Chapter 1099

If the uproar in pediatrics still represents the vitality of children, the respiratory department is completely suffocating. Many old men and women hold their faces like frozen eggplant, their lips like purple lipstick, and they can't see a little vitality in their eyes.

It's as thin as a stick, but the chest is round like a bucket. It takes a lot of effort to take a breath, which is still slightly stable. If you encounter a mouthful of sputum, it suddenly blocks up in the trachea, and you can't cough out. Under it, the sputum sticks to the mouth of the trachea.

Then the patient suddenly wanted to be pinched by the neck, his hands danced violently, and his whole body twisted violently on the bed like a maggot. The eyes suddenly protruded, as if they were about to fall out.

The feeling of dying derived from a strong sense of suffocation is absolutely like purgatory. The elderly in the respiratory department often experience this torture many times a day. They don't have much energy and spend almost all of it in struggle again and again.

Really, the feeling of suffocation is definitely beyond the imagination of ordinary people.

"Zhang Yuan! Several patients are obviously suffocating, and there are already indications for cutting the tube. " When the deputy director of the respiratory department saw Zhang Fan, he hurried over.

The respiratory department used to be a quite different department in the tea vegetable city hospital. Under the leadership of the old residence who protects the calf, the steady Kazakh English flutters in the Department at the morning meeting every morning. Many patients lie on the glass wall and look at a group of doctors in white coats like chanting scriptures.

Lao Ju is not only familiar with various local relationships, but also has a good way in several specialized respiratory hospitals in the capital. After all, they lived and died together in those years, so doctors and nurses in the Department revolved around Lao Ju.

The good name of Laoju is not good for profit, which makes the departments unite as an iron plate. Zhang Fan, the doctor who loves money most in the tea vegetable hospital, was the teaching teacher of the respiratory department. If he didn't have Laoju, he would have lost his job.

This department has obvious disadvantages, but its advantages are also obvious. In the hospital, the number of papers published by their departments in core journals is the largest in the hospital. Moreover, the doctors and nurses in this department are the most practical.

There are 60 beds in the Department of Cardiology. If you add 80 beds, from the director to the doctor, from the head nurse to the nurse, they all sigh and complain to the dean in turn.

But there are 60 beds in the respiratory department, and there are 100 extra beds. The doctors and nurses in other departments seem to be all right. The Department has obvious characteristics of old residence, with a sense of perseverance.

Deputy director of Tajik nationality, everyone calls her ayguli. This name is abbreviated in Chinese. If you shout it out, it doesn't look ordinary anyway. The signature plate left by others in the medical office is also ayguli. There are many ayguli in the municipal hospital, including nurses. However, generally everyone calls her director A. she will never be like the old house. She will emphasize that she smiles and nods every time, as if she is very shy.

Although she is over 40, she is still very beautiful. Looking at the photos of her youth, she is a little like the female prosecutor in Ukraine. She is obviously different from Lao Ju. Lao Ju is like a proud peacock.

Director a is as low-key as a little transparent. In fact, whether it is oral English or written English, it is much better than that of the old residence. People can account for more than half of the credit for the papers published by the Department, but they don't protect the calf as much as the old residence, so the prestige of the Department is still not as high as the old residence.

Hearing what ayguli said, Zhang Fan asked, "is the situation very bad?"

"Well, blood gas analysis showed type II respiratory failure, and our bedside ventilator was not enough."

"Seriously transferred to ICU."

"There are no beds in ICU!"

As soon as this is said, Zhang Fan has no choice. Other departments can think of ways to add a bed or something. Anyway, there is heating in the aisle. But ICU can't. ICU is like a radish and a pit. It's useless to add beds alone. The most important thing is that you can't add auxiliary instruments because there's no extra.

Just a few words later, the nurse shouted, "old man Li can't do it!"

Zhang Fan was stunned because he was not familiar with patients in the respiratory department. And ayguli has turned and started to run, and Zhang Fan closely follows ayguli's footsteps. The extra beds all over the corridor can't run smoothly.

