I'm really an intern
Chapter 124
Chapter 124
Zhang Tianyang quickly glanced at the medical records of Professor Yang's new patients.
Then staring at the old lady who moved her hands and feet on the hospital bed, and refused to give birth no matter what, she felt waves of despair welling up from the bottom of her heart.
Turning to look at Senior Brother Deng next to him, everyone had the same expression.
That's abdominal aortic dissection!
How did he meet him!
An aortic dissection is when the normal blood vessel wall is torn apart for one reason or another.
The turbulent arterial blood poured in from the gap, widening the gap, forcing a channel in the middle of the blood vessel wall that should have been solid, but the outermost membrane of the blood vessel wall has not yet broken.
Therefore, patients with arterial dissection often complain of "tearing" pain.
Because the interlayer is torn out alive!
The reason why this disease is dangerous is because you don't know when the outermost membrane will break.
It may be that the blood pressure is a little high, the patient may be emotional, it may be just a sneeze, or even just sitting up from the bed suddenly, it may completely break the unbroken membrane.
Once the arterial dissection ruptures, arterial blood will rush out from the damaged part under the pumping action of the heart.
There is also the possibility of rescue with chest compressions in cardiac arrest.
Once aortic dissection ruptures, there is no chance of rescue.
You can only watch the irreparable gg of the patient right in front of you.
Therefore, once you encounter such a patient, you must not let him change his position at will, not be excited, and not continue to have high blood pressure.
Otherwise, I will show you every second!
However, this once-in-a-century patient is now in front of Zhang Tianyang.
What's even more frightening is that this patient is disobedient!
At this moment, Zhang Tianyang just wanted to look up to the sky and sigh, "The thief is killing me!"
His first big night shift has only been full for more than three hours.
But looking back, it didn't even stop for a minute!
"Brother doctor, you are too dark!"
The sister nurse, who also didn't even stop, had a resentful look on her face.
"Let me sum it up for you. As soon as you took over, there was a sudden gastrointestinal bleeding after cerebral infarction, lung infection, and heart failure. Not only was the trachea intubated, but the family members were also very difficult."
"Followed by a cerebral infarction, he went through the green channel of apoplexy."
"And then came another brisk abdominal aortic dissection."
"Tsk tsk tsk!"
As the group leader of this group of nurses, the male nurse couldn't stand it anymore, "Stop talking."
The sister nurse immediately bowed her head and admitted her mistake, "I'm sorry, Teacher Ouyang."
Unexpectedly, the male nurse shrugged, "You can't blame the new buddy, Mr. Yang has always been quite dark, there is nothing I can do about it."
have to!A group of black faces got together!It would be strange to be able to relax!
Zhang Tianyang sighed, turned his head, and noticed that the "lively" patient with abdominal aortic dissection was moaning and wanted to sit up again!
He was so frightened that he rushed over in an instant, pressing back the patient's back that was just about to leave the bed.
"Don't sit up."
Nurse Ouyang also came over, "Don't try to sit up all the time, just lie down and have a good sleep, can you do it!"
Zhang Tianyang held down the restless patient, "Lie down well, keep your mood relaxed, don't get excited, don't get up casually, and listen to the doctor, okay?"
The old lady who was held down was still struggling slightly, "Doctor, I want to go to the bathroom, let me out."
"You can't go out, go to the toilet here!"
Zhang Tianyang turned his head and called the nurse's aunt, "Auntie, please help this grandma use the toilet."
"Doctor, I want to go to the toilet, please let me out, my chest is a little stuffy, why is it like being in jail, what's going on with you!"
The old lady didn't realize how serious her illness was. At this moment, seeing all the doctors and nurses stopping her, she couldn't help becoming irritable, and her blood pressure tended to rise.
Zhang Tianyang was so frightened that he hurriedly tried to persuade him with good words, earnestly convincing, and finally reached a consensus with the old lady after wasting his strength.
"Let's go up here. We'll draw a curtain later. There are only you and auntie in the curtain. Let's all hide and be obedient."
It's a pity that one wave of ups and downs and another wave of ups and downs, the nurse's aunt spread her hands.
"Doctor, she didn't buy a bedpan, and she didn't buy a urinal."
Zhang Tianyang frowned, "Are her family members outside? I'll call and tell them to buy a new one."
Sells urinals and potty pans and a range of items that might be used in the emergency department, all available from a vending machine next to the waiting area.
These things are disposable, and not everyone needs them, so they are not usually equipped in the emergency room, and only the family members of the patients can buy them themselves.
Zhang Tianyang's thoughts were normal, but the nurse's aunt still spread her hands, "Doctor, she has no family."
Suddenly, the emergency room became quiet.
Zhang Tianyang could no longer control his expression management.
A patient with abdominal aortic dissection.
The patient who had been pinned down on the bed in the emergency room by the doctor and explained to her many times but still didn't take it seriously.
Now you don't even have a family member? ? ?
