Start with the emergency physician

What made Hou Liang completely give up was a word from a patient.

“Do you think you have someone who has Dr. Zhou who sews well?” It was as if the patient had thrown a knife over.

Hou Liang was stunned for a second and glanced up at Zhou Yuan next to him.

The technique of flying up and down, playing dragons and phoenixes, the line of catching the moon in the sky and catching turtles in the sea.

Look down and think about yourself again.

The cross suture can be stitched into an X-shape, and a simple continuous suture can be broken into several intermittent sutures.

Hou Liang raised his head, sorted out his badge, and said with a cheerful expression: “I will disinfect, mainly because I am a person, people are better, and I like to give interns the opportunity to exercise!” ”

“Next!” Zhou Yuan’s voice came from the stitching room.

“Hurry up! Why are you disinfecting so slowly, I can’t wait! The patient urged.

“Okay, shh

After sending off the last patient, Zhou Yuan and Hou Liang were almost off work.

What surprised Zhou Yuan a little 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 am also off work.” ”

Zhou Yuan did not expose Lu Chenxi’s clumsy lie and walked out of the hospital together.

“I heard, you stitched up a lot of patients today?” Lu Chenxi picked up the topic.

Zhou Yuan nodded.

“The stitching is very good. After I have surgery, you come 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 am an intern and I was assigned to the dormitory of Renhe Hospital.” Zhou Yuan explained.

“Live alone?” Lu Chenxi subconsciously asked.

“Single dormitory.”

This point, He Jianyi’s side has already arranged it for himself, otherwise, it is really not 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, right between Yanjing International Hospital and Renhe Hospital. ”

“Stay safe.” Zhou Yuan’s straight male greeting.

After parting, it was another quiet night without emergency notice.

Early the next morning, Zhou Yuan arrived at work.

As soon as I entered the emergency department hall, I saw a slightly chubby middle-aged man sitting on a waiting chair with a painful expression, waiting for registration.

“Covering your chest?”

Zhou Yuan noticed this detail, felt a little bad, and walked over quickly.

“What’s wrong with you?” Zhou Yuan asked.

Said, listened with a stethoscope.

“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, go to register immediately.” ”

Soon, the man’s daughter returned and took the middle-aged man to the emergency internal medicine department.

Zhou Yuan also followed and walked in, and it was Lu Chenxi who was sitting for treatment.

“What’s wrong?” Seeing that Zhou Yuan’s face was not good when he brought the patient in, Lu Chenxi also became serious.

The patient Zhang Shan covered his chest and sat down, his tone was very weak: “It hurts, the chest hurts.” ”

“What kind of pain?”

“It’s like being cut with a knife! It hurts a lot, and it hurts in the back. Zhang Shan’s expression was painful.

“How long has it been?”

“It’s been very early, and this morning I woke up in pain, maybe four or five hours. It’s better now, it doesn’t hurt so much, but I just feel weak and my whole body has no strength. 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 cardiac color, call the imaging department, and arrange CT immediately after the color ultrasound.” Lu Chenxi ordered.

The bedside heart ultrasound was quickly delivered.

At this time, Zhang Shan was already sweating profusely, and it was not vomiting.

“There is a shadow in the heart, the situation is not good… Schedule an ECG, CT and more now! After Lu Chenxi finished checking, he immediately stood up.

Zhou Yuan pushed the armrest of the hospital bed and quickly rushed to the imaging department.

Soon, the results of the examination reached Zhou Yuan and Lu Chenxi.

“ECG shows left ventricular hypertrophy with nonspecific ST-T changes. And there was acute ischemia of the myocardium, and the coronary arteries were also diseased! Zhou Yuan quickly analyzed.

“X-rays show an enlarged aortic arch on plain chest radiographs, with an irregular shape and local bulges in the aorta. CT showed that the aorta was dilated and the aortic valve was incomplete, and a true cavity and a false cavity had been formed! ”

Zhou Yuan and Lu Chenxi looked at each other and said in unison: “Aortic dissection aneurysm!” ”

Lu Chenxi’s face was difficult to see: “We have to immediately notify the people of the intracardial, extracardial, and general surgery departments to come down for consultation, and we have to call Dean Fu over, he is an expert in this field.” 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, and his consciousness began to be in a trance, and the whole person was on the verge of shock!