In general surgery, there are few such names. A few beds are just a few beds. In internal medicine, especially in departments with many elderly patients, many patients are familiar with doctors and nurses and can't be familiar anymore. They will report on time every year. If they don't come this year, they will not come again in the future.

Therefore, the relationship between such patients and doctors and nurses is very special. For example, a patient in his 60s began to go to the hospital and died in his 70s. After more than ten years, when he left, although the heart of doctors and nurses was as hard as steel, it was still hard to feel.

Often, several doctors get together and talk low. My one has left, and the other will sigh and say that my one hasn't come this year. It's estimated that

Director a quickly ran to the ward, where several doctors had arrived“ What's the matter? I did atomization in the morning! " As soon as she entered the door, ayguli knew the general situation at a glance. She didn't need to ask more questions.

Lao Li Tou, a thin patient, is about 60 to 70 years old. At this time, the old man's two feet kept rubbing against the bed surface, and his toenails scratched on the bed sheet. The old man's hands opened and closed as he danced, raised and pulled his nails to his throat, as if someone who was going against the water wanted to catch something. It's like trying to dig a hole in your neck.

The old lady beside the patient had tears on her face. She grabbed the old man's hand and was afraid that the old man would scratch herself. She trembled and didn't know what to say.

Twist your head around the pillow. It's really like someone who's high in the disco, or a ghost.

Ayguli grabbed the sputum aspirator as soon as she asked the doctor in charge of the bed. The doctor in charge of the bed was a young woman doctor. At this time, she was nervous and scared and almost cried. Because there were not enough doctors during this period of time, she directly let the doctor who had just graduated into the hospital become a bed doctor. She didn't know what to do without experience.

With a cry, he said, "I ordered atomization last night, but I didn't do it during the ward round this morning."

"Step aside!" Ayguli was unusually angry. The doctor in charge of the bed turned the tears in his eyes, but he couldn't explain the grievance in his heart.

Zhang Fan didn't say anything. He walked quickly, reached out and quickly took out the old man's pillow, then put his hand under the old man's neck and lifted it slightly. At this time, the old man's posture is like stretching his neck before the rooster crows in the morning.

The old man's hands grasped ayguli's arm and Zhang Fan's arm. She wears a lot in winter, but Zhang fan can feel the strength of the old man, because the meat hurts. It is estimated that ayguli, who wears less, hurts more.

But neither of them moved. Let the old man cling to it. Ayguli held a sputum aspirator and her hands were steadily stained with water while resisting the shaking of the old man. Then he looked up slightly and looked at Zhang Fan.

In the hissing sound, the doctors close to the old man could obviously hear the sputum rolling back and forth in the old man's organs like a ball, but it couldn't come out. The sound of suffocation is hard for normal people to hear. They want someone to put his hand into his mouth and take it out for him.

Hold the neck with one hand and forcibly pinch the patient's jaw with the other hand. When people are on the verge of death again, their strength is very fierce. If a female doctor estimates that she can let the thin old man shake around, but Zhang Fan is very stable.

When Zhang Fan quickly pinches the old man's mouth, ayguli quickly inserts the sputum suction tube into the old man's organs.

If the sputum will make the patient feel suffocated, and the sputum suction tube will directly cause instant suffocation. What is a sputum aspirator? It's actually a small aspirator. To be more popular, it's actually a small vacuum cleaner.

The suction tube is the one for drinking yogurt. Of course, this straw is relatively thick, which is a little thicker than the straw for drinking milk tea now. After ayguli steadily inserted into the old man's organ, she instantly turned on the suction and began to extract sputum from the organ. This sound is similar to that of some people who don't give up after drinking most yogurt, It is as like as two peas of yogurt standing on the wall of the tube, the most of which is a big one and a small voice.

Sputum, sticky yellow, sticky yellow, stuck in the sputum suction tube, all don't go very smoothly. Sputum suction is quite uncomfortable.

This operation is not to insert it and wait for it. You must hold the head of the sputum suction tube, shallow first and then deep, try to suck more at a time, go in and out, observe the patient's expression, and try to insert it into the depths of the organs.

These actions are counted by seconds. You can't slow down. If you slow down, you will suffocate the old man.

