Chapter 87 Anonymous

"Mr. Zheng, I called a 120 ambulance. I didn't bring any money. You have money, right?" Chang Yue's voice was still indifferent.

Zheng Ren let out a big breath, and when he got up, the gas came out.

If it is an emergency patient, let alone get up, sometimes it is too late to wear shoes. But when she received a call from Chang Yue in the morning, her originally delicate but always stern face appeared in front of her.

But Zheng Ren has always been good-natured, so he still dissipates the anger of getting up.

These guys, wouldn't they have been drinking all night... As soon as he thought of this, he immediately became invigorated.

Damn, drink it all night, you're dying? ! Really called 120 ambulance? It won't cause stomach bleeding.

"Yes." Zheng Ren was nervous, "How are you? How is Su Yun?"

"I'm fine, I'm in good spirits, and I feel like I can go to work without any problem. There's a lot of Su Yun, and I fell, so it shouldn't be a big deal." Chang Yue said.

Zheng Ren felt a little relieved, and cursed inwardly, how could these two annoying guys drink all night?

"Mr. Zheng, I also picked up a patient, a middle-aged man with a flat abdomen, what do you think?" Chang Yue then said the most important content of calling Zheng Ren.

"Go to the emergency room, I'll go down and have a look." After Zheng Ren finished speaking, he immediately changed his shoes, put on white clothes, and went straight to the emergency room.

As soon as he went out, he turned around and came back, took 200 yuan from his wallet and stuffed it into the jacket pocket of the isolation suit.

The 120 ambulance is not free. It is charged according to the distance for one visit. Even if it is one's own family, there is nothing cheap to take. After all, for the sake of a hundred or so dollars, I have to brush the face of the old director Pan, and I can't afford to be ashamed.

The shop that eats crayfish is not far from the hospital. When Zheng Ren arrived at the emergency room, the 120 ambulance also arrived.

Two flat carts were pushed over, and one was moved onto Su Yun. After he drank a lot, the wine was not bad, he curled up into a ball, and he didn't know what to say in his mouth.

Chu Yanzhi followed with a helpless expression.

"I persuaded, but I couldn't persuade at all." Chu Yanzhi explained, as if this matter was her fault.

"It's okay." Zheng Ren reassured Chu Yanzhi.

Zheng Ren glanced at it, and the system panel indicated acute alcohol intoxication... This is how much he drank, and he got alcohol intoxication.

"Send him to the emergency ward, instill naloxone, and add two doses of vitamin C to 500 sugar." Zheng Ren explained to Chang Yue simply.

Chang Yue took the elevator upstairs with the carer and the car in a sullen manner. Chu Yanzhi followed behind, stubbornly. Compared with Chang Yue, she was a child, although the two were about the same age.

After walking far, Zheng Ren realized that Chang Yue was barefoot, as if soaked in water, and every step was a footprint.

One alcohol poisoning, one shoe is gone... rub! Zheng Ren cursed inwardly.

But this is not important, the patient with the plate abdomen is the focus of Zheng Ren's down.

On another flat car lay a man with a big frame but very thin.

Zheng Ren looked at the system panel, and the mark on the upper right was red and blood red, similar to the red of the patient on the day of acute nitrite poisoning.

Acute gangrenous appendicitis, septic shock.

Endangered!

Speeding up and pushing the flat cart to the emergency room, Zheng Ren shouted as he ran, "Find the B-ultrasound room as a bedside, prepare a monitor, and inhale oxygen."

When they arrived in the emergency room, two nurses on the night shift were ready to take off the patient's coat and put the ECG monitor on.

Zheng Ren checked the body, and as soon as he touched it, a burning sensation passed over.

fine……

In toxic shock, fever is normal. But once there is no fever, it is clinically called cold shock, and you can basically tell the family to prepare for the funeral.

The patient also has a fever, which means that the body's own immune system can still maintain normal work. Although it is very dangerous, it is not the most dangerous kind.

The heart rate is 130 beats per minute, and the oxygen saturation is only 93%. The abdomen is like a hard wooden board that cannot be pressed at all.

This is a typical sign of peritonitis. Inflammation stimulates the peritoneum and causes abdominal muscle tension, also known as a plate-like abdomen.

