Doctor: start with the heart

Chapter 7
Zhao Xu didn't pay much attention to the exciting offer that senior sister Sun Chang said. Since childhood, no matter what type of cultural program it was, Zhao Xu had no chance at all, and Zhao Xu didn't even think about it. What variety show will he participate in? A doctor is a doctor, and Zhao Xu will only focus on his medical career.

The time came to ten o'clock in the evening.

Zhao Xu at this meeting is on standby in the duty room of the emergency center.

Today's emergency dispatch center seems to be very quiet. In one afternoon, Zhao Xu was called out to the emergency department. During the rest of the time, Zhao Xu was in the department, cooperating with Li Haiyang or the director Wang Ming to do some daily work from time to time. .

It stands to reason that if you work 24 hours a day, you don't have to do other things in the department except for the emergency department, but now that the emergency department is short of manpower, Zhao Xu also wants to do more things to exercise himself. Doctors are very practical. Strong profession, although Zhao Xu has a system now, it is always right to do more and learn more.

"Doctor Zhao, I have a visit."

Zhao Xu was reviewing the emergency medical records when Fang Wei suddenly entered the duty room and spoke to Zhao Xu in a hurry.

"Well, I see, what's the specific situation?"

Zhao Xu nodded. If he wanted to visit the doctor, he naturally wanted to find out the specific situation.

"The phone said it was a girl with acute abdominal pain."

Fang Wei replied.

"Acute abdominal pain?"

Hearing what Fang Wei said, Zhao Xu was thoughtful. This acute abdomen is relatively common in emergency departments. It can be said that less than half of the patients who come to the emergency department are acute abdomen.

This acute abdomen is a general term for a class of diseases, mainly caused by rapid pathological changes in the tissues and organs in the abdominal cavity, pelvic cavity and retroperitoneum, resulting in clinical symptoms and signs with the abdomen as the main symptom and sign, accompanied by acute systemic reactions. Syndrome, mainly abdominal pain, fever, nausea, vomiting and other symptoms.

It can be said that acute abdomen is a clinically more complicated disease. Surgical diseases, such as acute appendicitis and acute cholecystitis, and medical diseases, such as acute gastroenteritis and acute pleurisy, all of these diseases will cause acute abdomen mainly caused by abdominal pain. disease.

At ten o'clock in the evening, people who go to bed early have already rested, but for acute abdomen, this is the time when the incidence is high.

"Let's go."

Zhao Xu thought about the acute abdomen for a while, stood up, and went to the door of the emergency center with Fang Wei. The ambulance was ready, and Zhao Xu and Fang Wei sat in the back compartment of the ambulance together.

With the siren sounding, there was no traffic jam on Beishi Road at night, and the ambulance drove fast along the way, and soon arrived at the patient's door.

After getting out of the ambulance, Zhao Xu carried the first aid kit on his back, and together with Fang Wei, he came to the place mentioned on the phone.

He quickly knocked on the door and entered the house. As soon as he entered, Zhao Xu saw a middle-aged couple standing anxiously in the living room. When Zhao Xu came in, his wife immediately took Zhao Xu's arm and said anxiously: "Doctor, you are finally here, come and see! The child's stomach hurts!"

The wife looked anxious, and the husband was standing beside him, rubbing his hands and walking around like ants on a hot pot.

Turning his head, Zhao Xu saw at a glance that there was a girl who looked eighteen or nineteen years old curled up on the sofa in the living room. On the sofa, the long bangs on her forehead were soaked with sweat.

Zhao Xu walked up to the girl, squatted down, put the medicine box on the ground, and felt the pulse of the girl's right hand. After touching it, Zhao Xu's expression immediately changed!
He turned his head and was about to ask Fang Wei to come over to check his blood pressure and heart rate first, but at this moment his wife seemed unable to wait for a moment, and she said to Zhao Xu anxiously: "Doctor, the child is in such pain, hurry up and give the child first." Get a painkiller shot!"

"Yes, doctor, give the child an injection to relieve the pain, you can see that the child can't take it anymore!"

The husband also stood aside and continued.

"Don't worry, let's find out what's going on with the child before we can treat it. What's the matter with this child? When did she start to hurt? Has this happened before?"

Zhao Xu comforted the couple, and asked calmly. After speaking, he winked at Fang Wei who was standing aside, signaling her to come forward and check the girl's blood pressure and heart rate.

Although he just felt the pulse just now, the situation was very bad, because Zhao Xu didn't feel the pulse of the girl's radial artery. Combined with the girl's other conditions, Zhao Xu was sure at this moment that the girl was in shock.

Seeing the look Zhao Xu gave her, Fang Wei immediately understood, squatted down, opened the medicine box, and began to check the girl's blood pressure and heart rate.

Hearing Zhao Xu's words, the girl's mother rushed to say: "Doctor, even after dinner, the child complained of discomfort and a stomachache. We didn't take it seriously at first, thinking it was because the child didn't eat well, so we can rest after a while." Yes. I rested all night, but I didn’t feel better. I wanted to go to the hospital, but I felt it was too late. But just now, the pain suddenly became very severe. I sweated a lot and vomited a lot. I was almost in pain. Passed out."

After a pause, the girl's mother repeated: "Doctor, quickly give the child a painkiller injection! You can see that the child can hardly stand it!"

Hearing this, Zhao Xu's heart skipped a beat!
Maybe it was because of her anxiety that the girl's mother spoke in a disorganized manner and sounded a little messy, but Zhao Xu still understood the general meaning.

"Doctor Zhao, blood pressure 60/40mmHg, heart rate 54 beats/min!"

At this moment, Fang Wei, who had finished measuring her heart rate and blood pressure, turned to look at Zhao Xu and said.

This is a shock!
Zhao Xu immediately had a judgment in his mind. The girl's consciousness is blurred now, and her complexion is pale and her skin is clammy. The pulse of the radial artery can no longer be measured with fingers alone. Only with a blood pressure meter can accurate blood pressure be measured. These circumstances all showed that the girl is now in severe shock!

"She is now in severe shock and must be sent to the hospital immediately. Hold her and follow me!"

Zhao Xu made a decision in an instant. There was no time to waste. The girl must be transferred to the ambulance immediately, given fluids first, and then sent to the hospital for related examinations!
"Okay, okay, doctor!"

The girl's father nodded hurriedly, and hugged the girl up in a panic.

"Doctor, can't you get a painkiller injection first?"

The girl's mother saw that the girl was unconscious, but her hands were still covering her stomach, and the pain intensified. The girl grunted a few more times and said to Zhao Xu again.

"In her current situation, she must be sent to the hospital immediately. Moreover, if the cause of the acute abdomen is not determined, painkillers cannot be given. This will cover up the real cause."

The girl's mother repeatedly asked for painkilling injections. Although the time was urgent, Zhao Xu could only explain.

"doctor.."

The girl's mother wanted to say something else.

"Don't make trouble for the doctor. Just do what the doctor says. Send Xiaojun to the hospital first!"

After a while, the girl's father calmed down a bit and said to the girl's mother.

"Okay, okay."

Although the girl's mother was anxious, she could only nod her head.

"Let's go then!"

Zhao Xu nodded to the couple. The girl is in shock, and she can't wait for a minute now. As for what caused the shock, she can only find out after a detailed examination at the hospital. The most important thing now is to correct the shock. Do urgent treatment!
(End of this chapter)