It can't be fast. I can't suck sputum soon. Not only to go in and out, deep and shallow, but also to hold a soft tube to rotate around the old man's organs to find more sputum.

The old man was already able to dance when he was suffocating. When the sputum suction tube was inserted, the old man's sudden eyes seemed to crack, and the blood was burst.

How uncomfortable is this feeling? Let alone others, ordinary people accidentally choke when drinking water. This feeling is hundreds of times worse than the feeling of choking when drinking water.

The sense of suffocation, the sense of pulling and inserting, and the strong sense of rejection of muscles. To tell you the truth, this thing would definitely be used as punishment if it were not for the operation of treatment.

The patient feels bad, and the doctor feels bad.

The soft tube in your hand not only needs to go in and out quickly, but also moves with the patient's twisted head, but also needs to find the sticky sputum standing on the sputum. To tell you the truth, it's too difficult. While watching the old man suffocate, he anxiously looked for sputum, and the strength in his hand should be controlled, otherwise the hose would be folded together.

Really, both doctors and patients are sweating at the same time. The difficulty of doctors is definitely experienced by greasy middle-aged men in their old age. It's always more painful for each other to have a resentful look in their eyes than to slap them in the face.

"Zhang Yuan, no, the organs are swollen and can't be inserted. Sputum can only be sucked into the shallow part of the throat, but it can't get in at all. "

Ayguli tried several times and couldn't get in.

Medical operations pay attention to a gentle, but also the number of times. For example, in catheterization, the old man's prostate is swollen. When catheterization, it can't be conducted at most three times. If it can't be conducted, it must be conducted with fistula, because this thing of the human body is not plastic or rubber. It will be edema if it is conducted more times.

In fact, sputum suction is the same. If you can't get in for the first time, it's more difficult to get in later.

"Cut the bag!" Zhang Fan shouted to the head nurse of the respiratory department, and then said to the panicked little doctor standing aside, talk to his family about his condition quickly.

And the old man's wife did not dare to cry, holding the phone trembling to call the child: "big baby, come on, your father can't!"

He spoke with a whimper.

It is estimated that the other party hung up the phone. The old lady finally cried out, as if she had released a little emotion after informing the child. She cried and said, "he was asked to do atomization yesterday. He was suffocated and smoked secretly at night.

Can't you stop smoking? Can't you listen to the doctor? What can I do if you leave. It's all my fault. If I didn't give you cigarettes, you wouldn't do that. You must insist. "

The old lady trembled with injustice.

Young couples are always accompanied. Many old people serve the stubborn old man. In other people's eyes, they seem to feel unwilling for the old lady, but who knows, the old lady often regards the old man as a sustenance or a task.

Once the old man dies, in most cases, it is the hind leg of the old lady's spirit. It won't take long, or even a few years, for the old lady will die.

As soon as ayguli heard it, she wronged the little doctor, but when she was wrong, she was wrong. Who told her not to make a careful ward round? It's impossible to apologize. It's good not to clean up her when she comes down.

All the doctors in the office came to the ward. In this case, there are multiple doctors and multiple helpers. Generally, they don't need to be greeted by others. Once they hear that the patient in that room is dead and needs rescue, the doctors will consciously come to help.

This is teamwork in internal medicine.

I took the bag the first time.

As soon as Li Hui took care of the bed, the female doctor trembled and couldn't speak clearly. He immediately recorded the conversation and began to preach to the old lady.

The old lady was nervous and can't stand now.

"Can you wait for the child and let him see the child for the last time. Woo! Woo! Woo! " The old lady probably didn't listen. She heard that she might die.

After all, Li Hui has worked for several years. As he said, he put the pen into the old lady's hand, spent a few times casually, and turned around and left.

"I agreed to sign." He shouted to the ward as he walked.

In fact, the incision is already under way.

The nurses pulled the curtain hanging on the roof and moved the patients in the surrounding beds to other wards.

The other old man in the next bed was scared blue. It was so scary. In his eyes, these doctors are like killing pigs, pressing the patient and inserting tubes into the organs.

Just when he was palpitating, his wife said, "look, do you still smoke? You smoked with the old man last night."

In a word, the frightened old man trembled.