It is generally common in the rupture of hollow organs and the flow of digestive juices into the abdominal cavity. Or the rupture and bleeding of solid organs, caused by blood irritating the peritoneum.

The doctor in the B ultrasound room quickly came with a car, and while quickly applying couplant to the patient's stomach, he asked, "The patient's name."

Because of the report to be issued later, the name is always asked. This is a routine process. Otherwise, an accidental report is mistaken and the diagnosis and treatment of the patient is delayed, which is a major event.

"Anonymous, male, 35 years old." Zheng Ren took a look at the patient's face, estimated his age, and reported it casually.

"Mass in the lower abdomen, consider the abscess around the appendix, or the perforation of the appendix. There is a lot of gas in other parts, and the ultrasound can't see it clearly. There is a small amount of fluid in the pelvis, and the rest is negative." The doctor in the ultrasound room quickly reported the main diagnosis. To Zheng Ren.

The condition is very serious and requires surgery.

Zheng Ren instructed the nurses to escort the patient to the emergency ward, picked up the phone, hesitated a bit, and dialed out anyway.

It's a little bit bad to disturb Director Pan so early. But this kind of thing must be reported to the higher-level doctor, it is not a joke.

If the patient is really alone, it is fine. Once the operation goes wrong or the patient cannot be rescued because of the serious condition, in many cases, relatives and friends will immediately pop out from the cracks in the ground, crying and crying.

This is still second, Zheng Ren has no time to think about it. The main problem is in front of you, the operation is required, and no one signs.

Director Lao Pan answered the phone immediately, with a very serious tone.

"Xiao Zheng, what's the matter?"

Zheng Ren rarely disturbed Director Pan's sleep. This was the first time he came to the emergency department. Therefore, Director Pan was a little nervous. This was the doctor's instinctive reaction.

"Anonymous, male, around thirty-five years old. Considering acute gangrenous appendicitis and acute toxic shock, there is no family contact information." Zheng Ren reported the main issues in one breath.

"To prepare for the operation, I will contact the medical department." Director Pan answered immediately without any hesitation.

Zheng Ren hung up the phone and trotted upstairs to the fire escape without even waiting for the elevator.

"Prepare for the operation." While instructing the nurse, Zheng Ren picked up the phone and called Chu Yanran and Xie Yiren to prepare for the operation.

When the emergency blood collection, ECG and other inspection items were reported, Zheng Ren took a glance and brought the patient who had already had a gastric tube and a urinary tube to the operating room on the third floor.

The patient was handed over to Chu Yanran and Chu Yanzhi, and then returned to the emergency ward.

At this time, Director Pan was already on the way, and the staff on duty in the medical department was breathing heavily and brought video equipment to the doctor's office in the emergency ward.

When Director Pan arrived, the staff of the medical department began to record video files with legal effect.

Zheng Ren reported the medical history, described the patient's status and solutions, and suggested that because there was no patient's family, it was impossible to communicate and sign before the operation.

Next, the medical office, on behalf of the hospital, authorized Director Lao Pan, and the emergency ward has the right to perform surgery.

Such procedures are essential and are a kind of self-protection behavior of medical workers.

After the video was recorded, the staff from the medical department returned to the office with the equipment drowsy.

Zheng Ren was a little embarrassed, "Director Pan, I'm sorry for calling you up so early."

"People are old and young, they are already awake." Director Pan waved his hand, "Go for surgery, are you sure?"

In the face of toxic shock, no one has absolute certainty.

Unlike shock caused by nitrite poisoning, there is no symptomatic drug for toxic shock caused by diffuse peritonitis. The source of pollution can only be blocked by surgery, and a large number of antibiotics are applied after surgery to solve the problem.

As for whether or not to recover, it depends on the patient's own state.

That person... Zheng Ren remembered that skinny body, his expression was a little gloomy, and he shook his head.

"Do your best." Director Lao Pan patted Zheng Ren on the shoulder, "I will go to the hospital for instructions after I go to work."

Zheng Ren nodded and hurried to the operating room.

Thank you Xi Baoer for your reading time and 3473 for the reward. Thank you cat for the thousand coin reward for reading