When doctors have a simulated operating room

The wound was severed.

"Oh my god! How come this section of the trachea is broken? There's blood flowing out!" The doctor who performed the laryngoscopy was also shocked.

Under normal circumstances, the trachea is rarely injured compared to the esophagus.

Because sometimes the food people eat is too hard or fish bones are stuck, the esophagus is also injured.

The trachea is only responsible for breathing. In addition to oxygen and some microparticles, what else can be lethal in the air?

But this section of the wound in the girl's trachea looks like it was artificial!

Zhang Yi breathed a sigh of relief in his heart.

After a long time of effort, I finally revealed the truth to you...

When he just entered the emergency room and saw this scene, Zhang Yi had already guessed how the injury came about.

What else could be the reason except that gastric lavage turned into lung lavage by mistake?

"The bronchial injury was definitely not caused by our Union Hospital. Family members, I suggest you go back and ask the doctors in your county hospital.

See how they actually did it.

I suspect your child didn't have a gastric lavage at all in the county hospital, but a lung lavage!

The patient's pulmonary edema probably needs to be rechecked. We'll do a negative pressure test later to see if some fluid can be drained out."

Zhang Yi said as he observed the picture on the display.

After hearing this, the family members' faces were filled with disbelief!

"Lung lavage?! How... how could this be? We saw the doctor lavage the stomach!"

"Does gastric lavage also involve sticking the camera in like this?" Zhang Yi asked again.

The family member then shook his head: "No..."

"That's right, and how long was the time between the gastric lavage and the time your daughter took the medicine and ate?"

The family member thought for a while: "About one and a half hours or two hours..."

"Whether it's one and a half hours or two hours, the digestion of food can't be so fast.

Look at the food in her gastrointestinal decompression device. Although it is almost digested into water now, you can see that there are still some grains of rice in it.

How could the county hospital only wash out clear water after only one and a half hours?"

"Ah?!"

"Fuck! Dog coin county hospital! It really hurt my daughter!!"

Zhang Yi looked down at the girl again, and then gave the family a reassurance:

"Of course, taking medicine to commit suicide is not a good thing. This is true. Generally speaking, the drugs that can cause coma on the market are basically benzodiazepine sedatives.

But if convulsions are added... I suspect it may be diphenidol.

This drug is also called motion sickness medicine, which is used to prevent dizziness.

Basically, no doctor's prescription is required, and you can buy it at any pharmacy outside.

In addition to dizziness and severe gastrointestinal discomfort, side effects also include panic and palpitations. Once an overdose leads to diphenidol poisoning, it is very likely to cause coma, even hallucinations and mental disorders.

There is a certain degree of damage to the central nervous system, and convulsions will follow.

Of course, in my opinion, the amount of medicine she is taking is not particularly large. After gastric lavage and blood filtration, the situation will improve, and the family members don't need to worry too much. "

If she takes too much, the girl will not only be in a coma.

Mental disorders, hallucinations, delirium and other symptoms will be aggravated.

But this girl didn't.

It was just a ventricular fibrillation due to respiratory depression and acidosis.

This shows that the side effects of the drugs are not as serious as the series of consequences caused by the wrong tube inserted by the doctor at the county hospital!

The family members were obviously relieved when they heard Zhang Yi say this!

Oh my...

This doctor is awesome!

He has figured out the cause and effect of his daughter in just a short time!

Really awesome!

On the side, Wang Yufei also said happily:

"Oh my! Then I guessed right just now! I was thinking that the girl's pulmonary edema may not be caused by drugs, but because the county hospital inserted the wrong gastric tube during gastric lavage, causing 'gastric lavage' to become lung lavage!"

Zhang Yi glanced at him:

"Then why didn't you think of it earlier?"

"I... I..."

Wang Yufei was speechless.

Blinked and looked at Zhang Yi: You are awesome, okay!

After the laryngoscopy, the girl was immediately sent for gastric lavage.

The color of the gastric lavage this time was not clear water at all, but a turbid liquid with gastric juice and food residues!

The family members realized that the water used for gastric lavage must not be clear water plus blood.

I learned a lot!

That damn Yunbei County Hospital!

I will settle the score with you when I get back!

After the gastric lavage, the doctor in the hemodialysis room also pushed the machine down.

"Who is doing it?"

Zhang Yi pointed at the girl with a gastric tube on the bed:

"That's it, drug poisoning, think about it first."

There is no specific medicine for diphenidol at present, but the girl's symptoms are not serious, and it should be relieved through excretion and metabolism.

