Start with an emergency physician
Chapter 30
What made Hou Liang give up completely was a patient's words
"Do you think you can sew as well as Dr. Zhou?"The patient seemed to have thrown a knife at him.
Hou Liang was stunned for a second, then looked up at Zhou Yuan next to him.
The techniques of flying up and down, like dragons and phoenixes, and the lines of reaching for the moon in the sky and catching turtles in the sea.
Then he lowered his head and thought about himself.
The cross suture method can be sutured into an X shape, and the simple continuous suture can be broken into several intermittent sutures.
Hou Liang looked up, adjusted his name tag, and said confidently:"I just do disinfection. Mainly because I am a good person and I like to give interns the opportunity to exercise!"
"Next one!" Zhou Yuan's voice came from the suture room.
"Hurry up! Why are you so slow in disinfecting? I can’t wait any longer!" the patient urged
"Okay, okay.……"
After seeing off the last patient, Zhou Yuan and Hou Liang were almost off work.
What surprised Zhou Yuan was that Lu Chenxi, who had already gotten off work, was actually waiting for him in the office.
"Let's go together." Lu Chenxi stood up and said,"It just so happens that I'm off work too."
Zhou Yuan did not expose Lu Chenxi's clumsy lie and walked out of the hospital together.
"I heard that you sutured a lot of patients today?" Lu Chenxi brought up the topic.
Zhou Yuan nodded.
"You are very good at suturing. You can come with me when I perform surgery in the future." Lu Chenxi said.
Zhou Yuan expressed his gratitude.
"I'm here." He suddenly stopped
"Arrived?" Lu Chenxi was stunned and looked towards the dormitory building opposite.
"I am an intern and was assigned to live in the dormitory of Renhe Hospital. Zhou Yuan explained
"Live alone?" Lu Chenxi asked subconsciously.
"Single dormitory."
He Jianyi had already arranged this for her, otherwise, it would be difficult for an intern to get a single dormitory.
Lu Chenxi was a little surprised and said,"My home is far away, right between Yanjing International Hospital and Renhe Hospital."
""Be safe." Zhou Yuan's straight-man greeting.
After they parted, it was another quiet night without any emergency notices.
The next morning, Zhou Yuan arrived at his post.
As soon as he entered the emergency department hall, he saw a slightly fat middle-aged man sitting on a waiting chair with a painful look on his face, waiting to be registered.
"Covering his chest?"
Zhou Yuan noticed this detail and felt something was wrong, so he walked over quickly.
"What's wrong with you?" Zhou Yuan asked.
He then used a stethoscope to listen to
""Doctor, my dad feels chest tightness!" The middle-aged man's daughter replied.
After listening for a while, Zhou Yuan's face became serious,"No need to 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 followed in, and the patient was Lu Chenxi.
"What's wrong?" Seeing Zhou Yuan's face not looking good when he brought the patient in, Lu Chenxi also became serious.
The patient Zhang Shan sat down, holding his chest, and said weakly:"It hurts, my chest hurts"
"What kind of pain is it?"
"It feels like being stabbed by a knife! It hurts so much, and my back hurts too."Zhang Shan looked painful.
"How long?"
"It started very early. This morning I woke up in pain. It may have been four or five hours. It's better now. It doesn't hurt so much, but I just feel weak and have no strength in my body."Zhang Shan said.
Lu Chenxi put on the stethoscope and carefully checked it.
"What do you think?" Lu Chenxi glanced at Zhou Yuan, his face also looking a little ugly.
"I suspect it's aortic dissection aneurysm." Zhou Yuan said
"It's similar to my suspicion."
Lu Chenxi immediately let Zhang Shan lie on the observation bed and called the nurse Yang Yu
"Go get a bedside cardiac ultrasound and call the imaging department. They will arrange a CT scan right after the ultrasound." Lu Chenxi ordered.
The bedside cardiac ultrasound was delivered quickly.
At this time, Zhang Shan was sweating profusely, but he was not vomiting.
"There is a shadow in the heart, the situation is not good... Arrange an electrocardiogram, CT scan, etc. immediately!"After Lu Chenxi finished the examination, he stood up immediately.
Zhou Yuan pushed the armrest of the bed and rushed to the imaging department.
Soon, the test results were in Zhou Yuan and Lu Chenxi's hands.
"The electrocardiogram showed left ventricular hypertrophy and nonspecific ST-T changes. In addition, there was acute myocardial ischemia and coronary artery disease!"Zhou Yuan quickly analyzed.
"X-rays showed enlarged aortic arches on chest films, irregular aortic shapes, and local bulges. CT showed aortic dilatation and aortic valve insufficiency, with true and false cavities formed!"
Zhou Yuan and Lu Chenxi looked at each other and said in unison:"Aortic dissecting aneurysm!"
Lu Chenxi's face turned ugly:"We must immediately notify the people from the cardiology, cardiac surgery, and general surgery departments to come down for a consultation, and we must call Dean Fu over, he is an expert in this field. I can't do this operation!"
""Do you think this patient can wait?" Zhou Yuan asked. Lu
Chenxi looked over immediately. Zhang Shan was sweating profusely, and his consciousness began to fade. He was on the verge of shock!
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