Chapter 528: Hurry up and obey the power

"Sir, do you think I'm okay with this strength?"

Yu Zhiming, who was lying on the sofa, listened to this delicate voice that could make his body crispy, and said in a muffled voice: "It's okay!" ”

"Sir, do you think I'm less skilled?"

"It's very Hara!"

"Sir, do you want to get a card?"

"We have launched a preferential gift package, as long as you get a life card, you can provide food, play, sleep and give birth to a child."

"Get a card! Get a card! Card ......"

Yu Zhiming hurriedly replied a few times, and suddenly turned over and grabbed the seductive goblin beside him into his arms.

Up and down their hands.

But the next moment, he smelled something familiar.

"What's the situation?"

Gu Lime's face was flushed, her eyebrows and eyes were full of spring, and she replied softly: "Well, just half an hour ago." ”

Yu Zhiming sat up and asked with a concerned face, "Is it uncomfortable?" Does it hurt? ”

"At dinner, that very spicy conch, I saw that you didn't eat less. Cool lobster sashimi, I also ate some. ”

Gu Qingling grinned, "There used to be some small pain, but this time I hardly felt much." ”

"It is said that having a boyfriend can cure menstrual cramps, and such an experience is really effective."

Yu Zhiming said seriously: "In fact, a boyfriend cannot relieve a woman's dysmenorrhea, and there is no clinical saying that a man can relieve a woman's dysmenorrhea." ”

He further popularized science: "There are two causes of women's dysmenorrhea: physiological and pathological. ”

"Physiological dysmenorrhea is due to changes in the hormonal environment in the body and an increase in prostaglandin secretion, which will lead to uterine contractions and cause women to have dysmenorrhea."

"Generally speaking, this kind of pain cannot be improved by men, or by regular snapping life."

"As for pathological dysmenorrhea caused by pathological causes such as endometriosis, pelvic inflammation, and uterine fibroids, men cannot alleviate it."

Gu Qinglime saw that this guy looked like a serious science popularization, couldn't help but smile, and argued in a serious tone: "There are many people on the Internet who have come forward to say this." ”

"It is said that after having a boyfriend and having a snapping life, menstrual cramps have been significantly relieved."

"Facts speak louder than words, how do you explain it?"

Yu Zhiming snorted: "Are you sure that these posts on the Internet are all made by your girls?" ”

"Perhaps, most of them were issued by men with unspeakable purposes, deliberately misleading you girls."

"Of course, due to the large base, it cannot be ruled out that some girls do relieve menstrual cramps through men."

Yu Zhiming groaned and said: "These girls may have some endocrine disorders and disorders in their bodies. ”

"After they found a boyfriend, they regulated the endocrine system during contact with their boyfriends, so that the sex// hormone levels in the body tended to be coordinated, and the sensitivity of the uterine smooth muscle to the prostaglandins during menstruation was reduced, thereby relieving the symptoms of dysmenorrhea."

"But for the vast majority of girls, men don't play much of a role in their menstrual cramps."

After a pause, Yu Zhi suddenly thought of a little, and said with a soft smile: "It can't be said that men can't play a role." ”

"They can take a cup of hot water and warm up the girl's stomach."

"You can chat, divert the girl's attention, and achieve the effect of relieving pain to some extent."

"You can also gently rub the girl's lower abdomen with the palm of your hand."

Hearing this, Gu Lime's eyes widened, and his small waist was pinched, transforming into a little tiger.

"Since you know so clearly, if you don't act quickly, people still have some discomfort."

Well, this is digging a hole for yourself......

Yu Zhiming first poured a cup of hot water for Gu Lime, then took her in his arms and rubbed her lower abdomen......

Yu Zhiming, who turned into a warm man, was crooked with lime for more than ten minutes, and suddenly heard the sound of hurried footsteps, coming from far and near outside.

He put down the lime and got up from the couch to see a little nurse running through the door.

Dr. Yu ...... Dr. Yu......"

The little nurse who ran too quickly bent over and gasped for breath twice to calm down a little, and her words could be coherent.

"Emergency, heart problems, Dr. Chan is a Chinese medicine practitioner and is not good at dealing with ......"

Before the little nurse finished speaking, she looked up and saw Yu Zhiming, who was wearing a down jacket, had already walked out of the door quickly.

The little nurse quickly took a big breath, turned around and ran out, leading the way while introducing the situation.

Two or three minutes later, Yu Zhiming, who walked quickly to the medical center on the first floor of the dome building, saw an old man in his sixties and seventies, inhaling oxygen, sitting in a multi-functional examination chair.

Even with oxygen, the old man was still short of breath and pale.

Yu Zhiming also noticed that the old man's jugular veins were round and bulging.

Dr. Chen, who was standing on the side, saw Yu Zhiming coming in, and said eagerly, "Dr. Yu ......"

Between the words, Yu Zhiming's right hand was already pressed on the old man's left chest......

"Acute pericardial effusion, pericardiocentesis required."

The pericardium is a pouch structure that encloses the heart and is composed of two parts: a serous layer and a fibrous layer.

The pericardium holds the heart in place, cushions the impact of the heart's contraction on the surrounding blood vessels, and prevents the rapid expansion of the heart chambers due to exercise and increased blood volume.

