Rebirth in the medical world
Chapter 292 Sudden Shock
Chapter 292 Sudden Shock
Seeing Ye Mingyuan's back, Ouyang Chenhui fell into deep thought!Ye Ming, a small resident doctor, doesn't take others seriously, so what will happen to the department director Liu Jinguang?
At this moment, he suddenly realized that coming to the urology department is really different from the obstetrics and gynecology department. He was originally in the obstetrics and gynecology department, and he knew more or less about the doctors in the obstetrics and gynecology department. Oh, and one more thing, obstetrics and gynecology are all women, it must be much easier for a reborn man with many means to subdue a group of women!As long as I show a little bit of ability, the eyes of those short-sighted women will be brightened immediately!Urology is completely different!First of all, Liu Jinguang is a character!He has real talents and courage, and for so many years, he has been dominating one side in Jingdu Hospital, which shows that he is brave and resourceful!And the doctors in the urology department are not good at it, just like the bandits who occupy the mountain as kings. They are used to living a free life, and if they are asked to obediently obey other people's arrangements, they will definitely not do it!
Thinking of this, Ouyang Chenhui shook his head. The task Gao Qi gave himself was to subdue Liu Jinguang, and his purpose was to convince Liu Jinguang to be convinced by him. The two seem to lead to the same goal, but after thinking about it carefully, it is really not so One thing!
Ouyang Chenhui thought this way not because he was afraid of them, but because he suddenly realized that the reason why the Urology Department has been able to maintain this situation for so many years must have a reason for its existence. On the contrary, it has no characteristics!
When he was thinking about how to open up the situation in the urology department, Ye Ming rushed in from the outside in a hurry. As soon as he entered the office, he cleaned up the things on the table, and then hurriedly took off his white coat!Then ran out like a gust of wind!But not long after, he turned back and said to Ouyang Chenhui: "Hey! Dude, my girlfriend has lost her temper. I have to quickly put out the fire, or the consequences will be serious. Here, here, you help me first Take care! If there is anything, you can call the operation, Director Liu and the others are all there!"
Seemingly without thinking, Ouyang Chenhui said: "Oh, yes!"
"Thank you so much! Don't tell anyone else!" Ye Ming seemed to have completely forgotten how he had taunted Ouyang Chenhui just now, and now that he has something to ask for, he seems like a human being!
Seeing Ye Ming disappearing from his sight, Ouyang Chenhui patted his head, secretly hating himself for being so lacking in ambition. For a person like Ye Ming, he shouldn't be helping him, even if he is helping him, he has to be let He begs himself well!
Why!It's all because of the professional habits I developed!Ouyang Chenhui smiled wryly, turned around and took out a few medical records from the medical record cart and began to study them!
If you are angry, you have to take your work seriously. Ye Ming is gone, and the other doctors are on the operating table. I am the only doctor in this department. If something unexpected happens, I must take responsibility!Therefore, it is more important to fully understand the situation of each patient!
First, he took a serious look at the situation of the patients undergoing surgery yesterday, then at the patients in the first-level nursing care, and finally got a general understanding of the other patients in the stable period. Sit down in your seat and continue thinking about the question just now!
"Doctor Ye! Doctor Ye!" Not long after Ouyang Chenhui sat down, he heard a rush of footsteps, followed by the anxious voice of a little nurse!
"What's wrong?" Ouyang Chenhui quickly stood up!As a senior doctor, he knew that something unexpected must have happened to the patient, otherwise the nurse wouldn't be in such a hurry!
But that little nurse didn't seem to take Ouyang Chenhui seriously at all!Standing in the office, she quickly turned her eyes around, and after seeing no trace of Ye Ming, she asked Ouyang Chenhui, "Where did Doctor Ye go?"
Ouyang Chenhui thought it was funny, he could be regarded as a signboard of Jingdu Hospital anyway!Are you a nurse who looks down on people like a dog?