The hemodialysis doctor was also surprised when he heard it:

"Ah? The girl looks very young, is she taking some sleeping pills?"

The girl's parents were a little ashamed and lowered their heads:

"I don't know what medicine it is, Doctor Zhang said it's motion sickness medicine..."

——

"Tsk tsk, the child is so young, you parents should communicate well with the child."

The family members nodded frequently.

The double blood vessels established a pathway, and the hemodialysis machine started running soon.

The hemodialysis machine is actually expensive because of the filter element.

Why are some inspection items in large hospitals expensive? In fact, it's the expensive machine.

The better the hospital, the more educated the medical staff is. The machines used for examination are actually more advanced than those in ordinary hospitals.

After an hour, the blood filtration was over.

Continue to give the girl fluids to balance the body's pH, and tracheal ventilation to maintain the balance of oxygen and carbon dioxide.

The water in the lungs must be drained.

After the water is drained out, the carbon dioxide partial pressure will slowly drop.

The symptoms of acidosis will also be further relieved.

After finishing all this, Zhang Yi returned to the office and poured a glass of water.

When he looked at the time, it was already past two in the middle of the night...

Huh, it was not in vain.

The girl should be saved.

But it was also fortunate that I made this trip late at night.

Otherwise, Wang Yufei, the idiot, would have thought that this series of complications were caused by some magical drug.

Seeing Zhang Yi sitting in the office drinking water.

Wang Yufei walked in a little embarrassed.

He first searched in the drawer of his desk and took out a pack of chocolate energy bars.

"Zhang Yi, are you hungry? Here's to you."

Zhang Yi glanced at the chocolate bar:

"No, you can eat it yourself. I'll drink some water and go back."

"Well... thank you."

Wang Yufei is a grown man, but he was so shy to say thank you.

No wonder Yang Caini rejected him...

"It's okay. Just remember next time. Don't forget any examinations. No matter how busy you are, you must remember the most basic examinations.

Sometimes the more basic things are, the more they can give you hints."

Zhang Yi drank some water and preached like a teacher.

Wang Yufei didn't think there was anything wrong with it. He nodded like a student.

Then, he raised his head and asked:

"But how did you know I didn't listen to the heart as soon as you came!"

Zhang Yi rolled his eyes:

"It's not that I knew you didn't listen to the heart as soon as I came, but as soon as I walked in, I heard that the girl's breathing sound was a little heavy, so I thought of using the stethoscope to listen.

As a result, I heard such a big thing, the girl didn't even wash her stomach?!

It's ridiculous! If the wrong stomach hadn't been washed, she wouldn't have been transferred to Union Hospital.

Anyway, the mistake on their side of the county hospital was too big.

If we hadn't found the cause in time, the girl might have died.

And the cause of death was not drug poisoning, but myocardial depression caused by respiratory acidosis due to lung damage."

Wang Yufei also regretted it in his heart.

I was really careless when I was busy.

Fortunately, Zhang Yi came in time.

Otherwise, the girl would have died in his class.

With such a big wound on the trachea and lactic acid soaring to 15.

Even if he doesn't die, it will take a lot of effort to save him.

"Well... thank you for making you run this trip so late at night."

Zhang Yi sighed and said:

"Forget it, it's nothing, it's all for the patient.

I'll go back first. The blood drug concentration should be out soon. Then I'll see if it's difenidol poisoning and prescribe the right medicine."

"Okay, I know, you go back and rest first."

After giving a few instructions, Zhang Yi left the emergency doctor's office.

As a result, just after returning home, the familiar prompt sound rang in my mind:

[Ding! Congratulations to the host for successfully rescuing a patient with acidosis! ]

[Reward 1 million Chinese yuan! ]

[You can buy the score of 7:5 in the World Cup final between Argentina and Farah tomorrow night to get the reward! ]

Yeah!

Yes, yes, yes.

Tomorrow is the World Cup final.

Argentina vs Farah!

Zhang Yi has been quite busy these days due to the New Year and hospital matters.

He has no time to pay attention to football.

It's just right to buy a hand tomorrow and then watch the final battle.

…

At seven in the morning.

At the time when the day shift doctor was about to go to work, the blood drug concentration results of the laboratory department finally came out.

Wang Yufei, with dark circles under his eyes, forced himself to read it.

Test results:

Diphenidol (concentration of 1.85ug/ml) and phenobarbital were detected in the blood sample 10236 sent for testing; no other drugs were detected.

"Fuck?!"

