Chapter 81: Questions on the first day of ward rounds

After Lan Lijuan heard that the distribution of internship instructors was so unfair, she suddenly breathed a sigh of relief in her heart.

The girl who wants to be strong didn't expect to encounter such an unfair thing on the first day she entered the department? This completely poured cold water on her enthusiasm.

Chen Qi saw that her face had changed, and immediately touched her with his arm, and comforted her softly:

"Don't worry, there are some things to come step by step, after all, they are college students, and they have been interning for half a year, and they have a certain amount of work experience, we are just fledgling, and it is normal that no big director is willing to take us."

Lan Lijuan bit her lip: "In the high school entrance examination that year, their results were not as good as mine, squad leader Chen, we have to work hard, we can't be compared!" ”

"That's right, just because the internship is backward doesn't mean that they will fall behind when they work, they have a higher starting point than us, and that's it."

The two were still talking in a low voice, the meeting was over, and several new interns were looking for their mothers.

Dr. Yi Zewen is a little chubby, about 30 years old this year, this age is a little doctor who does some first-level minor surgery in surgery:

"Classmate Chen, classmate Lan, hello, I am Yi Zewen, and I will be your mentor next."

Chen Qi hurriedly went up and bowed to Yi Zewen: "Hello Teacher Yi, please take care of us next." ”

Lan Lijuan also hurriedly bowed with Chen Qi.

Yi Zewen was a little surprised by the gifts of these two interns:

"Don't be so polite, now I'm your teacher, maybe we'll be colleagues next year, let's feel free, let's go, Director Zhu will make rounds today, I'll take you to have a look."

In the corridor of the ward.

Director Zhu Huoyan walked in the front, walking a little tigerly, a breeze blew, and the white coat was a little light, this momentum was a big boss at first glance.

Director Jin Peilin and two deputy directors, Shen Zhemin and Liu Chuanpin, followed closely behind.

Behind them are a group of small attending officers in the Department of Surgery, followed by the small doctors at the bottom of the department, followed by several university interns from Haidong Medical University.

When it was the turn of Chen Qi and Lan Lijuan, two secondary school students, they were pushing two carts, and there were medical records on the carts.

This picture alone makes everyone's status in the department clear at a glance, secondary school students are at the bottom of the food chain, the least status, so they push the medical record cart.

More than a dozen doctors walked in the corridor so mightily, this posture was like a Hong Kong film, which frightened the families of patients in the corridor to back down.

Walking into the ward, Director Zhu stood on the right side of the bed, and a large group of white coats rushed in, making the patients stunned, and the apples in the hands of the family members accompanying the bed fell to the ground.

"Why are there so many doctors, I, I'm going to die?"

The patient who spoke lay weakly on the bed, and the sight of so many doctors surrounding him frightened him so much that his eyes almost bulged.

Director Zhu was still very polite to the patient: "Don't worry, this comrade, we are doing routine ward rounds today, and whoever is the doctor in charge of the bed will report the condition immediately." ”

The doctor in charge of the bed in bed 1 was Yi Zewen, and when Dr. Yi heard this, he immediately hurriedly squeezed up from behind, and was just about to report, but found that he had no medical records in his hand, and he was so anxious that he was about to sweat.

At this time, Chen Qi had already appeared behind him, and he handed him the iron clip of the medical record very easily.

Dr. Yi glanced at the intern gratefully, then flipped through the medical records and began to report.

Lan Lijuan saw that Chen Qi had the ability to predict the future, so she took the medical records in advance and handed them over to the teacher as soon as possible.

"Squad Leader Chen, how do you know that Teacher Yi is about to use the medical record?"

Chen Qi said in a low voice:

"Teach you a trick, take the teacher to check how many beds you find, you have to prepare the inpatient medical records in advance, in addition, you had better remember all the patients in charge of the bed when you go back, and strive to answer the patient's condition and test results in a timely manner without looking at the medical records."

Lan Lijuan nodded again and again, feeling that the squad leader was not a squad leader, and she understood everything.

Over there, Dr. Yi had already finished the report, and Director Zhu checked the wound and nodded: "The sutured wound is recovering well." ”

Then he straightened up, looked at a few interns next to him, and then nodded Zhang Jun asked:

"This classmate, tell me, what are the levels of spleen injury?"

When Zhang Jun heard this, he naturally replied:

"There are four grades: grade 1 subsplenic capsular rupture or mild damage to the capsule and parenchyma, intraoperative splenic laceration ≤ 5.0 in length and depth ≤ 1.0 cm, and grade 2 splenic laceration > 5.0 in length and > in depth1.0 cm, but the splenic hilum is not involved, or the splenic segment is vascular involved; Grade 3 splenic rupture with splendic hilum or partial splenic disconnection, or splenic lobe vascular involvement; Grade 4 extensive splenic rupture, or involvement of the splenic pedicle and splenic arteriovenous trunk. ”

Director Zhu: "If you are on the scene for first aid, how should the patient be transported with hepatosplenic rupture and hemorrhage?" ”

Zhang Jun was speechless for a while, he thought it was a theory, and his eyes were black for this kind of experimental operation.

Director Zhu's eyes crossed Zhang Jun's face, and he said to Lu Yuehua next to him, "You answer." ”

Lu Yuehua obviously thought about it, and hurriedly replied: "Patients with hepatosplenic rupture and hemorrhage generally have a large amount of bleeding, and hemorrhagic shock occurs quickly. ”

Director Zhu: "What position should be taken during the transfer?" ”

This question is out of the outline again, it is not written in the textbook at all, Lu Yuehua can't answer it for a while, Director Zhu looks at another college intern Ai Kelong: "You come!" ”

Ai Kelong squeaked: "This, probably lying on your back, right?" ”

Director Zhu snorted coldly:

"If you know, you know, if you don't know, you don't know, what do you mean? Do you just guess when you meet a patient? You must know that this kind of hepatosplenic hemorrhage has a high mortality rate, and it is likely that one of your mistakes in detail will cost you a life. ”

Ikeron's face was red when he was asked, and his hands were shaking with nervousness.

On the first day of the internship, he was scolded by the director, and most of the college student's self-confidence was knocked out.

Through the three college interns, Director Zhu finally found out that there were two secondary school interns behind him, especially Chen Qi, who impressed him yesterday, so he asked directly:

"Chen Qi, can you answer this question?"

Chen Qi stood up straight and raised his voice a little:

"Okay director, during first aid, patients with liver rupture should be placed in the right decubitus position; When the spleen is ruptured, the left side is placed in the decubitus position to reduce bleeding; If the spleen is ruptured, it should be quickly packed with a sterile warm cotton pad or hemostatic sponge to stop the bleeding before handling. ”

Director Zhu listened to the answer, remained silent, and asked again: "What if it is gastrointestinal bleeding?" ”