Rebirth 90: I opened a hospital in Shencheng
Chapter 610 Flowing Clouds and Flowing Water's Rescue!
Chapter 610 Flowing Clouds and Flowing Water's Rescue!
"What's going on?" Nie Chen asked with a frown.
"He, he..." Ai Meili breathlessly said "him" for a long time without saying anything.
Zou Jiaqi was calmer and said: "We are arranging for him to do an abdominal CT, but he suddenly fainted, and then we pushed him over with Dr. Wang.
"Rescue room! Five beds, speed."
Nie Chen said.
Rescue the interior.
"What's the blood pressure?"
The nurse replied, "Blood pressure is sixty, forty."
Nie Chen took out a flashlight from his breast pocket and shone a light on the patient's eyes.
"Establish venous access."
Then Nie Chen put on gloves and pressed on the patient's abdomen...
"Zheng Ming! Zheng Ming!"
A woman rushed into the emergency room, yelling the patient's name.
Nie Chen looked up at her and asked, "Who are you?"
"His wife."
"Don't make noise, go outside and wait, the patient's vital signs are unstable, don't affect the rescue."
"Ah, rescue!"
"Ai Mingliang! Take her out." Nie Chen said.
"it is good."
Ai Meiliang called the patient out.
Nie Chen asked Zou Jiaqi, "Did the patient behave unexpectedly?"
"No." Zou Jiaqi shook her head.
Wang Jiachao said at this time: "Doctor Nie, the patient seems to be urinating blood when he went to the toilet."
Jiang Luoyan was stunned when he heard this.
Nie Chen frowned and hurriedly said, "B-side ultrasound!"
"Yes!"
Wang Jiachao immediately pushed the B-ultrasound next to the bed over.
"Get ready for paracentesis!"
"it is good!"
Jiang Luoyan nodded.
"Let the family members sign."
"Ok."
Nie Chen issued orders one by one, and the nurses and doctors followed his words and acted.
In this rescue, Nie Chen undoubtedly took the lead.
"Local anesthesia."
Under anesthesia, you only need to apply anesthesia around the site where the patient needs to be punctured.
"Piercing bag."
"At this."
Nie Chen put on sterile gloves.
Then sterilize the position where the patient will be punctured, and then use a puncture needle to pierce the patient's abdomen, then use a catheter to connect to the abdominal cavity, and then use a syringe to slowly wash out the accumulated blood in the patient's abdominal cavity.
Nie Chen put the syringe in front of his eyes, looked at it carefully, and said, "The blood won't clot when drawn out of the abdominal cavity."
"Bandage."
"Yes."
Zou Jiaqi saw that Nie Chen was so busy, and she was somewhat eager to help. She watched the medical staff's rescue seriously, and kept these steps and diagnosis in mind, which might help her in her future medical career.
Jiang Luoyan came over and asked, "How is it?"
Nie Chen said: "The liver and spleen ruptured, the bladder was damaged, and there was blood in the abdominal cavity."
"Then you have to have an operation." Jiang Luoyan said.
"Well, let the patient's family members sign."
"I'll go talk to the patient's family."
Nie Chen nodded.
As soon as Jiang Luoyan took two steps, something went wrong with the patient.
The monitor kept beeping, and Liu Xiaoxiao, a nurse standing by the bed, shouted, "The patient is in ventricular fibrillation!"
"Defibrillation!" Nie Chen said quickly.
Jiang Luoyan stamped his feet, and was about to come back to help when he heard Nie Chen say, "Sign, I'm here."
"Okay!" Jiang Luoyan nodded.
Wang Jiachao had already put the defibrillator in place, and Nie Chen applied the couplant to the defibrillator.
"Charge 250 joules!"
"Yes, charge 250 joules!"
"Charging is complete."
"Get out of the way!"
"boom!"
The monitor didn't respond at all, and the heart rate was already a'? '.
"Two milligrams of epinephrine into the liquid!"
"Yes!"
Nie Chen said, "Another three hundred joules, ready."
"Three hundred joules, charging."
"Charging is complete."
"Get out of the way!"
"boom!"
"Two milligrams of epinephrine has been injected."
