Chapter 87： anonymous

"Zheng Zong, I called a 120 ambulance, no money, you have money." Chang Yue's voice is still indifferent.

Zheng Ren hit a big anger, and he got out of the air.

If you are an emergency patient, don't talk about getting up, sometimes you can't even wear your shoes. But in the morning, I received a call from Changyue. The face that was originally very delicate, but always with a face, appeared in front of me.

However, Zheng Ren has always had a good temper, but he still woke up.

These guys won’t be drinking for a night... When they think about it, he’s going to be mental.

Mom, drink for a night, don't kill? ! Really called 120 ambulance? I won't drink stomach bleeding.

"Yes." Zheng Ren is nervous. "How are you? How about Su Yun?"

"I'm fine, very spirited, I feel that I can go straight to work. No problem. Su Yun is more, fell, and there should be no big deal." Chang Yuedao.

Zheng Ren slightly put down his heart, and his heart is dark, how can these two annoying guys drink a night?

"Zheng Zong, I also married a patient, middle-aged male, plate-shaped abdomen, what do you think?" Chang Yue said the most important content for calling Zheng Ren.

"Go to the emergency department, I will go down and see." After Zheng Ren finished, immediately change shoes, put on white clothes and go straight to the emergency department.

Just out of the door, he turned back and took 200 yuan from the wallet and stuffed it into the jacket pocket of the isolation suit.

The 120 ambulance is not free, and it is paid once, depending on the distance. Even if it is a family member, there is nothing cheap to take. After all, in order to make a hundred dollars, I have to brush the face of Director Pan, and I can’t afford to lose it.

The shop that eats crayfish is not far from the hospital. When Zheng Ren went to the emergency department, 120 ambulances arrived.

Two flat cars pushed over and one moved to Su Yun. After he drank too much, the wine was not bad. He curled up into a ball and muttered in his mouth and didn't know what to say.

Chu Yuzhi is next to him, and his face is helpless.

"I persuaded, I couldn't persuade it." Chu Yuzhi explained that it seems that this matter is her fault.

"Nothing." Zheng Ren's caress Chu.

Zheng Ren glanced at the system panel for acute alcoholism... This is how much it is drunk and alcoholism.

"Take him to the emergency room, stop naloxone, and add 500 vitamins to the 500 sugar." Zheng Ren simply and Chang Yue confessed.

Changyue Muran took the elevator and took the elevator upstairs. Chu Yuzhi is behind, fart and fart, compared with Chang Yue, she is a child, although the two are almost the same age.

Walking away, Zheng Rencai found that Chang Yueguang was on his feet, as if he had dipped in water. Every step was a footprint.

An alcoholism, a shoe is gone... wipe! Zheng Ren’s heart is dark.

However, this is not important. The patient with the plate-shaped abdomen is the focus of Zheng Ren.

Another man lying on a flat car had a large skeleton but was very thin.

Zheng Renyi looked at the system panel, and the red blood red on the upper right was similar to the red color on the day of acute nitrite poisoning.

Acute gangrenous appendicitis, septic shock.

Endangered!

Speeding up the push of the flat car to the emergency room, Zheng Ren ran and shouted: "Look for the B-room to make the bed, prepare the monitor, and take oxygen."

When I arrived at the rescue room, I prepared two night nurses to start taking off the patient's coat and put the ECG monitoring on.

Zheng Ren checked his body and touched it with his hand.

Fortunately...

In toxic shock, fever is normal. But if it does not produce fever, it is the clinically said cold shock, basically can tell the family to prepare for the event.

The patient is still hot, which means that the body's own immune system can still maintain normal work, although it is dangerous, but it is not the most dangerous kind.

The heart rate was 130 beats/min and the blood oxygen saturation was only 93%. The abdomen is like a hard wooden board that doesn't move at all.

This is a typical sign of peritonitis, inflammation stimulates the peritoneum, abdominal muscle tension, also known as slab-like abdomen.

