This Doctor is Great

"What's the condition of the patient?"

After the doctors outside the heart and the liver and gallbladder came, they quickly asked.

"There is a lot of blood in the upper abdomen and abdominal cavity, and a pump is a big tube." Teacher Huang Li pointed to the syringe full of blood that was placed in the basin.

The doctors outside the heart and the liver and gallbladder were suddenly shocked.

Zhou Mo: "I had a simple B-ultrasound, and the spleen was fine, but there was a certain change in the left lobe of the liver. The location of the bleeding should be there... The patient complained that he hit the chest and abdomen when he was in the car this morning, so there is Possibly delayed bleeding due to impact."

"At the same time, it may also be bleeding from abdominal aortic dissection..."

The surgeons from the two departments made up their minds after a brief understanding of the condition.

"Must be sent to the operating room immediately!"

"Yes, a quick abdominal exploration is required."

Next,

It is to rush to the operating room, because it is still unclear what the reason is, so the surgeons outside the heart and the liver and gallbladder will be waiting in the operating room.

Flat cart, pushing the patient to leave the Cardiology Department quickly and rush to the operating room.

By the time he passed the bed, the patient had already passed out and entered a state of shock. Fortunately, the rehydration was still timely and the vital signs were stabilized.

On the way, Zhou Mo quickly gave the patient's son a pre-operative conversation, and reached a consensus with him. When he arrived in the operating room, the doctor outside the heart and the liver and gallbladder came over with the consent form and asked him to sign it.

...

After half an hour,

Anesthesia is completed,

The doctor of the hepatobiliary surgery took a knife on the left upper abdomen and cut it open.

Once the abdomen is opened, the eyes are full of blood!

The suction device quickly sucked the blood away, and then looked for the bleeding point. Sure enough, the bleeding place was found in the left lobe of the liver, and the blood vessel was ruptured.

Then I checked the spleen, and it was indeed not broken, which was exactly the same as Zhou Mo's B-ultrasound.

Next,

Cardiac surgeon withdraws.

Patient procedures are handled by the hepatobiliary surgery team.

After the operation is completed, the patient will be transferred directly to the Department of Hepatobiliary Surgery instead of the Department of Cardiology.

After completing the previous part of the operation, Mr. Huang Li and Zhou Mo no longer saw the operation, but were transferred back to the Cardiology Department.

On the way back to Cardiology,

"Mr. Huang, the patient is obviously bleeding from the liver, why does it cause chest pain? Isn't it all abdominal pain?" Zhou Mo asked curiously.

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At first, the main complaint of the patient was chest pain, which naturally made everyone think that it was a heart problem, and then sent to the cardiology department, which almost delayed the disease.

If it wasn't for Zhou Mo's quick discovery, I'm afraid the patients wouldn't be able to carry the surgery.

Teacher Huang Li: "Although the chest pain caused by the liver is basically the manifestation of abdominal pain, it is not impossible to cause chest pain... In short, even if you are a patient with chest pain, you can try to check the abdomen, and make mistakes."

Zhou Mo nodded.

Sophisticated words!

...

Back at the Cardiology Department, it was already past 14:00.

Zhou Mo's hospital beds 28 and 29 were vacant again. In Zhou Mo's hospital bed, several patients had already arrived and left immediately, which was considered miraculous.

back to the duty room,

Zhou Mo began to write the hospital, rescue records, disease course, transfer to departments, etc., and also had to check the time with the nurse... It was very troublesome.

Although Zhou Mo's speed was very fast, it was not finished until 16:00.

At this time,

ding dong~~~

Zhou Mo's cell phone rang.

WeChat, from the Hepatobiliary Peripheral Physician.

Zhou Quan: "Zhou Mo, are you free tonight?"

Zhou Mo replied: "I'm very busy. I just received a patient and was transferred to a surgery outside the liver and gallbladder. There are a lot of things to do."

Zhou Quan: "Are you free tomorrow?"

Zhou Mo: "Probably not. Recently, I promised to teach the teacher and help him manage the bed, so this week night may not be available."

Zhou Quan looked at WeChat and fell silent.

Are you free this week?

If you wait for next week, the day lilies are cold and the papers are published, you won't be able to buy them at that time.

Zhou Mo: "Mr. Zhou, you don't need to eat, you're really busy... If you have anything to say, just tell me."

Hesitating all day.