But considering not to delay the patient's treatment, he still said quickly: "Dr. Ye has something to do and left, what happened?"
"Go away? Isn't it? The 36-bed patient suddenly went into shock, and he's not here. What should I do?" The nurse wanted to stomp her feet anxiously!
Ouyang Chenhui has read the medical records of the 36-bed patient just now. It is a patient with bladder cancer who just had surgery yesterday!
Shock appeared on the first day after the operation. This is not a good phenomenon. Thinking of this, Ouyang Chenhui hurriedly said: "Then I'll go and have a look!" After speaking, he quickly walked out of the office!
This nurse is Xiaoqing, who has been in the Department of Urology for four years, and she is considered an experienced nurse. She knows that if a patient has a problem, as long as she has notified the doctor, the main problem is not her. !Therefore, regardless of whether Ouyang Chenhui is an unpopular doctor who just arrived, the most important thing is to let him go to see him first. Even if he can't handle it, it has nothing to do with him!Who made Ye Ming leave his post at this time?
Thinking of this, Xiaoqing quickly followed up, and said behind Ouyang Chenhui: "When the injection was given in the morning, the patient's condition was still good, and the blood pressure was also stable. Just now, the patient suddenly let out a long sigh, and then Just go into shock"
The two came to bed 36 one after the other. At this time, the patient's family members were like ants on a hot pot. As soon as they saw the doctor coming, they rushed forward and cried: "Doctor, doctor, help my dad, He was fine just now, why suddenly?" The patient's family members were choked up and speechless!
Ouyang Chenhui ignored these family members, but went straight to the patient and watched the patient's situation carefully!
The patient was in a state of shock at this time, his face was pale, his breathing was weak, and his pulse was short!
"Vital signs!" Ouyang Chenhui asked calmly, and Xiaoqing who was standing by the side quickly measured the patient's blood pressure and pulse!
"Blood pressure 80,50, 26, breathing 110 beats per minute, pulse [-] beats per minute!" Xiaoqing briefly reported.
"Inhale oxygen!" Ouyang Chenhui gave the doctor's order!
After a while, Xiaoqing connected oxygen to the patient!
This patient is 68 years old. He came to the hospital for an examination a week ago because of painless hematuria, and was diagnosed with bladder cancer. Director Liu performed transurethral tumor resection of bladder tumor in person yesterday!The operation process went smoothly, and the postoperative recovery was also very good. According to common sense, it is impossible for these unexpected situations to happen!
But now the patient actually has shock symptoms, and it is sudden. Is it internal bleeding?Ouyang Chenhui thought about it, but he immediately rejected this possibility, because the wound of this kind of operation is not big, and there is almost no possibility of hemorrhage!
But thinking of bleeding, Ouyang Chenhui suddenly thought of a special situation, that is, the accumulation of blood clots may also cause shock!
Thinking of this, Ouyang Chenhui quickly narrowed his eyes and looked down at the patient's bladder!
Looking at it, I immediately saw the crux of the problem. It turned out that there was really a large blood clot accumulated in the surgical wound!
Transurethral resection of bladder tumor is a minimally invasive surgery with no incisions on the body surface, and patients recover quickly after surgery.It requires a special cystoscope that is capable of removing bladder tumors, called a resectoscope.Its insertion method is the same as that of the cystoscope, through the external opening of the urethra. There is an electric cutting ring on the mirror, which can be stretched back and forth. When the current passes, the electric cutting ring can cut the tissue and also cauterize the tissue to stop bleeding.After the cutting ring is removed, the resected pieces of tissue can be flushed from the inside of the bladder.
After this kind of operation, it is generally necessary to insert a double-lumen catheter to drain the blood!
However, due to the position of the patient, the bleeding was not drained in time, but instead accumulated into blood clots, causing the patient to go into shock!
"Why don't I inform Director Liu!" Seeing that Ouyang Chenhui didn't respond for a long time, Xiaoqing thought he couldn't handle such a complicated situation, so she hurriedly asked in a low voice.
