medical simulator

Chapter 403 This river and lake already has a famous place

When Zhou Cheng rushed to the emergency department of Huashan Hospital, he was blocked by a young man in a white coat. He was not particularly old, he should be a resident doctor or a professional graduate student aged 25 or [-]. He saw Zhou Cheng The plainclothes on her body gave her an extraordinary temperament!
Maybe it was because the people in the hospital had a different ability to recognize the doctors in the hospital, so they took the initiative to come forward and said, "Hello, teacher, a patient with chest pain happened to come to the emergency room. Come up with a specific reason, so?"

Zhou Chengcheng thought it was a little funny. Could it be that his current temperament was regarded as the chief resident of a certain department of Huashan Hospital who came to the emergency department for consultation. Although he is now the chief resident of the Affiliated Hospital of Shonan University, does he still have the temperament of a direct general resident?

So at this moment, this professional postgraduate student who looks at the badge should be a resident doctor, and he is still reporting the condition of the emergency patient to him.

Knowing that Lu Ganzhou's life and death are uncertain now, how could Zhou Cheng listen to his nonsense, and hurriedly said: "Sorry, I'm not here for consultation, I'm a family member."

"Doctor, do you know that there is a patient named Lu Ganzhou in your department, can you please help me find out where he went?"

Hearing Zhou Cheng's words, this young man suddenly became embarrassed. Generally speaking, the chief hospitalists of other departments would either reprimand him or let him lead the way. Seeing Zhou Cheng's dress and tone of voice, he hesitated a little He said: "You have to go to the nurse's station to ask about this, I still have emergency patients to deal with here!"

"I'm so sorry."

"If you haven't asked about the whereabouts of your family members, it's okay to come and ask me again. It's also okay to refer the patients on my side."

Although he couldn't help Zhou Cheng immediately, he still showed his willingness to help.

However, no one refused Zhou Cheng's words, and the professor of vascular surgery who had answered the question immediately said, "I think we can temporarily listen to Xiao Zhou's suggestion, this Xiao Zhou is still very interesting in terms of thrombectomy. I know and understand him!"

"Teachers, you can see that the most important diagnosis room for patients is shock. The reason for pigs to cause shock is in the patient's active bleeding points, and most of these bleeding points are gathered near the limbs!"

He should be a professional graduate student in the emergency department, so he probably knows what Zhou Cheng's background is and what kind of temperament he has on him.

As for the few people with hot tempers, they turned their heads one after another, and the person who spoke before became even more angry, and said, "What's your name? Which department?"

"You also know that there is a certain life window for muscle ischemia and necrosis in the limbs. Our body, in order to ensure the blood supply to the body, often shunts the blood."

Then the blood clots and the limbs are amputated?

This is considered very polite, and the degree of transformation into a Yin-Yang master is considered light.

Zhou Cheng's doctor temperament has been deeply integrated into his blood.

The professor who answered Zhou Cheng's question was a bit rushed when he spoke!
But it's just a bit offensive, not to the extent of yin and yang.

Even if your student is humble.

It's just that the alternative plan depends on the idea. If you think there is an idea, you can naturally be desperate.

"Is that Zhou Cheng?" A professor of vascular surgery suddenly changed his expression slightly, and even changed the subject.

"If there is no other one, it will be me. Teacher, I sincerely hope that you can consider my suggestion. There is still time! If there is any further delay and the amount of bleeding continues to increase, even if the blood transfusion continues, it will be at the expense of saving the patient's life." Words may not help." At this time, Zhou Cheng once again brought out a pleading tone, please, promise me quickly, okay?
This is not something that can be done.

This is a very real world, and there is no need to talk about it when people leave the tea.

So a few thoughtless people asked: "You say that, when the time comes, the blood vessels of the extremities will be embolized all the way, how to deal with it? Or amputation?"

The words of a professor, the words of an attending physician, and the words of a general hospitalist are very clear.

"It can buy us more time!" Zhou Cheng knew very well that the more critical the time, the less reckless he should be, and the more careful he should be.

However, treating a disease with a disease is not necessarily a solution.The unimportant blood vessels are blocked to reduce temporary bleeding!

If Zhou Cheng was a professor-level task, it would be completely different.

