Doctor of Healing

Chapter 758 Sudden Aggravation of Condition

Xu Leyu ate, took a bath, and lay in bed waiting for the New Year's Eve.

In the new year, Xu Leyu set a few small goals for himself.

While Jixiang is here, he must flatter more and mix up a few more SCI papers.

Yes, just messing around, nothing to be ashamed of.

Clinical work is more cruel and brutal than 996 and 007, so I don't have time to finish my thesis.

While asking people to be cows and horses, they also make various demands, and they are also wearing long gowns.

So it can only be fooled clinically.

Many high-level hospitals have doctors who are responsible for scientific research. They are not on duty and only write papers.

In this way, it is beneficial for everyone to perform their duties.

However, Xu Leyu now has a huge opportunity - Ji Xiang.

Ji Xiang's fast writing of papers and the high level of publications made Xu Leyu feel like a dream.

Even more bizarre than dreaming.

In just a few months, Xu Leyu witnessed Jixiang publish 23 papers in top journals.

At the same time, I, my professors, and even the nurses did not miss out, and each of them basically wrote an SCI paper.

The people in other departments in the hospital I saw couldn't speak well. Whenever it was mentioned that the nurses in the Department of Orthopedics and Urology had SCI articles, their eyes were blue and they couldn't help but start a cynicism mode.

They are envious and jealous, Xu Leyu knows this.

Who makes orthopedics and urology good luck?

So Xu Leyu decided to seize this opportunity to flatter Ji Xiang while he was still around, and to mix up a few more SCI papers to lay a solid foundation for the future.

Just about to fall asleep in a daze, the sound of flat cars came from the corridor.

Xu Leyu woke up startled.

Sleeping in the hospital is like this, and I will wake up and prepare for rescue at the slightest sign of trouble.

The department of orthopedics is still good, and the hospitalizations in those departments with many emergency departments always have neurasthenia.

"Mr. Xu!"

The voice of the nurses in the emergency department delivering patients came from the corridor.

Xu Leyu scrambled to his feet, pulled his slippers and trotted to check the situation.

Orthopedic patients are generally not seriously injured. After all, they are not responsible for the internal organs. The patients sent in have closed femoral shaft fractures and have no other problems except for a little low blood pressure.

The nurse handed over the patient's test sheet, B-ultrasound and X-ray films to Xu Leyu and left in a hurry. Before leaving, he didn't forget to remind Xu Leyu to return the flat car.

Xu Leyu's physical examination revealed that the patient's left femoral shaft was fractured, subcutaneous hematoma, and blood pressure was 80/40 mm Hg.

Called the operating room, the emergency room was full.

Non-open wounds in the orthopedics department can be operated within 24 hours, which is within the scope of scheduling, so Xu Leyu was not in a hurry, and ordered a blood transfusion and asked the doctor on duty to write the medical records.

After observing for 30 minutes, Xu Leyu saw that the patient's condition was stable, so he went back to the duty room to rest.

This kind of patients are all small cases, and it is fine to find time to perform the operation when the emergency operating room is free tomorrow.

It was just a fracture of the femoral shaft and no damage to the internal organs. Mr. Xu didn't take it seriously.

Xu Leyu was drowsy and ready to go to bed, but he had a slight sleep disorder, and it had been brewing for a long time. The moment Xu Leyu was about to fall asleep, the door of the duty room was pushed open with a "bang".

"President Xu, come and take a look!"

"What the hell is wrong!" Xu Leyu cursed.

The patients in the ward are very stable, and the level of the front-line doctors on duty is really poor, and they can't handle anything by themselves.

"The patient with a femoral shaft fracture who just arrived suddenly shivered and had shortness of breath. I thought it was a blood transfusion reaction, and gave 10mg of ground rice and other treatments, but the blood pressure and blood oxygen dropped rapidly."

Xu Leyu suddenly woke up. He was pulling one slipper, completely unaware that the other slipper was not on, and walked out of the duty room quickly.

"Are there any other symptoms?" Xu Leyu asked hastily.

"High fever, and the electrocardiogram is not right."

"!!!"

"What about blood transfusion?"

"Ah."

"Quickly ask the nurse to remove the blood first!"

Xu Leyu walked into the ward and saw the patient shivering.

The patient's body was trembling like chaff, his face was pale, and his blood pressure had dropped from 80/40 mmHg to 65/30 mmHg.

Blood oxygen saturation also dropped to a precarious value of 89%.

Oh shit!

Xu Leyu cursed in his heart, and hurriedly ordered emergency treatment.

The first thought that came to his mind was—there was a problem with the blood transfusion.

This is for sure, but Xu Leyu doesn't know whether it is an allergic reaction during the blood transfusion or...

Not wanting the worst, Xu Leyu began to preside over the rescue.

Several antiallergic drugs and rescue drugs were added, and the patient's condition improved slightly.

A micropump pumps in dopamine and other vasopressors to maintain vital signs. Xu Leyu asks an internal medicine consultation to assist in the treatment.

After about 45 minutes, the patient's condition was slightly stable, at least there was no continuous deterioration.

But there is a limit to the improvement of the patient, so much adrenaline, dopamine, and dexamethasone are pushed in, and it can only be maintained.

Xu Leyu fell into deep thought.

However, due to the general sensitivity of hospitalization, he still asked the doctor on duty to call the third-line professor on duty, and asked the superior doctor to take a look.

Although he will be scolded tomorrow, Xu Leyu doesn't care about that much.

It seems that something is wrong, Xu Leyu always feels that he has overlooked something, but he doesn't know what is wrong.

He went around the hospital bed, looked at the patient from head to toe twice, and finally found out that there were two points that he had just missed.

One is that the urine volume in the patient's urine bag has not increased, which means that the patient has acute renal failure.

The second is... the skin on the left thigh seems to be shiny, which means that the broken end of the fracture has just bled a lot, the subcutaneous pressure has increased, and the elasticity of the skin has been stretched to the extreme, so it is shiny.

Xu Leyu took out a small tape measure to measure the swelling of the patient's left thigh.

After recording the values ​​and comparing them, Xu Leyu found that the diameter of the patient's left thigh increased.

There must be bleeding, maybe you need to go to surgery directly.

But the patient's femoral shaft fracture is obviously not that serious, or is it caused by a blood transfusion reaction?
Xu Leyu felt that he was in trouble.

The third-line professor came to the hospital with a stern face. He glanced at the patient and gave no special treatment.

The professor on duty also knew that he was here to take the blame, and asked Xu Leyu to continue looking for a consultation.

There is no other way, Xu Leyu can only call the relevant departments, ask the resident manager and third-line professors to take a look and complete the medical records.

Just finished working, when Xu Leyu returned to the ward to take another look at the patient, he deliberately took a small flashlight to see the pupils.

Otherwise, when the people in the internal medicine department asked how the pupils on both sides were, if they didn't know, they would definitely be despised.

Opening the patient's eyelids, Xu Leyu was shocked.

The patient's eyeballs were bloodshot, and bloody exudate could even be faintly seen!

It's like the patient is shedding blood and tears!
At the same time, a trace of bloody fluid flowed from the patient's nasal cavity.

I am!

How is this going!

(End of this chapter)