Chapter 569： Fortunately, there is no intention.

"Oh, satisfaction is good." Zheng Ren's expression is a bit stiff, there is something in his heart, and he can't take care of Shi Yan, faint.

When Zhao Zheng saw Zheng Renhe’s performance differently, he asked: “I see the patient’s condition is very good, Zheng Zheng, are you worried?”

"Yeah, Zhao Jie." Zheng Rendao: "Patients consider traumatic carotid injury. Now look good, maybe a blood spray will go up in the next second, and people will be gone."

Zhao Jie is very surprised. Even the old clinically assisted doctors have never seen this situation Zheng Ren said. She is skeptical about operating the machine and giving the patient a cervical vascular CTA.

The inspection took more than 20 minutes, and Zheng Ren asked Su Yun to send the patient back.

He still did not forget the Su Yun, must not let the patient move.

Su Yun knows the weight, Zheng Ren’s worry is also his worry.

There are more emergency patients, and there are many strange things to see. It’s only like this when you drive carefully to the ship.

Su Yun was in the Imperial Capital and had a patient with a spontaneous pneumothorax.

The patient was walking, diagnosed as a spontaneous pneumothorax on the left side, and the lung tissue was compressed by 60%. The patient had a history of pneumothorax and reported that he was cured after closed drainage.

This kind of patient has nothing to say, the history is simple, and the treatment is simple. If you refuse to do a thoracoscopic or thoracoscopic surgery, the next chest bottle will be observed for a few days.

However, after entering the chest bottle, dark red blood began to flow out along the chest tube.

Su Yun did not care about it. He moved a stool and sat next to the patient to observe the chest drainage.

After two hours, the drainage per hour has reached about 200ml.

Su Yun took the initiative to make a decision, and the patient's family confessed to the condition and opened the chest to explore.

As a result, people laugh and cry.

Because the patient had a closed drainage, the lungs and pleura had adhesions. This spontaneous pneumothorax, when the lung tissue is compressed, causes the pleural adhesion area to be torn.

Intraoperative exploration, only a large avulsion area of ​​the big mother's fingernails, there is bleeding in this area.

It is such a point of bleeding, when the chest is positive, the bleeding is not obvious. When the air is taken out and the chest is returned to normal pressure, a large amount of bleeding begins.

When she came to power, the patient was already in the early stage of hemorrhagic shock.

Almost no one is gone.

If Su Yun cares a little bit.

If there is a big rescue on the day, everyone will come to power and delay the observation and disposal time.

in case……

If you are a million, the patient will die in the ward.

Therefore, doctors who work in the clinic will have a problem - all the suspicions and the bottom of the heart will be magnified infinitely.

Perhaps this is also a form of pessimism and an obsessive-compulsive disorder.

Nowadays, Zheng Ren and Su Yun use this attitude to treat patients with suspected carotid artery scratches.

Seeing that Zheng Ren did not leave, Zhao knew that he was in a hurry and simply expedited.

When the image of the cervical vascular CTA appeared on the screen, both of them were shocked.

A triangular piece of glass is inserted into the carotid artery.

Although the carotid artery bleeding was prevented, when this unstable factor went wrong, no one could say it well.

Zheng Ren saw the glass fragments for a moment, immediately picked up the phone and called Su Yun.

"The patient's carotid artery sees the glass fragments. Do not oppress the scratched area on the left side, be sure not to oppress!"

"Yes, ask the vascular department to come to the clinic, inform them, and prepare for emergency surgery."

“To calm the patient and keep the patient emotionally stable.”

After the account was finished, Zheng Ren took a sigh of relief and took the phone up.

If you can find the problem, you can solve the problem.

The most difficult and dangerous period for this patient has passed.

This kind of surgery was first performed by general surgery. After all, it is neck surgery. However, as the vascular department was separated, it was done by the vascular department.

Zheng Ren can't try it, but one can stop the consumables like the carotid artery. Second, the time for surgery training has been warned. If you don't train, who dares to touch the carotid artery?

As for the technical strength of the vascular department of the first hospital in Haicheng, it is possible that this operation cannot be taken down.

But Zheng Ren does not care.

Surgery can not get down, you can go on stage together, over-selection, into the carotid artery, the next film stent in the bleeding position is enough.

Although the latter's handling is not rigorous and informal, the means of life-saving are good.

"Zheng Zong, how did the glass go in?" Zhao asked while doing post-processing.

"It is estimated that high-speed sports glass fragments pierce the skin, and this glass fragments are damaged, and there are no obvious signs on the body surface, but the body is very sick." Zheng Ren is now thinking back, still can not help but fear.

With a little care, this patient will not know when he will bleed as the glass fragments fall off the carotid artery, and then die within a minute.

With the film just printed, Zheng Ren hurried back to the emergency department.

The director of the vascular department was also taken over from the cafeteria.

Because the vascular department is a small department, there are not many related operations, so there is no hospitalization.

Small hospitals are all kinds of substandards.

When Zheng Ren walked in, the director of the Vascular Department was coming out.

The two met on the face, and Zheng Ren raised the film in his hand and said: "Director Fan, can you take a look?"

Director Fan nodded cautiously. Zheng Ren called the patient's lover to the office and found a reader to insert the film.

On the neck of the blood vessel cta, the triangular glass fragments less than 1cm are particularly glaring almost see the film, the piece of glass is like a horror film, "stabbed" from the film.

"Director Fan, prepare for surgery." Zheng Rendao.

“Hey.” Director Fan shook his head and said: “The patient’s life is really big.”

Zheng Renshen thought it.

If there is not much coincidence, I am afraid that the 120 ambulance will be taken to the hospital, it is just a dead body.

The diagnosis is clear, there is nothing to say, the emergency surgeon opened the hospitalization order, and Director Fan took the patient and hurried back to prepare for the operation.

This kind of surgery is also very quick to recover.

Zheng Ren estimates that he will be discharged two or three days after surgery.

A lot of big things, once discovered, are trivial things.

Can cause fatal trauma, disease, clear diagnosis, the patient can be discharged two or three days after surgery. Think about it, it is indeed her life.

After a long period of clinical practice, I saw more and started to believe in life.

At the scene of the accident, the patient who was hit by no human form was discharged home half a month and a month.

Small scraping, the patient's **** did not, but caught up with the delayed carotid intima of 50,000 chances. After three or five days of hospitalization, suddenly incontinence and incontinence, Zheng Ren also witnessed the case. (Note 1)

So let's talk, people...

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Note 1: Carotid intima avulsion, this case was encountered by a friend of mine in neurosurgery. Later, the book was checked, with a probability of one in 50,000.

In the case of the carotid artery, I have a similar content in the Chinese TV drama "Good Medicine". This case is selected from "", there are some places, I also feel so amazing. But clinically there are some small probability events.