He was thinking about what to say, so as not to disgust Zhou Mo, and obediently sold him the paper.

at this time,

"Zhou Mo, there's another patient...you pick it up."

"OK."

Zhou Mo quickly WeChat Zhouquan: "Mr. Zhou, I'm sorry, I have a patient coming, I'm going to receive the patient, I'll say something later, 88..."

comprehensive:"…………"

The speeches that had been prepared all of a sudden collapsed.

...

Zhou Mo received a new patient.

The patient Zheng Zhengquan, 40 years old, male, a middle-level supervisor of a company, was sent to the Cardiology Department wearing a shirt and trousers.

29 beds were sent.

Zhou Mo felt that the 28 beds were poisonous, and the two patients were transferred directly to the department not long after they arrived.

Nurses are working on ECG monitors, electrocardiograms.

Zhou Mo's consultation:

"Hello, Zheng Zhengquan, right? I'm Doctor Zhou. What's wrong?"

"A little headache, chest tightness, chest pain, no strength..." The patient Zheng Zhengquan said weakly.

"When did it start?"

"Last night, our company organized a volleyball game, and I was a little tired. After I went back, I drank some wine. When I woke up this morning, I felt a headache, chest pain, and a little shortness of breath..."

Zhou Mo nodded.

However, after drinking, headaches and chest pains are not impossible problems with pure alcohol.

"Chest pain, what kind of pain method? It's the same as pressing? It's the same as acupuncture? It's the same as a blunt hammer?"

"I don't know, I don't know how to describe..."

Zhou Mo explained it again in detail, but the patient still felt vague, not sure which one it was.

"By the way, my grandfather died of a heart attack before, so I was afraid that I would be the same, so I didn't dare to delay, and came to the hospital to see..."

"Your grandfather has?"

Zhou Mo became vigilant, that is to say, he had a family history.

This is a point worth paying attention to.

"Do you have high blood pressure? Do you have high blood lipids, diabetes, etc.?"

"I have high blood pressure."

This time, Zhou Mo was even more vigilant.

At this time, the patient began to connect to the electrocardiogram, which kept printing out.

Zhou Mo carefully looked at the part and found that there was no special abnormality in the electrocardiogram, especially the abnormality of myocardial infarction was not at all.

Still, troponin has to do it.

Cardiac enzymes are also done.

"Apart from that, do you have any other symptoms?"

"Yes, I feel that I have no strength all over my body, especially my left shoulder, arm, and thigh are very painful and numb. I don't know why."

Ok? ?

Zhou Mo was stunned for a moment.

too weird!

If it is said that there is no strength left and right, it is okay to say, but the left side alone has no strength, which is a bit strange.

"Did it happen that you only lay on the left side when you fell asleep after drinking alcohol? You haven't recovered yet?"

"It shouldn't be, I slept on my back."

"When did it start?"

"I found out after waking up~www.readwn.com~ It's been four or five hours now."

Zhou Mo shook his head: "It's not impossible..."

However, muscle weakness is also a direction. However, unilateral muscle weakness is still rare.

"Go back and check the literature..."

Zhou Mo thought so.

Possibly neurological.

Next,

Zhou Mo asked other questions, but found nothing.

Then listened to the heart and lungs, and found nothing.

"Wait for the nurse to draw blood for you and do some basic tests..."

"Okay, thank you Doctor Zhou."

Zhou Mo left the ward and returned to the duty room.

At 16:10, his wife came.

16:30,

The results of troponin and myocardial enzymes are all out.

nothing unusual.

Zhou Mo searched the literature on muscle weakness and read it.

"Ding dong~~"

Zhou Quan: "Zhou Mo, I won't beat around the bush. I heard that your living conditions are not very good. I think I may be able to help you improve your life. In addition, I have a paper I want to ask you to look at..."

After all, it is an old fried dough stick, and his speech is obscure, so as not to be caught.

Zhou Mo was busy and didn't see WeChat.

After 20 minutes,

Zhou Quan waited a little impatiently, thought about it, and sent a WeChat message to Huang Yiming.

Zhou Quan: "Huang Yiming, I'm Dr. Zhou Quan from Hepatobiliary Surgery. Are you free tonight? Please have dinner."

Huang Yiming thought for a while and replied, "I'm sorry, Teacher Zhou, I made an appointment with the tenants tonight, and I want to ask them to collect rent. There are too many houses and the rent collection is slow, so I can only apologize..."

comprehensive:"!!!!!"

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