Chapter 877 Biopsychosocial Medical Model

Nurse Cai immediately ran to the ward after receiving the call and told Lan Xueping and Wang Xiaojing the good news.

''Fang Liu and Lao Xiao are not serious, they are both alive, but their lungs are a little damaged, and they have now been sent to the emergency department of our hospital, and Professor Yang is responsible for their treatment. ”

If the news that the firefighters have sacrificed a lot has just come from all directions is like a thunderbolt from the blue, and Lan Xueping and Wang Xiaojing are like a thunderbolt in their hearts, this news is like another thunderbolt, pulling them back from despair and worry.

"What did you say?" Wang Xiaojing and Lan Xueping asked the head nurse almost at the same time.

The head nurse smiled and said: "Everyone is fine, before the explosion, they have all evacuated to a safe area in advance, but the air wave of the explosion just injured their lungs, and their lives are fine, they should have been sent to the ICU for treatment now, and I will send someone to take you to see later, rest assured!" It's okay! Professor Yang specially asked people to call back to report the good news. ”

Whoa!

The two women couldn't hold back any longer, they were so excited that they cried, just now they had been holding back for too long, and they had been trying to hold on to prevent their emotions from collapsing.

At this time, I couldn't hold it anymore, and my emotions were released instantly.

The head nurse hugged them: "It's okay, it's okay, don't be afraid, Professor Yang took our doctor to take over their diagnosis and treatment in person, Professor Yang asked me to tell you, he promised to hand over his life to you, rest assured, don't be afraid!" ”

"Hmmm! It's okay! Wang Xiaojing and Lan Xueping said.

Lung blast injury, the high-pressure air wave formed by the explosion hits the chest, causing the chest wall to hit the lung tissue, causing lung parenchymal contusion, followed by the negative pressure after the high-pressure air wave makes the lung tissue hit the chest wall again, causing lung parenchymal contusion for the second time, two traumas can cause pulmonary hemorrhage and edema, pulmonary capillary hemorrhage, small bronchial and alveolar rupture, extensive exudation of lung tissue, pulmonary edema, and sometimes can lead to gas embolism.

Combined with a history of injury, physical examination, and x-rays or CT, diagnosis is easy and treatment is simple.

Oxygen inhalation to ensure that the airway is unobstructed and secretions are removed, including sputum, blood, etc.; Infection prevention treatment is given to prevent infection in the lungs; If pulmonary impairment occurs that causes dyspnea, respiratory support such as ventilator-assisted breathing may be given; If hemothorax or pneumothorax is caused, thoracostomy is given to relieve hemorrhage and pneumothorax.

Now Fang Liu and Lao Xiao have difficulty breathing, so Yang Ping put them on a ventilator as soon as possible, which can maintain their normal breathing, and at the same time allow the injured lungs to temporarily rest, which is conducive to recovery.

Fang Liu, Lao Xiao and their teammates, fortunately, were all only blast injuries, and there were no other fatal injuries.

Maybe they were in a coma due to the explosion at that time, and on the way to the ICU, Fang Liu's hand had been groping for something, he wanted to speak, but he couldn't say it for the time being.

Yang Ping said to him: "We have informed your fiancΓ©e that she has reported her safety. ”

At this time, Fang Liu stopped groping his hand and lay on the flat car very reassuringly.

Lao Xiao's situation was much better than Fang Liu's, because he was outside the fire at the time, and when he received an emergency evacuation notice, his evacuation was more convenient, so he was least affected by the explosion.

"Call my wife-β€”β€”" Lao Xiao can speak, and remembers his wife's phone number.

"I've beaten it, don't worry, I've already reported safety to your wife."

''I'm going to talk to him!'' ”

Yang Ping saw that he was in a good state, so he immediately dialed the head nurse and asked Lao Xiao's wife to answer the phone, and the head nurse happened to be next to Wang Xiaojing and handed over the phone to her.

Lao Xiao's confused voice came from the phone: "Wife, I'm fine, don't worry, tell Lanxue that Fang Liu is fine, it's just that his lungs are more serious than mine, and he can't speak for the time being, everyone is fine, alive." ”

Hearing Lao Xiao's voice, Wang Xiaojing's whole body trembled, it was excited, and I heard that Fang Liu was okay again, but she couldn't speak for the time being, Lan Xueping was also so excited that she didn't know what to say, they were like experiencing a life and death part, like in a dream.

