Chapter 619 Rescue (Part 1!)

Chen Cang staggered to the Department of Cardiac Surgery of the First Hospital of Dongda University.

At this point he wanted to be hospitalized.

But after thinking about it, I don't know which department to run!

Chen Cang wanted to ask the pain department whether the pain in the buttocks could be cured, but when asked about the cause, Chen Cang didn't know how to answer.

Could it be that... the gluteus maximus was hit by Jeet Kune Do?

Hey……

Tired!

Qin Xiaolick, Qin Xiaolick, how can you run so fast!

This is your father, so don't stop it.

Chen Cang felt anxious.

It was half past six when we arrived in the department, and as soon as I came in, I saw Sanbo stand up immediately!

"Chen Cang is here!"

Immediately, Ge Huai pressed Chen Cang onto the chair: "Xiao Chen, you are awesome, you actually won the first place in the group and played on behalf of Dongyang, what do you think?"

Chen Cangso suddenly stood up!

Feelings?

My ass hurts!

Bo Er Zhang Dai pressed Chen Cang onto the chair: "Xiao Chen, you are really amazing, we didn't even realize that you are so good, hurry up and sit down, the operation will be done in a while, you have to teach us well, we specially prepared this evening. Three operations!"

Chen Cang stood up immediately, this time he glanced at Bo San, took the chair away, and said lightly:

"It's easy to talk, I won't sit...for a day."

Meng Xi walked in at this time and said with a smile, "Come here."

Chen Cang smiled: "Hello, Teacher Meng!"

Meng Xi nodded: "Sit down first, that Doctor Ge, go and give the 12th bed the notice of discharge first, and also have the discharge certificate. The patient's family will come to do the formalities early tomorrow morning."

Chen Cang smiled: "I won't sit, Doctor Ge, I'll give you a discharge certificate."

Ge Huai nodded: "Thanks Xiao Chen."

After the discharge certificate was written, Meng Xi signed it, and the date was written tomorrow.

Director Xia of the Department of Cardiac Surgery has a large round of wards on Tuesday. At this time, on Tuesday and Friday, according to the patient's condition, a large number of medicines will be prescribed.

This has to do with the prescribing of medicines in various departments of the hospital. Generally, everyone is habitually prescribing medicines twice a week.

Over-prescribing means that if you want to prescribe medicine on Tuesday, it will be prescribed directly to Friday, taking three days of liquid, and long-term doctor's order.

It is also convenient to modify the temporary doctor's order, and it is enough to replace it in time.

In this way, it is also convenient for nurses to take medicine, and it is also convenient for doctors to make medical orders.

If you prescribe medicine today, he will prescribe it tomorrow, which will affect the order of the department.

And... don't think nurses are subordinate to doctors.

Nurses do not cooperate with their work, which is a very troublesome thing for doctors.

Therefore, the cooperation between doctors and nurses is very necessary.

Even directly related to all aspects of medical work.

Tuesday morning is very busy, so basically, many things can be done in advance in the evening. Don't think that when the director has a big round of wards, you can do your own things at will...

After busy with a series of things, everyone is preparing to go to the operating room.

Suddenly the nurse ran in in a hurry: "Director Meng! Doctor Ge, it's not good, the 12-bed patient suddenly fainted."

In a word, Meng Xi flew directly towards the 12th bed!

Chen Cang followed closely, while Ge Huai got up and turned back, bringing the medical record folder over.

The 12th bed is the patient of Ge Huai and Meng Xi, and they are responsible for any problems.

As soon as he entered the ward, he suddenly found the patient lying on the ground, a young man only thirty-five or six years old. The wife and children beside him were terrified.

"Doctor! Why did you faint when it was fine?"

Meng Xi looked serious and said to the woman, "Don't be nervous, calm down."

"ECG monitor, blood oxygen protection, emergency blood sugar check!"

"Xiao Chen, lift the patient to bed!"

"Xiao Yang, the electrocardiograph!"

"The nurse station gives an emergency consultation to the emergency department!"

...

Meng Xi instantly issued a few medical orders.

Cardiac surgery patients faint, the first consideration is the sequelae of the heart.

After all, after surgery, there will be more or less some postoperative complications, some will cause arrhythmia and so on.

Of course, there are many reasons for fainting, which naturally cannot be generalized, but it is imperative that cardiac surgery should rule out heart problems.

At this time, Ge Huai had already run in with the medical records.

All the nurses are busy in an orderly manner.

While observing the patient, Meng Xi helped Chen Cang to carry the patient to the bed and undress.

He asked about the condition of Ge Huai's patient.

"What disease history does the patient have? Is there any hypertension, diabetes, hyperlipidemia..."

Ge Huai shook his head: "No! The admission examinations were all normal. The patient's previous physical examination, this time it was aortic aneurysm resection, did not find hepatitis, tuberculosis, etc..."

After Meng Xi heard it, he said to the nurse who was dripping the test strip, "How much is the blood sugar urgently checked?"

After the nurse saw the result, she immediately said, "Blood sugar 9.8!"

normal!

Meng Xi turned around and asked Ge Huai, "Did you have a cerebral vascular MRI when you came here?"

Ge Huai was taken aback!

Who does this?

We are cardiac surgery, not neurology or neurosurgery.

However, Meng Xi was right. This sudden onset of fainting should be considered a cerebrovascular problem. Even if there is no high blood pressure, if the patient has a cerebral vascular malformation, or the patient has an intracranial aneurysm, A ruptured aneurysm can also lead to coma!

This cannot be ruled out!

After all, some people have aneurysms in more than one place.

Ge Huai took a deep breath and shook his head: "If it was not done, the patient had a head CT scan, and there was nothing abnormal."

He also knows that a CT scan of the head can only give an overview, and many things cannot be seen.

At this time, if a CT is performed, it can be seen whether there is cerebral hemorrhage, but at this moment, the patient's life and death are on the line, and there is no chance to be sent to the CT room.

Moreover, the probability of rupture of an intracranial aneurysm is too low!

Just at this time.

Chen Cang said: "Both pupils are equally large and round, and the pupils are not dilated, and the light reflex is normal... I don't feel like a cerebral hemorrhage!"

Chen Cang's words made Meng Xi's eyes light up, yes...the most basic physical examination and neurological examination were ignored.

Although cerebral hemorrhage cannot be completely ruled out now, it is not far away.

Sometimes, the diagnosis is really a method of exclusion, especially in the case of unknown reasons, to quickly confirm the diagnosis, the method of exclusion is also the best method.

The whole process may seem long, but it actually takes less than a minute!

And at this moment, the ECG machine is connected!

However, when the electrocardiogram machine hadn't ejected the film, the nurse suddenly said, "Director Meng! It's ventricular fibrillation!"

In a word, everyone's expressions changed suddenly!

Meng Xi was stunned for a moment, and said quickly, "Contact the emergency department, get a defibrillator, hurry up!"

It's dangerous now!

The patient himself had just undergone aortic aneurysm resection, and now suddenly encountered ventricular fibrillation, the risk factor soared.