Xu Leyu ate, took a shower, and lay in bed waiting for New Year's Eve.

In the new year, Xu Leyu set several small goals for himself.

While Jixiang is here, you must make more sycophants and mix a few more sci papers.

Yes, it's a mix, nothing to be embarrassed to say.

Clinical work is more cruel and cruel than what 996 and 007, how can there be time to complete the thesis.

While asking people to be cattle and horses, they also put forward various requirements, and they also put on long robes.

So clinically it can only be fooled.

Many high-level hospitals have doctors who are dedicated to scientific research, who are not on duty and only write papers.

In this way, everyone has their own duties, and it is beneficial.

However, Xu Leyu now has a big opportunity - Ji Xiang.

Ji Xiang's speed of writing papers and the advanced level of his published literature made Xu Leyu feel like a dream.

It's even more bizarre than a dream.

In just a few months, Xu Leyu witnessed Ji Xiang publish 23 papers in top journals.

At the same time, myself, the professor who led the group, and even the nurses did not omit anything, and basically one person wrote a SCI paper.

The people in other departments of the hospital don't speak well, and whenever they talk about the little nurses in orthopedics and urology who have sci articles, their eyes are blue, and they can't help but start the cynical mode.

They are envious and jealous, Xu Leyu knows this.

Who made orthopedics and urology lucky?

So Xu Leyu decided to seize this opportunity, take advantage of Ji Xiang is still around, and mix a few more sci papers to lay a good foundation for the future.

I was about to fall asleep when I heard the sound of a flat car in the hallway.

Xu Leyu woke up.

Sleeping in the hospital is like this, and you have to wake up and prepare for rescue.

The orthopedic department is still good, and the hospitalization of those departments with many emergency departments has a nervous breakdown early.

"Mr. Xu!"

The voice of a nurse in the emergency department could be heard in the hallway.

Xu Leyu got up with a rolling belt and trotted with his slippers to see the situation.

The orthopedic patients are generally not seriously injured, after all, they are not responsible for the internal organs, and the patients sent in are fractured in the femoral shaft, which is closed, and there are no other problems except that the blood pressure is a little low.

The nurse handed over the patient's test sheet, B-ultrasound, and X-ray films to Xu Leyu and left in a hurry, and did not forget to remind Xu Leyu to remember to return the flat car when he left.

On physical examination, the patient had a fracture of the left femoral shaft, a subcutaneous hematoma, and a blood pressure of 80/40 mm Hg.

A call was made to the operating room, and the emergency desk was full.

The non-open trauma of the orthopedic department can be operated on within 24 hours, which belongs to the scope of the table, so Xu Leyu was not in a hurry, and gave a blood transfusion doctor's order and asked the doctor on duty to write the medical record.

After 30 minutes of observation, Xu Leyu saw that the patient's condition was stable, so he went back to the duty room to rest.

These patients are small cases, and they can find time to do the surgery when the emergency operating room is vacant tomorrow.

It's just that the femoral shaft is fractured, and there is no internal organ damage, so Mr. Xu didn't take it seriously.

Xu Leyu was about to go to bed in a daze, but he had a slight sleep disorder, and he had been brewing for a long time, and the door of the duty room was pushed open with a "bang" at the moment when Xu Leyu was about to fall asleep.

"Mr. Xu, come and take a look!"

"What's going on!" Xu Leyu scolded.

The patients in the ward are very stable, and the level of the front-line doctors on duty is really poor, and they can't handle anything by themselves.

"The patient with femoral shaft fracture who just came suddenly shivered and was short of breath, I thought it was a blood transfusion reaction, and I was given 10mg of dimi and other treatments, but the blood pressure and blood oxygen brushes went down."

Xu Leyu suddenly sobered up, he pulled on one slipper, didn't notice that the other slipper was not put on, and walked out of the duty room quickly.

"Are there any other symptoms?" Xu Leyu asked hurriedly.

"High fever, electrocardiogram is not wrong."

“！！！”

"What about blood transfusions?"

"Hmm."

"Hurry up and ask the nurse to remove the blood first!"

Xu Leyu walked into the ward and saw that the patient was shivering.

The patient's body was trembling like chaff, his face was pale and pale, and his blood pressure had dropped from 80/40 mm Hg to 65/30 mm Hg.

Blood oxygen saturation has also dropped to a precarious level of 89 percent.

Damn it!

Xu Leyu scolded in his heart, and hurriedly gave an emergency rescue order.

The first thought that came to his mind was that there was a problem with the blood transfusion.

That's for sure, but Xu Leyu doesn't know if it's an allergic reaction during the blood transfusion or ......

didn't want the worst, Xu Leyu began to preside over the rescue.

Several anti-allergy drugs and rescue drugs were pushed forward, and the patient's condition improved slightly.

The micropump pumps dopamine and other vasopressors to maintain vital signs, and Xu Leyu asked for internal medicine consultation to assist in treatment.

After about 45 minutes, the patient's condition has stabilized slightly, and at least there is no sustained deterioration.

However, there is a limit to the patient's improvement, so much adrenaline, dopamine, and dexamethasone can only be maintained.

Xu Leyu fell into deep thought.

However, out of the sensitivity of the hospitalization, he still asked the doctor on duty to call the third-line professor on duty and asked the senior doctor to take a look.

Although he will be scolded tomorrow, Xu Leyu can't care so much.

It seems that something is wrong, Xu Leyu always feels that he has ignored something, but he doesn't know what the problem is.

He circled around the bed, looked at the patient from head to toe twice, and was shocked to find that there were two things he had just missed.

One is that the amount of urine in the patient's urine bag has not increased, which means that the patient has acute renal failure.

The second is ...... The skin on the left thigh seems to be shiny, which means that the broken end of the fracture has just been bleeding profusely, the subcutaneous pressure has increased, and the elasticity of the skin has been stretched to the extreme, so it is shiny.

Xu Leyu took out a small tape measure to measure the location of the swelling of the patient's left thigh.

After recording the values and comparing them, Xu Leyu found that the diameter of the patient's left thigh increased.

There must still be bleeding, maybe I have to go straight to surgery.

But the patient's femoral shaft fracture is clearly not that serious, or is it caused by a transfusion reaction?

Xu Leyu felt that he was in trouble.

The third-line professor came to the hospital with a straight face, he glanced at the patient, and did not give special treatment.

The professor on duty also knew that he was here to take the blame, so he asked Xu Leyu to continue to find a consultation.

There was no way, Xu Leyu could only call the relevant departments and ask the resident boss and third-line professor to take a look and improve the medical records.

Just after he was busy, when Xu Leyu returned to the ward to take another look at the patient, he deliberately took a small flashlight to look at the pupils.

Otherwise, when the group of people in the internal medicine department asked how the bilateral pupils were, if they didn't know, they would definitely be despised.

Flipping the patient's eyelids, Xu Leyu was stunned.

The patient's eyeball is so bloodshot that bloody exudate can even be faintly seen!

It's like a patient shedding blood and tears!

At the same time, a trace of bloody fluid comes out of the patient's nasal cavity.

Holy!

What's going on!

(End of chapter)