The little sick number was picked up from the ward by his mother and sent to the minibus, ready to be transferred to the fourth hospital.

This simple ambulance converted from a minibus was specially borrowed by Chen Qi from the People's Hospital, who said that there were no ambulances in the second and fourth hospitals.

Dean Gai was a little depressed, according to the previous rules, all patients that could not be handled by the four hospitals were transferred to the second hospital, but now the second hospital has been reduced to sending patients to the fourth hospital.

Is this the Four Houses strong? Or is the second courtyard outdated?

Chen Qi was happy in his heart, but he didn't dare to stimulate this little old man.

I'm afraid that this person really has the backbone and won't transfer to the hospital, and it doesn't matter if he can't get an excellent topic, and delaying the small patient to see a doctor is a big deal.

"Dean Gai, don't worry, it's no problem for the patient to be handed over to us."

"Alas, this is really feng shui in turn, but I'm a little strange, we can't cure the disease in the second hospital, what special method do you have in the fourth hospital?"

"Ahem, this is confidential first, and we also have to make a treatment plan based on clinical practice."

The two deans were still chatting, and Director Yao of the Department of Pediatrics came over and whispered:

"Dean Chen, you should pay special attention to this little illness on the road, the situation is not too good, if it is not for the patient's family to strongly request to be transferred to the fourth hospital, otherwise I will not agree to it anyway, and accidents are prone to on the road."

Chen Qi looked at the two assistants who were placing the patient not far away, and he was quite unimpressed:

"Don't worry, Director Yao, you see that we have oxygen in the car and a lot of first-aid medicines, as long as we survive this half-hour drive, we can talk about it when we get to the Fourth Hospital."

Director Yao had to say a few more words, but Yan Shifan was shouting: "Chen Tou, we are ready, we can go." ”

"Okay, here."

Chen Qi turned his head and shook hands with Dean Gai and Director Yao, "Then let's go first, comrades, just wait for our good news." ”

When Dean Gai watched the ambulance drive out of the hospital, he was so angry that he threw the cigarette on the ground:

"Damn, why am I so aggrieved? Look at how Chen Qi, this kid, can immediately call a middle-level meeting of the whole hospital, and cheer up Lao Tzu, if you can't do business, Lao Tzu will pick your skin! ”

After speaking, Dean Gai coaxed away, and Director Yao and the others next to him all looked at each other, and they didn't dare to come out.

"Hey, what's wrong with the old man today?"

"What else? There is no face, the level of the second courtyard is not as good as the fourth courtyard, can the old man be happy. ”

"You spoke lightly, and you didn't see that the dean was back."

At this time, Dean Gai walked back in a menacing manner, glared fiercely at the doctors present, and then picked up the cigarette butt he had just thrown away, and walked towards the administrative building while scolding.

As soon as the ambulance drove out of the city and was about to pass by Xiguomen, Chen Qi's eyes unconsciously looked towards the construction site of the hospital's staff community.

In this year, because the houses are all red brick prefabricated slabs, the staff community of the fourth courtyard has been built very quickly, and it is estimated that it will be completed by the end of the year.

These doctors and nurses have nothing to do after work, so they like to take the No. 5 bus to the construction site, and by the way, they are supervisors to see if there are any corners.

Chen Qi is not short of money, he did not take kickbacks from the project money, and his requirement is to spend 100% of all the money on the project.

And he also asked Wang Yongjun, the vice president in charge, to keep an eye on the quality of the project, and it is acceptable for the contractor to invite guests to dinner, but don't take the red envelope.

Wang Yongjun is one of Chen Qi's allies, so naturally he will not dismantle his family's platform.

Of course, only he knows whether he got a kickback or not......

Just when Chen Qi was thinking about the project, he heard Yan Shifan exclaim next to him: "Chen Tou, the situation is not right. ”

"Huh?"

Chen Qi came back to his senses, and immediately looked at the little patient who was taking oxygen, and his heartbeat accelerated all of a sudden, thinking that he was really told by Director Yao, and there was an accident on the way.

Because the little sick man suddenly coughed violently a few times at this time, and then the whole person's face turned red and red, as if he was holding his breath, and his hands and feet were stiff.

Chen Qi knew at a glance that this was a blocked airway, and the biggest possibility for infants and young children was that the phlegm was blocked, which was very fatal, if the rescue was not timely, the little sick number would die on the road.

The problem is that later ambulances are routinely equipped with sputum aspirators, but in 1986, there was almost nothing.

When Shen Lifen saw that the son in his arms had suddenly changed drastically, he immediately screamed in fright.

