Chapter 21: A Life-Saving Disease
Sun Lien thought he had seen a ghost. The kind of ghost that exists in urban legends, can still jump around and joke with you after being stabbed in the heart, and finally tell you that he is dead and wants to drag you down to the underworld.
After being stunned for a few seconds, Sun Lien reacted, this ghost in front of him was probably not some kind of underworld demon - how could any evil ghost be smashed by a beer bottle and his nose and face were swollen, but after understanding the identity of the other party, he didn't feel nervous at all, but suddenly mentioned a completely different kind of tension.
The injuries of the young man in front of him were so severe that he could fall to the ground and die violently at any moment. There is a fruit knife nailed to the precordial area, and the severity of this injury can be seen at a glance even if you are not a doctor - it will die!
According to domestic laws, the length of the knife used to cut fruit generally does not exceed 15 cm, and it is considered a controlled knife. And common fruit knives are generally seven or eight centimeters long. But even if it's only five centimeters, looking at the way this knife is nailed directly to the chest, if it doesn't hurt the heart, it will be a miracle.
"You sit down slowly. Sun Lien decided that since the other party can still stand and talk now, it at least means that the situation is stable. Therefore, it has become a top priority to send the person to the imaging department to take a film first - to check as soon as possible while the person's condition is still stable, so that the patient can be effectively treated in the state of "just in case". There is a great risk of emergency thoracotomy without imaging data, and no one can say for sure what you can see if you open this surgery. Cardiac repair is a fourth-level surgery, and if the patient wants to perform the surgery, the director of the cardiac surgery department must be the chief surgeon.
"Doctor...... It doesn't matter if I want this" The young man's face was not very good-looking, and he was afraid that his face would change if he replaced it with a fruit knife with deep roots nailed to his chest. "Do you want to have surgery?"
If there is heart damage, then fluctuations in blood pressure and heart rate are a big no-no. Sun Lien hurriedly comforted, "Not necessarily, let's do a check first." ”
Sun Lien comforted the young man here, while Xiao Guo, who was a little uncomfortable after eating a tea egg, pushed a wheelchair over with great vision. He deliberately didn't push the transfer bed, just for fear of scaring the unlucky ghost. If you accidentally make someone's heart rate and blood pressure rise, you may be really scared to death.
Zhou Jun also put down the patient in his hand and came over, he lowered his voice and asked, "Send it to the imaging department first, is his family here?"
"How can there be family members when you are drinking outside for team building" Unexpectedly, what Zhou Jun said was heard by this young man first, he shook his head with a white face, "However, our leader is here." ”
"I'm going to go through the formalities. Nurse Xiao Guo volunteered to stand up, while Zhou Jun and Sun Lien pushed their wheelchairs to the imaging department together. Several nurses behind him pushed the ambulance with a solemn look on their faces, just in case.
It was only at this time that Sun Lien had the time to look up at the state bar on the young man's head - this fruit knife was so eye-catching, it was not easy to look away from it.
"Yao Zhuangxian, male, 26 years old, thoracentesis wound, mild open pneumothorax, heart displacement. The status bar listed three negative statuses very realistically, which immediately reassured Sun Lien.
The first two states are easy to say, looking at the position of this knife, Sun Lien can also guess that the other party may be a little pneumothorax - his face is pale, it is estimated that half of it is because of the pneumothorax, and the other half is frightened.
As for the ectopic heart, this is probably the main reason why he is still alive. To some extent, this is not a negative state, but a "previous life accumulation" that saved his life.
Cardiac ectopia, as the name suggests, is the location of the heart that is different from that of a normal person. Usually, it is more common to encounter cardiac ectopia, mainly in the neonatology department. In the past, the "extracorporeal heart" that I happened to see and reported on the news is actually a type of cardiac ectopia. Counting them up, there are three types of ectopic hearts: neck, chest, and thoracoabdominal shape, and most of them will be accompanied by symptoms such as skeletal hypoplasia, diaphragmatic defect and abdominal wall defect. Moreover, most patients with cardiac ectopia have some heart malformations and problems with the development of blood vessels.
There are so many complications that ectopic cardiac disease is not too difficult to detect. Defects in the appearance of the body or lack of heart function are symptoms that are not easy to ignore. But sometimes life is too tenacious, and it can also bring some side effects. When the body's functional deficiencies are compensated for by itself in various ways, people like Yao Zhuangxian are occasionally encountered – until there is a serious trauma that the case of an ectopic heart is discovered.
The doctor on duty in the imaging department was originally gulping down snail powder. When he heard that there seemed to be a lot of people coming to the door, he walked out of the room suspiciously, ready to see what was going on. Unexpectedly, as soon as I opened the door, I saw a buddy with a knife in his chest sitting in a wheelchair, followed by Zhou Jun, the deputy director of the emergency department. Immediately understood that this was a "big business", and hurriedly put everyone into the X-ray examination room.
X-rays are one of the fastest imaging tests. Although ultrasound is an instant imaging, it is necessary to confirm the injury after a long period of observation from multiple angles. Therefore, the efficiency is actually lower than that of X-rays. As for why CT is not used, the main reason is that it is impossible to confirm the severity of the patient's current injury. If the blade has already injured the heart muscle, the change in movement from sitting to lying down and then from lying down to sitting is likely to further aggravate the myocardial damage and even cause severe bleeding. If it is confirmed that there is no damage or no damage, they will consider giving the patient another CT scan.
"You're scared stupid" arranged people in the X-ray room, and Zhou Jun and Sun Lien walked to the observation room on the side. Looking at Sun Lien, who had a calm face, Zhou Jun turned to ask, "Don't worry too much, if he has already injured his heart muscle, then he will have to die a hundred and eighty times on the way to the hospital." Since I was able to come all the way and waited outside the hospital for about ten minutes, it didn't matter. ”
Sun Lien can't say that he knows that the other party is a heart ectopia. So I could only nod, "That's what I think." But at first, when he lifted his clothes, I was really shocked, thinking that I had met a ghost. ”
"Even if there are ghosts. Zhou Jun smiled very indifferently, "I guess I don't dare to come to the hospital to make trouble, after all, the ghost who comes to make trouble has a huge disadvantage." ”
"Oh," Sun Lien asked with some interest, "What kind of feng shui design do we have in the hospital design?"
"You still believe in this thing" Zhou Jun looked Sun Lien up and down, as if he had known him on the first day. "It's not good for young people to believe something, they have to engage in these feudal superstitions"
Sun Lien was in a cold sweat, and the emotional ghost was not a member of the feudal superstitious family
"There are definitely more ghosts in the hospital than there are outside. Zhou Jun glanced at Sun Lien, and then explained, "How many people die every day in the hospital, the total number is much more powerful than any mass grave." ”
Sun Lien blinked, and suddenly felt a coldness on the wall beside him.