Doctor’s Life Simulator

After completing this operation, Professor Shen Xi had other arrangements and left first.

Of course, Director Han is also very busy. After encouraging and appreciating Qin Lang, he is also busy with his own business.

Qin Lang looked at the time, and he was not tired anyway, so he drove directly back to the first hospital in the city, and it was not too late when he arrived at the hospital.

Qin Lang changed his clothes and walked to the duty room of the emergency department. He had just arrived at the door of the consultation room. In the corridor, he saw a female patient, leaning on the corridor, facing the trash can, retching, wanting to vomit but couldn't. When he came out, he covered his abdomen and gasped.

[Ding, new task, find the real cause of the patient through single-case simulation. To prevent Dr. Liu Peichun from being dismissed due to misdiagnosis and the subsequent death of the patient, which was caused by family medical troubles. Mission reward: 1.1 life simulation points. 】

Qin Lang's discoloration changed slightly. This patient would die because of being misdiagnosed by Dr. Liu, which caused medical trouble and Dr. Liu's dismissal.

The first time was to consume 1 life simulation point, and Qin Lang soon learned the real cause of the patient:

[Patient: Hu Jie, female, 34 years old

Symptoms: Abdominal pain for 4 days, worsening with wheezing for 3 hours

4 days ago, there was no obvious cause for sudden abdominal pain, accompanied by nausea, poor appetite, no diarrhea and fever, and no attention was paid to it. 3 hours ago, the abdominal pain worsened with wheezing, sweating, no chest pain, syncope, etc.

Past: Cholecystitis has not occurred for more than 10 years after the discovery of complicated gallstones. Hyperlipidemia for 5 years, usually taking statins.

His mind was clear, his heart and lung examinations were unremarkable, Mo's sign was positive, and his lower extremities were not swollen.

...

The real cause: acute cholecystitis, acute myocardial infarction.

The patient suffers myocardial infarction due to prolonged inflammatory reaction of cholecystitis, prolonged hypotension, and hypoxia. It needs to be diagnosed and treated as soon as possible, otherwise it will cause shock and death. 】

Hu Jie retched for a while, and continued to return to the consultation room, accompanied by his husband, his face full of worry.

Qin Lang looked at the patient's hidden cause and sighed, no wonder it was like this.

At the level of Dr. Liu, acute cholecystitis can still be detected, but acute myocardial infarction is not so easy, so he followed the patient in.

Liu Peichun, who was treating the patient, was a little surprised when he saw Qin Lang, and said hello: "Doctor Qin, you didn't go to Zijingang No. 1 for a postgraduate course today, and you came back so soon."

The patient also turned his head to look at Qin Lang, but because it was really uncomfortable, and when he heard that Qin Lang was still a graduate student, he was not in the mood to pay attention to such a small doctor.

"Doctor, I'm sick to death. Hurry up and give me an infusion. Since it's diagnosed as cholecystitis, the surgery should be done. I'm really sick to death."

Hu Jie weakly clutched his abdomen.

Liu Peichun nodded slightly: "Okay, you have had gallstones for more than ten years. This time, you developed acute cholecystitis and vomiting, which led to a lack of water in your body. I will first arrange for you to replenish fluids, and then perform gastrointestinal decompression. Infection, acid suppression, and of course the best way to cure it is to remove the gallbladder.”

The patient nodded: "Then I will trouble Dr. Liu."

Looking at Liu Peichun's diagnosis, Qin Lang, who was on the side, really ignored the acute myocardial infarction, and said to Dr. Liu:

"Doctor Liu, the patient has such severe vomiting, high blood lipids and wheezing. Have you done an electrocardiogram, myocardial enzymes, and cardiac ultrasound for him?"

If before, with Qin Lang's qualifications, he would naturally ignore his diagnosis, but after a series of recent incidents, Liu Peichun immediately looked at the patient's case data again.

"That's not done. Do you suspect that the patient has other complications besides acute cholecystitis?"

