A patient with flesh and blood was sent to the emergency room. The nurse connected to the ECG monitor and measured vital signs. Zhou Litao put the stethoscope on the patient's chest for the first time.
The patient's left breathing sound is weak, considering traumatic pneumothorax.
"Call general chest and let them hurry up!" Zhou Litao shouted immediately.
The crickets covered the crying of the patient's family members, and a nurse rushed to call immediately.
Zhou Litao continued to listen, heart sounds ... I went ... how could it be so weak! Zhou Litao froze for a moment. Normally, patients with pneumothorax suffer from hypoxia due to gas in the chest cavity. Heart sounds should be strengthened in the short term.
The patient's breathing sound is weak, but there is spontaneous breathing. It is just multiple rib fractures on the left chest wall and traumatic pneumothorax on the left. How can the heart sound be so weak!
At this moment, a lot of adrenaline and dopamine were cast, and Zhou Litao's exhaustion was swept away, and he began to look for weak heart sounds.
Finally, Zhou Litao discovered that the patient turned out to be right heart ... a false alarm.
"Blood pressure, 80 / 40mmHg; heart rate, 115 beats / min; oxygen saturation 92% with oxygen inhalation," the nurse Mali reported.
"Is the bedside B-ultrasound coming!" Zhou Litao asked.
"Come here!" The doctor at the emergency B ultrasound has pushed the machine to the door.
Multiple rib fractures on the left side, a high probability will be accompanied by spleen rupture, patients with low blood pressure is estimated to have a large amount of bleeding, a diagnosis of spleen rupture can not run away.
It turned out that Zhou Litao had predicted that the patient's spleen had ruptured. In comparison, the more serious condition is the traumatic pneumothorax of the patient, and it is normal to find a general chest to receive the patient.
A few minutes later, Fang Lin trot down in an isolation suit, and it looks like he was called down on the operating table.
"What happened?" Fang Lin hurriedly asked when he came in.
"Auscultation has left traumatic pneumothorax, B-ultrasound shows spleen rupture, right and right heart." Zhou Litao quickly finished, put the ECG monitoring on a flat car, and pushed it to Fang Lin.
Wu Fanglin didn't hesitate. He pulled the patient and ran. In any case, he went back to the closed chest drainage to solve the breathing problem. If a spleen is ruptured and you can't die for a while, you just need to hurry up for surgery.
He drove the patient away cleanly, Zhou Litao exhaled.
Nurse Yun started cleaning the battlefield, Zhou Litao pondered to see how Dr. Chang asked about his medical history.
I once had a girl with abdominal epilepsy want to jump off the building, and that time I did not ask about the medical history in detail. He has always remembered what Boss Zheng and Yun Brother said, and he used to ask about family history that was not very important.
Although all the questions asked were similar, Zhou Litao was not old-fashioned. He knew what he should do.
Look at Dr. Chang's workflow and see if he can learn something. Zhou Litao has something in mind. He walks very quickly. He hurried to the door of the observation room, but saw Chang Yue go out with his mobile phone.
"Right, that is it."
"Whether you can do it or not, just go to the source without asking about your medical history? Can you be reliable! Is it a doctor!"
Wu Changyue said without a word of relief. The hair on Zhou Litao's back was erected. It should be talking to Yun Geer, even saying Yun Geer is not reliable ...
Alas.
"Doctor Chang." Zhou Litao said respectfully.
"Zhou Zhou, I'm done here, I will go back immediately, please trouble you." Chang Yue said politely, like a person before.
"What are you asking? Why is it so fast?" Zhou Litao asked quietly.
If Dr. Chang refuses to say, then forget it. He warned himself that he must not ask more questions. It is not reliable to see Dr. Chang with a stern face training Yun Brother. Zhou Litao felt that if he angered Dr. Chang, he might be trained to fly.
"Oh, more than 10 minutes is enough, the three of us asked together." Chang Yue took out a piece of paper with many food terms recorded on it.
"This is asking the children what they have eaten? I have asked before that everyone has a difference in lunch, and there seems to be nothing in common." Zhou Litao said, "Even there are three types of staple food, buns, steamed buns, and rice."
"Oh, the common ground is not on the food." Chang Yue said casually. "They all drank the drinks in the beverage machine after meals. I guess it has something to do with this."
"Drink?" Zhou Litao stunned.
"The orange juice drink machine, which contains the kind of machine that directly squeezes oranges, hasn't seen it?" Chang Yue looked at Zhou Litao, and asked with a bit of surprise, "Coin and scanning are fine, very convenient."
"..." Zhou Litao shook his head blankly.
"Put the washed oranges into the machine, insert coins, and make fresh fruit juice." Chang Yue explained.
Hospitalization is always pitiful, Chang Yue thought to myself, I have never seen such a juice machine, how long has it been isolated from the world.
I said nothing should be hospitalized, nor could Su Yun be. Uh, the goods are now professors, and Chang Yue thought of countless things in an instant.
Uh ...
Uh ...
"Is the juice?" Zheng Ren heard Su Yun and said in doubt, "Isn't it an orange? A lot of copper?"
"No matter, UU Kanshu open and look."
The three of them found the fresh juicer according to Chang Yue, watching Su Yun, who was a tall machine, patted Fan Tianshui's shoulder, "Lao Fan, it's your turn."
Fan Tianshui grinned and found the mouth where the orange was installed. He put the box open without looking at him with force.
"Lao Fan, you are doing magic." Su Yun praised.
"Dark energy." Fan Tianshui said with a smile.
Yun Su Yun smiled. He and Fan Tianshui have learned that it is his technique to perform heart compression through diaphragm muscles during liver transplantation. However, I have only practiced for a while, and it is naturally incomparable with a boy like Lao Fan.
There are more than a dozen oranges in the raw material box of the juicer. Zheng Ren picked up one and took a closer look. No difference was seen.
"Boss, are you looking at the oranges to the light, are you looking for security?" Su Yun's weird words came quickly.
"Let's check the CDC." Zheng Ren also knew that he couldn't see me at noon, after all, Orange had no system panel.
The three of them loaded several oranges each and were going to take them back for inspection. The door of a nearby classroom opened, and a few little boys rushed out, but they saw Zheng Ren and the other three holding oranges, and all stunned.
A few little boys shoved each other. After a few seconds, a little boy coughed and walked forward solemnly.
"Uncle, it's wrong to steal something," said the boy loudly.
Although he was brave enough, the trembling in his voice betrayed his inner fear.
Zheng Ren smiled, Su Yun felt a little embarrassed.
"Uncle, you put the oranges back. If you want to drink, I'll ask you to drink it."