When doctors have a simulated operating room

The doctor said that Wang Wei was not fat at all.

"Fuck! Wang Wei doesn't look fat! How can he have severe lipemia?!"

You never stop learning!

Some people look normal, neither fat nor thin, but they still have hyperlipidemia!

The phone was on speaker, so Zhang Yi heard everything.

He immediately gave an order: "Go and call the patient back, send him to the ICU first!"

Severe lipemia, high inflammation, high blood count, upper abdominal tenderness, a little fever, and nausea.

Zhang Yi already had the answer in his mind.

It was indeed pancreatitis, but not ordinary pancreatitis.

It was lipogenic pancreatitis!

That is, hyperlipidemia pancreatitis!

It is a serious disease in the Department of Gastroenterology. The disease progresses quickly and is prone to secondary infection, leading to pancreatic abscesses. In severe cases, it can also cause multiple organ failure.

This disease basically requires patients to stay in the ICU.

If necessary, blood perfusion and continuous blood purification treatment (similar to hemodialysis to filter out fat) are required to lower blood lipids.

When drawing blood from this type of patient, you can clearly feel that the blood is thick and not easy to draw, and the blood drawn is even milky white.

Imagine that the bright red blood flowing in the human body has turned into this sticky milky white unknown substance. Can a person be cured? It is lucky not to die!

Just at this time, Wang Wei's CT results came out.

Zhang Yi saw that the shadow part of the entire pancreas increased in volume and changed in density.

It is pancreatitis without a doubt!

Chen Fang was also sweating profusely, and immediately got up to transfer Wang Wei to another department.

Good guy!

Hyperlipidemia pancreatitis, this hot potato must be sent away quickly!

Chen Fang moved very quickly, pushing Wang Wei in a wheelchair while calling the gastroenterology department and the ICU.

He would immediately send him to whichever department could accept him.

When they heard that it was hyperlipidemia pancreatitis, the gastroenterology department took the lead, first for performance, and second for the patient (performance).

They quickly arranged for the patient to be hospitalized for follow-up treatment.

Wang Wei's wife was a little confused at first. Why did the doctor at Union Hospital suddenly become so nervous?

Isn't it just an ordinary inflammation? ?

As a result, she found out that it was hyperlipidemia pancreatitis after asking? ?

She also knew about this disease, which is a very serious type of pancreatitis.

But she herself didn't expect it. Her husband is not fat, how could he have hyperlipidemia? ? !

"What about the CT results? Are you sure it's lipid-derived?" The family members were still a little unconvinced.

Chen Fang had to bring up Zhang Yi, the "know-it-all" boss.

"Yes, Zhang Yi looked at the film himself. Do you believe it now?"

Sure enough.

The family member's expression immediately changed from questioning to admiration.

"Huh? Zhang Yi looked at it himself? Haha, my God, the boss is so busy and still has time to look at my husband's medical records? He has worked so hard. Tell him that I will send him some fruit to thank him someday."

Chen Fang:...

Chen Fang smiled bitterly and agreed: "Oh, okay."

Hey~~

I ran around to get you hospitalized, and you didn't even say thank you.

Zhang Yi just looked at the medical records, woo woo woo~ You still have to send him fruit to thank him~

Woo woo woo~

Comparing yourself to others makes you angry~!

With a little grievance, Chen Fang returned to the emergency room.

I wanted to talk to Zhang Yi about this, but as soon as he came in, he felt that the atmosphere in the office was a little wrong...

It's not the time for the afternoon shift change yet, why are everyone waiting in the office?

Except for the two directors and the doctor on duty, all the doctors and nurses seemed to be here?

What's going on?

Chen Fang took advantage of the chaos to quietly return to his seat.

He saw Zhang Yi standing up with a sullen face.

What's wrong?

Why is Zhang Yi so serious?

Then he slowly said, "What is the first problem to be ruled out for patients with abdominal pain? Li Jun, you answer it."

Li Jun's head was reluctantly stretched out after being called suddenly.

Oh, what are you doing in the afternoon?

I was working just now, and suddenly I was notified that there was a meeting.

I was unlucky to be the first one to be called by Zhang Yi...

Oh!

"Uh... The first thing to rule out for abdominal pain is... gastroenteritis."

"Yeah." Zhang Yi responded lightly, with no expression on his face, and Li Jun breathed a sigh of relief.

However, the next second Zhang Yi started asking questions again!

"What would you consider if there is obvious tenderness in the upper abdomen?

What's the reason? Zhang Shengwei? "

"Ah? ?" Perhaps Zhang Shengwei didn't expect Zhang Yi to call him suddenly, and he was a little flustered.

But after sorting out his thoughts, he still answered calmly:

"If it's upper abdominal tenderness, I will consider gastritis, cholecystitis, and pancreatitis."

"Well, if the upper abdominal tenderness is accompanied by nausea and vomiting, what disease would you consider? Chen Fang."

Chen Fang knew.

Zhang Yi suddenly called everyone to this meeting must be because of that hyperlipidemia pancreatitis...

Hey!

Chen Fang raised his head like he accepted his fate: "The upper abdominal tenderness is obvious with nausea and vomiting. The first thing to consider is pancreatitis. The examination of amylase and CT should be completed as soon as possible."

Zhang Yi responded again before calling out Wang Wei's previous case.

"Here is the case of a patient with abdominal pain in the afternoon. He was admitted to the hospital with abdominal pain for 3 hours + accompanied by nausea and vomiting. The body temperature was 37.7 when he was admitted to the hospital. The upper abdominal tenderness was obvious, and the face was painful with open mouth breathing.

I want to ask the head nurse, who drew blood for this patient this afternoon? "

The head nurse was shocked, as if she didn't expect that this matter would involve nurses?

What's the situation with the patient?

Before the head nurse could speak, a young nurse raised her hand: "It was... the intern I was in charge of drew blood, what's wrong? Did she... did she draw the wrong blood?"

The nurse was very nervous.

This moment is the most feared when leading interns.

If the intern makes a mistake, the mentor must be held responsible.

"Didn't you tell her that once the nurse draws blood and draws a sample with an incorrect condition, she must report it to the doctor in time? The color of this patient's blood sample had changed when it was sent to the laboratory, and when they started to test it, the upper layer of the blood vessels was full of thick fat!

This is hyperlipidemia pancreatitis! "

Everyone was shocked when they heard that it was hyperlipidemia pancreatitis.

Before everyone could come to their senses, Zhang Yi continued:

"If the nurse found that the blood was thick or the color was not bright red when drawing blood, she could notify the doctor in time, then the doctor would definitely make a corresponding treatment plan as soon as possible.

But this patient was delayed in our emergency room for more than an hour!

We were completely lucky that he didn't get into trouble in our emergency room!

If the treatment was delayed due to this negligence and the patient had problems, who would take the responsibility? ! "

At the end, Zhang Yi's words turned into a scolding.

Looking at everyone with a frown, it was not difficult to see that he was indeed angry.

Zhang Yi is actually very easy to talk to, kind, and speaks in a calm tone.

But Zhang Yi is Zhang Yi after all.

Even the kindest people get angry sometimes.

An invisible aura and pressure permeated the surroundings, suppressing everyone so that they couldn't raise their heads.