Start as an Emergency Physician
Chapter 30
What made Hou Liang give up completely was a patient's words.
"Do you think you have a good sewing from Dr. Zhou?" said the patient, as if throwing a knife.
Hou Liang was stunned for a second, then looked up at Zhou Yuan next to him.
The technique of flying up and down, swimming the dragon and playing the phoenix, the line of going to the sky to catch the moon and going to the sea to catch turtles.
Look down again and think about yourself.
The cross suture method can be sutured into an X-shape, and the simple continuous suture can be broken into several interrupted sutures.
Hou Liang raised his head, sorted out his badge, and said with a heartfelt voice: "I will disinfect, mainly because of me, I am a good person, and I like to give interns the opportunity to exercise!"
"Next!" Zhou Yuan's voice came from the stitching room.
"Hurry up, I can't wait for you to disinfect so slowly!" the patient urged.
"Okay, okay
..."
After sending off the last patient, Zhou Yuan and Hou Liang were almost off work.
What surprised Zhou Yuan was that Lu Chenxi, who had already arrived at the end of work, was actually waiting for him in the office.
"Let's go together. Lu Chenxi stood up, "It just so happens that I'm off work too." "
Zhou Yuan did not expose Lu Chenxi's clumsy lies and walked out of the hospital together.
"I've heard, you stitched up a lot of patients today?" Lu Chenxi provoked the topic.
Zhou Yuan nodded.
"The stitching is very good. I'll have surgery in the future, so you can go with me. Lu Chenxi said.
Zhou Yuan expressed his gratitude.
"I've arrived. He stopped suddenly.
"Arrived?" Lu Chenxi was stunned and looked at the dormitory building opposite.
"I was an intern and was assigned to a dormitory at Renhe Hospital. Zhou Yuan explained.
"Living alone?" Lu Chenxi asked subconsciously.
"Single dormitory. "
At this point, He Jianyi had already arranged it for himself, otherwise, it would not be a simple matter for an intern doctor to occupy a single dormitory.
Lu Chenxi was a little surprised, and said, "My home is far away, just between Yanjing International Hospital and Renhe Hospital. "
"Stay safe. Zhou Yuan's straight male greeting.
After the separation, it was another quiet night with no emergency notice.
Early the next morning, Zhou Yuan arrived at his post.
As soon as I entered the emergency department hall, I saw a slightly chubby middle-aged man sitting in a waiting chair with a painful expression waiting for registration.
"Hold your chest?".
Zhou Yuan noticed this detail, felt that something was wrong, and walked over quickly.
"What's wrong with you?" asked Zhou Yuan.
As he spoke, he listened with a stethoscope.
"Doctor, my dad is feeling tightness in his chest!" replied the middle-aged man's daughter.
After listening for a while, Zhou Yuan's face became serious, "Don't queue up, go register immediately." "
Soon, the man's daughter came back and took the middle-aged man to the emergency department.
Zhou Yuan also walked in, and it happened to be Lu Chenxi who was sitting in the consultation.
"What's wrong?" Seeing that Zhou Yuan's face was not good when he came in with the patient, Lu Chenxi also became serious.
The patient, Zhang Shan, sat down with his chest covered, and his tone was very weak: "It hurts, it hurts in the chest." "
"What kind of pain is it?".
"It's like being cut with a knife! It hurts, and it hurts in the back. Zhang Shan's expression was painful.
"How long has it been?".
"It started very early, and I woke up in pain this morning, maybe four or five hours. Now it's a little better, it doesn't hurt so much, but I just feel weak and have no strength in my whole body. Zhang Shan said.
Lu Chenxi put on the stethoscope and carefully examined it.
"What do you think?" Lu Chenxi glanced at Zhou Yuan, and his face was a little ugly.
"I suspect an aortic dissection aneurysm. Zhou Yuan said.
"It's about the same as my suspicions. "
Lu Chenxi immediately let Zhang Shan lie on the observation bed and called the little nurse Yang Yu.
"Go and push a bedside heart color to come, call the imaging department, and arrange a CT immediately after the color ultrasound. Lu Chenxi commanded.
The bedside heart color ultrasound was quickly delivered.
At this time, Zhang Shan was already sweating profusely, and it was not vomiting.
"There's a shadow in the heart, it's not good... Immediately arrange for ECG, CT, etc.!" Lu Chenxi immediately stood up after the examination.
Zhou Yuan pushed the handrail of the hospital bed and quickly rushed to the imaging department.
Soon, the results of the inspection were in the hands of Zhou Yuan and Lu Chenxi.
"ECG shows left ventricular hypertrophy with nonspecific ST-T changes. Moreover, there was acute ischemia of the myocardium, and the coronary arteries were also diseased!" Zhou Yuan quickly analyzed.
"X-rays show enlarged aortic arch on plain chest radiograph, with irregular aortic shape and local bulge. CT showed aortic dilation, aortic regurgitation, and a true cavity and false lumen had formed!".
Zhou Yuan and Lu Chenxi glanced at each other, and said in unison: "Aortic dissection aneurysm!"
Lu Chenxi's face was ugly: "We have to immediately notify the people from cardiology, cardiology, and general surgery to come down for consultation, and we have to call Dean Fu over, he is an expert in this area." I can't do this surgery!".
"Do you think this patient can wait?" Zhou Yuan asked aloud.
Lu Chenxi immediately looked over, Zhang Shan was already sweating profusely, and his consciousness began to be in a trance, and the whole person was on the verge of shock!
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