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484 Coughing up my lungs

(Thanks for the reward and encouragement of fate and fate, thanks for the encouragement of Lang Rutiel's 83 monthly ticket)

The six little ones have now won three little ones, and there are still Huang Bo, Miao Rui and Li Hao, the three ones that need to be conquered. The task is long and hard. Anyway, Liu Banxia, ​​who walked out of the office, looked at the three of them without any problem.

It was a bit furious to see these three brothers. It was really nothing good to be targeted by the Demon King Liu.

Especially Li Hao, his performance in the operating room today is not so qualified. Among the six interns who went in with him, Qingkova won’t talk about it, and the other three were praised.

Ma Zhiguo, an intern in orthopedics, was also personally led by Wu Mingyu, and his skills were solid. Liang Xiaolin not only performed the surgery neatly, but also handled emergency treatments in place.

Su Wenhao even took the lead in a partial kidney resection surgery, which has already taken the lead among all the interns of ordinary foreign countries. Miao Rui would not reward everyone with chicken legs today. Don’t look at his stinky face, but he is actually happy.

When I get to my own side? If it is measured by the standards of a normal intern, it is actually nothing. But if you are all hang out with Liu Da Demon King, you will get stuck, which is a bad review.

Whether to stay in the emergency center of the Second Hospital in the future is one aspect, but it cannot be the worst performer among all interns.

He gave himself courage and sneaked to Liu Banxia again. When he met Liu Banxia's smiling eyes, he became cowardly.

Forget it, let’s take the debridement life and temporarily escape the eyes of the great devil.

"What's wrong with Li Hao?" Shi Lei asked curiously.

"Hehe, it's nothing, give him some pressure. Xu Yinuo, Liu Yiqing, and Su Wenhao have decided to stay in the hospital. You should work harder for the other three, you can't rely on me alone." Liu Banxia said.

"No need, you can do it alone. Anyway, you are the number one instructor in their hearts, so you can continue to take it with you, come on." Shi Lei said seriously.

Liu Banxia looked at him helplessly, and Shi Lei is also learning naughtyly now.

But I have to say that the emergency center is still relatively enthusiastic now. It has come out of the shadow of the day before yesterday. If you can work in such a full spirit in the future, you will not have any errands.

The afternoon was quite quiet, except for some small problems, I didn’t even have to go into the operating room.

This is also considered a benefit brought by the Spring Festival. Even if you don’t pick the time of illness, people during this period will pay more attention. They will try not to catch colds as much as possible, and try to keep cats at home to accompany their family.

"Doctor Liu, a patient with dyspnea will be sent soon." Just as the shift was about to hand over, the dispatch nurse shouted.

"OK, where is Li Hao, Li Hao is here to receive the doctor." Liu Banxia shouted with a smile.

Li Hao, who was reading a book not far away, was helpless and had to put on gloves and masks to prepare for treatment.

"The patient has difficulty breathing, accompanied by chest pain, blood pressure and heart rate of 110, and oxygen is given in the ambulance." said the emergency responder who pushed the patient in.

"Send a rescue room." Li Hao said hurriedly.

When he heard about the symptoms of chest pain, he did not dare to neglect it, and he was very worried that the patient would have heart problems.

"One, two, three, move the bed. I'll be auscultation..." Li Hao hurriedly said after moving the bed.

"Blood Oxygen 92."

Zhou Qian, who had connected the monitor, hurriedly reported.

Li Hao, who was auscultation, frowned, "There is no breathing sound in the right lung, fast X-ray, everyone get out of the way."

After everyone moved aside, they put down the pad and took an X-ray directly.

"Call the doctor outside the heart, pneumothorax, I'll intubate the cannula." Looking at the film on the display, Li Hao's choice was very decisive.

Liu Banxia nodded when she looked at her. She was a qualified emergency doctor. She had to do whatever she should do. If it was beneficial to the patients, she had to do it herself.

If the emergency department had a job with a breast tube in the past, it would have been very rare. For the current emergency center, this was a routine operation.

For these interns, each person has no less than dozens of times of non-invasive respiratory intubation, and each person has conservatively estimated that it has been more than five times.

Pneumothorax and blood chest are often high-incidence symptoms after accidents. Sometimes, although this job is not particularly urgent, patients can benefit early by dealing with it.

"The blood oxygen is rising." After Li Hao's intubation operation was completed, Zhou Qian, who was staring at the monitor, hurriedly reported.

"What's the situation with the patient?" Liang Xiaolin also rushed over.

"Pneumothorax, I seemed to have some bleeding symptoms when I was intubated and drained. After blood collection, I had a lung CT scan?" Li Hao asked.

Liang Xiaolin auscultated and nodded, "Maybe it's the alveoli that has been broken. I think there are no shock scars, so what happened?"

"Wait a little longer, the patient just breathed, and his blood oxygen was 92 when he came in." Li Hao said.

