to respond to Li Wenguang's questions.

"In the wee hours of the morning, the high is out of the way. Li Wenguang sighed, and after learning that the patient's basic vital signs were fine, he began to examine the patient's right leg.

The pelvis, femur, fibula, and tibia are fine, and there is nothing wrong with the knee joint, but the ankle joint of the right foot is indeed very swollen, and there are even signs of changing from red to purple and blue.

Li Wenguang gently patted the patient's shoulder a few times, "Uncle, do you have any other uncomfortable places on your body besides the ankle of your right foot?"

The patient was very weak and did not speak, but he was more conscious, listened to Li Wenguang's question, and then shook his head.

"Give some diazepam, the dose is halved, and the analgesia is the mainstay. Immobilize the ankle. Li Wenguang whispered to Shi Cuiping, and then leaned on the patient's ear. "Uncle, it's okay, let's go to the hospital to take a film, don't be nervous, don't be afraid, I'll give you a painkiller injection later!"

Now this ankle, whether it is a ligament problem or a fracture, Li Wenguang has no way to judge, but what he is most worried about is not this, but because of the pain in the footsteps and emotional tension, the patient will cause coronary heart disease, high blood pressure, myocardial infarction, cerebral infarction, and at that time it will directly threaten life. This kind of more serious life-threatening situation caused by tension or pain, Li Wenguang has seen simply too much.

Therefore, he is trying to reduce the patient's pain as much as possible and make the patient's emotions as relaxed as possible.

"Coronary heart disease, myocardial infarction, cerebral infarction, high blood pressure. Uncle Jiang hurriedly informed the situation on the side, and he knew that Li Wenguang must be asking about the medical history. "It's the diseases of the elderly, and the condition is fine, and there should be no history of allergies. As he spoke, the room's bedroom bedside table drawer took out the patient's ID card, medical record book, social security card, medical insurance card, bank card and other things.

"Back to the hospital?" Wang Ge saw that Shi Cuiping's work was almost done, and quickly asked. This patient is a little thinner than Uncle Jiang, but only a little. The only people who can lift people hard at the scene are Wang Ge, Li Wenguang and Shi Cuiping. Uncle Jiang naturally can't do it or use force, and it is absolutely impossible to count on the patient himself. From now on, he had to think about transferring patients.

Fortunately, my trolley can be lifted, and it is very convenient to lower the cart to a height of only 30 centimeters above the ground, and then raise the height when the person is slowly lifted up, which can minimize the requirements for the number of medical staff and reduce physical exertion.

"Wait a minute, I still haven't figured it out. Li Wenguang waved his hand, "Don't move the patient now." ”

According to Uncle Jiang's description, Li Wenguang still had some doubts in his heart. Uncle Jiang relayed the description of the patient at that time, and the patient got out of bed to go to the toilet at that time, not fell on the way back to the room after going to the toilet, due to numbness in his legs. Those who have been squatting in the toilet for a long time may have numb legs, but those who have just gotten out of bed may have numb feet and hands when sleeping, but I have never heard of sleeping with numb legs. The symptom of numbness can only appear when the blood supply to a certain part is insufficient, or when the nervous system is damaged, causing sensory conduction problems. People will maintain their instincts even when they are sleeping, unless they are drinking, otherwise in the case of poor blood flow, people will automatically adjust their posture, this behavior does not need to be controlled by the brain, and people who are asleep cannot detect it at all.

And this patient said that his leg was numb when he first got out of bed, so could there be a reason for the fall? Although the right ankle joint is suspected to be fractured, there may be other internal lesions?

Logically speaking, the patient's right ankle injury should be due to numbness in the foot, and if the right foot and leg are numb, the strength must be used on the left foot to maintain the balance of his body and use it for support. Then the injured foot should be the left foot. Therefore, Li Wenguang judged that the leg that the patient was uncomfortable with at the beginning should be the left leg. By now, the patient's left leg should still have soreness or pain, but under the cover of the pain in the right ankle joint, the pain has metastasized.

Using one pain to distract another is not just a joke. In first aid, this is a common occurrence. Due to the pain in one place, the patient may ignore the discomfort in other parts of their body, the condition is unconscious, and the words spoken by the patient in this case may be inaccurate.

Obviously, two places hurt at the same time, but the patient only told the doctor that there was only one place of pain, so the doctor's judgment may be inaccurate, which may cause missed diagnosis and misdiagnosis, and even have very serious consequences.

Li Wenguang's medical style is very rigorous, and he is not in a hurry to let Wang Ge carry patients, he is afraid of this situation. He still had an extra eye to avoid a loophole and began to examine the patient's left leg.

Sure enough, this check found a problem.

The patient's left thigh is a full circle thicker than the right thigh, and a lump can be felt under the skin, which is significantly different from normal skin, fat and muscle.