In order to make them feel at ease, Sisi's mother and nurse took Lan Xueping and Wang Xiaojing to the ICU, through the glass corridor, you can see Fang Liu and Lao Xiao from a distance, Yang Ping also came out of the ICU to explain the condition to them in person, and told Lan Xueping and Wang Xiaojing that their lives were not in danger, but the explosion damaged their lungs, and it would take a certain amount of time to recover.

Seeing Fang Liu and Lao Xiao himself, Professor Yang personally came out to explain the condition, and the two women were more relieved that as long as they lived, everything would be fine.

In addition to the detonation injury in the lungs, Fang Liu and Lao Xiao also had damage to other internal organs, but they were much lighter than the lungs, and they only needed to be raised for a period of time, and they were fine, the biggest problem was in the lungs, but they didn't have to worry too much.

In the doctor's office in the ICU, Fang Liu's chest CT pictures were hung on the reading lamp, and Yang Ping looked at their pictures carefully one by one.

The hilar shadow is enlarged, the lung is marked, thickened, and the edges are blurred, and the lungs are visible with flaky ground-glass shadows.

At present, in addition to ventilators to assist breathing and intravenous antibiotics to prevent lung infections, some drugs to protect the lungs, such as cevelesl sodium, and glucocorticoids such as dexamethasone can be used if necessary.

Yang Ping carefully estimated the area of the injured lungs, which was still within the range of compensatory ability, even if the worst was planned, these damaged lungs could not be recovered, and they would permanently lose their function, and the remaining lung tissue could still be used for breathing, so Fang Liu, Lao Xiao and these firefighters would not be in serious trouble.

One after another, some news has been announced on TV, and thankfully, there were no fatalities in this fire.

The evacuation was very timely, and all the surrounding people were evacuated in time, and Fang Liu saved the lives of all the firefighters, because after entering the fire, he was the first to find that something was wrong, judging from the flames and smoke, there were explosives in it, so he immediately reported the situation, at this time all the firefighters began to evacuate urgently, and the explosion occurred after all the evacuations, and the people trapped inside had already been rescued, and the firefighters involved in extinguishing the fire also evacuated to a safe distance in time.

Even the injured firefighters were only injured by the air wave generated by the explosion, which was relatively not very serious, and some were caused by the explosion and other pieces of glass and other fragments.

The number of injured was large, about more than 100 people, and they were scattered to various hospitals, but judging from the current information, no one has been killed.

Lan Xueping and Wang Xiaojing returned to the ward, and it had begun to rain heavily outside the window, and with the help of the rain, the smoke in the distance slowly decreased.

"Let me tell you a good news, no one died in this fire explosion, all our firefighters were evacuated in advance, now all the firefighters injured by the explosion have been sent to the hospital for treatment, our people have all been evacuated, now it is raining, the fire will be controlled, I am now rushing to the hospital to visit our firefighters-β€”β€”"

The host was so excited that he shed tears, because he was frightened by the explosion just now, and it was rumored that many firefighters did not evacuate in time and died inside, everyone was extremely sad in their hearts, and now they have received reliable news, no one sacrificed, no one sacrificed!

When the citizens in front of the TV heard the news, they all rushed to tell each other, as happy as the New Year.

Yang Pingdu is busy in the ICU with his team, and he is personally responsible for diagnosing and treating these firefighters, hoping to make them recover quickly.

At that time, the overwhelming news said that many firefighters sacrificed, Zhang Lin made up a message that "the firefighters are fine, all evacuated safely", but he didn't expect that because of this news, his status in the whole hospital was unprecedentedly improved, because only his internal information was accurate, and it was what everyone wanted, and it was finally confirmed to be true.

Even Song Zimo and Xu Zhiliang, who have always hated Zhang Lin's big mouth, admired it very much: "Your inside information is really amazing!" ”

"That's, and the inside story that I Zhang Lin doesn't know."

Zhang Lin was triumphant, he just didn't want to hear the sad news at that time, so he just said it casually.

Zhang Lin has always had a nickname: "News" of Sanbo Hospital, which used to be a derogatory term, equivalent to "big mouth", and now "News" has become a positive praise word.

After a busy day, Yang Ping confirmed that the vital signs of each firefighter were stable, and he arranged for Song Zimo and Xu Zhiliang to take turns to wait in the ICU, so that he could return to the department with confidence.

When he returned to the department, he went to visit Lao Xiao's wife and Lan Xueping with the head nurse for the first time, and at this time, Sisi's mother and two nurses were accompanying them.

Seeing Yang Ping coming to check the room, Lan Xueping and Wang Xiaojing immediately stood up, their eyes full of gratitude.