It is common for the hollow organ to rupture and the digestive juice to flow into the abdominal cavity. Or physical organs rupture and hemorrhage, blood stimulation of the peritoneum.

The doctor in the B-room quickly pushed the car and smeared the couplant on the patient's stomach while asking: "The patient's name."

Because the report is going to be made later, the name is always asked. This is a normal process, otherwise an accidental report is mistaken and delays patient diagnosis, which is a big deal.

"Anonymous, male, 35 years old." Zheng Ren Duan detailed the face of the patient, probably estimated the age, casually reported.

"The lower abdomen mass, considering the abscess around the appendix, or the perforation of the appendix. There are a lot of gas in other parts, B can not be seen clearly. The pelvic cavity has a small amount of fluid, and the rest is negative." The doctor of the B-chamber quickly reported the main diagnosis. To Zheng Ren.

The condition is very serious and requires surgery.

Zheng Ren ordered medical care to **** the patient to the emergency room, picked up the phone, hesitated, or dialed out.

So early, disturbing the director of the old Pan, how much is not good. But this kind of thing must be reported to the higher doctors, but it is not a joke.

If the patient is really a lonely person, if the surgery is wrong or because the condition is very serious, the rescue will not come back. Many times, friends and relatives will immediately come out from the ground and even cry and cry.

This is still second, Zheng Ren has no time to consider. The main problem is in front of you, you have to have surgery, no one signs.

Director Pan Pan picked up the phone for the first time and his tone was very serious.

"Xiao Zheng, what happened."

Zheng Ren rarely disturbed the director of the old Pan to sleep, this is the first time he came to the emergency department. Therefore, Director Pan is a little nervous, this is the doctor's instinctive reaction.

"Anonymous, male, about thirty-five years old. Consider acute gangrenous appendicitis, acute toxic shock, no family contact." Zheng Ren gave a clear report on the main issues.

"Before preparation, I will contact the Medical Department." Director Pan did not hesitate to answer immediately.

Zheng Ren hung up the phone, ran a trot to the upstairs, and even the elevator did not wait, take the fire exit.

"Prepare before surgery." While commanding the nurse, Zheng Ren picked up the phone and called Chu Yuran and Xie Yi people to prepare for surgery emergency blood collection, ECG, etc. With a glance, Ren took the patient who had already placed the stomach tube and urinary catheter to the third floor operating room.

Give the patient to Chu Yuran, Chu Yuzhi, and then return to the emergency room.

At this time, the director of the old Pan is already on the road, the staff on duty at the medical office is mad, and brought video equipment to the doctor's office in the emergency ward.

When the director of the old Pan arrived, the staff of the medical department began to record video files with legal effects.

Zheng Ren reports the medical history, tells the patient's condition, the solution, and proposes that because there is no patient's family, it is impossible to communicate and sign before surgery.

Next, the Medical Office authorized the director of the hospital to give Mr. Lao Pan the right to perform surgery in the emergency room.

Such a procedure is indispensable and is a self-protection behavior of medical workers.

After recording the video, the staff of the Medical Department returned to the organ with a sleepy eye.

Zheng Ren is a little embarrassed. "Director Pan, I am sorry, I will call you up so early."

"There are few people who feel old and have already woken up." Director Pan Pan waved his hand. "Go to surgery, are you sure?"

In the face of toxic shock, no one has absolute certainty.

Unlike shock caused by nitrite poisoning, toxic shock caused by diffuse peritonitis has no symptomatic drugs. It can only be used to block the source of pollution, and a large number of antibiotics are used after surgery to solve the problem.

As for whether or not you can recover, it depends on the patient's own state.

That person... Zheng Ren remembered that he was skinny, his face was a little bleak, and he shook his head.

"Try your best." Director Pan Pan patted Zheng Ren's shoulder. "I will go to the hospital and ask for the fee after I go to work."

Zheng Ren nodded and hurried to the operating room.