"Uncle, do you feel numb in your left leg and have no energy?" Li Wenguang said to the patient, seeing that the patient's consciousness was a little not good, and immediately added, "I nodded to you when I said it." ”

The patient nodded slightly, then spoke in a very weak voice. "I felt a little numb and a little painful just now, but I didn't feel it anymore after I fell. You say so. I remembered. ”

Previously, he had been saying that his legs were swollen and that it was becoming more and more difficult to move. I also asked him to go to the hospital to have a look, it dragged on for a few days, and I was going to go tomorrow, but I didn't expect something to happen tonight. Uncle Jiang also saw the condition of the patient's left leg, which was so swollen that something was wrong at first glance.

"The left thigh is also fixed, the king pigeon, when lifting people, be careful not to touch, do not move sharply, try to be lighter, it will not be life-threatening now. Liu Wenguang already had some plans in his heart and his own judgment, but now he has not undergone a detailed examination, and he can't be sure, so he still didn't say anything, but when he gave the doctor's order, he thought about it in that direction.

Immobilization of the left thigh is a suspicion of a fracture of the femur. And this fracture was not caused by today's fall, on the contrary, due to the fracture of the femur of the left leg, the fracture of the right ankle joint was caused.

Combined with the lump under the skin of the patient, there may be a tumor on the left leg, constantly squeezing the bone, the squeezing time is too long, the speed of growth is relatively slow, and the stimulation to the human body is not so great. In addition, the elderly themselves have some osteoporotic problems, and the strength of the body bones is far less than that of young people.

Under the compression of the tumor, the bone is likely to be deformed and distorted, and over time, it will cause bone cracks and fractures. Unlike acute and traumatic fractures and bone cracks, the pain caused by this condition is not so severe.

In closed fractures, swelling occurs in the absence of external force, and in the human body, it is numbness and soreness, and the strength is not used.

If you can't use your strength in your legs, you naturally have to wrestle.

It doesn't look like a serious symptom disease, but in fact, the changes inside it have already exceeded people's imagination, and the consequences are very serious.

Li Wenguang's wave of operations made the king pigeon unconvinced. When he was carrying the patient, because the patient's right ankle joint was suspected to be fractured, he would never touch his right leg, and could only drag the patient's left leg. Now that the left leg is also fixed, it proves that there is also a problem with the bones of the left leg.

If it weren't for Li Wenguang's meticulousness and meticulousness, if he grabbed this one, I am afraid that the patient would have jumped in pain.

"With a little effort on the waist, knee joints, and cervical spine, slowly move the person to the car. Li Wenguang said to the king pigeon.

"Okay. Got it. Wang Ge nodded, this patient was not in danger of life for the time being, and there was no death in the room.

"Uncle Jiang...... This patient may need the presence of family members, can they be contacted?" Li Wenguang stepped out of the elevator, followed behind the cart, and asked Uncle Jiang in front.

No matter how late it is, Uncle Jiang will definitely follow the ambulance to the hospital. Obviously, the patient's family is not around, and it is possible that they may not even be in the city or province.

What worries Li Wenguang is that if his conjecture is really correct, it means that the patient may have to undergo at least one operation. It is necessary to take a film to see if the fracture is serious, and then remove the tumor to completely heal the fracture of the left thigh. Finally, the tumor should be biopsied and analyzed to see what it is, whether it is likely to become cancerous, and whether it will metastasize.

A series of follow-up complicated questions immediately poured into Li Wenguang's mind, and these things could only be solved in the presence of family members.

"To get to that point, now his daughter should be 1,500 kilometers away. Uncle Jiang frowned, but he didn't argue with Li Wenguang, he directly picked up the patient's mobile phone and began to prepare to call. Uncle Jiang is also a good thing, that is, he listens to the doctor more in everything he does.

"There may not be any danger now, you can reassure his family, but we will continue to check for follow-up treatment. It's better for people to come back. Li Wenguang explained, but did not say anything about the reason.

"You're really serious and responsible. The inspection in the middle of the night is still so detailed. Uncle Jiang sat in the ambulance, and he didn't get through two phone calls just now, and he planned to try again when he got to the hospital.

It's two o'clock in the morning, and it's normal for the phone to not get through, but it's really not good, so I'll hold on all night today, and wait until tomorrow morning after dawn, and then contact my family.

"Dr. Li has this character. Shi Cuiping chuckled. "It's just that you've worked hard, it's been the middle of the night, and you have to go to the hospital with you. Actually, you can not go. Both the king pigeon and the nurse were able to take care of it. ”

"Then where can I rest assured, they are all neighbors. Uncle Jiang waved his hand again and again, "Sometimes I feel ashamed that I only did a little bit of work." ”