It also prevents chest infections from spreading to the heart.

In the pericardial cavity, there are fifteen to fifty milliliters of serous fluid, which acts as a lubrication.

Pericardial effusion refers to the excessive secretion of fluid by the pericardium due to the disease of the pericardium itself or other causes affecting the pericardium, resulting in excessive fluid secretion and accumulation in the pericardial cavity.

This is a relatively common clinical symptom.

Patients with a small pericardial effusion, or a large pericardial effusion that accumulates slowly, may be asymptomatic.

As pericardial effusion compresses the heart and local tissues, symptoms can vary from mild to severe.

Dyspnea is the most prominent symptom, and irritability, paleness, and cyanosis can also occur.

A large amount of pericardial effusion in a short period of time can lead to cardiac tamponade, which obstructs venous return, causes systemic congestion, and causes symptoms such as hypotension and jugular venous distension.

In severe cases, shock and cardiac arrest may occur.

In Yu Zhiming's exploration, the old man's pericardial effusion was at least six or seven hundred milliliters.

This is a serious situation.

Yu Zhiming detected that the beating of the old man's heart was severely inhibited, resulting in obstruction of blood circulation.

Emergency treatment must be given.

"Pericardiocentesis?"

Dr. Chen was taken aback and said eagerly, "Doctor Yu, I can't do this puncture." ”

"Our own ambulance is ready, but it's a forty or fifty minute drive from the nearest big hospital."

"Is it in time?"

Forty or fifty minutes by car?

Yu Zhiming couldn't help frowning, based on the current symptoms of the old man, as well as the heart compression caused by pericardial effusion, he really may not be able to survive.

"I'm going to do a pericardiocentesis."

Yu Zhiming, who made the decision, advised: "Prepare puncture needles, drainage tubes and surgical sterilization kits." ”

"Other unrelated people, etc., all go out."

Pericardiocentesis, which is required to be performed in a sterile environment to avoid infection of the heart.

But in the current situation, Yu Zhiming can only be in a hurry, drain the pericardial effusion first, and let the old man's heart function return to normal.

As for infection or not, that's a matter for later.

Under Yu Zhiming's arrangement, only the little nurse who called him over was left at the scene.

Dr. Chen, along with other nurses and nurses, and friends who care about the elderly, all went outside the clinic.

In order to avoid infection, Yu Zhiming also disinfected the environment as much as possible, as well as the puncture position of the elderly.

Not only did he wipe his own hands and disinfect them, but he also put on disposable sterile surgical gowns, masks and surgical gloves.

After getting ready, Yu Zhiming took the puncture needle handed by the little nurse and patted it a few more times on the old man's intercostal space.

The next moment, without the slightest hesitation, he stabbed it in with a force.

The little nurse next to her was startled, and quickly covered her mouth.

Pericardiocentesis requires a high level of skill from the doctor.

Even in Huashan Hospital, at least a senior attending physician is required to operate under the guidance of ultrasound images.

This is because if the needle accidentally touches the heart, it can easily trigger a cardiac stress response and cause cardiac arrest.

In terms of Yu Zhiming's perceptual positioning and the stability of the operation of both hands, pericardiocentesis is not a big deal.

His main concern before was infection......

Yu Zhiming inserted the drainage tube and saw the light white liquid sprayed into the drainage bag along the drainage tube.

He examines the patient's heart to see how much blood pumping is improving.

"Now you can take the elderly to the hospital......"

Yu Zhiming cleaned himself up, walked out of the clinic with his coat, and saw the limes waiting outside.

"Zhiming, you are so good, you rescued another person."

Yu Zhiming sighed lightly and said, "It's hard to say now, I still need to survive the infection period later." ”

"Let's go, let's go back ......"

Gu Lime took Yu Zhiming's arm and walked out of the dome building, and unexpectedly saw Gu Changyan being surrounded by four or five people.

"No! Disagree! ”

"I can't let my people venture out into the mountains at night."

Yu Zhiming, who was curious, got closer to Gu Lime, and after listening for a while, they understood the reason clearly.

A young couple of high school students, who were strongly opposed by the parents of both sides, left a suicide note to be martyred.

Parents are going crazy when they find out.

They found some clues and determined that nine times out of ten the two children had run into the mountains.

Hearing this, Yu Zhiming remembered that when he was on vacation at Huguang Mountain House on National Day, the people there said that this mountainous area is a relatively famous sleeping place for self-ending.

"Dean, please, my child is only seventeen years old."

As he spoke, a man knelt down and pleaded, "Dean, you don't need to order your staff to go into the mountain, just gather them." ”

"We're looking for volunteers."

"Those who are willing to follow us into the mountains to find people are 10,000 per person."

"If you find two children, give 100,000."

"If there is an accident in the mountain, we are fully responsible and will pay compensation......

Yu Zhiming and Lime didn't listen anymore, and walked hand in hand towards the villa to the west.

Although life is priceless and it is urgent to save people, they will not let themselves be reckless and put themselves in danger in order to find those two ignorant guys......

Ask for support such as monthly passes, recommended tickets, etc!!

(End of chapter)