(Thanks to friends Kuku Wolf, Shu Qianji, book friends 20180602234327808, Old Night Wolf in the North, book friends 150512195143202, zwf1987127, Jiaqi in the Sun, Attacking Clouds, book friends 121025081245993, ziluo134, I am the monthly ticket for society to encourage)

Regarding these three cases today, the medical staff at the emergency center talked a lot. This was Liu Banxia's first show since she resumed work, and she was still so successful.

However, Liu Banxia did not take it too seriously, but just observed it separately during the rounds at night. The three of them were in good condition, especially the young man who was treated in the last time, who slept soundly.

In fact, this is also the fun of patrolling the room. Seeing that the patients are properly cared for and recovered little by little will be in a good mood for every medical staff.

Of course, it is impossible for every patient in the ward to do this, and there are also some severe patients.

I slept beautifully all night, and I was also considering taking care of him as a "wound". I didn't come so early to call him on duty.

In fact, this is also a conscience account. If the time is longer and shorter, it depends on the relationship between each other. If the relationship is in place, it is not a matter of being half an hour late. If the relationship is not in place, it is also a contradiction for one minute.

"You guy is pretty good. I've heard of such a big noise when I come back." Shi Lei, who came to work in the morning, said.

"It's not true? I didn't rescue the patient." Liu Banxia said.

"It's the one that Director Xu invited you to consult. I just saw the case and I could do it this afternoon. My health was not as bad as we thought." Shi Lei said.

"That's fine. You have to do it anyway. Actually, my hands are really itchy. But I have to remove the stitch the day after tomorrow, so I have to continue to endure it." Liu Banxia said.

"It's a good thing that you can't go to the operating table. This proves that our emergency center is still busy, and there are not so many emergency patients who need rescue." Shi Lei said with a smile.

"But I glanced at it and it seemed that there were many people waiting for you to have a small incision appendectomy. It seems that you have really become the little prince of the appendix."

"I laugh at you, laugh at you, compared to your little prince, I am still not as good as my boss." Liu Banxia said seriously.

"Get out, I won't take the time for you again next time." Shi Lei glared at him.

Liu Banxia is not afraid at all. The relationship between the two is very "complex". They are masters and apprentices, friends, and brothers. In fact, having a few words with Shi Lei can increase their feelings.

Wei Yuan could also do the surgery for the patient with abdominal artery compression syndrome, but the first thing he thought of would be Shi Lei.

After chatting, you have to go into a busy work. As a surgeon in an emergency center, in addition to handling the surgery he arranged, you must also be prepared to receive emergency patients at all times.

Some patients have fewer people here, while others are really emergency. There are a lot of patients, and Liu Banxia cannot watch the fun, so he has to follow the doctor.

"I think you complained about a cold when you registered?" Liu Banxia asked.

The girl sitting opposite nodded, "It's been a few days. But I'm busy reviewing when I'm going to take the exam. I want to endure it, and I feel a little uncomfortable today."

Liu Banxia nodded, "I need to check your body, including auscultation, blood pressure, and body temperature, and then I can make the next judgment."

This must be made clear to the girl, and it is also because I was too busy today, otherwise he would have called Liu Yiqing or Xu Yinuo to come and check the body.

"Teacher Liu, the nurse hurriedly reported after the examination.

Liu Banxia, ​​who was auscultation, frowned. He also heard a faint "crackling" sound when he auscultation of the chest cavity. Maybe the patient's chest cavity was effusion.

"Doctor, my cold is very serious." Seeing that Liu Banxia's face was not very good, the patient asked hurriedly.

Liu Banxia hung up the stethoscope, "You are not just a cold now, are you always feeling very tired recently?"

The patient nodded, "Isn't this the case when you have a cold? You're tight and have no energy."

"Do your legs feel a little swollen?" Liu Banxia continued to ask.

The patient looked at him, "There is indeed a little bit, and it only happened in the past two days."

"Roll up the trouser legs and I'll take a look." Liu Banxia said, and sighed in her heart.

The patient rolled up the trouser legs, and Liu Banxia pressed them casually on her legs, leaving a small hole.

"High fever, depression edema, easy fatigue, hypotension, and your chest auscultation suspected of effusion, I judge that you may have a heart function problem," said Liu Banxia.

"Your blood pressure is so low, it doesn't look like it's caused by anemia, which means your heart is not able to pump blood. In layman's terms, the heart has not started fully, and it only has less than half of its work efficiency."

"The next diagnosis is to give you a heart ultrasound to see your heart condition. Then I will call the cardiology doctor to come and consult with me. He is the expert in this field. Can I?"

"Okay, thank you, Doctor." Listening to Liu Banxia's slow speech, the patient's nervousness eased a little.

"Xiao Wang, call someone to push the mobile ultrasound over, and then help me call Director Meng in my heart." Liu Banxia looked at the nurse and said.

"Okay, I'll go now." Xiao Wang responded to the doctor and ran out.

