This Doctor is Great

"quick!"

"Chen Meimei, go get the blood bag, and replenish the fluid as soon as possible, you may go into shock!"

Zhou Mo shouted, and picked up the phone to contact the cardiology department.

Aortic dissection, this is going crazy.

On Zhou Mo's side, the chickens flew like dogs on the spot!

At this time, the patient's wife also realized the seriousness of the problem, and she burst into tears.

"Old Wang, don't scare me."

"When you wake up, I will never talk about you again."

"I beg you."

She shook the patient's shoulders desperately.

If the patient Chen Gang is awake at this moment, seeing his wife's appearance, his jaw would probably drop from shock.

Because the two have been married for more than ten years.

His wife has always been very strong, and has never been soft.

Not to mention saying "please".

Zhou Mo hurriedly stopped: "Stop, you will hurt your husband like this!"

The patient's wife hurriedly asked, "Doctor, what's the situation with my husband now?"

Zhou Mo said quickly: "Your husband's condition is getting worse now, his blood pressure will drop quickly, he will go into shock, and his life will be in danger."

"The emergency treatment must be carried out now, and I have to send it to the cardiology department..."

"You have to be mentally prepared. One is to sign the consent form for the operation, and the other is to prepare money..."

"Okay okay."

soon,

The phone is connected.

Brother Zhen Zhihang.

"Brother, there is a pressure difference over 40 here, it should be aortic dissection, I send you to do intervention!"

"Ah? Another one?" Senior brother Zhen Zhihang was also confused.

"I don't know, today is amazing..."

"Okay, send it over right away, and I'll talk to the teacher."

"good."

Zhou Mo hung up the phone, and shouted to Miss Chen:

"Go, push the cardiology department..."

Miss Chen nodded, quickly unlocked the wheel lock of the hospital bed, and pushed the patient out of the ward together with Zhou Mo.

"doctor!"

The patient's wife followed behind, asking anxiously as she followed.

"Doctor, what is an aortic dissection?"

"Isn't my husband just drinking, and his stomach is ruined?"

"Why is it so serious?"

Looking at the anxious wife of the patient, Zhou Mo smiled helplessly.

"Aortic dissection refers to the blood in the aorta, which is separated from the aorta due to high blood pressure... Barabba..."

Hearing Zhou Mo's explanation, the patient's family members were taken aback for a while, with a confused look on their faces.

"........."

She couldn't understand a word of these words.

Looking at the dumbfounded look of the patient's family members.

The corner of Zhou Mo's mouth twitched subconsciously.

Headache, he doesn't know how to describe it in a popular way.

...

soon,

Sent to cardiology.

The doctors in the Intervention Center began to get busy.

Someone gave the patient's wife a pre-operative talk and a signature.

Someone is about to intervene in the operating room.

Some people are opening intravenous access and rehydration.

Zhou Mo left.

"Zhou Mo, don't you want to finish the operation?" Brother Zhen Zhihang smiled. In the past, Zhou Mo would do the surgery whenever he could, but now he is not active.

"Let's go, I can't afford to provoke..." Zhou Mo left without looking back.

Made, both patients were transferred to the cardiology department, it's evil.

It is very troublesome to go back and write the transfer department.

...

Back to Gastroenterology.

Zhou Mo hasn't started to sit down, work, and write transfer subjects.

As a result, the nurse had already started shouting.

"Doctor Zhou Mo, there is a patient sent to bed 77 who came from the emergency department..."

"Okay okay."

Zhou Mo got the patient's medical card number.

Check the medical record system.

The emergency doctor wrote the following information:

——Patient, 56 years old, male, Chen Dezhi.

——He was admitted to the hospital for 2 hours due to hematemesis, and the physical examination was positive for tenderness under the xiphoid process. The hemoglobin was 40g, and he was severely anemic.

——Emergency blood type check and blood transfusion. After that, the patient vomited blood intermittently, and the amount was large.

——Current diagnosis possibility: upper gastrointestinal bleeding (trauma, ulcer), liver cirrhosis, rupture and bleeding of esophageal and gastric varices.

Liver cirrhosis, why does he vomit blood?

Reason 1: Patients with cirrhosis of the liver will cause portal hypertension, which will cause "portal hypertensive gastropathy" after the portal vein pressure increases, and the congestion and edema of the gastric mucosa will induce hematemesis.

Reason 2: In addition, portal hypertension caused by patients with cirrhosis can cause varicose veins in the lower esophagus and gastric fundus, which are prone to blood vessel rupture, and induce massive bleeding, manifested as hematemesis.

(portal hypertension map)

Reason 3: The liver will synthesize coagulation factors. If the liver is cirrhotic, the coagulation factors will be reduced and bleeding will be easier.

Zhou Mo hasn't read the information yet,

The patient came.

"The Department of Gastroenterology is here!"

"Open the door!"

The door of gastroenterology is opened.

A group of people pushed a patient into the room.

Zhou Mo went out and saw this scene.

"?????"

So many family members?

No, what the hell are there three or four nurses?

When will it take so many nurses to send a patient?

Bored in the emergency room?

At this time, Zhou Mo saw the big man with two bars running over with a smile on his face.

"Miss Zhang!"

"Aying, I'm sorry to trouble you this time!"

"Miss Chen is too polite..."

Both sides greeted each other warmly.

Zhou Mo looked puzzled, who is this?

How does it feel to be a related household?

But it's not right, if it's a relationship, why don't you go to the VIP, why go to the general ward?

At this time, the Erdaogang guard saw Zhou Mo and hurriedly greeted him.

"Doctor Zhou, come here..."

"Miss Ying."

"Sister Chen, this is Zhou Mo who is in charge of the bed. Even though he is young, he is quite powerful."

This sister Chen saw Zhou Mo, looked at her with a smile on her face, and said enthusiastically to Zhou Mo: Doctor Zhou, my husband will trouble you during this time. "

Zhou Mo's heart is full? ? , the surface is very enthusiastic: "Don't worry, sister Chen, it's all right."

The Erdaobang guard smiled, lowered his head and whispered to Zhou Mo: "I will explain to you later."

soon,

The patient is admitted to the ward.

Erdaobang's head nurse went out to supervise the formalities in person, and the nurses under him were naturally quick and quick to complete the formalities.

And Zhou Mo took the patient early and checked into the 77th bed.

Beds 77-78 are in the same ward, but they are all empty.

Zhou Mo looked at this posture, this vacant bed of 78, will not be arranged to go out during this period of time, and the 77 bed will be left alone, enjoying the treatment of a single room.

Next,

Zhou Mo continued to understand the condition.

The patient's condition is simple and has been diagnosed.

In the emergency department, a gastroscopy was arranged for the patient, which finally showed a "tear of the cardia".

Also called: "cardia mucosal tear syndrome".

(Ben portal map)

yes,

Zhou Mo doesn't need to deduce the condition anymore, it has already been diagnosed.

Inquiry and physical examination, go through the process again.

At this time, Zhang Luojia also came, and said to Zhou Mo: "This patient, report to me more, and I will arrange treatment..."

Zhou Mo nodded: "Okay."

At this time, there are more doubts in my heart.

Who is this patient?

It's not like rich people, VIPs don't even live there.

What kind of account came from?

.

I took the baby for a follow-up visit in the morning, but no results were found. B is beyond flatulence. Urinalysis failed to retain urine. The blood routine showed that it was a virus... In the end, it was really impossible to prescribe medicine. The child was too young to take many medicines... High fever often 39, but I did nucleic acid every day, and I was not afraid of the new crown... Next time I write about emergency, I will write down my experience.