Chapter 0112 Neck Pain Patient

It's only been a few days, and Dean Xia and Director Han's work efficiency is too high.

If they are not efficient, it is estimated that such a large area as Sanbo Hospital is now raising sparrows.

It's not that I haven't raised it, I just built the hospital for a long time, and I can't see a few patients in the whole hospital.

Follow Director Han to the fifth floor to see the operating rooms, these operating rooms were also bloody at that time, three multi-functional operating rooms, all of which were laminar flow, and one of them was still a hundred-level laminar flow.

In the past, I wanted to develop a same-day surgery center, but the environment was immature, and this ambitious plan was aborted after not persisting for a few months.

This time, Dean Xia may have visited a certain place, opened up his thinking, and heard that he pondered this thing for a few days and nights, and finally found a few vice presidents to discuss with Director Han, and made a decision to refer to the mode of surgery on the same day, and first engaged in a comprehensive orthopedics department, although the environment is immature, but it can be flexible, not to pursue discharge within 24 hours, it can speed up recovery and shorten the hospital stay, two weeks for others, and one week for us.

The operating room is fully equipped, arthroscopy, intervertebral foraminoscope, microscope, etc.

Everyone borrowed a trailer from logistics, and moved things at one time, and Zhang Lin brought a bag of facial cleanser. There are also a lot of small five messes. Yang Ping didn't have anything, Xiao Wu helped him get it.

Song Zimo also used a trailer to pull his own and Tang Fei's things over, and there were dozens of books, each of which was heavy.

The department is not open, and everyone is fine.

I went to work every day to read a book, I was bored of reading, chatting in the doctor's office, Zhang Lin brought a pair of Go, Yang Ping and Song Zimo on a whim, to kill a few games.

But Yang Ping's hands are inconvenient, what should I do? Play Blind Chess! Back to back, rely on memory to move chess, and let the little five Lin Gang operate the chess pieces.

There is no way, two geniuses, bumping together, mortals only have the share of staring, this blind chess can be played from beginning to end, this memory, can only be described in foul language, awesome!

A blind chess master who plays chess, Song Zimo has encountered it before. But the blind chess master who plays Go has never met it, and many of them can't remember it halfway, but Yang Ping can actually play a game of chess with him to distinguish the winners and losers.

Be completely convinced! If you don't accept it, you can't!

The operation was run over countless times, he was run over again when he played chess, and after playing chess for more than ten days, Song Zimo was run over for more than ten days.

In the past ten days, Xiao Su brought food to the department every day and fed Yang Ping in the dining room; Every day, I took Yang Ping's packed clothes back to the dormitory to wash, washed and dried, and sent them back.

After more than ten days, the hand was fine, the epidermal damage recovered quickly, and there was no trace left.

Waiting left and right, looking forward to the stars and looking forward to the moon.

The Department of Comprehensive Orthopedics finally ushered in the opening of the department, and on the first day of the department, after the simple ceremony, the clinic was opened.

Director Han and Director Tian sat in the expert outpatient clinic, and Yang Ping and Song Zimo sat in the general outpatient clinic.

It's not bad, I saw several patients in the first hour, and Director Han accepted a knee joint that always had a soft leg, did an MRI, and also did surgery in the outer hospital, but it was ineffective.

This time I came to Sanbo, and I saw the introduction on the wall of the outpatient hall, and the comprehensive orthopedics department looked at the orthopedic incurable diseases.

Another patient came, male, in his thirties, holding a briefcase, pulling a suitcase, looking hurried, with few patients, and the queue was free.

Put down the suitcase, register at the front desk, and measure your blood pressure; Said that he felt a little feverish and took his temperature.

"Doctor, I have back pain in the back of my neck, I have cervical spondylosis, X-ray, CT and MRI have been done, I saw it in the city two days ago, took medicine, did physiotherapy, it didn't work, I got up this morning and got worse, uncomfortable!"

The patient touches the back of his neck and gestures to the painful area.

Yang Ping looked at his little note: blood pressure: 152102mmHg; Body temperature: 38.0°C.

"Blood pressure is a little high, is it usually high?" Yang Ping asked.

The patient said: "Sometimes high, I don't care too much, I don't have any bad feelings, so I didn't take medicine, this neck is uncomfortable, this cervical spondylosis attack is worse than before, help me think of a way, prescribe some medicine to me, relieve pain, I catch a plane, go to the imperial capital for a meeting." ”

"The body temperature is also a little high!" Yang Ping said.

The patient touched his forehead: "I didn't have it yesterday, but I only have it today." ”

"What's wrong with your chest and abdomen?"

"My chest is fine, I'm a little nauseous in the morning, my abdomen is a little distended, it's very mild, and my stomach is sick."

Yang Ping asked about the medical history, and the neck and shoulder pain was already the third day.