"You lie down slowly on the clinic bed first. How long has it been?" Liu Banxia asked the patient again.

"It's been four or five days, right? I've been busy reviewing my homework and didn't pay much attention." The patient said.

"Generally, heart disease requires hospitalization and observation. Can you contact your counselor or class teacher?" Liu Banxia continued to ask.

"Ah? Do you still need to be hospitalized? Then...what should I do when I take the exam?" The patient was a little anxious.

"Don't worry, how many days should the exam be left? I admit all the sick leave notes I have issued, and I can also help you communicate with the school. See if I really miss the exam, it's not considered a failure." Liu Banxia said comfortingly.

He didn't dare to make the patient too excited. He now has symptoms of heart failure. If he is too excited, he may have a heart attack.

At this time, Meng Qingfan, the deputy chief physician in his heart, and the nurse, pushed the mobile ultrasound and walked in. Liu Banxia came to Meng Qingfan and whispered to introduce the patient's basic situation.

"First do an ultrasound to see the specific condition of the heart." Meng Qingfan said.

"This is the deputy chief physician of our hospital and an expert in cardiology." Liu Banxia introduced the patient to the patient again, and the purpose was to stabilize his emotions.

The patient nodded and was very cooperative in the examination.

Looking at the image displayed on the monitor, Meng Qingfan frowned, "The left ventricle is a little expanded, and the ventricular wall is very weak. Go to the monitor, and the heart is pulsating weakly."

"The initial consideration is heart failure, which is very unusual depending on your age. It may be caused by thyroid imbalance, kidney disease, viruses, etc., and further examinations are needed."

The patient breathed a sigh of relief. Although there was something wrong with the heart, it was not that the heart could not work, but it was caused by other reasons.

"Dididi...Dididi..."

At this moment, the monitor screamed wildly.

"Verve fibrillation is gone, push the defibrillator, charge 200 jugs. 1 unit of adrenaline, I'll press the heart." Liu Banxia shouted.

"Teacher Liu, the charging is over."

"Leave Hand"

"Bang"

"Charge 200 joules"

"Leave Hand"

"Bang"

"Okay, there is a pulse and heartbeat." Liu Banxia, ​​who put down the electrode plate, wiped her sweat.

"Let's send it to the catheter room first, there's probably a thrombosis. I'll do a detailed examination in the catheter room, which is probably viral myocarditis." Meng Qingfan said.

Liu Banxia nodded, without saying much nonsense, and directly pushed the patient out with the nurse.

The patient's current situation is only temporarily improved. If he does not intervene immediately, ventricular fibrillation will occur. Moreover, if it is really viral myocarditis, the next treatment will be very troublesome.

Ding! The patient is treated

Obtain 200 experience points, 200 proficiency in diagnostic skills

It’s really not like he jumped out when he was in danger. After returning to the reception hall, Liu Banxia sighed in her heart.

"Teacher Liu, do you still have patients now? If not, please help me see." Before waiting for the consultation room, Xu Yinuo called him.

Liu Banxia nodded and went straight to the edge of the clinic bed.

"Teacher Liu, the patient took the initiative to seek medical treatment after falling. He had a laceration on his legs and pain on his back." Xu Yinuo said.

"What do you need my help to deal with?" Liu Banxia asked.

"Can you help the patient look at his back? The patient was diagnosed with breast cancer two years ago and had undergone chemotherapy and is recovering well now. However, due to the impact of chemotherapy, it is a bit difficult to walk occasionally." Xu Yinuo said.

Liu Banxia frowned, "Do you judge it's a spinal injury?"

Xu Yinuo nodded quickly, "The patient said it was okay, but I was worried. She didn't want to do an instrument examination, so...so..."

After saying this, Xu Yinuo couldn't continue.

Liu Banxia didn't know what to say. This girl regarded herself as an orthopedic X-ray. She hoped that she would touch her bones and help make sure.

It is also because this girl cares about the patient, but the matter cannot be done like this. This is a female patient. If it is really a spinal injury, it needs to be carefully touched to find it out.

"If you suspect spinal injury, you still need to take an X-ray or CT to see clearly. After this fall, did you feel that your back hurt even more?" Liu Banxia asked.

The patient frowned slightly, "It seems that there is some pain, but it is not particularly painful. If the spine is really injured, wouldn't it hurt to heart?"

"This may not be necessary, it depends on how much damage is. How long has your legs been inconvenient?" Liu Banxia continued to ask.

"It's been about half a year, right? They said that the pain in my back was also caused by chemotherapy, and it was not too severe." The patient said.

Liu Banxia frowned, "I have the same opinion as Dr. Xu, but I do not recommend X-ray, but spinal CT, so that I can see more clearly."

"Although you have also been diagnosed in another hospital, you have back pain and leg mobility difficulties. We need to consider the causes of spinal injury. Xu Yinuo, this is my guidance. Please discuss it with the patient."

After saying that, he walked out.

This is a test for Xu Yinuo, and such a patient always needs to solve it herself.
Chapter completed!