"However, the patient did not have chest pain or fainting, just abdominal pain and nausea. According to the patient's past medical history, gallbladder stones were more than 10 years old, and these abdominal films were basically determined to be acute cholecystitis."

According to conventional inferences, Dr. Liu felt that Qin Lang was a little too cautious.

"The patient's long-term cholecystitis inflammation, long-term hypotension, and hypoxia may damage the myocardium. I suggest doing a heart ultrasound and an electrocardiogram."

Qin Lang looked at Liu Peichun with confidence in his tone.

Seeing Qin Lang's serious expression, Liu Peichun thought for a while, then looked at the patient, and discussed, "Doctor Qin, what he said makes sense, or do another echocardiogram and electrocardiogram. After that, I'm arranging rehydration and so on. "

After all, it's just Qin Lang's guess now, adding additional tests still requires the patient's consent.

She was already going to be treated, but when she heard that she was going to have a bunch of tests, Hu Jie frowned.

She looked at Qin Lang with some unkindness. She was not convinced by such a young doctor who was still a graduate student.

"Doctor Liu, I'm sick to death. You should let me go to rehydration therapy."

Hu Jie clutched her abdomen, feeling impatient. The thought of queuing up and doing an electrocardiogram and echocardiogram was an instinctive rejection.

Hu Jie's husband was on the side, and he couldn't stand it any longer: "Doctor, is there a mistake? My wife has cholecystitis, so I can't be wrong. Hurry up and arrange for treatment, check the electrocardiogram and echocardiogram, she just has abdominal pain, It's not heartache."

"It's an electrocardiogram and an echocardiogram again. Are you trying to cheat our money? What does this little doctor know? We don't do these unnecessary tests."

The patient's husband shouted a few words, and Hu Jie thought about it, clutching her abdomen, and became impatient:

"That's right, I know my own disease. I just have abdominal pain, old problems, cholecystitis, and the heart check. It costs money, hundreds of dollars. If we don't do it, we won't do it."

"Lady, I still recommend that you do an electrocardiogram and echocardiography. It is not without the gallbladder syndrome caused by cholecystitis, so you should do a comprehensive examination soon."

Qin Lang continued to comfort him, after all, acute myocardial infarction could be life-threatening if it is not done well.

Hu Jie glanced at Qin Lang, then looked at Liu Peichun, and sneered: "I think you just want to check randomly and waste our money. At a young age, he is not able to diagnose the cause, so he knows to let patients have various tests. It cost a lot of money, and the result is exactly the same as if it was done.”

The patient's husband also threatened: "Hurry up, let us check this, check that, and I will report you. My wife has cholecystitis, and she has an old problem. What is the electrocardiogram or echocardiography?"

Liu Peichun's face became cold when he saw the patient's attitude:

"Although Dr. Qin is young, his medical skills are still very good, and it is for your own good. Only by doing a comprehensive examination can you give your wife the best treatment in a comprehensive manner. Otherwise, if the examination is not careful, something is missed, and the treatment process will occur. Accidental, it can only be regarded as your own failure to cooperate with the treatment, we are irresponsible."

Liu Peichun directly took out the case and wrote on it that the patient refused to do two kinds of examinations.

"Don't scare me, my wife has cholecystitis, and gallstones have been recurring for many years. This time, I still have abdominal pain. Is it as serious as you said?"

The patient's husband despised Qin Lang and Liu Peichun for a while, and you two young doctors can't afford to spend money on him.

Although, I have seen the results once in the simulated world, in the real world, Qin Lang is also very helpless when encountering patients with such a firm attitude that they do not cooperate with the treatment.

Qin Lang thought for a while and then asked, "Then do you usually feel uncomfortable in your heart area, or suddenly feel dizzy?"

"Squatting up suddenly, sometimes there is dizziness, and occasionally the amount of exercise is intense, and the heart is a little uncomfortable, but this is not normal, many people are like this, don't try to fool me."

