"Teacher Zhai, you can't." Zhao Mengmeng asked very puzzled.

"Quite possibly." Zhai Yuhan said, "The probability of encountering similar patients in clinical practice is not high, but it can still be encountered after a long time." There is an old saying that you can walk by the river without getting your shoes wet, and that's about what it means. ”

"This ......" Zhao Mengmeng still had an incredible expression.

In the eyes of the children in the ivory tower, the world is clean and beautiful, full of vitality, just like the propaganda.

And Zhai Yuhan, who has experienced being pressed to the ground by the iron fist of society, has no similar thoughts.

"In the emergency department, some people always say that they are uncomfortable, and the symptoms are very similar, and they want to prescribe demerol. A few years ago, I didn't experience it, but I heard that there were people who went to the emergency department to grab Durandine. ”

"......" Zhao Mengmeng was speechless.

"It's the easiest, and it's a little more difficult. For example, if a pregnant woman is found to be stillborn in a pregnancy test, she will conceal her medical history and go to the emergency department for an intravenous drip, and then say that it is caused by intravenous drugs. Zhai Yuhan was a little tired of talking about these things, but he still said it.

It is obvious that Zhao Mengmeng needs clinical experience, and she has been working very diligently recently, Zhai Yuhan hopes that she will know the sinister clinical practice and outline a medical environment as complete as possible for her.

Otherwise, with Zhao Mengmeng's perception of this world, she suddenly broke in, and it is estimated that she will soon be rubbed out of Mars by society.

It's really hard to say what will happen then.

This can be regarded as a small gain for Zhao Mengmeng to participate in the show.

"This ...... It's too much. Zhao Mengmeng stammered.

"There's something even more excessive." Ji Xiang said, "I heard Teacher Meng from the emergency department say that a few years ago, that is, in the years before the evil eradication, human traffickers abducted sick children and couldn't sell them, and when they died, they died, and they took them to the hospital to make money. ”

"Money?! How? ”

"Holding the child while he is busy, talking about the symptoms and pretending that the child is asleep. Then he refused to check the body, saying that the child finally fell asleep, don't bother, sleep quietly for a while, as long as the injection is given.

The doctors and nurses were too busy to check, so if they did what they asked for an injection, they would soon say that the child had been killed by an injection from the hospital. ”

“！！！” Zhao Mengmeng's face was white, miserable and white.

What Ji Xiang said made her shudder, and it was hard for Zhao Mengmeng to imagine that there was such a person.

In just a split second, she brought herself in.

If you encounter a similar situation in the clinic, it is estimated that there is a high probability that something will happen.

Soon after the injection, the child was found to be "dead...... Doctors can't get out of it anyway.

Zhao Mengmeng was frightened, her eyes were shining with tears, and she almost cried.

"There are a lot of similar things, Mengmeng, be careful in the future." Zhai Yuhan took a deep look at Ji Xiang and told Zhao Mengmeng.

Zhao Mengmeng was a little stunned and nodded blankly.

"Dr. Xiaoji, what is the most dangerous situation you have encountered in the clinic?" Zhai Yuhan asked.

"I've just been training for less than half a year." Ji Xiang shrugged, "I haven't encountered a similar situation, I've heard of it." ”

Zhai Yuhan was speechless when he saw Ji Xiang saying scoundrel words with a righteous face.

"Now there are fewer medical troubles, and I haven't seen patients and family members who are too unreasonable. But I heard from Mr. Meng in the emergency department that there are several kinds of patients he is more worried about, and if he doesn't count pediatrics, the last thing he wants to take is a patient with rib fractures. ”

"Broken ribs?! Isn't it just hemopneumothorax, what are you afraid of, the next closed drainage, more than 200ml of dark red bloody fluid can be drawn out within 1 hour, and you can go on stage. Zhai Yuhan said with a little disdain.

She has changed her opinion of Ji Xiang now, but for the doctor Meng that Ji Xiang said, she still subconsciously thinks that he is a lower-level doctor at the prefectural and municipal levels.

"Mr. Meng said that he has worked for 20 years and has encountered 8 patients with rib fractures and aortic dissection." Ji Xiang Road.

Zhao Mengmeng didn't understand what Ji Xiang meant, but Zhai Yuhan understood in seconds.

Aortic dissection is extremely dangerous, and although it can be confused with other diseases, the torn pain in the front chest and back can always be glimpsed.

However, if a rib fracture is combined with an aortic dissection, the pain of the fracture will mask the symptoms, and the pain itself will be considered fracture pain due to the aortic dissection.

Once the patient is taken with analgesics or intramuscular analgesics, the patient falls into a deep sleep, even if he does not die suddenly in his sleep, and the blood pressure rises the moment the patient wakes up and sits up, and it is very likely that the dissection will suddenly rupture and die in the ward.

When the time comes......

Faced with the situation described by Ji Xiang, Zhai Yuhan immediately thought that the patient's family did not understand, obviously the patient came in by walking, and his mind was clear, why did he die.

This is different from holding a dead child to touch porcelain, what Ji Xiang said is a pure disease, and it is a disease that the doctor who took over did not see.

To be reasonable, if this kind of case is handled by the Medical Commission, it will at least be a liability accident.

Even the patient's family did not understand and cooperate, and parked the body in the ward and said that they would not take it away......

Zhai Yuhan's sweat was already coming out, and his palms were wet.

"This condition is the most dangerous, and there may be other conditions, such as a 1 in 50,000 probability of carotid endarterection syndrome, such as delayed intracerebral hemorrhage, and so on. However, after all considerations, Mr. Meng still felt that rib fracture combined with aortic dissection was the most dangerous. ”

"Doctor Xiaoji, how did that Teacher Meng deal with it? Can your hospital still do emergency 64-scan CT at night? Zhai Yuhan asked.

"Mr. Meng said that he was not liked by patients, nor by the inpatient doctors." Ji Xiang talked about Meng Qingfei and smiled slightly, he still thought a little bit about not accompanying Meng Qingfei on duty for a few days.

"How?"

"For patients with rib fractures, others can do a chest X-ray, and Mr. Meng must make sure that the patient has a chest CT. He always laughed at himself, saying that he was the kind of crappy doctor who couldn't see a doctor without a machine. ”

"But a CT scan of the chest may not be able to see it." Zhai Yuhan immediately pointed out the flaws in Ji Xiang's words.

"What Mr. Meng means is that as long as there is a point of suspicion, he will definitely find a thoracic surgery inpatient general consultation." Ji Xiang said, "He was a little cautious, but I think Mr. Meng was frightened." ”

"Sort of...... Frightened? ”

When Ji Xiang said the word frightened bird, Zhai Yuhan smiled bitterly.

As the general hospitalist, she knows very well what a frightened bird is, just like a patient with gallbladder torsion, if she encounters it, she can only say that she is unlucky.

"Teacher Meng often said that when you are a doctor, you should be cautious and walk on thin ice. He also said......"

Ji Xiang gushed endlessly.

Originally, Zhai Yuhan was going to give lessons to Ji Xiang and Zhao Mengmeng, but after a few rounds, it became Ji Xiang to teach them.