"Cough, cough." At this time, the patient took off the oxygen mask and said something a little effort.

"Do you have a history of hypertension, heart disease, and diabetes?" Liang Xiaolin asked.

The patient shook his head.

"We will take a CT scan at that time to confirm the condition of the lungs. However, I judged that it might be that the alveolar rupture was possible, so surgery was needed." Liang Xiaolin said.

The patient nodded.

This is to obtain the patient's consent, and this is an emergency treatment for the patient. If the patient's consent is not accompanied by his family, it will be possible.

"That is, we are doctors, otherwise no one would believe it if we told others that the cough and the lungs were broken." Liu Banxia said after pushing the patient away.

"I remember there was another time when a patient sneezed? Then it turned into pneumothorax and then the alveolar ruptured?" Shi Lei asked.

Liu Banxia nodded, "It's like this. It seems that it's because a few people drink together and then come to our emergency department for infusion. At that time, those families were a little unhappy, and they even argued for several days because of the compensation issue."

"But sneezing can easily cause pneumothorax. This is because he coughs so hard that he bursts his lungs. Judging from his body temperature is not high, he should not have a cold or fever."

"The X-ray on the left lung looks pretty good. The right side is coughed and I can't see clearly. I should have some reaction when I have surgery and I may have some inflammation."

"This may seem like it's a bronchial aspect, so you should take a bronchoscope and check it out. Why are you looking at me like that? Am I wrong?"

Shi Lei shook his head and walked aside.

"Chao, do you want to leave too?" Seeing that Wang Chao was about to leave too, Liu Banxia hurriedly shouted.

"What are you doing if you don't leave? Are you angry when you keep it?" Wang Chao said resentfully.

"I think I've worked very hard, but what about you? You've been so powerful, why are you working so hard? Leave us a way out."

"My God, like a resentful woman, what's wrong with me?" Liu Banxia said helplessly.

"I just thought that this guy was pitiful, and he coughed and broke his lungs. You have already started to infer the symptoms and you really can't live." After saying that, Wang Chao shook his head.

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Liu Banxia grabbed her scalp and said, "This may be an occupational disease. I don't know why I thought about it here. Aren't you curious?"

Ding! Mission release: Patients who have coughed up their lungs

Open task: The patient was dyspnea and was admitted to the hospital for chest pain. After examination, it was found that the patient had coughed his lungs due to coughing. The host developed a strong interest in the case and needed further diagnosis. The task reward visual diagnosis results were issued.

Seeing the task released, Liu Banxia was happy. Unexpectedly, because of one of his interests, he even triggered a task.

But to be honest, he is really curious about this case. Although it is not very rare, there were such cases before, but the probability is indeed relatively small.

If you can cough up pneumothorax and burst your lungs with just one cough, the hospital can directly open a pneumothorax clinic in the future.

However, this patient must also do the myocardial infarction indicators. If the patient is not afraid of 10,000, just be afraid of it. If the heart pain is covered up because of lung pain and the heart condition is ignored, it will be a medical accident.

"Teacher Liu, you work so hard, should you add chicken legs to us?" Xu Yinuo came over.

"Do you have any ideas about this?" Liu Banxia asked with a smile.

"Hehe, Teacher Liu hasn't eaten your reward chicken legs for a long time." Xu Yinuo said.

"It depends on your performance, well... this patient is the only one. Let's look back and study what's going on." Liu Banxia felt a little helpless.

"Teacher Liu, is it true?" Xu Yinuo asked afterwards.

"It's true or false. I'll reward people who can study it clearly. Actually, I have to study it," said Liu Banxia.

As soon as he finished speaking, the six little ones ran away and all chased the patients, so they had to get first-hand information.

"Did you see it? Your reward can cause such an effect. You can imagine how high you are in their hearts." Shi Lei came over again.

"Boss, I discovered that you definitely have the potential to be a housekeeper." Liu Banxia gave a thumbs up.

"Will I care if you stimulate me? I'm already immune." Shi Lei stretched.

"As long as you can keep these people and grow quickly, you can say whatever you like. Anyway, with them, I will be more worried in the future. Without so many ideas, it will be perfect if I am promoted to the chief physician safely."

"The deputy chief physician this year should be nothing wrong, right?" Liu Banxia asked.

Shi Lei shook his head, "It's hard to say. Even if there are some convenient conditions in the emergency center, it won't be so good. It depends on the situation. If not, we will continue next year."

"Boss, I support you both mentally and physically." Liu Banxia said seriously.

"Get out, you can read books even if you take the time to do it. If you fail the attending exam, it will be fun." Shi Lei said.

"This is a must. In fact, I will watch it for a while after taking the time. There will be a long time left, enough." Liu Banxia nodded.

This is indeed something he needs to worry about, and it overlaps with the total hospitalization time. But he thinks it should be nothing, after all, he is real now.
Chapter completed!
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