Nurse Ouyang made up the knife next to her, "The patient won't let him call, and won't give him his contact information. Besides, it's said that his family members are busy playing outside, do you understand?"
Oh my God!
Zhang Tianyang turned to look at Senior Brother Deng in despair, "Are you calling the medical staff on duty?"
Senior Brother Deng smiled and nodded, "I called, the consent form was signed, and I was scolded by the medical staff.
It's okay, it's okay, the base exploded, it's not a big problem! "
I'm so angry, but I still need to smile.
Zhang Tianyang tried to get the old lady to call the family over.
The old lady rejected him mercilessly, and launched the Tucao skill.
Zhang Tianyang immediately stopped trying, used his soothing skills, and proposed that the old lady scan the QR code to pay to the aunt, and the aunt went to buy a potty and a potty.
The old lady inquired about the price, used the skill of "increasing blood pressure", and insisted, "I'll just go out to the toilet by myself. It's so troublesome, and it's so expensive!"
Zhang Tianyang sighed, and turned to look at the nurse's aunt who was watching the play next to her.
The nurse aunt is the calmest person in the room.
After all, it wasn't her who wanted to go to the bathroom.
If something happens to the patient, it won't be her who dies.
She is not the one who bears the anger of the patient's family.
So she waited quietly by the side, neither arguing nor arguing, doing whatever she asked her to do, but she couldn't give her money.
"How about it, Auntie, I'll pay the money first, so hurry up and buy her a potty, don't hold back."
"Hey, why are you doing this! I didn't mean that, how can I ask you to give me money! How can there be any reason to pay for medical treatment at the same time!"
The old lady was excited again.
Zhang Tianyang was helpless.
At this time, I know that the doctor is the one who cures the disease.
"That's it, Auntie, go buy it first, and I'll transfer the money to you later."
"Good Le!"
The nurse aunt didn't care who gave the money, anyway, she didn't have to pay by herself, she slipped out of the emergency room to buy something.
The old lady on the hospital bed was muttering, and finally became a little more honest.
Seeing that the white coat in front of her would rather pay for a bedpan than let her go out, the old lady finally began to believe that the doctor was serious in not letting her get up or get out of bed.
She groaned for a while, then secretly waved to Zhang Tianyang.
"Then what, doctor, is my disease really dangerous?"
This patient really scared me away. One sat up without paying attention, and the other sat up again without paying attention. I was so scared that I was about to have a heart attack.Writing it out now will make you feel depressed and depressed, and suddenly your heart will be balanced~ hehe~
(End of this chapter)
Zhang Tianyang quickly glanced at the medical records of Professor Yang's new patients.
Then staring at the old lady who moved her hands and feet on the hospital bed, and refused to give birth no matter what, she felt waves of despair welling up from the bottom of her heart.
Turning to look at Senior Brother Deng next to him, everyone had the same expression.
That's abdominal aortic dissection!
How did he meet him!
An aortic dissection is when the normal blood vessel wall is torn apart for one reason or another.
The turbulent arterial blood poured in from the gap, widening the gap, forcing a channel in the middle of the blood vessel wall that should have been solid, but the outermost membrane of the blood vessel wall has not yet broken.
Therefore, patients with arterial dissection often complain of "tearing" pain.
Because the interlayer is torn out alive!
The reason why this disease is dangerous is because you don't know when the outermost membrane will break.
It may be that the blood pressure is a little high, the patient may be emotional, it may be just a sneeze, or even just sitting up from the bed suddenly, it may completely break the unbroken membrane.
Once the arterial dissection ruptures, arterial blood will rush out from the damaged part under the pumping action of the heart.
There is also the possibility of rescue with chest compressions in cardiac arrest.
Once aortic dissection ruptures, there is no chance of rescue.
You can only watch the irreparable gg of the patient right in front of you.
Therefore, once you encounter such a patient, you must not let him change his position at will, not be excited, and not continue to have high blood pressure.
Otherwise, I will show you every second!
However, this once-in-a-century patient is now in front of Zhang Tianyang.
What's even more frightening is that this patient is disobedient!
At this moment, Zhang Tianyang just wanted to look up to the sky and sigh, "The thief is killing me!"
His first big night shift has only been full for more than three hours.
But looking back, it didn't even stop for a minute!
"Brother doctor, you are too dark!"
The sister nurse, who also didn't even stop, had a resentful look on her face.
"Let me sum it up for you. As soon as you took over, there was a sudden gastrointestinal bleeding after cerebral infarction, lung infection, and heart failure. Not only was the trachea intubated, but the family members were also very difficult."
"Followed by a cerebral infarction, he went through the green channel of apoplexy."
"And then came another brisk abdominal aortic dissection."
"Tsk tsk tsk!"
As the group leader of this group of nurses, the male nurse couldn't stand it anymore, "Stop talking."
The sister nurse immediately bowed her head and admitted her mistake, "I'm sorry, Teacher Ouyang."