"Did you take it?" One of the professors lost his temper when he saw a young man like Zhou Cheng?
I saw that I had never experienced beatings from society, so I hurriedly said.

……

But Zhou Cheng didn't blame them, he knew that their choice was better based on conventional thinking. '

It's not that Zhou Cheng doesn't know how to replant a broken limb, or the technique of transplanting a broken limb, but a task that can be done with a dollar's worth of money, why do he have to take two weeks to solve it?
"You don't need amputation if you say you don't need amputation? Can you call the blood vessel and it will open?" Maybe it's because Zhou Cheng's previous mention at least provided a solution.

"Teacher, hello, I'm Zhou Cheng, but I'm not from our hospital. I'm from the Affiliated Hospital of Shonan University. I came here after receiving Luo Yun's order." Zhou Cheng knew that if he wanted to take To get permission for surgery, you must first report yourself immediately.

Zhou Cheng nodded: "Well, I'll take it."

How does this differ from the current situation?

Before the questions here were answered, he found that the doctor he met before the doctor's office came out of the doctor's office again!

People sigh long before the tea is cold.

Almost no one paid attention to it, and everyone looked at Zhou Cheng's age as if it was a joke, so they ignored it even more.

Zhou Cheng spoke very formally.

This is also one of the ideas.

However, Zhou Cheng's answer made a group of associate professors and professors standing on the operating table in a dazed state. All these people looked at Zhou Cheng with serious eyes.

Therefore, for the best curative effect and the safest measures, Zhou Cheng didn't hold much back.

Although his attendant is a doctor in the emergency department of surgery, it is impossible for him to know the names of every patient, but his teacher is not the only one in the emergency surgery department of Huashan Hospital.

All people are not limited to doctors. After taking off the white coat and occupational factors, only the human attribute remains. No matter how many additional attributes or occupations, he is only a doctor after all. And that's all.

Because there is not much time.

Until now, Zhou Cheng has discovered the biggest drawback, that is, when he said something, a lot of people interrupted, and only a very small number of people would support it. This is still a lack of level and support.

This is like an emergency patient, whether the left leg or the right leg is amputated is the same, it is undoubtedly just taking off his pants and farting.

Zhou Cheng is a doctor, and the aura he wears cannot be concealed.

"Don't have the same first and last name."

Zhou Chengcheng continued.

As soon as Zhou Chengbu said this, several people turned their heads one after another.

Finally, with the help of kind people, Zhou Cheng wandered into the operating room.

So after seeing that you understood, Zhou Chengcheng said abruptly, "Teachers, I have an idea. I don't know if it is possible."

Zhou Cheng added at the time: "It's fine to take it out after the whole process of thrombus, but it's much more troublesome if you want to replant the amputated limb."

"Who is the director of your ward?" The other party was quite cautious, hoping to find out the root of Lu Cheng.

Zhou Cheng came to the nurse's station of the emergency department. After seeing Zhou Cheng, the nurse on duty checked the nurse system of the emergency department without delay, and regarded Zhou Cheng as a doctor of this hospital, and said apologetically, "I'm sorry, Our department does not have this patient in the hospital, nor is it in the temporary observation area, you may still go to the doctor's office to ask about the patient's outcome."

"Zhou Cheng." Zhou Cheng replied, not disgusted.

The more anxious you are, the less you can get angry.

when no one answered.

Hearing Zhou Cheng's words, some professors felt that Zhou Cheng was a little clueless, and were about to start scolding, but the professor of vascular surgery suddenly came to his senses, and he immediately asked, "What did you say is your name?"

It is normal for the doctor not to know the patient's name, but the person on duty in the nurse's station should not be completely ignorant of such a patient, unless such a patient did not appear in the emergency department of Huashan Hospital.

After embolization of the large arteries, it will not only slow down the blood flow in the large blood vessels, but also slow down the blood flow in the whole blood vessels!
Such a process is to cause the whole process of embolism, what should be done at that time?
Can only be amputation or waiting to die!

"It's not impossible. Although the blood supply to the extremities is reduced, and it may induce multiple blood clots, in this way, the patient's life can be saved in a short period of time!"

"Look carefully, don't get in the way."

What the hell is this?
Are you just a student at the Second Affiliated Hospital of Shonan University?
Then you dare to speak nonsense here?