The patient's family members were very anxious at first, and they saw Ouyang Chenhui come over for a few minutes, and did not take any measures except to inhale oxygen for the patient. Being so young, he suddenly became skeptical of him!
"Are you an intern? If you can't do it, get out of the way quickly, don't delay my father's treatment!" The patient's family members don't save face for Ouyang Chenhui at this time!
"Prepare for bladder flushing, notify the anesthesiologist!" Ouyang Chenhui ignored their words, and still ordered calmly.
"Are you sure about this?" Xiaoqing asked hesitantly!This is no child's play, if the patient really died at his hands, the family members will definitely not let him go!
"You are a nurse, don't you know what the consequences will be if you don't follow the doctor's order at this time?" Ouyang Chenhui's voice was not loud, but he spoke very severely!The eyes are also very sharp!
For no reason, Xiaoqing became a little timid, she didn't say anything, but turned around to prepare for bladder washing!
For such a situation, Ouyang Chenhui just remembered seeing it in a paper a few days ago. He remembered that it was written in the paper: after transurethral resection of tumor, attention should be paid to the accumulation of blood clots and the shock caused by it. First insert a balloon catheter, and use a bladder suction device to suck up the blood clot in the bladder, and rinse the bladder with a sterile irrigation solution until the backflow is smooth.Under normal circumstances, there is no need to send the patient back to the operating room, and the blood clot is evacuated and electrocoagulated to stop the bleeding through the resectoscope sheath under anesthesia!
"Is it okay?" The patient's family members began to ask anxiously again.
(End of this chapter)
Seeing Ye Mingyuan's back, Ouyang Chenhui fell into deep thought!Ye Ming, a small resident doctor, doesn't take others seriously, so what will happen to the department director Liu Jinguang?
At this moment, he suddenly realized that coming to the urology department is really different from the obstetrics and gynecology department. He was originally in the obstetrics and gynecology department, and he knew more or less about the doctors in the obstetrics and gynecology department. Oh, and one more thing, obstetrics and gynecology are all women, it must be much easier for a reborn man with many means to subdue a group of women!As long as I show a little bit of ability, the eyes of those short-sighted women will be brightened immediately!Urology is completely different!First of all, Liu Jinguang is a character!He has real talents and courage, and for so many years, he has been dominating one side in Jingdu Hospital, which shows that he is brave and resourceful!And the doctors in the urology department are not good at it, just like the bandits who occupy the mountain as kings. They are used to living a free life, and if they are asked to obediently obey other people's arrangements, they will definitely not do it!
Thinking of this, Ouyang Chenhui shook his head. The task Gao Qi gave himself was to subdue Liu Jinguang, and his purpose was to convince Liu Jinguang to be convinced by him. The two seem to lead to the same goal, but after thinking about it carefully, it is really not so One thing!
Ouyang Chenhui thought this way not because he was afraid of them, but because he suddenly realized that the reason why the Urology Department has been able to maintain this situation for so many years must have a reason for its existence. On the contrary, it has no characteristics!
When he was thinking about how to open up the situation in the urology department, Ye Ming rushed in from the outside in a hurry. As soon as he entered the office, he cleaned up the things on the table, and then hurriedly took off his white coat!Then ran out like a gust of wind!But not long after, he turned back and said to Ouyang Chenhui: "Hey! Dude, my girlfriend has lost her temper. I have to quickly put out the fire, or the consequences will be serious. Here, here, you help me first Take care! If there is anything, you can call the operation, Director Liu and the others are all there!"
Seemingly without thinking, Ouyang Chenhui said: "Oh, yes!"
"Thank you so much! Don't tell anyone else!" Ye Ming seemed to have completely forgotten how he had taunted Ouyang Chenhui just now, and now that he has something to ask for, he seems like a human being!
Seeing Ye Ming disappearing from his sight, Ouyang Chenhui patted his head, secretly hating himself for being so lacking in ambition. For a person like Ye Ming, he shouldn't be helping him, even if he is helping him, he has to be let He begs himself well!