Wang Jiachao was nervously performing cardiopulmonary resuscitation on the patient. Nie Chen gritted his teeth and said, "Again! Three hundred joules!"
"Yes! Three hundred joules are charging."
"Charging is complete!"
"Get out of the way!"
Wang Jiachao quickly detached from the patient's skin and stepped aside.
And Nie Chen touched the patient's chest with the defibrillator.
"boom!"
"Drip drip..."
"Patient regains sinus rhythm!"
"call……"
Everyone in the rescue room breathed a sigh of relief after seeing the numbers on the monitor.
Their efforts were not in vain, they saved the patient!
At this time, Jiang Luoyan came back with the consent form for the operation.
"The family members have met and signed."
Nie Chen nodded and said, "Get ready for surgery."
"Okay." Jiang Luoyan nodded.
Nie Chen immediately said to Jiang Luoyan: "The patient's blood pressure is balanced, first do bedside ultrasound."
"it is good."
"Jiachao, go to the operating room and get ready."
"Okay." Wang Jiachao responded.
Jiang Luoyan performed bedside ultrasound on the patient, looked at the image displayed on the monitor, and said, "There is fluid in the abdominal cavity, and the liver and spleen are enlarged."
"Well, prepare for the surgery." Nie Chen nodded.
He had already guessed it.
operating room.
Nie Chen and Jiang Luoyan were washing their hands.
While surgery is in progress.
The medical staff in the operating room were very nervous. Wang Jiachao kept observing Nie Chen's expression, but he couldn't see clearly because he was wearing a mask.
He could only look at the patient's abdominal cavity and take deep breaths.
"The liver damage is not serious, consider partial liver resection."
Jiang Luoyan asked, "Can it be repaired?"
"It cannot be repaired, and the damage to the patient's organs exceeds the indication for repair."
"Okay, partially removed."
Nie Chen nodded and began to operate to remove part of the patient's liver.
"Part of the liver has been removed."
Next is the spleen. The rupture of this spleen is not very serious and can be repaired completely.
Until the operation was over, the roving nurse wiped Nie Chen's sweat more than a dozen times.
The operation was finally completed after four hours and 42 minutes!
"Check the gauze equipment and prepare to close the abdomen."
Nie Chen put the scalpel on the tray and was about to pick up the forceps when Jiang Luoyan suddenly stopped him.
"I'll come, you go to rest."
After standing on the operating table for more than four hours, his legs and feet have long been numb. I don't know how many times, but Nie Chen still remains motionless. This is what a doctor needs to endure on the operating table.
Not just mentally, but physically!
Why do many doctors lie on the ground and sleep after surgery?
I'm tired.
So, doctors really work hard, especially surgeons.
"it is good."
Nie Chen nodded to give way, and Jiang Luoyan made up for it
He walked out of the operating room first, and then saw the patient's family members running over and asked, "Doctor, how is he?"
"The surgery was a success."
"Oh, thank you doctor, thank you doctor."
After speaking, Nie Chen left.
After shift.
Nie Chen and Liu Yueqian met in the parking lot.
"How is it?" Liu Yueqian asked.
"After an operation, the man wanted to run away at first. Fortunately, I was careful and didn't let him leave the hospital, otherwise he wouldn't be able to be rescued," Nie Chen said.
"what's up?"
"The patient's liver and spleen ruptured and his bladder was damaged, which led to intra-abdominal bleeding. Although he looked alive and kicking, he had already injured his internal organs."
"Oh my God, that's too scary." Liu Yueqian said in surprise.
She is not an emergency doctor and has never encountered such a situation.
Nie Chen smiled: "How are you?"
Liu Yueqian sighed and said, "What else can I do? I delivered two babies, and one of them had a side cut due to the narrow crossing."
The two chatted all the way.
It's good to have a common topic, and there are endless things to talk about.
Emergency Department.
Wang Jiachao walked to the sixteenth bed with the patient's just-taken film.
"Zhang Haijian? Your brain CT results have come out. Nothing is wrong. You can leave after the transfusion."