Hearing this, Zhou Cheng glanced helplessly.

The bleeding here has not been resolved, you blocked the human aorta? ? ?

It should be said that he ran out. When turning a corner, he pulled the door frame to stabilize his body. The whole person was like an ant on a hot pot. He pouted his tongue and said, "Brother, I just found out about that man named Lu Ganzhou." He should have been sent to the emergency operating room, if you rush there now, you may see the last side."

These words were originally intended to persuade Zhou Cheng not to push him any more, to delay other people's thinking about the overall condition and how to solve it.

"Just leave but not return?"

"No matter the upper arm, the femoral artery and the venous fistula will be used for external circulation. After the splenectomy or suturing, the blood flow in the upper and lower limbs will be restored, and the small arteries and branch arteries will be embolized from the femoral artery to stop the bleeding." Since Zhou Cheng proposed this plan, Of course there are alternatives.

"I remembered that the patient you mentioned, Lu Ganzhou, had injuries all over his body. He should have been beaten by many people. He was bleeding profusely and had no family members. You should be his son or family member, right? Come here first, and I'll help you find out which operating room you're in! Then I'll take you in."

It's just that they looked at Zhou Cheng with the same kind of eyes, guessing whether Zhou Cheng was a student or a newborn calf who was not afraid of taking care of him, and he still had some brain problems.

No one in Huashan Hospital knew him, but they were all willing to help him, probably because of his temperament left over from his long stay in the hospital.

"Although the internal organs have liver contusion and spleen rupture, as long as the spleen is removed or sutured according to the situation, the amount of bleeding will not be much. The hematoma in the brain can also be cleaned up."

Although he temporarily blocked the large blood vessels of the limbs, this caused more blood vessels to produce complex diseases.

Zhou Cheng didn't dare to waste any time, because he couldn't get the doctor's answer, so he hurried to the nurse's station to ask.

If Zhou Cheng's opinion is adopted, and there is no prospective research or theory and big bosses to support it, then other people beating Zhou Cheng is beating a child.

Everyone has their own independence, but they all have their own choices!This is permitted by law, so Zhou Cheng can only express his own opinion:

It's almost [-]% adjudged to be a physician, no matter what the profession!
Now that his relatives were injured, it must be a very important relative who was injured. He came here in the name of his family members!
Zhou Cheng is also a doctor, and if they are all colleagues, Zhe Ben has not lost the principle of empathy. This doctor hopes to help if he can.

"How about not being cured? How can you afford such a doom?"

"Teacher, if the blood vessel is blocked. But we can take the healthy side blood vessel. Even if the thrombus occurs, we can still treat it with anticoagulant drugs." Zhou Cheng still replied calmly and seriously.

I'm going to amputate now, isn't it delicious?
Several doubtful eyes swept over Zhou Cheng, and after finally confirming that Zhou Cheng is a child with no hair, one of the hot-tempered professors immediately cursed: "Young people should not think that they are powerful, they should read more books and less Speaking, not to mention whether the embolism can stop the bleeding, if there is no arterial blood flowing out, how will the venous blood return?"

Zhou Cheng was tentatively asking for opinions and giving his own perfect solution.As for whether it can be adopted, that is the opinion of others.

Just to increase the bargaining chip, Zhou Cheng could only say: "If you don't believe me, professors, you can call Professor Xue Xiude from the Ninth Academy of Shanghai."

After carefully reading the films, Zhou Cheng spent a long time before he found a first-line hope and solution to the problem, knowing that this time is no longer an opportunity to hide his clumsiness.

It's not that I don't believe it!
It's just that the plan proposed by Zhou Cheng is too bold, because if this one is not good, there is a possibility of amputation or even loss of life.

"Then can we embolize his bilateral brachial and femoral arteries first?"

"Where are the other professors?" The professor of vascular surgery actually agreed with Zhou Cheng's idea at once.

This remark shocked everyone, and after looking at each other, they said, "Since Professor Fang has said so, then we also agree with Professor Fang's idea."

The person who can make Professor Fang change like this is definitely not an ordinary person, at least not an ordinary attending in the department, at least an associate professor of vascular surgery!

　The last chapter is still blocked, I faint

　　
　
(End of this chapter)