Why!It's all because of the professional habits I developed!Ouyang Chenhui smiled wryly, turned around and took out a few medical records from the medical record cart and began to study them!
If you are angry, you have to take your work seriously. Ye Ming is gone, and the other doctors are on the operating table. I am the only doctor in this department. If something unexpected happens, I must take responsibility!Therefore, it is more important to fully understand the situation of each patient!
First, he took a serious look at the situation of the patients undergoing surgery yesterday, then at the patients in the first-level nursing care, and finally got a general understanding of the other patients in the stable period. Sit down in your seat and continue thinking about the question just now!
"Doctor Ye! Doctor Ye!" Not long after Ouyang Chenhui sat down, he heard a rush of footsteps, followed by the anxious voice of a little nurse!
"What's wrong?" Ouyang Chenhui quickly stood up!As a senior doctor, he knew that something unexpected must have happened to the patient, otherwise the nurse wouldn't be in such a hurry!
But that little nurse didn't seem to take Ouyang Chenhui seriously at all!Standing in the office, she quickly turned her eyes around, and after seeing no trace of Ye Ming, she asked Ouyang Chenhui, "Where did Doctor Ye go?"
Ouyang Chenhui thought it was funny, he could be regarded as a signboard of Jingdu Hospital anyway!Are you a nurse who looks down on people like a dog?
But considering not to delay the patient's treatment, he still said quickly: "Dr. Ye has something to do and left, what happened?"
"Go away? Isn't it? The 36-bed patient suddenly went into shock, and he's not here. What should I do?" The nurse wanted to stomp her feet anxiously!
Ouyang Chenhui has read the medical records of the 36-bed patient just now. It is a patient with bladder cancer who just had surgery yesterday!
Shock appeared on the first day after the operation. This is not a good phenomenon. Thinking of this, Ouyang Chenhui hurriedly said: "Then I'll go and have a look!" After speaking, he quickly walked out of the office!
This nurse is Xiaoqing, who has been in the Department of Urology for four years, and she is considered an experienced nurse. She knows that if a patient has a problem, as long as she has notified the doctor, the main problem is not her. !Therefore, regardless of whether Ouyang Chenhui is an unpopular doctor who just arrived, the most important thing is to let him go to see him first. Even if he can't handle it, it has nothing to do with him!Who made Ye Ming leave his post at this time?
Thinking of this, Xiaoqing quickly followed up, and said behind Ouyang Chenhui: "When the injection was given in the morning, the patient's condition was still good, and the blood pressure was also stable. Just now, the patient suddenly let out a long sigh, and then Just go into shock"
The two came to bed 36 one after the other. At this time, the patient's family members were like ants on a hot pot. As soon as they saw the doctor coming, they rushed forward and cried: "Doctor, doctor, help my dad, He was fine just now, why suddenly?" The patient's family members were choked up and speechless!
Ouyang Chenhui ignored these family members, but went straight to the patient and watched the patient's situation carefully!
The patient was in a state of shock at this time, his face was pale, his breathing was weak, and his pulse was short!
"Vital signs!" Ouyang Chenhui asked calmly, and Xiaoqing who was standing by the side quickly measured the patient's blood pressure and pulse!
"Blood pressure 80,50, 26, breathing 110 beats per minute, pulse [-] beats per minute!" Xiaoqing briefly reported.
"Inhale oxygen!" Ouyang Chenhui gave the doctor's order!
After a while, Xiaoqing connected oxygen to the patient!
This patient is 68 years old. He came to the hospital for an examination a week ago because of painless hematuria, and was diagnosed with bladder cancer. Director Liu performed transurethral tumor resection of bladder tumor in person yesterday!The operation process went smoothly, and the postoperative recovery was also very good. According to common sense, it is impossible for these unexpected situations to happen!
