Chapter 256

Modern conveniences, 24-hour supermarkets, restaurants and street lamps that are always bright at night all reflect the advantages of a modern country.

In rural areas, the construction of a large number of paved roads has made the previous sunny days covered with soil and rainy days covered with mud a thing of the past. The expressway extends in all directions, hundreds of kilometers between counties and cities, and 120 is speeding fast!

The speed limit of expressway is not limited to this special vehicle. The state subsidizes ambulances in county and township hospitals with complete equipment and qualified quality! Some large ambulances can directly provide a mobile platform for emergency surgery.

40 minutes directly into the city hospital, this speed! As a result, three men on horseback got carsick! Mountain strong man, vomit! The white milk vomited all over the car. With the smell of semi fermentation and the heating in the car, the emergency nurse's nose was almost crooked!

During the Spring Festival, the land of China is like a train suddenly entering the slow lane. The pace of running suddenly slows down. Supermarkets close, restaurants close, and government seals. All families are immersed in a happy and peaceful festive atmosphere.

On the third day of junior high school, Zhang Fan is on duty for 24 hours. But there is overtime pay on duty these days! And double overtime, triple? Just talking, you're serious!

In ordinary hospitals, people come and go. At this time, patients are very rare, and doctors go to take turns to rest. The clinic stopped and the routine operation stopped, but the yellow light in the emergency department was shining forever.

A platform in front of the emergency department is a special device for ambulances to send patients. The shrill whine came from far and near. The doctors and nurses in the emergency department were having lunch. They heard the sound like a collection number. At the same time, they had put down their chopsticks and put on their hats and masks to meet the coming patients.

Other industries are not clear, but this medical industry, a president and a department director, is very important. Yes, the state is vigorously supporting development, but if there is a problem with the leader's concept, the money will be spent a lot, but the effect is hard to say.

A hospital and a department cannot do without the joint efforts of department personnel, but if you choose the wrong way, it will be a long way, even if it is not in vain.

The emergency department of a large hospital is directly a treatment center integrating diagnosis and treatment. Some emergency operations are handled directly in the emergency department. Under the leadership of a powerful department director, we can directly monopolize some operations of trauma surgery and general surgery.

But the director of the emergency department of the municipal hospital was from pediatrics. In those years, because there was no one in the emergency department, she could not compete for the director of Pediatrics. Pediatrics was a small general department, so she was arranged to the emergency department. There were few professional pediatric surgeons in the Department of Pediatrics in prefectures and counties.

This is the disadvantage of the old-fashioned doctors. They have not been fully developed. Although they are in the emergency department, their ideas are still not divorced from pediatrics. The state strongly supports the development of emergency, but the emergency department of the municipal hospital still has not carried out the operation. The biggest surgical operation that can be carried out is suture. If the wound is too large or too deep, it will be directly sent to the relevant departments, so the efficiency of emergency is not high.

The only characteristic diagnosis and treatment is gastric lavage. After drinking pesticides before 1990, you don't have to send them to the hospital. It's useless! Because the pesticides at that time were all strong pesticides, such as dichlorvos, which we are familiar with. Drinking one mouthful directly was three steps down! There's no time to rescue.

In recent years, the control of pesticides has been slightly better. To tell the truth, it's very uncomfortable to drink this pesticide. Pull into the hospital, that is, gastric lavage.

If it is a pesticide that is weakly acidic or does not react with alkali, it is very painful. Soapy water! The soapy water used in the hospital is either tall or the kind of soap used by ordinary people to wash clothes. After dissolving, it is directly poured into the stomach, poured in a large amount, and then induced vomiting. If it is strongly induced, the gallbladder can spit out for you. Gastric lavage and enema, a set down, like torture.

But there are also advantages. Generally, housewives drink pesticides. If they are rescued once, they will never drink pesticides again. This gastric lavage can make you don't want to see soap again in your life!

AK was sent to the emergency department. No obvious abnormality was found in the blood routine examination in the emergency department, because he had been treated in the county hospital. The diseases, especially abdominal diseases, are very similar. It is really difficult to judge if there is no typical positive test in the laboratory examination.

A disease, a rare and atypical disease, says that the doctor can diagnose it at a glance. Either the doctor has recently treated similar patients, or he has had it himself! At least, the doctor is really good. It takes time for ordinary doctors to diagnose and treat diseases.

Depending on the symptoms, many diseases have similar symptoms. Laboratory tests, such as the current fever, taking antibiotics at home and giving antibiotics in subordinate hospitals, directly interfere with the course of the disease. If there is no clinical experience, even postdoctoral doctors can't make a clear diagnosis according to the textbooks.

AK, that's the case now! There are big moves in the emergency department. The laboratory examination is not typical. The move is directly enlarged. Anyway, I don't know which department is the disease. Direct consultation!

During the Spring Festival holiday, the leaders in the Department are not on duty, unless the Department is too small to rotate. The emergency department called for consultation. All the young doctors came! Moreover, during the three days of the Spring Festival, the general departments on duty are not old doctors. Who makes you young and unqualified? Endure it.