For a while, the people in the ambulance were in a hurry.

Chen Qi hugged the child, didn't care if it would be cold to the child, ripped off the small quilt wrapped outside, and then put the little sick man prone on his forearm, so that the baby's head was lower than the body, and the forearm was supported above the thigh.

One hand supports the baby's head, neck and chest, and the other hand quickly pats the area between the two shoulder blades of the little sick number, snapping and popping, 5 times in a row.

Yan Shifan squatted on the head of the little sick number and kept observing, and shouted at this time: "There is no improvement." ”

Chen Qi didn't say anything, continued to pat his back, and did 3 movements in a row, but there was no phlegm coming out of Xiao Sick's mouth, his face became more and more red, and he began to develop purple.

Chen Qi knew that the back pat method had failed, so he immediately changed to another first aid method, the chest thrust method.

I saw him quickly turn the little sick man over, put his face up on his thighs, continue to lower the little sick man's head lower than his body, and then press his chest with two fingers.

This is actually a standard "Heimlich maneuver", in which compressions are followed by rhythmic relaxation and repetition to create an airflow that impacts the foreign body and helps it expel it.

However, after this combination of punches, it may be that the phlegm is too thick, or it may be that the phlegm is too deep, in short, the phlegm is not discharged smoothly.

At this time, Xiao Sick's face was already gray and black, and the whole person began to spasm.

Shen Lifen began to cry, Bian Meng was loudly urging the driver to hurry up and hurry up, and Yan Shifan began to look for first-aid medicine with trembling hands.

Even if it was a relatively cold season in early spring, the sweat behind Chen Qi also came out.

This little sick man died in the ambulance transferred to the hospital today, so his Chen Qi responsibility is greater.

Chen Qi can think of how outsiders will scold him, just like when he did hand surgery, scolding him for not doing his job, and a plastic surgeon to collect the disease of "pediatric surgery"?

Isn't this delaying the condition of other children's children, how can this be explained to the father of the child's fighting hero who is far away in southern Xinjiang?

The situation is already very critical, the car has just driven outside the Xiguo Gate, and it is still in the Zhongjiawan area, even if the ambulance has already taken off, it will take at least 10 minutes to reach the fourth hospital.

The child will not last 10 minutes at all.

And the golden rescue time is only 5 minutes, after this time, even if you rescue it, you will be a vegetative person or a fool, then it is better to die.

said that it was too late, and Chen Qi couldn't care so much, so he quickly flattened the little sick number on the stretcher.

Then he knelt on the carriage, bowed his head, and mouth-to-mouth with the little sick trumpet.

Since there is no sputum aspirator, the only last way Chen Qi can think of is "artificial suction".

Yan Shifan, Bian Meng, and Shen Lifen were all dumbfounded, and Shen Lifen even forgot to cry, covering his mouth with his hands at a loss.

(Fortunately, it's not in the United States, otherwise it is estimated that this lawsuit will have to be fought, violating young children, and Michael Jackson will have to fight.) ）

Artificial mouth-to-mouth sputum suction, which can be used in first aid, the rescuer wraps the patient's mouth with his mouth, and pinchs the patient's nose with his hand, sucks hard, and achieves the purpose of sucking out the sputum in the oral cavity through the negative pressure caused by artificiality.

However, it is not recommended to suction, artificial mouth-to-mouth suction, because there are a variety of viruses and bacteria in the human mouth, which will cause cross-infection.

There is another one, psychologically speaking, sucking other people's phlegm into their mouths is unacceptable to ordinary people, even if it is a close relative, there will be a psychological shadow.

Therefore, Chen Qi's actions stunned several people in the car, and at the same time ignited the last hope.

Finally, the hard work paid off, and when Chen Qi took the third sip, the phlegm that caused the airway obstruction of the little sick number was finally sucked out.

As soon as the airway was cleared, the little sick number immediately cried, and the originally black and purple face immediately improved.

Shen Lifen cried out again, snot and tears, crying and laughing like a neurotic, she was really tortured to the point of going crazy.

Yan Shifan and Bian Meng were also so frightened that they slumped in their seats, and they breathed a long sigh of relief.

Chen Qi quickly spit out the thick phlegm sucked out by the little sick number onto the gauze, and at this time there was a strong feeling of vomiting in the stomach, which was pressed down by him, which was vomiting in front of the patient, which was the biggest disrespect to the patient and his family.

Anyway, Chen Qi has secretly decided that he will never eat fish heads in his life, especially the brain in the fish head, and he can't even look at it......

