Start From Emergency Doctor

Chapter 354

The word hospital has a kind of magic power, which can calm people’s heart all at once.

As if you are safe as long as you get here, the doctor will heal and rescue the people you care about and love.

“Head Nurse Tian.”

Shi Yu hugged Xiao Ding and got out of the car. Xiao Ding was already unconscious.

Tian Liang had already prepared the emergency bed with a few nurses. They immediately put Xiao Ding on the emergency bed and rushed to the rescue room with the armrests.

Jiang Xiaoqi is on duty in the hospital.

In addition, there are Liu Kai, Wang Ziqiao and others.

Jiang Xiaoqi was notified and was already waiting in the rescue room. Seeing a patient coming in at dawn, Jiang Xiaoqi immediately became serious, ready to carry out rescue at any time.

“what happened?”

“The patient was in shock!”

Jiang Xiaoqi: “Get ready for rescue immediately!”

The little nurses cut off Xiao Ding’s clothes and began to prepare for cardiopulmonary resuscitation and electric shock defibrillation.

Wearing a mask, Jiang Xiaoqi frowned and asked, “The patient’s situation.”

“Patient Xiao Ding, four years old, was delivered in our hospital, and the arterial duct was closed at birth. Later, he has been treated in our hospital for multiple phases…”

After Tian Liang finished speaking, he looked at Ding Mahui and Shi Yu again, and asked, “What was the situation when Xiao Ding came?”

The main complaint of the patient is also very important for the judgment of the condition.

Now Xiaoding is in shock and can only ask his parents.

Ding Mahui patted Shi Yu who was already choked to speak next to him, and said: “At one o’clock tonight, Xiao Ding suddenly woke up and felt uncomfortable. We wanted to take him to the hospital, but He was fine soon, and fell asleep again.”

“As a result, after just a few minutes of sleep, Xiao Ding suddenly woke up again with an ugly expression on his face, so we sent it over.”

Jiang Xiaoqi listened quietly, and the nurse next to him had put all kinds of inspection equipment on Xiaoding.

“You two should go out first.” Jiang Xiaoqi glanced at Xiao Ding on the hospital bed and said to Ding Mahui and his wife.

Ding Mahui also knew that the doctor didn’t need them to be present when saving people, so he held Shi Yu and withdrew from the rescue room. “Doctor, I must save my child.”

In the rescue room, Jiang Xiaoqi frowned again.

“Director Jiang, what is your judgment?”

Jiang Xiaoqi hesitated for a while, did not answer, but looked at the instrument next to her.

Although Xiao Ding was still in a coma, all his life values ​​were normal, at least there was no life-threatening danger.(Read more @ wuxiax.com)

Moreover, Xiaoding also installed a ventilator, so the dyspnea symptoms were relieved and his face gradually returned to normal.

“There may be an operation, Head Nurse Tian. You have to call a doctor from the vascular surgery department for this operation.”

Jiang Xiaoqi is only a doctor of emergency medicine. There is definitely no professional doctor who is excellent in specific operations. After all, not everyone has Zhou Yuan’s skills.

“and many more.”

Seeing that she was about to go out at dawn, Jiang Xiaoqi suddenly remembered something, and said: “Call Zhou Yuan over. The patient’s condition is very serious, and I feel that the people at the vascular surgery department may not be able to do it.”

Xiao Ding’s disease did not occur in recent days, but an old disease. I am afraid that Zhou Yuan would have to undergo surgery to cure it.

At this time, Xiaoding on the hospital bed suddenly struggled and tried to pull off the ventilator. Jiang Xiaoqi’s face was stunned and immediately said: “Fight a stable!”

With that, she looked at Tian Liang: “Call Zhou Yuan quickly!”

…

The hurried bell rang.

Zhou Yuan immediately woke up from his sleep and looked at the work phone next to the computer desk.

Zhou Yuan always carries his work phone and personal phone with him. The ringing of this rapid ringing means that there is an emergency in the hospital that needs to be dealt with by himself.

Calling in the middle of the night is usually a life-threatening emergency.

Ordinary internal medicine and surgery clinics can be handled by people on duty in the emergency department. For more serious cases, there are night shifts in various departments. Only difficult operations will specifically come to Zhou Yuan.

This is a habit developed by everyone in the emergency department these days. Minor operations are generally not called Zhou Yuan. When a person is used to the success of major operations, others will subconsciously invite him only for difficult operations.

Zhou Yuan is in this situation now.

He immediately took off his pajamas, casually put on a short sleeve, and swept a shared bicycle downstairs and dashed towards the hospital.

“Patient Xiaoding, age four, past medical history…”

While listening to Jiang Xiaoqi’s repetition of Xiaoding’s parents’ complaints and diagnosis, Zhou Yuan performed his own examination.

········· Ask for flowers···································································

It is not that he does not believe Jiang Xiaoqi’s diagnosis, but it is more rigorous.

“The patient has typical dyspnea and fatigue, and the two awakenings at night are likely to be awakened. This is a more serious situation…”

The words heart failure popped up in Zhou Yuan’s mind.

He reached the exposed right lower extremity again. Edema had appeared in the calf, and there was obvious fluid retention.

This is the first and even the only symptom of congestive heart failure!

“Has the patient’s exercise tolerance changed?”

Jiang Xiaoqi nodded: “I also asked the patient’s family. Xiaoding has basically stopped going out recently. He is always inexplicably tired, and seems to be less and less active. He often lay on the sofa watching TV and playing mobile phones… …”

0 …… 0

Zhou Yuan directly analyzed the symptoms based on Xiao Ding’s behavior, saying: “Unexplained fatigue, decreased exercise endurance…”

With that said, he looked at the heart rate monitor, and Xiao Ding’s heart rate increased a lot.

The heart rate of a normal person is around 60 beats per minute, but Xiaoding has reached around 80 at this time.

“This is the result of the inspection.” Jiang Xiaoqi took the initiative to pass a few films over.

Zhou Yuan looked at it carefully, and then said, “The left ventricle is enlarged… Just now when I auscultated, I found that the patient had wet rales in both lungs.”

The wet rales in both lungs indicate left ventricular dysfunction.

“This is congestive heart failure.” Zhou Yuan made a preliminary diagnosis.

Congestive heart failure has also become heart failure. This is due to the low ventricular pumping or filling function, which leads to insufficient cardiac output to meet the body’s metabolic needs, and insufficient blood perfusion of tissues and organs.

At the same time, there may be pulmonary circulation and or systemic congestion.

The typical symptoms have already occurred in Xiaoding: dyspnea, fluid retention, fatigue and so on.

He is about to continue the examination, ready to judge the type of congestive heart failure.

Shi Yu, who stared at Xiaoding nervously, froze for a moment, “Impossible!”

Zhou Yuan looked over, and Shi Yu shouted again in a sad tone: “Didn’t this disease have been cured when I was young? Why is it recurring now?”

Hearing these words, Zhou Yuan frowned again. Spoon.