On physical examination, the muscles of the neck and shoulders were felt, there was no obvious spasm, and several special tests for cervical spondylosis were negative.

So he took a stethoscope and listened to the lungs and heart: "You have a problem with your heart, I'll do an electrocardiogram for you." ”

The first heart sound is decreased in the apical area, the fourth heart sound gallop rhythm, the pericardium also has a friction rub, arrhythmia, high suspicion of myocardial infarction, pain radiating to the neck.

The treatment process for this type of patient: complete the ECG within 10 minutes, call the chest pain center, and send the patient to the chest pain center.

Yang Ping immediately called the nurse to assist and pushed the ECG machine.

The patient was still more cooperative, lying down, Yang Ping untied his clothes and did an electrocardiogram.

"ST segment elevation, acute myocardial infarction, need immediate treatment!" The electrocardiogram supported his physical examination, and Yang Ping realized that the patient was very dangerous and could die suddenly at any time.

"You suspect I have a heart problem? I have a physical examination every year, and I have never had a problem with my heart, doctor, you are too outrageous, right? "The patient answered the phone and buttoned up his clothes.

"Don't get excited, listen to me--" Yang Ping tried not to provoke him.

"I don't have time to reason with you, I have to catch a plane, and the car is coming."

The nurse's wheelchair was pushed, but the patient ran in a hurry.

Yang Ping ran out with him, but the man ran too fast and disappeared.

"What's wrong?"

Song Zimo followed out of the consultation room, thinking that Yang Ping had a physical altercation with the patient.

Yang Ping stood at the door and said lightly: "This patient is highly suspected of acute myocardial infarction, the pain radiates to the neck, the scope of infarction is expanding, and he will die suddenly at any time. ”

Not a high degree of suspicion, but affirmation, Yang Ping's physical examination training in the system space has allowed him to gain a sharper recognition ability than ordinary people.

High blood pressure, presence of a basis for coronary atherosclerosis.

A body temperature of 38 degrees indicates that infarction has appeared for 24-48 hours, and the heat of absorption caused by necrotic material is caused.

Nausea, epigastric distension, although mild, and vagus nerve due to necrotic myocardial stimulation or tissue hypoperfusion.

"Tell Director Han quickly and find a way." Yang Ping hurried to Director Han's office.

Director Han is seeing a patient.

"Director, can you interrupt? The situation is urgent. Yang Ping said.

Director Han immediately stopped the examination of the patient, and the doctor said that it was urgent, and that was a life.

"Just now there was a patient with neck pain, who was treated by me with cervical spondylosis, I examined him, and highly suspected that it was an acute myocardial infarction, no, yes, yes, yes, the scope of the infarction is expanding, and his life is in danger at any time, he didn't believe it, and he ran away."

Yang Ping showed the ECG drawings to Director Han.

"Ran away? I'm sorry, we have an emergency rescue, please wait a minute. Director Han explained to the patient he was seeing.

"It's okay, doctor, you're busy, I'm not in a hurry." The patient is more reasonable.

"Are you sure this patient has an acute myocardial infarction?" The orthopedic surgeon's internal medicine diagnosis and treatment ability has always been a weak point, but for Yang Ping, he absolutely believes that it is just to be safe again.

"I'm 100 percent sure, this is his electrocardiogram, ST segment elevation, he needs immediate treatment to restore the blood supply to the myocardium, otherwise he may die suddenly at any time!" Yang Ping's tone was calm and clear.

Director Han immediately shouted, "Come in!" ”

Including Director Tian and Song Zimo all came in.

"We call the phone number left by the patient, and at the same time ask the security department to call up the video, find the patient, see where he went, quick!"

"Let's go to the security center, and Song Zimo dials the patient's number." Director Han arranged.

Director Han and Yang Ping rushed to the security department, which has a monitoring room, where the monitoring images of various cameras in the hospital are all here.

The security captain saw Director Han in such a hurry: "What's the matter, Director Han?" ”

"There is a patient who may die suddenly at any time, he ran away by himself, quickly, call out our comprehensive orthopedics, that is, the door monitoring of Building 8."

"Quick! At the entrance of Building 8! The security guard in charge of monitoring began to adjust the video.

If it is about ten minutes ago, the video will be played back ten minutes ago.

"Just him!"

"Hold on, track him!"

"The surveillance shows that the man walked through the garden, took a shortcut, went out from the east gate, and got into a car that was waiting for him, the license plate, can you see the license plate?" The security captain pointed to the surveillance.

Fortunately, the location where he got on the car was at the east gate of the hospital, and it was still within the scope of the hospital's monitoring.

"Zoom in and write down the license plate number!"

Director Han's phone rang, Song Zimo's.

"I didn't answer the phone, I called several times, but I didn't answer."