A fat man with a big head was lying on the bed, and a gorgeous woman was sitting on the chair beside the bed. The woman was using her beautiful manicure to show off to the air.
(End of this chapter)
"What's going on?" Nie Chen asked with a frown.
"He, he..." Ai Meili breathlessly said "him" for a long time without saying anything.
Zou Jiaqi was calmer and said: "We are arranging for him to do an abdominal CT, but he suddenly fainted, and then we pushed him over with Dr. Wang.
"Rescue room! Five beds, speed."
Nie Chen said.
Rescue the interior.
"What's the blood pressure?"
The nurse replied, "Blood pressure is sixty, forty."
Nie Chen took out a flashlight from his breast pocket and shone a light on the patient's eyes.
"Establish venous access."
Then Nie Chen put on gloves and pressed on the patient's abdomen...
"Zheng Ming! Zheng Ming!"
A woman rushed into the emergency room, yelling the patient's name.
Nie Chen looked up at her and asked, "Who are you?"
"His wife."
"Don't make noise, go outside and wait, the patient's vital signs are unstable, don't affect the rescue."
"Ah, rescue!"
"Ai Mingliang! Take her out." Nie Chen said.
"it is good."
Ai Meiliang called the patient out.
Nie Chen asked Zou Jiaqi, "Did the patient behave unexpectedly?"
"No." Zou Jiaqi shook her head.
Wang Jiachao said at this time: "Doctor Nie, the patient seems to be urinating blood when he went to the toilet."
Jiang Luoyan was stunned when he heard this.
Nie Chen frowned and hurriedly said, "B-side ultrasound!"
"Yes!"
Wang Jiachao immediately pushed the B-ultrasound next to the bed over.
"Get ready for paracentesis!"
"it is good!"
Jiang Luoyan nodded.
"Let the family members sign."
"Ok."
Nie Chen issued orders one by one, and the nurses and doctors followed his words and acted.
In this rescue, Nie Chen undoubtedly took the lead.
"Local anesthesia."
Under anesthesia, you only need to apply anesthesia around the site where the patient needs to be punctured.
"Piercing bag."
"At this."
Nie Chen put on sterile gloves.
Then sterilize the position where the patient will be punctured, and then use a puncture needle to pierce the patient's abdomen, then use a catheter to connect to the abdominal cavity, and then use a syringe to slowly wash out the accumulated blood in the patient's abdominal cavity.
Nie Chen put the syringe in front of his eyes, looked at it carefully, and said, "The blood won't clot when drawn out of the abdominal cavity."
"Bandage."
"Yes."
Zou Jiaqi saw that Nie Chen was so busy, and she was somewhat eager to help. She watched the medical staff's rescue seriously, and kept these steps and diagnosis in mind, which might help her in her future medical career.
Jiang Luoyan came over and asked, "How is it?"
Nie Chen said: "The liver and spleen ruptured, the bladder was damaged, and there was blood in the abdominal cavity."
"Then you have to have an operation." Jiang Luoyan said.
"Well, let the patient's family members sign."
"I'll go talk to the patient's family."
Nie Chen nodded.
As soon as Jiang Luoyan took two steps, something went wrong with the patient.
The monitor kept beeping, and Liu Xiaoxiao, a nurse standing by the bed, shouted, "The patient is in ventricular fibrillation!"
"Defibrillation!" Nie Chen said quickly.
Jiang Luoyan stamped his feet, and was about to come back to help when he heard Nie Chen say, "Sign, I'm here."
"Okay!" Jiang Luoyan nodded.
Wang Jiachao had already put the defibrillator in place, and Nie Chen applied the couplant to the defibrillator.
"Charge 250 joules!"
"Yes, charge 250 joules!"
"Charging is complete."
"Get out of the way!"
"boom!"
The monitor didn't respond at all, and the heart rate was already a'? '.
"Two milligrams of epinephrine into the liquid!"
"Yes!"
Nie Chen said, "Another three hundred joules, ready."
"Three hundred joules, charging."
"Charging is complete."
"Get out of the way!"
"boom!"
"Two milligrams of epinephrine has been injected."
Wang Jiachao was nervously performing cardiopulmonary resuscitation on the patient. Nie Chen gritted his teeth and said, "Again! Three hundred joules!"
