Chapter 401： A shameless excuse (Happy New Year everyone!)

"Talk." Zheng Ren left his hand on his armpit, his right elbow on the left arm, holding a squat, squinting at the film hanging on the reader, and concentrate on it.

"Here, it is the most typical image of traumatic wet lung." Su Yun knocked the film with his right index finger knuckles. "But, such a severe fracture, there will be more or less hundreds of milliliters of bleeding, accompanied by a small amount. Pneumothorax is also possible."

"You think the patient has no blood chest, is it strange?"

"Yeah." Su Yun does not shy away from it. If it is hypocritical, how can he hope that the patient's condition will be lighter and better?

but,

He did not.

Bluntly,

Not bad.

"There is a problem." Zheng Ren Shen Yan, along Su Yun's line of thought: "The patient's blood pressure is not high, according to his age, blood pressure should be between 120-130 fluctuations. Multiple rib fractures, severe pain, blood pressure maintenance It should be in the 150-160. But the patient's blood pressure is 90-100, which is worth pondering."

Lower blood pressure means bleeding.

However, bleeding in the chest, whether it is lung rupture or intercostal artery rupture, there will be imaging findings of pleural effusion.

However, this performance did not appear in the patient's lung ct.

Even the big pig's hoof of the system did not suggest any serious traumatic complications. Lung rupture is a diagnosis, it may be very heavy, and it is possible to heal itself.

According to the general situation, this patient can now be sent to the ward of the thoracic surgery for hospital observation. Take a step by step in the future, if there is a problem, handle it at any time.

But Zheng Ren and Su Yun are worried that once there is a problem, it is a big problem, and if you want to solve it, now is the best time!

"Su Yun, this disease, you also look for me to consult?" The two are tangled, a voice came.

Looking back, it is Cao Guozhen, the inpatient of cardiothoracic surgery.

He is tall and strong, like a black bear, and he walks with the wind.

Speak up...

It is also a general fire.

With thorns in the speech, it is estimated that when Yang Lili was rescued, Su Yun and Zheng Ren swept the face of the cardiothoracic surgery on the operating table, and now the heart is still not good.

He glanced at the film with a sly smile on his lips.

"The most typical traumatic wet lung, this, you have to study together with the two giants in the emergency department?"

Zheng Ren’s mind recalled countless possibilities, and Su Yun did not take care of Cao Guozhen’s provocative words and frowned.

"You want to leave the patient in the emergency room." Cao Guozhen sneered, "Leave it, no problem. Brother told you to use hormone shock, then 10mg dexamethasone daily, plus anti-inflammatory, atomized, Treatment of phlegm and phlegm. Mushutan does not give according to the instructions, 100 a day, intravenous pump to the pump, no problem."

Zheng Ren and Su Yun are still pondering.

"According to the instructions to Mu Shutan, there will be serious hypostatic pneumonia after three days, don't say that the brother did not remind you." Cao Guozhen chattered.

What he said makes sense, it is a conscience proposal.

Su Yun knows that Musuttan is an imported drug that is cheaper and has almost zero side effects. In the Imperial Capital, he used a maximum of 300 a day, and the venous pump was pumped for 24 hours.

After that, pay attention to turning over and coughing to prevent hypostatic pneumonia. The patient can be discharged from hospital for 1 week.

However, the problem is that Zheng Ren and Su Yun do not consider patients with simple right rib fractures and traumatic wet lungs.

Whether in the emergency room or the cardiothoracic ward, once you miss this opportunity, the patient...

There may be dangers.

However, it is only possible.

Medicine is an empirical science and a science of inquiry.

There is no evidence, why do you want to tell me to open a chest, afraid that you are not afraid of postoperative patients to die? !

After a few minutes of judgment, Zheng Ren suddenly thought of the reason why Su Yun’s dog day was looking for his own return.

He wants to open the chest, but he does not have this authority.

Just like every time I look for the old Pan director, Lei, this dog day is looking for myself!

"Patients can't be treated like this." Zheng Ren's hand was put down, and he looked back at Cao Guozhen and said: "At the very least, I have to do an emergency internal fixation for fractures."

Su Yun stunned.

Zheng Ren’s words are simply too special to be shameless.

The patient's fracture alignment is good and there is no need to re-fix.

But... this is a particularly good reason and excuse, isn’t it?

"Well, you see here, the dislocation is obvious, the epiphysis may puncture the pleura and lungs when the patient turns over, causing secondary blood pneumothorax." Su Yun pointed to a tiny break point on the film, vowed to say To.

In general, the lung ct is a tomographic scan, not a fracture.

To see the fracture, you need to do a chest X-ray and chest 64-row ct three-dimensional reconstruction.

However, every fault in the lung ct can see a little bit of the situation in the glimpse of the leopard. Su Yun grabbed one of the positions and said that the fracture was particularly severe.

Cao Guozhen stunned...

In the emergency ward, in order to rob the surgery, it is so shameless? !

It’s no wonder that general surgery can't do them.

According to them, this operation is bound to be an emergency. If you don't do it, then the patient will have a wind and grass in the future. They have something to say.

Cao Guozhen’s brain turned quickly, and then said: “That’s it, let’s do it.”

"You?" Su Yun's mouth showed a sly smile. "Will you have surgery? Have you cut the lungs? Have you done a sleeve cut? Nothing will break, you squint and say yourself." Will you have surgery?"

"You..." Cao Guozhen really wants to go up and put Su Yun to death.

I have always been polite, but with a bit of sarcasm in my tone but no swearing at all.

Su Yun is so embarrassed, even sprayed himself directly, is he a wild dog?

"The rib clip, sent ten." Su Yun blew the front of the black hair, faintly said.

"What?"

"Looking for the medical office? Or looking for the director of the old Pan? Thoracic surgery, we have no time to do. If you find the director of the old Pan, he must have left the chest emergency department." Su Yun smiled and said: "No is The next breast bottle, even the nurse will live, you also mean to do surgery?"

This is the case... What a special thing?

Cao Guozhen realized that Su Yun said it was true. If they left the chest emergency department, the director knew that he would not blame himself.

With a sigh of relief, Cao Guozhen turned and left.

"In the hospital, I informed the Iraqis that they are preparing for emergency surgery." Zheng Rendao.

"Yeah." Su Yun nodded and saw Zheng Ren turned and left. Suddenly said: "Boss, thank you."

"Nothing." Zheng Ren waved his hand. "I believe in you."

......

......

Note 1: This usage of mucosolvan was taught 15 years ago by the teacher Chen Houkun of the Medical University. Teacher Chen is particularly good. He used this method of super-instruction to cure several patients with severe traumatic wet pneumoconiosis pneumonia. One of the patients, Icu gave up and threw my bed. 26 days, discharged home. Later, the patient came to see me once.

Note 2: This operation is a patient I received in 2009. Look at the film, there is no indication of surgery. I watched the film for an hour, called the director three times, and finally took the director from home to do surgery. Fortunately, the operation was done early, thanks to the Da Li classmates who were in the intensive care unit at that time.

Note 3: Thanks to the Red Dust League, plus please wait, ha, no hurry.