"Don't worry, they are fine, and they will not leave any sequelae, both lungs are detonated, the area of the injury I have estimated, it does not affect the danger of life, nor does it affect the respiratory function in the future, the use of ventilators is to let them recover as soon as possible, about three days or so can be weaned, other organs, liver, gallbladder, pancreatic spleen and both kidneys have slight contusions, at that time were caused by the explosion and gas waves, but the damage is slight, no surgery is required, just absolute bed rest, anyway, lying in the ICU these days, by the way, it was cured together, So rest assured, within two weeks, they will be alive and kicking. ”

"LinkΓΆping you have to continue to do rehabilitation, especially muscle strength training, now the balance of the cerebellum has been greatly improved, the rest is to improve muscle strength, fortunately, you have been insisting on doing rehabilitation training before, and the muscles are not too obvious to atrophy at present, so the effect of this operation is immediate, the cerebellar balance is enhanced, and the lower limbs have enough muscle strength to support their body, so you can stand up and walk a few days after surgery." ”

"When I received Fang Liu, he was in a daze, looking for his mobile phone vigorously, I said, don't look for it, we have notified Lan Xueping, she knows that you are fine, this kid has never touched his mobile phone again."

"Lao Xiao can still speak, we are going to put him on a ventilator, guess what he said, he shouted wife, wife, wife! I said, don't shout, save some effort at this time, don't sprinkle dog food, and let your wife come to see you later. ”

"I'm their doctor in charge now, and I'm personally treating him throughout the whole process, so don't worry, it's best to wait for Fang Liu to turn out, Lan Xueping, you can walk to see him by yourself, and let him surprise him."

Yang Ping's humorous expression made Lan Xueping and Wang Xiaojing feel a lot more relaxed, originally Yang Ping was a god-like existence in their hearts, but now that Fang Liu and Lao Xiao were in Yang Ping's hands, they were naturally relieved, and a smile bloomed on their faces.

Hearing that the Surgical Institute was very busy, the senior director of the Sports Medicine Center and the director of the General Surgery Department immediately rushed over when they heard the news, and they handed over all the affairs of the department to the assistants, and hurried to the surgical institute to help, after all, they were all supernumerary doctors here.

Director Fang didn't forget to carry two boxes of cherries to this side, and he always had two boxes of cherries, one for the doctor and one for the nurse.

"Head nurse, is your leg well? So fast, I saw you in a wheelchair yesterday, how can you walk today? Director Fang looked at the head nurse in surprise.

The little nurse girl glared at Director Fang, and said angrily, "Where's the good?" Today, because of the big rescue, our head nurse is working in pain. ”

Director Fang was very confused, isn't this good, there is no painful expression at all, walking like flying, these little girls are really difficult to serve, they send cherries every once in a while, and they don't even give a good face.

As soon as Director Fang finished speaking, Director Gao looked very serious, and reprimanded the little nurse:

''Head nurse, you can't do this, it's only been a long time, how can you walk normally so early, you see the ankle joint is so swollen, you can't lose crutches for three months, I'm engaged in sports medicine, listen to me, how can you walk normally so early, no, absolutely not, how do you take care of the head nurse, didn't you say to protect for three months, let the head nurse walk around now, you see, the ankle joint is so swollen. ”

Wearing shoes and socks, tightly wrapped, you see that the ankle joint is swollen? What about your clairvoyant eyes? How long does an ankle sprain take three months? How do you become the director of sports medicine?

Director Fang's face was confused, is this Gao Yuan a parallel import? Open your eyes and tell nonsense.

The little nurse girl not only did not get angry at Director Gao's reprimand, but was very obedient, and immediately went to get the crutches: "Thank you Director Gao for reminding us, we must pay attention in the future, we must pay attention!" ”

This is strange, he Gao Yuan is empty-handed, and when he comes here, he puts on an uncle posture to scold other nurses, these little girls actually greet him with a smile, and they carry imported cherries, and they actually ask for a cold face, is this Gao Yuan magical, or has the world changed?

Director Fang put the cherries at the nurse's station, puzzled.

"Old Gao? Do you see that the ankle joint is swollen? ”

"Yes!"

"Three months for an ankle sprain?"

''The head nurse's sprain is special, and three months may not be good. ”

"Is this your new perspective on sports medicine? How is it not like this when I was studying? ”

''Aren't we now focusing on biopsychosocial medical models?'' Many things cannot be viewed purely from a biological point of view, but must be viewed from multiple aspects and three-dimensional. ”

Regarding Director Gao's remarks, the more Director Fang listened, the more confused he became.