Immediately, the hair on Wang Yufei's back stood up! !

No way, no way, no way? !

It's actually diphenidol? !

Oh my gosh!

Zhang Yi got it right again!

Damn it!

Does this guy have some kind of X-ray vision? ?

Or does he have some ability to predict the future? ?

There are so many drugs in the pharmacy!

There are also many kinds of drugs that can cause coma or convulsions after taking an overdose!

Moreover, considering that this girl took pills to commit suicide after quarreling with her family, she had never heard of other drugs!

Anyone would think of sleeping pills, that is, benzodiazepines or phenobarbital sedatives!

Who would have thought that Zhang Yi actually guessed the correct answer right away! !

When Zhang Yi just said it, Wang Yufei didn't forget it in his heart, because he felt that there were so many drugs in the pharmacy, it was unlikely to be just a motion sickness pill!

As a result...

He was slapped in the face again!

Damn it!

It's amazing!

No!

I must ask him when Zhang Yi comes over later!

How did he guess so right? ? !

Suddenly, the nurse ran over and called Wang Yufei.

"Doctor Wang, Wang Xinhui is awake!"

"Awake?? Oh, finally awake!"

After Wang Yufei put down the test results in his hand, he immediately went to the emergency room to check the situation.

The girl woke up, but she seemed confused.

When she opened her eyes and looked around, her face was full of confusion.

Especially her eyes, which were confused, as if she was exploring a new world.

She didn't seem to know that this was a hospital, nor did she know why she was in the hospital.

But it was normal to think about it. After taking so many medicines, it was considered lucky that she had no sequelae, not to mention that she didn't remember anything after waking up.

"Wang Xinhui? Can you hear me? Do you know who I am?"

Wang Yufei approached her and asked her.

The girl glanced at Wang Yufei. Just by looking at this white coat, anyone should know that he is a doctor, right?

In the end, the girl didn't speak.

"Wang Xinhui? Is your name Wang Xinhui? If so, just nod, okay? I'll ask your parents to come in and see you, okay?"

The girl raised her eyelids and looked at Wang Yufei again, then nodded.

Well, she can understand what people say and respond.

The pupil light reflex has also recovered. It seems that blood filtration, fluid replacement and tracheal ventilation are all effective.

The person is completely alive.

Wang Yufei sighed:

"You silly girl, why do you take medicine to commit suicide? You almost died, do you know?

Your parents are crying outside, you almost scared them to death, little sister.

Next time, don't do such stupid things, you know? Life is very fragile. We rescued you this time, but you may not be so lucky next time.

If you have conflicts with your parents, you can quarrel, make a fuss, and communicate more, but you are playing with your life and doing such things that hurt yourself. It's really unnecessary."

When the girl heard this, her eyes were filled with tears in an instant.

With a blink of her eyes, the tears fell into the black hair behind her ears.

She looked very aggrieved.

"Hey, wait, I'll call your parents to come in and see you."

Children and parents nowadays, hey!

It's hard to say.

It's wrong to criticize who is right and who is wrong.

First, the doctor is an outsider after all.

Second, to be honest, it's the first time for parents to be parents, and the first time for children to be children.

Everyone made mistakes and angered each other, and then tolerated, forgave and reconciled with each other.

Why?

Because we are a family.

What can't we sit down and talk about it?

Think about it from a different perspective, maybe you can understand the difficulties of each other.

How can we be a family without some bumps and bumps?

Even teeth can bite tongues, let alone several completely independent individuals forming a family.

Outside the emergency room, Wang Yufei also counseled the family members a lot and said a lot of things from his heart to them.

Just at this time, Zhang Yi came in with the lunch box prepared for Bai Yufan last night.

Because he had to bring food to Bai Yufan in advance, Zhang Yi came earlier.

As soon as he arrived, he saw Wang Yufei counseling Wang Xinhui's family members outside.

Zhang Yi looked at the nurse at the nurse station and asked:

"Xiao He, Wang Xinhui is awake

right?"

The nurse nodded:

"Yes! Doctor Zhang, you are amazing. Guess what the result of the blood drug concentration test is?"

The nurse stared at Zhang Yi and spoke with her eyes shining.

Zhang Yi knew it must be difenidol without guessing.

"Difenidol, with this expression, what other drugs can you have?"

"Haha! I can't hide it from you! You are really awesome!"

Zhang Yi smiled: "Keep a low profile~ Don't be silly~"

At the door, seeing Wang Yufei chatting with his family members, Zhang Yi couldn't help but walk over and say a few words.