The respiratory department and general surgery department couldn't say what disease they had for a long time. The physical examination found that they had a little rash, a fever and a temperature of 40 degrees, but their pulse and blood pressure were normal. This makes several young doctors difficult. What's the disease? Other examinations that will be held for a while and a half will not come out.

What should I do? Simple, expand the scope of consultation~ Anyway, it's the Spring Festival. Being idle is also idle. We are so busy that doctors in other departments can't be idle. Come on, let's discuss it together! When there was no big man, the young generation of the hospital gathered in the emergency department.

China's high-end medical care does not say, but the control of infectious diseases is quite strong. Some young doctors have only seen it in books, but the books are the most classic and typical cases. Those who have not seen the real medical records in reality cannot be identified and diagnosed. If the diagnosis is unclear, they cannot be treated. Moreover, the disease is very simple, but people are a complex. There are too many similar diseases. According to the current medical level, many diseases cannot be diagnosed clearly, that is, symptomatic treatment.

Why should this infectious disease be strictly controlled?

Say the most severe infectious disease, cholera! What is the most dangerous disease to the first grade infectious disease and the plague? To what extent is it dangerous? It is caused by a special bacterium. The bacteria are too strong. The bacteria enter the stomach and are killed by gastric acid, but Vibrio cholerae is not afraid.

It directly enters the intestine through the stomach, and then directly spasms the intestine, which directly makes the sick people have severe diarrhea and vomiting. How violent is it? It is very direct and direct, that is, jet like vomiting, just like the spray of Tiannvsanhua. Vomit is still something in the intestine! Unlike normal vomiting, it is the contents of the stomach.

Diarrhea, severe diarrhea, severe diarrhea that can't be controlled directly. It's exaggerated to say that this patient directly has a bucket beside the bed for vomiting, and then there is a bucket under his ass! Double bucket! As like as two peas, the water that was pulled out was the same as the water that had been washed. This is the body fluid inside the body!

In this way, I can't feel its power. Its power is very great. How much can a cholera patient dehydrate directly in a day? People weighing 200 kg can diarrhea into less than 100 kg! Directly, crosstalk actor Sun Yue became Gong Hanlin in a day with vomiting and diarrhea!

Is it terrible? What's more terrible is that there is no effective medicine for this disease. In short, even if you go to the hospital, you will only be rehydrated. A lot of rapid rehydration and competition will see who is powerful in the end. If you pull fast and make up slowly, it will be hopeless. The rest depends on yourself. You're lucky to survive! You can't survive. You can't even see the last side of your family~

What's more, the spread of the disease is particularly strong. Once a case occurs in an area, the water source must be controlled first. Because this bacterium can quickly pollute the water source, it is spread through diet and can not be properly controlled. One infection is a large area, and one death is a large area. This is the horror of infectious diseases!

The infectious diseases department is a separate department, but medical knowledge is relevant. Zhang Fan has a habit. After entering the Department, he will first liver the diseases in the Department. No matter whether the system is turned on or not, he will have to liver again. This is a process of reviewing the old and learning the new. It is unreasonable for him not to come forward with this effort!

The emergency department expanded the scope of consultation. Of course, Zhang Fan also had to go. The infection department was the farthest away, and Zhang Fan arrived the latest. The young doctors said that no one could be diagnosed.

"Let's make way. Let's see director Zhang." A new graduate student this year doesn't know whether to hold Zhang Fan or deliberately embarrass Zhang Fan. Anyway, it's a little unnatural, envious and jealous!

Now Zhang Fan really won't quarrel with them, because he himself knows that he is not a level and has no meaning to quarrel. Not all doctors have this mentality. There are hundreds of people and all kinds of people. Zhang Fan has no time to pay attention to him.

"Brother Zhang, show me! Neither does the respiratory department, nor does the digestive department, but this man is burned like this. The emergency department can't help it. If I can't, I'll call the director! " Xiao Li in the emergency department quickly handed the medical record to Zhang Fan.

Zhang Fan looked at the temperature and the vital signs recorded by the nurse, then opened AK's clothes, one hand with a pulse on his side, and the other hand opened AK's clothes and looked at AK's chest.

In just 30 seconds, Zhang Fan said to Xiao Li, "report it to the health bureau! This is an infectious disease! " This sentence, let other doctors instantly involuntarily away from three steps!

"Really or not, don't talk nonsense. You were diagnosed without laboratory examination? This is no small matter once it is reported. It will involve the hospital. " The graduate student just now felt that Zhang Fan ignored him and was a little unhappy.

Challenging others' bottom line again and again, Zhang Fan turned to look at him and threw the medical record on his chest, "rosette! Relatively slow pulse! High fever! How did you graduate? "

"Do the Feida test! Blood culture! Send it directly to the infection department! " Zhang Fan didn't say much, turned to Xiao Li in the emergency department and said.

"OK! I'm going to prepare now. Brother Zhang, is it you or me? "

"You are the first doctor. If you don't want to, I'll report it."

"Look what you said, isn't it that I'm afraid to take your credit? I don't look like some people. Come on, I'll go now!"

"Doctor Zhang, great!"

"Yes, I can see it at a glance!"

Ten thousand people beat the broken drum. There's no way. The graduate student just now was a little embarrassed with the medical record! Although it's just a word, the lethality is really not small! So many people, he regretted his death!