The ambulance driver also knew that something was wrong and almost pressed the accelerator all the way down.

The car almost drifted into the gate of the fourth hospital and stopped outside the inpatient department of the second department of surgery, and everyone was making their own efforts and contributions to the rescue of the child.

The fourth hospital, the second department of the special needs ward.

Chen Qi was wearing a stethoscope on his ear, and he was carefully identifying and auscultating the chest of the little sick man.

Behind him, Wang Xiaoxian, director of pediatrics, Bian Pengfei, director of surgery, Li Chunsheng, new director of internal medicine, and Zhou Liuxin, chief of the medical department, gathered together, looking at a series of examination reports and chest X-rays brought from the Second Hospital.

Shen Lifen and other family members waited anxiously not far away, everyone's eyes full of horror and distress.

At this time, let's take a look at the situation of the little sick number, this is a birth less than 2 months old, after this series of torture, you can obviously hear moaning, breathing becomes quite irregular, not only shortness, but also long, the most terrible thing is that it is accompanied by apnea from time to time.

Looking at the complexion of the little patient, it turned blue and gray due to lack of oxygen, and the signs were nasal wings twitching, and the soft tissues of the thoracic cage were obviously depressed during inhalation, with the lower end of the sternum being the most obvious under the costal margin.

Chen Qi straightened up and said softly: "The breath sounds in the lungs are reduced, and you can hear a fine crackle when you inhale." ”

Director Li of the Department of Internal Medicine was a little anxious: "This is respiratory distress." ”

Director Wang's white words to Chen Qi: "What's more, this is all respiratory failure, inflammation indicators are so, accompanied by high fever, Chen Qi, you will really make trouble for everyone." ”

Not all doctors are willing to deal with patients with critical or incurable diseases, and most doctors hope that their wives can be peaceful, smooth sailing, happy and happy to work, and leave work with a high heart.

Now that the pediatric department has such a baby, not only the whole hospital will have a general consultation, but even the pediatrics department will send the strongest doctors to do the whole process of care and monitoring.

One is not good, and in the end, there is no way to return to heaven, and you have to face the blame of your family.

Chen Qi hurriedly laughed and said: "Director Wang, I don't want to make the rescue level of our hospital a higher level, the treatment of chylothorax is ineffective, we can have a surgical treatment." ”

"Surgical treatment? Hum. ”

Director Wang continued to glance at Chen Qi, pointed to the auxiliary examination report on the medical record and said:

"Look, the white blood cells have reached 24,000, and then look at this blood-red cake is only 60 points, and the liver function is even more ruined, such a severe malnutrition, inflammation is not controlled, with dysfunction of multiple organs, how do you operate?"

"Ahh

Chen Qi slapped his forehead and slapped himself in annoyance: "Ah, yes, my thinking is too limited, I was careless." ”

The surgeon's thinking is relatively limited.

Like Chen Qi thought before that it was just a chylothorax, if it didn't work, let's have an operation, isn't it just a thoracic duct ligation, although it is a little troublesome, but he has the level of surgery in his previous life, plus gold fingers, so isn't it just to take it down?

But he overlooked another point, which was that the vital signs and inflammation of the little sick did not allow him to have surgery immediately.

It's like some people have inflamed teeth and their faces are swollen like a steamed bun, and they go to the dental hospital to take a look, and the doctor will say that you go back to reduce inflammation first, and then come back to pick your teeth when the swelling subsides.

Looking back at this little illness, the 4 major contraindications before the operation, he alone accounted for it.

First, severe cardiovascular and cerebrovascular diseases, such as heart failure, respiratory failure, etc.

Second, severe liver and kidney diseases, such as liver failure.

Thirdly, severe malnutrition, if surgery is done, the patient's recovery is very difficult, and the wound may not heal.

Chen Qi scratched his head this time, if he couldn't operate immediately, he would probably not be able to last a few days with such a small illness, and he would really have to smash his hands.

It is estimated that the dean of the second hospital has been able to laugh at it for several years.

"Director Wang, Director Li, from the perspective of internal medicine, what should we do now?"

Director Li smacked his lips:

"Now I am about to do sputum culture, find the most suitable antibacterial antibacterial anti-inflammatory, and continue the drainage, the trouble point is that the infusion volume is not easy to control, the dose is not enough, and the pleural effusion will be more if the infusion is more."

Director Wang added:

"It's a pity, it would be nice if we had a ventilator, I read the magazine, foreign hospitals have a ventilator, which can help the human body to maintain normal breathing, that is, the role of the lungs in vitro, if we have one, then we can win more internal medicine rescue time."