Vol 3 Chapter 2752: Overnight referral

"Director, I hurt ..." The patient was pale, lying on the bed. It is white because of blood loss, but also because of fear.
On the operating table, the director calmly said nothing, and the nurse who had laughed before was silent. More and more instruments have been introduced, and some treatments have been made that I do not know.
Xu Guang was scary just thinking about it.
"Where does it hurt?" Director Lang asked. His face didn't look much better than the patient either, just as pale or pale.
"Chest, the place where you gave me the needle just now hurts." The patient took a deep breath and said.
The puncture hurts, it should be fine, should ... Director Lang prayed silently. Pericardial puncture, although with a surgical word, but in many statistics is not considered surgery, but only an operation.
It's like closed chest drainage, it's just operation. The most excessive is a one-time urinary catheterization, and some hospitals can still be regarded as surgical procedures, increasing the total amount of surgery in the hospital.
But it is also the same operation, the pericardial puncture is much more difficult. Director Lang was worried that there would be side injuries, but he was slightly relieved to hear the patient's narration, it should just be skin pain.
What should I do? He watched the patient's blood pressure continue to drop, and ordered the doctor to increase the amount of norepinephrine again to stabilize the patient's blood pressure.
If not, go to iabp. Through physical action, increase diastolic blood pressure in the aorta, increase coronary blood supply and improve myocardial function.
Director Jilang made up his mind and let people prepare iabp equipment.
He took care of the patient carefully, without even leaving the operating room, ready to be rescued at any time.
IaThe iabp was lowered from the left femoral artery. After 1: 1 counter-pulsation, the patient's circulation still did not improve, and continuous monitoring of blood pressure still showed a downward trend.
What a thing, Director Lang suddenly lost his idea.
It is already early in the morning, what should I do? The director never performs interventional surgery, just a simple physician. Right now, the best thing I can do with circulatory interventional surgery in the whole hospital is myself.
Director Jilang hesitated, but decided to observe it. However, after the blood transfusion, the patient's blood pressure still showed no signs of improvement, and the dyspnea and chest pain also gradually increased.
He had no choice but to pick up the phone and call the relatives and friends hotline.
The technology of Director Lilang of Nanshan City is the best. I do n’t talk about interventional surgery, iabp says it is down, this is not what most people can do.
Want to ask for help, he could only find the doctor of DìDū, hesitated, he chose Director Zhang Lin of 912 in two calls.
Director Zhang Zhang has a better temper. She hurried to call in the middle of the night, hoping she would not be angry. Don't be menopausal ... Director Lang thought in his heart, for fear of being scolded, that side does not accept this emergency emergency.
Facts proved that he was thinking too much. When Director Zhang Lin just connected the phone, she still had almost infinite drowsiness in her voice, but she was awake immediately when she heard that the operation caused pericardial tamponade.
And Director Zhang Lin was also very enthusiastic. She knew that Director Lang could not handle it, and she answered it directly.
He agreed to send the patient to 912 for hospital treatment, and Director Lang finally got better. But with so many instruments, the bumps along the way, he still called the chief director from home to see the house, he got on the ambulance all the way to the patient to the superior hospital.
In order to save time, Director Lu Lang uploaded the patient's information to Director Zhang Lin, including the last color ultrasound of the heart.
主任 Director Zhang Lin has no sleepiness. It is not tossed up once or twice in the middle of the night. Although it is impossible to adapt in a lifetime, this is what a circulatory doctor must do.
值 On duty when young, as long as the nurse shouts who has a problem, the shoes will run to the ward before they can wear them.
At least there are still about 4 hours to watch the film now, if the 120 ambulance did not catch the early morning peak of DìDū.
Because of the image data of angiography, the content is relatively large, and it cannot be transmitted by mobile phone. Nanshan City called and said it sent an email.
She stomped out of the bedroom and turned on the computer.
The radiography was okay. According to Director Lang's statement, a pericardial puncture was performed, and the amount of fluid drawn can only be said to be medium.
Blood pressure has not risen, and continues to fall, even if it is IABP, Director Zhang Lin has his own judgment.
她 After checking the angiographic data, she checked the echocardiogram and stunned for a moment.
Ultrasound looked ... it seemed wrong.
But she only knows about ultrasound, but she hasn't studied it thoroughly. After all, the top three hospitals are getting more and more specialized. After all, it is very good to be able to easily understand.
I have a problem with echocardiography. Who can I see? Director Zhang Lin's first thought was Boss Zheng.
Yeah, it's not a professor in the echocardiography room, nor is it Director Qi, but Boss Zheng.
The patient's condition is relatively clear. Coronary bleeding, it is estimated that the bleeding is a small branch, which has closed by itself as the pressure increases. However, the patient's condition is extremely poor and he may die at any time.
胸 Open chest exploration, this is a high probability follow-up operation.
Director Zhang Lin has a good relationship with cardiothoracic surgery. After all, the two related departments have their own interests.
Cardiothoracic surgery also wants to retain some coronary artery bypass surgery, and the stent is not a panacea ~ EbookFREE.me ~ It needs a circulatory department to deliver the patient. At this point, the recycling department is the upstream department, which has taken advantage.
But once this happens, cardiothoracic surgery is needed to resolve the follow-up matter.
I ’m just a doctor with a good heart who has a high level of boss Zheng. Not to mention boss Zheng, even Su Yun ’s level is quite high.
I thought, Director Zhang Lin still took a fair look at the time.
In the middle of the night, the patients were sent from Nanshan City, and in the next hour, they should not catch up with the morning peak, and they would be smooth all the way.
看 It is not too late to see the patient himself, and then to find Boss Zheng again.
Director Zhang Lin didn't think it would be a big problem to trouble Boss Zheng. She felt that she knew the young doctor very well. When encountering a patient in need of rescue, he was willing to tear his face in order to treat him. Professor Zhang, who was so thoughtful, was scolded, as if there was physical contact.
I took my mind, Director Zhang Lin changed clothes and went straight to the hospital's office for a sleep, until the patient sent her to be called.
At this time, the sky was already bright, and the patient's face looked like white paper and looked scary. Director Lang, who came in with a flat car, turned pale, and Zhang Lin wondered if he had a problem.
The patient's blood pressure Hg was also brought with 4U red blood cell suspension. Director Lang bowed repeatedly, saying all the way to the patient's illness and thanks. Director Zhang Lin did not hesitate to call Boss Zheng and ask him to see the situation.
This is also at 912, it is not so convenient to change places.