Unexpectedly, the male nurse shrugged, "You can't blame the new buddy, Mr. Yang has always been quite dark, there is nothing I can do about it."
have to!A group of black faces got together!It would be strange to be able to relax!
Zhang Tianyang sighed, turned his head, and noticed that the "lively" patient with abdominal aortic dissection was moaning and wanted to sit up again!
He was so frightened that he rushed over in an instant, pressing back the patient's back that was just about to leave the bed.
"Don't sit up."
Nurse Ouyang also came over, "Don't try to sit up all the time, just lie down and have a good sleep, can you do it!"
Zhang Tianyang held down the restless patient, "Lie down well, keep your mood relaxed, don't get excited, don't get up casually, and listen to the doctor, okay?"
The old lady who was held down was still struggling slightly, "Doctor, I want to go to the bathroom, let me out."
"You can't go out, go to the toilet here!"
Zhang Tianyang turned his head and called the nurse's aunt, "Auntie, please help this grandma use the toilet."
"Doctor, I want to go to the toilet, please let me out, my chest is a little stuffy, why is it like being in jail, what's going on with you!"
The old lady didn't realize how serious her illness was. At this moment, seeing all the doctors and nurses stopping her, she couldn't help becoming irritable, and her blood pressure tended to rise.
Zhang Tianyang was so frightened that he hurriedly tried to persuade him with good words, earnestly convincing, and finally reached a consensus with the old lady after wasting his strength.
"Let's go up here. We'll draw a curtain later. There are only you and auntie in the curtain. Let's all hide and be obedient."
It's a pity that one wave of ups and downs and another wave of ups and downs, the nurse's aunt spread her hands.
"Doctor, she didn't buy a bedpan, and she didn't buy a urinal."
Zhang Tianyang frowned, "Are her family members outside? I'll call and tell them to buy a new one."
Sells urinals and potty pans and a range of items that might be used in the emergency department, all available from a vending machine next to the waiting area.
These things are disposable, and not everyone needs them, so they are not usually equipped in the emergency room, and only the family members of the patients can buy them themselves.
Zhang Tianyang's thoughts were normal, but the nurse's aunt still spread her hands, "Doctor, she has no family."
Suddenly, the emergency room became quiet.
Zhang Tianyang could no longer control his expression management.
A patient with abdominal aortic dissection.
The patient who had been pinned down on the bed in the emergency room by the doctor and explained to her many times but still didn't take it seriously.
Now you don't even have a family member? ? ?
Nurse Ouyang made up the knife next to her, "The patient won't let him call, and won't give him his contact information. Besides, it's said that his family members are busy playing outside, do you understand?"
Oh my God!
Zhang Tianyang turned to look at Senior Brother Deng in despair, "Are you calling the medical staff on duty?"
Senior Brother Deng smiled and nodded, "I called, the consent form was signed, and I was scolded by the medical staff.
It's okay, it's okay, the base exploded, it's not a big problem! "
I'm so angry, but I still need to smile.
Zhang Tianyang tried to get the old lady to call the family over.
The old lady rejected him mercilessly, and launched the Tucao skill.
Zhang Tianyang immediately stopped trying, used his soothing skills, and proposed that the old lady scan the QR code to pay to the aunt, and the aunt went to buy a potty and a potty.
The old lady inquired about the price, used the skill of "increasing blood pressure", and insisted, "I'll just go out to the toilet by myself. It's so troublesome, and it's so expensive!"
Zhang Tianyang sighed, and turned to look at the nurse's aunt who was watching the play next to her.
The nurse aunt is the calmest person in the room.
After all, it wasn't her who wanted to go to the bathroom.
If something happens to the patient, it won't be her who dies.
She is not the one who bears the anger of the patient's family.
So she waited quietly by the side, neither arguing nor arguing, doing whatever she asked her to do, but she couldn't give her money.
"How about it, Auntie, I'll pay the money first, so hurry up and buy her a potty, don't hold back."
"Hey, why are you doing this! I didn't mean that, how can I ask you to give me money! How can there be any reason to pay for medical treatment at the same time!"
The old lady was excited again.
Zhang Tianyang was helpless.
At this time, I know that the doctor is the one who cures the disease.
"That's it, Auntie, go buy it first, and I'll transfer the money to you later."
"Good Le!"
The nurse aunt didn't care who gave the money, anyway, she didn't have to pay by herself, she slipped out of the emergency room to buy something.
The old lady on the hospital bed was muttering, and finally became a little more honest.
Seeing that the white coat in front of her would rather pay for a bedpan than let her go out, the old lady finally began to believe that the doctor was serious in not letting her get up or get out of bed.
She groaned for a while, then secretly waved to Zhang Tianyang.
"Then what, doctor, is my disease really dangerous?"
This patient really scared me away. One sat up without paying attention, and the other sat up again without paying attention. I was so scared that I was about to have a heart attack.Writing it out now will make you feel depressed and depressed, and suddenly your heart will be balanced~ hehe~
(End of this chapter)
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