But now the patient actually has shock symptoms, and it is sudden. Is it internal bleeding?Ouyang Chenhui thought about it, but he immediately rejected this possibility, because the wound of this kind of operation is not big, and there is almost no possibility of hemorrhage!
But thinking of bleeding, Ouyang Chenhui suddenly thought of a special situation, that is, the accumulation of blood clots may also cause shock!
Thinking of this, Ouyang Chenhui quickly narrowed his eyes and looked down at the patient's bladder!
Looking at it, I immediately saw the crux of the problem. It turned out that there was really a large blood clot accumulated in the surgical wound!
Transurethral resection of bladder tumor is a minimally invasive surgery with no incisions on the body surface, and patients recover quickly after surgery.It requires a special cystoscope that is capable of removing bladder tumors, called a resectoscope.Its insertion method is the same as that of the cystoscope, through the external opening of the urethra. There is an electric cutting ring on the mirror, which can be stretched back and forth. When the current passes, the electric cutting ring can cut the tissue and also cauterize the tissue to stop bleeding.After the cutting ring is removed, the resected pieces of tissue can be flushed from the inside of the bladder.
After this kind of operation, it is generally necessary to insert a double-lumen catheter to drain the blood!
However, due to the position of the patient, the bleeding was not drained in time, but instead accumulated into blood clots, causing the patient to go into shock!
"Why don't I inform Director Liu!" Seeing that Ouyang Chenhui didn't respond for a long time, Xiaoqing thought he couldn't handle such a complicated situation, so she hurriedly asked in a low voice.
The patient's family members were very anxious at first, and they saw Ouyang Chenhui come over for a few minutes, and did not take any measures except to inhale oxygen for the patient. Being so young, he suddenly became skeptical of him!
"Are you an intern? If you can't do it, get out of the way quickly, don't delay my father's treatment!" The patient's family members don't save face for Ouyang Chenhui at this time!
"Prepare for bladder flushing, notify the anesthesiologist!" Ouyang Chenhui ignored their words, and still ordered calmly.
"Are you sure about this?" Xiaoqing asked hesitantly!This is no child's play, if the patient really died at his hands, the family members will definitely not let him go!
"You are a nurse, don't you know what the consequences will be if you don't follow the doctor's order at this time?" Ouyang Chenhui's voice was not loud, but he spoke very severely!The eyes are also very sharp!
For no reason, Xiaoqing became a little timid, she didn't say anything, but turned around to prepare for bladder washing!
For such a situation, Ouyang Chenhui just remembered seeing it in a paper a few days ago. He remembered that it was written in the paper: after transurethral resection of tumor, attention should be paid to the accumulation of blood clots and the shock caused by it. First insert a balloon catheter, and use a bladder suction device to suck up the blood clot in the bladder, and rinse the bladder with a sterile irrigation solution until the backflow is smooth.Under normal circumstances, there is no need to send the patient back to the operating room, and the blood clot is evacuated and electrocoagulated to stop the bleeding through the resectoscope sheath under anesthesia!
"Is it okay?" The patient's family members began to ask anxiously again.
(End of this chapter)
You'll Also Like
-
The Space Farmer Girl is Loved by the Whole Family
Chapter 372 9 hours ago -
Double Pirate: The Strongest Man in Two Worlds of the Hyuga Family
Chapter 84 17 hours ago -
The strange world of demon cultivators
Chapter 77 17 hours ago -
Start invincible and build a huge city for eternity
Chapter 465 17 hours ago -
American comics: I am full of martial virtues and I love to be kind to others
Chapter 233 17 hours ago -
Anime: Fight Sukuna at the beginning?
Chapter 348 17 hours ago -
Douluo: Starting from Source Castle, I am invincible
Chapter 630 17 hours ago -
Jinghong Building
Chapter 463 1 days ago -
Horror revival: A ghost call at the beginning!
Chapter 134 2 days ago -
Infinite Reincarnation: Survival Begins from Ishimura
Chapter 614 2 days ago