"Yes! Three hundred joules are charging."
"Charging is complete!"
"Get out of the way!"
Wang Jiachao quickly detached from the patient's skin and stepped aside.
And Nie Chen touched the patient's chest with the defibrillator.
"boom!"
"Drip drip..."
"Patient regains sinus rhythm!"
"call……"
Everyone in the rescue room breathed a sigh of relief after seeing the numbers on the monitor.
Their efforts were not in vain, they saved the patient!
At this time, Jiang Luoyan came back with the consent form for the operation.
"The family members have met and signed."
Nie Chen nodded and said, "Get ready for surgery."
"Okay." Jiang Luoyan nodded.
Nie Chen immediately said to Jiang Luoyan: "The patient's blood pressure is balanced, first do bedside ultrasound."
"it is good."
"Jiachao, go to the operating room and get ready."
"Okay." Wang Jiachao responded.
Jiang Luoyan performed bedside ultrasound on the patient, looked at the image displayed on the monitor, and said, "There is fluid in the abdominal cavity, and the liver and spleen are enlarged."
"Well, prepare for the surgery." Nie Chen nodded.
He had already guessed it.
operating room.
Nie Chen and Jiang Luoyan were washing their hands.
While surgery is in progress.
The medical staff in the operating room were very nervous. Wang Jiachao kept observing Nie Chen's expression, but he couldn't see clearly because he was wearing a mask.
He could only look at the patient's abdominal cavity and take deep breaths.
"The liver damage is not serious, consider partial liver resection."
Jiang Luoyan asked, "Can it be repaired?"
"It cannot be repaired, and the damage to the patient's organs exceeds the indication for repair."
"Okay, partially removed."
Nie Chen nodded and began to operate to remove part of the patient's liver.
"Part of the liver has been removed."
Next is the spleen. The rupture of this spleen is not very serious and can be repaired completely.
Until the operation was over, the roving nurse wiped Nie Chen's sweat more than a dozen times.
The operation was finally completed after four hours and 42 minutes!
"Check the gauze equipment and prepare to close the abdomen."
Nie Chen put the scalpel on the tray and was about to pick up the forceps when Jiang Luoyan suddenly stopped him.
"I'll come, you go to rest."
After standing on the operating table for more than four hours, his legs and feet have long been numb. I don't know how many times, but Nie Chen still remains motionless. This is what a doctor needs to endure on the operating table.
Not just mentally, but physically!
Why do many doctors lie on the ground and sleep after surgery?
I'm tired.
So, doctors really work hard, especially surgeons.
"it is good."
Nie Chen nodded to give way, and Jiang Luoyan made up for it
He walked out of the operating room first, and then saw the patient's family members running over and asked, "Doctor, how is he?"
"The surgery was a success."
"Oh, thank you doctor, thank you doctor."
After speaking, Nie Chen left.
After shift.
Nie Chen and Liu Yueqian met in the parking lot.
"How is it?" Liu Yueqian asked.
"After an operation, the man wanted to run away at first. Fortunately, I was careful and didn't let him leave the hospital, otherwise he wouldn't be able to be rescued," Nie Chen said.
"what's up?"
"The patient's liver and spleen ruptured and his bladder was damaged, which led to intra-abdominal bleeding. Although he looked alive and kicking, he had already injured his internal organs."
"Oh my God, that's too scary." Liu Yueqian said in surprise.
She is not an emergency doctor and has never encountered such a situation.
Nie Chen smiled: "How are you?"
Liu Yueqian sighed and said, "What else can I do? I delivered two babies, and one of them had a side cut due to the narrow crossing."
The two chatted all the way.
It's good to have a common topic, and there are endless things to talk about.
Emergency Department.
Wang Jiachao walked to the sixteenth bed with the patient's just-taken film.
"Zhang Haijian? Your brain CT results have come out. Nothing is wrong. You can leave after the transfusion."
A fat man with a big head was lying on the bed, and a gorgeous woman was sitting on the chair beside the bed. The woman was using her beautiful manicure to show off to the air.
(End of this chapter)
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