Chapter 401 A Shameless Excuse (Happy New Year Everyone!)

"Tell me." Zheng Ren put his left hand flat under his armpit, rested his right elbow on his left arm, rested his chin, squinted his eyes and looked at the film hanging on the film reader, concentrating on it.

"Here is the most typical image of traumatic wet lung." Su Yun tapped the film with the knuckle of his right index finger. Pneumothorax is okay too."

"Do you think it's strange that the patient doesn't have hemothorax?"

"Mm." Su Yun didn't shy away from it. If he was hypocritical and polite, he had to say it from the perspective of hoping that the patient's condition would be as mild as possible.

But,

He didn't.

bluntly,

outspoken.

"There is indeed a problem." Zheng Ren pondered, and followed Su Yun's train of thought and said, "The patient's blood pressure is not high. According to his age, the normal blood pressure should fluctuate between 120-130. There are multiple rib fractures, severe pain, and blood pressure is maintained. It should be 150-160. But the patient's blood pressure is 90-100, which is worth pondering."

Blood pressure drops, which means bleeding.

However, hemorrhage in the chest cavity, whether it is a rupture of the lung or an intercostal artery rupture, will have imaging manifestations of pleural effusion.

However, this performance did not appear on the patient's lung CT.

Even the system's big pig's hoof didn't indicate how serious the traumatic complications were. Lung rupture is a diagnosis, it may be serious, and it may heal on its own.

According to the general situation, this patient can now be sent to the thoracic surgery ward for observation. In the future, we will take one step at a time, and if there is a problem, we can deal with it at any time.

But Zheng Ren and Su Yun are worried that once there is a problem, it will be a big problem, and now is the best time to solve it!

"Su Yun, you also consult me ​​for this kind of disease?" The two of them were struggling when a voice came.

Looking back, it was Cao Guozhen, chief resident of the Department of Cardiothoracic Surgery.

He is tall and strong like a black bear, and he walks in a hurry.

Let's talk...

It is also a general rush.

There was a tingle in the words, probably because when Su Yun and Zheng Ren swept the face of cardiothoracic surgery on the operating table when rescuing Yang Lili, they are still not feeling well.

He glanced at the film, a contemptuous smile appeared on the corner of his mouth.

"The most typical traumatic wet lung, that's it, you have to study it together with the two giants of the emergency department?"

Zheng Ren recalled countless possibilities in his mind, but Su Yun ignored Cao Guozhen's provocative words, frowning in thought.

"You guys are trying to keep the patient in the emergency ward." Cao Guozhen sneered, "Stay as long as you want, no problem. My brother told you, first use hormone shock, then 10mg dexamethasone per day, plus anti-inflammatory, nebulization, Treatment for reducing phlegm. Don’t follow the instructions for giving Mucosolvan, 100 sticks a day, and the intravenous pump pumps it in, no problem at all.” (Note 1)

Zheng Ren and Su Yun are still pondering.

"Give Mu Shutan according to the instructions, and there will definitely be severe pneumonia in three days. Don't say I didn't remind you." Cao Guozhen chattered.

What he said makes sense and is a conscience suggestion.

Su Yun knew that Mucosolvan, an imported drug, was cheaper in price and had almost zero side effects. He used up to 300 a day in the imperial capital, and the intravenous pump lasted 24 hours.

Afterwards, pay attention to turning over and knocking on the back to cough up sputum to prevent hypostatic pneumonia. The patient can be discharged from the hospital within 1 week.

However, the problem is that Zheng Ren and Su Yun didn't consider that the patient just had multiple rib fractures on the right side and traumatic wet lung.

Whether in the emergency ward or the cardiothoracic surgery ward, once this opportunity is missed, patients...

There is a possibility of danger.

But, it's just possible.

Medicine is an empirical science and an evidence-inquiring science.

There is no evidence, why did you tell me to open the chest for exploration, are you afraid that the patient will sue you after the operation? !

After a few minutes of judgment, Zheng Ren suddenly thought of the reason why Su Yun wanted him back so badly.

He wanted to open the chest to explore, but he didn't have the authority.

Just like I always find Director Pan to shoulder the thunder every time, this idiot is looking for myself to shoulder the thunder!

"Patients can't be treated like this." Zheng Ren put down his hand, looked back at Cao Guozhen, and said, "At least an emergency fracture internal fixation operation is needed."

Su Yun was stunned.

Zheng Ren's words were simply too shameless.

The patient's fractures were well aligned and did not require refixation at all.

But... that's a pretty good reason and excuse, isn't it?

"Well, look here, the dislocation is obvious, and the bone stubble may pierce the pleura and lungs when the patient turns over and knocks on the back, causing secondary hemopneumothorax." Su Yun pointed to a tiny break point on the film, and said solemnly arrive.

In general, lung CT is a tomographic scan and is not used to look at fractures.

If you want to see the fracture, you need to do a chest X-ray and a 64-slice chest CT three-dimensional reconstruction.

However, every slice of the lung CT can see a little bit of the situation. Su Yun seized one of the positions and uttered nonsense, saying that the fracture was particularly severe.

Cao Guozhen was stunned...

In the emergency ward, in order to rush for an operation, you are so shameless? !

Paralyzed, no wonder general surgery can't do them.

According to them, this operation must be performed in an emergency department. If the patient does not have trouble in the future, they will have something to say.

Cao Guozhen's mind turned quickly, and then he said: "Then put it away, and I will do it."

“你？”苏云嘴角露出一丝欠揍的嘲讽笑容，“你会做手术？切过肺叶么？做过袖状切除么？什么都不会，就会做个骨折，你舔着脸说自己Will you have surgery?"

"You..." Cao Guozhen really wanted to go up and kill Su Yun.

I have always spoken politely, although there was a bit of sarcasm in my tone, but I didn't swear at all.

This guy Su Yun actually sprayed himself directly, is he a wild dog?

"Rib clips, send ten here." Su Yun blew his black hair on his forehead and said lightly.

"Why!"

"Are you looking for the medical office? Or are you looking for Director Pan? We don't have time for chest surgery. If Director Pan is found, he will definitely leave the chest emergency room by the way." Su Yun said with a smile: "No, that's it. For the next chest bottle, even nurses can do it, so you have the nerve to call it an operation?"

These words... are really choking.

Cao Guozhen realized that what Su Yun said was true. If they took advantage of the trend and left all the chest emergency department, the director would know, and it would be his fault if he couldn't beat himself to death.

Taking a deep breath, Cao Guozhen turned around and left.

"Go to the hospital, I will inform Yiren and the others to prepare for emergency surgery." Zheng Ren said.

"En." Su Yun nodded, seeing Zheng Ren turned and left, suddenly said: "Boss, thank you."

"It's okay." Zheng Ren waved his hand, "I believe you."

...

...

Note 1: This usage of Mucosolvan was taught by Mr. Chen Houkun of Medical University fifteen years ago. Teacher Chen is a very kind person. Using this method of exceeding the prescribed dosage, he cured several patients with very serious trauma + traumatic wet lung + collapsing pneumonia. One of the patients gave up on the ICU and threw me on the hospital bed. On 26 days, he was discharged home. Later, the patient came to see me on crutches.

Note 2: This operation is a patient I received in 2009. Looking at the film, there is no indication for surgery. I watched the film for an hour, called the director three times, and finally brought the director from home in the middle of the night for surgery. Fortunately, the operation was done early, and thanks to Dali who was in the intensive care unit at that time.

Note 3: Thank you Hongchen League, please wait for more updates, don't worry.