Hu Jie rolled her eyes. She had been fooled by Du Niang. She said that she was about to die from a small symptom. When she went to the hospital for an examination, there was nothing wrong.

Seeing that the patient's oil and salt did not enter, Qin Lang was also helpless and looked at Liu Peichun.

"Then let's do it first, let them go to the treatment of cholecystitis. Then the discomfort will really be caused by the unknown cause, and the patient will be responsible for it."

After all, Liu Peichun is more experienced, and he has seen many patients who are difficult to communicate with.

If the patient is more polite to the doctor, then the doctor will talk a little more and put more effort into it. If you encounter such a patient who will only question you, the doctor will be too lazy to talk about it.

In order to avoid becoming a scapegoat in the future, Liu Peichun naturally clearly wrote that the patient refused to accept the examination, and asked the patient to sign and agree.

With Qin Lang's reminder, Liu Peichun finally avoided the tragic fate.

Hu Jie and his husband signed with disdain, and left the clinic scolding.

Qin Lang looked at the two leaving, shook his head, and waited.

In less than 20 minutes, screams came from the infusion room.

"Help, help, my wife fainted, come here!"

Hu Jie's husband shouted in the infusion room.

"Save my wife, I don't know how she passed out all of a sudden..."

Qin Lang had been waiting for a long time, and sure enough, an acute myocardial infarction occurred.

With a sigh, Qin Lang ran quickly towards the infusion room.

The two nurses were already in a hurry to lift Hu Jie, who had passed out, onto the flat car.

Liu Peichun also rushed over from the consultation room. When he saw Hu Jie lying on the flat car, he broke out in a cold sweat. Qin Lang really guessed it. Fortunately, the patient had signed a refusal to check.

"What's the situation?"

Liu Peichun ran to Qin Lang's side and asked nervously.

"The shock caused by cardiac arrest should be myocardial infarction caused by cholecystitis."

Qin Lang said in a deep voice.

"Quick, send it over, and immediately CPR."

Qin Lang and Liu Peichun rushed over, pushing the flat cart, and instructing nurses to rescue them.

After being sent to the emergency room, the nurses had skillfully installed various instruments on the patient, and Liu Peichun immediately performed cardiopulmonary resuscitation on the patient.

Principles of myocardial therapy for dying: reduce infarct size, protect cardiac function, and deal with various complications.

"Perform perfusion therapy..."

"Low molecular weight heparin, beta blockers, renin-angiotensin transaminase inhibitor (acei)..."

Qin Lang has experienced in the simulation world, and he gave instructions very calmly, and the nurse followed it non-stop.

At the same time, Liu Peichun also completed two sets of CPR, and after looking at the instrument, the patient's heart rhythm finally fluctuated from a straight line.

"so close."

Liu Peichun was already sweating profusely, but when he saw the patient's heartbeat resumed, he finally breathed a sigh of relief.

After all, the success rate of cardiopulmonary resuscitation in the hospital is very high, which is why Qin Lang did not choose to force the patient to check.

Wiping the sweat off his forehead, Liu Peichun leaned over to Qin Lang: "This time, thanks to you, otherwise I wouldn't be able to tell."

"Nurse, do an electrocardiogram for the patient, a color ultrasound of the heart, and then check the myocardial enzymes."

Qin Lang first arranged the next treatment~www.readwn.com~ before looking at Liu Peichun and smiling lightly: "Let's go, I will leave it to the Cardiothoracic Surgery Department."

At this time, the patient's husband chased after him aggressively: "Doctor Liu, what's wrong with my wife?"

"Acute myocardial infarction is out of danger."

When Liu Peichun saw the patient's husband, his face was not very good, and his tone was a little indifferent.

"Myocardial infarction? My wife is so young, how could it be possible for her to have a myocardial infarction? Did you misdiagnose my wife and cause a problem with fluid replacement?"

The patient's husband suddenly became suspicious, and looked at Liu Peichun with a very unkind look.

https://

Genius for a second to remember the address of this site: . Lewen Novel Network mobile version reading website: