(Thanks to my friend for the encouragement of Sha Xin monthly tickets)

After returning from dinner, Liu Banxia was also not in a good mood and was still worried about the job transfer task. Just as he once thought, he was still worried about whether the difficulty would increase a lot when he was at level 60 and level 80.

Now is not the time to get the system. Upgrading was easy at that time. How long has it been, and you will soon be level 40. In the future, as the upgrade experience increases, the experience of getting tasks decreases, and it will become more difficult to upgrade.

And just like this patient today, according to his understanding, it is also considered a difficult and complicated disease. It is difficult to make a clear diagnosis. If you didn’t chat with the patient, it might have been a long time before you can diagnose it.

But in the eyes of the system? This is a routine small consultation task. Because the patient's indications are actually very clear, he just didn't get a diagnosis at once.

Therefore, the difficulty of receiving a doctor is not based on his understanding, but on systematic judgment, which is why there are no additional tasks given to him.

As my diagnosis skills improve again, I am afraid that ordinary patients will be able to increase their skills.

"Banxia, ​​I'm preparing to receive the patient. The car accident patient is a family of three. The husband and son are in an emergency, and the wife is fine for the time being." Liu Banxia was still thinking, and Wang Ying came over.

"Sister Wang, please call me Dr. Shi and Wang Chao, be more secure. The rest are ready to receive the treatment." Liu Banxia said.

The patient's condition is not very clear now, and he doesn't know how serious the husband and son are injured. Wang Ying used the emergency, and it is definitely not as simple as a small bump.

After waiting for more than ten minutes, the ambulance stopped in front of the Houxian Hall.

"The patient is 41 years old, with blood pressure of 60/90, and a heart rate of 110. He was unconscious after the car accident, had a head impact injury, and had a fracture of his left arm." said the first responder who was pushing the gurney.

"Rescue room, Dr. Shi, the next patient, please treat Wang Chao." Liu Banxia said, then pushed the gurney and ran to the rescue room.

"Doctor, you must save him. If he falls, we mother and I will not be able to survive." The wife of the patient who followed in said anxiously.

"Does the patient have a history of medical treatment? Diabetes, hypertension, heart disease?" Liu Banxia asked quickly.

"No, none." The patient's wife said hurriedly.

"Wait outside for a while, I will call you if you need it. One, two, three, lift it." Liu Banxia said.

"Xu Yinuo pays attention to protecting the airway, Xu Danlian monitors. Blood routine, blood biochemistry, cross-blood examination, mobile ultrasound, defibrillator preparation. Open a venous channel, replenish fluids, and prepare two bags of O-negative blood."

After saying that, he began to check the patient's head injury. It was just a simple impact injury and a few stitches were enough. Whether there was any brain damage needs to be done to determine whether it was damaged.

After treating the abdomen with his hand, Liu Banxia frowned. The patient's blood pressure was also low, and coupled with the touch on his hands, he might have had internal bleeding.

"The venous channel is opened and rehydration begins."

"Blood pressure is 60/90, heart rate is 110, blood pressure has not increased."

"When the blood bag is sent over to replenish blood, I will check my arms first." Liu Banxia said.

The patient's left arm twisted outwards, and it is conceivable how strong the impact was during the car accident. After Liu Banxia touched it carefully with her hands, her brows frowned even tighter.

"I called an orthopedic doctor to come for consultation. Two fractures at the distal radius need surgical repair." Liu Banxia said.

If it was just a simple fracture, Liu Banxia could handle it, do a bone correction and reduce it, and then apply a cast to finish it. However, this patient's fracture is not something he can solve now. It is okay to have a hard surgery, but it is not qualified.

At this time, the mobile ultrasound was also pushed over. Liu Banxia did not dare to delay it. After applying the coupling agent, she started to do the examination.

"There is a small amount of fluid in the abdomen. Judging from the indentation of the patient's abdominal steering wheel, there may be internal bleeding." Liu Banxia continued.

"After blood replenishing, the patient's blood pressure increased, 80/100, the heart rate was 105, and the vital signs became stable." Xu Dan, who had been paying attention to the monitor, said.

"That's good. Make an appointment in the operating room, take the patient for an expedited X-ray, and then push it directly into the operating room. Liang Xiaolin and Xu Yinuo followed him and brought a cannula bag." Liu Banxia said.

His heart was a little more stable, and even if there was internal bleeding, it was under control at present. It was definitely too late to have a CT scan, but if he had a fracture of his arm, he would save the patient from having a second surgery.

"Sister Wang, how about another patient?" Liu Banxia asked after walking out of the rescue room.

"There is no external trauma, so I said my stomach hurts. The ultrasound was not clear, so Shi Lei sent him for a CT scan." Wang Ying said.

"Just just now, I heard a quarrel outside. Why haven't the police left yet?" Liu Banxia asked curiously.

"Hey..., this one is quite difficult. What they mean is that the patient you just received rushed into someone's store for no reason." Wang Ying said.

"Fortunately, no one was injured in the store, but there was a counter at the door and the goods inside. We must have someone to compensate. Now we need our blood test results to see if it was a drunk driving or a drug driving."

"I heard from the police that I had to wait for the test results of the car to see if it was because the car had malfunctioned. However, the patient's wife said that she just drove the car and then turned on the steering wheel, and the accelerator was still very pedaled."

"Okay, I'll go to the operating room to prepare first, and let the patient's family wait at the door of the operating room. If necessary, I will communicate with her." Liu Banxia said.

This is indeed a bit bad, but in terms of Liu Banxia's subjective view, there should be no such irresponsible people, and she is carrying her family in the car.

Of course, the specific reason why the patient drove the car like this has nothing to do with the hospital. No matter what the reason is, he has to treat the disease and save the patient.

But now the patient's wife is here, and the next surgical procedure that can be authorized is his wife.

The four female generals he brought into the operating room were Liang Xiaolin, Qingkova, Liu Yiqing, Xu Yinuo, and these four female generals. They also instructed the other four that if the young patients on Shi Lei did not need surgery, they would come directly to his operating room.

It is also necessary to communicate at any time, and they can all learn something. Otherwise, if so many people continue to flock to an operating room, some people will definitely not be able to see clearly.

"Ah, it's Brother Wang again." After entering the operating room, Liu Banxia was happy when he saw that it was still Wang Lei.

"What is the specific situation of the patient?" Wang Lei asked.

"There should be internal bleeding, but now the vital signs are stable, so I will give you an X-ray first. There is a fracture in your arm, so I will try to do a surgery. The blood test results will be delivered in a while," said Liu Banxia.

Wang Lei nodded, "This is almost the same, otherwise if the data is not comprehensive, my job here will be too difficult."

As he was talking, the patient was pushed in.

"Teacher Liu, after the X-ray, the patient had difficulty breathing and intubation." Xu Yinuo said.

Liu Banxia nodded.

"Doctor Liu, what do I need to do? Internal fixation?" At this time, Wu Mingyu, the chief orthopedic doctor, also walked in.

"You can take a look at the X-ray that just came out. If there is a minor problem, I won't bother you. Just reset and apply gypsum." Liu Banxia said.

"Pinxia, ​​the patient's blood sugar is a little low, so you should pay attention." Wang Lei said.

"Liu Yiqing, the possibility of low blood sugar." Liu Banxia asked.

"Functional or hepatic, as well as pancreas and other endocrine diseases." Liu Yiqing said hurriedly.

"Combined with the patient's examination report, we can determine the possible cause of hypoglycemia in this patient." Liu Banxia continued to ask.

"I think... I think it is caused by pancreas or endocrine." Liu Yiqing hesitated for a moment.

"Then let's take a look after opening your stomach. Xu Yinuo made pre-operative preparations, and you two watched. " Liu Banxia said.

Xu Yinuo was very excited. This was a serious help. Although Liu Banxia also did the surgery a few days ago, the emergency patient felt different today.

The abdomen is opened layer by layer, and the entire abdominal cavity is exposed to the field of view.

"It can be seen that a small amount of bleeding and ooze in the abdominal cavity was found. After investigation, it was found that there was perforation in the duodenum and a slight injury to the apex of the pancreas. It was determined that the possible reason was caused by the impact, which was consistent with the position of the indentation on the steering wheel." Liu Banxia said after checking.

"Duodenal perforation repair and partial pancreas removal, and check whether there is any tumor in the pancreas. After I have ligated, I will prepare to rinse and aspirate."

After Liu Banxia said that, she started to operate.

This is not the first time he has done an intestinal repair, and this patient is lucky. Although he was injured this time and caused duodenal perforation, his pancreatic damage was not very serious.

If the pancreatic damage becomes serious, then a pancreatic duodenectomy will have to be performed, which is a major operation. It is also the operation that Wang Mingxing did, and Liu Banxia himself may not be able to hold on.

After rinsing the intestines and abdominal cavity, Liu Banxia directly sutured it. Whether the pancreas has tumors or cysts, it will take a look later.

Liu Banxia's suture technique has been improved, and this time he even felt very satisfying when sutured. In less than twenty minutes, the perforation repair was completed.

Even though Liang Xiaolin and the others have seen Liu Banxia's stitching countless times, every time they see it, it feels pleasing to the eye. Because Liu Banxia not only stitches quickly, but also stitches very well.

"Doctor Liu, the stitching is very beautiful." Wu Mingyu, who was looking at Bian Xing, said.

"Thank you for your praise from Dr. Wu. The main reason is that the perforation this time is not complicated. Now let's check the islets. I also think it may be because of the condition of the islets, which caused the patient's hypoglycemia."

"The current blood test results have ruled out the alcohol rack and poison driving. The most likely reason is that the patient suddenly fell into a coma after the body was in trouble."

Liu Banxia was very careful when checking, not letting go of even a little bit. However, after the inspection, he did not find anything.
Chapter completed!