Chapter 299

Zhu Dayong curled his lips, and reluctantly picked up the previously packaged Chinese medicinal materials and handed them to Hu Zhaowei's wife.

"Here, this is three courses of medicine. The usage and dosage are the same as the previous doctor's instructions."

Zhu Dayong seemed to still be holding back his anger towards Hu Zhaowei.

That day when he came to the medical clinic, he looked arrogant and laughed at Zhou Chen for being a graduate of Pheasant University. If it were Zhu Dayong himself, he would never forgive him.

Zhou Chen stepped forward and seriously instructed Mr. Hu on the issues that should be paid attention to.

Hu Zhaoyong was extremely grateful, and both he and his wife were going to kneel down to Zhou Chen.

This kneeling.

First, to thank you.

Second, it is an apology, an apology.

Zhou Chen resolutely refused:
"Don't be like this. I was able to save Mr. Hu this time only because of your filial piety. If I get angry with you for such a small thing, I, Zhou Chen, would be too petty. ?”

Hu Zhaowei looked at Zhou Chen with fixed eyes, and secretly gave him a thumbs up in his heart.

Praise him for letting go of past suspicions.

I admire his broad mind.

This is also the kindness of a doctor.

After a pause, Hu Zhaowei gratefully presented the previous bank card with 700 million deposits with both hands.

"Doctor Xiao Zhou, this is my wish, you must accept it."

After all these things, Hu Zhaowei's wife is the one who sees it most clearly.

His respect and admiration for Zhou Chen could not be described in words for a while.

"Doctor Zhou, just accept it. Although the money is not much, it is indeed a little bit of our heart..."

Zhou Chen, who was not moved by money, also declined a few words at first.

But it's really hard to beat the opponent.

The other party insisted on it again and again, and Zhou Chen finally accepted it.

After seeing off Mr. and Mrs. Hu Zhaowei and Mr. Hu, Zhu Dayong lowered his head and glanced at the bank card in Zhou Chen's hand, and began to have bad thoughts.

After pondering for a while, he came to Zhou Chen with a playful smile.

He smiled at Zhou Chen, that smile was meaningful and far-reaching.

Zhou Chen felt an inexplicable chill hit him with that smile.

"What do you want to do again, kid?"

Zhu Dayong's eyes were shining brightly, and it was difficult to speak for a while.

Zhou Chen lost his patience: "What on earth do you want to do? What the hell are you thinking?"

Zhu Dayong slammed his mouth, hesitatingly asked in a low voice.

"Old cousin, you see so much money in the card, can you lend me some?..."

This is not surprising at all, Zhou Chen had expected it before.

"How many thousand do you want?"

Obviously, Zhu Dayong was very disappointed with the number of several thousand.

He continued to smile:

"There are more than 700 million in this card. My dear, please lend me 20. I want to buy a car..."

Zhou Chen gave him a big look:
"What do you want a car for?"

Zhou Dayong explained: "Old Cousin, you see that you are driving Cullinan now, as your cousin, I can't be too disrespectful..."

Zhou Chen thought for a while: "How about this, take 1 yuan and use it. If you need a car, you can drive mine. I still have use for other money."

Zhu Dayong was very disappointed.

He muttered for a while.

"Stingy... I don't think you regard me as your relative."

"What do you say?"

Just as Zhou Chen turned around, he turned around and glared at him when he heard his muttering.

"I……"

In the end, Zhu Dayong just let out a long sigh, finally said nothing, and curled his lips depressedly.

This afternoon, seeing that there were not too many patients in the medical clinic, Zhou Chen went to the emergency department of the municipal hospital again.

Before I stepped through the door of the emergency department, I met Dr. Zhang Jian in a hurry in the corridor.

"Doctor Xiao Zhou, that's great, you're here, hurry up and help."

Zhang Jian stepped forward to grab Zhou Chen and hurried to the emergency room.

"what happened?"

Zhou Chen asked casually.

"It was a traffic accident, and the injured person was a middle-aged driver."

As Zhang Jian walked, he described the condition of the injured person to Zhou Chen in detail.

“Due to an accidental traffic accident, I became temporarily unconscious after the injury, and the cause of the injury is unknown.

Afterwards, I felt severe pain in the upper abdomen, which was like a continuous knife, and radiated to the right shoulder and back.

In a short period of time, the abdominal pain gradually spread to the whole abdomen, dizziness, palpitations, pale complexion, nausea, and vomiting twice. The vomit was coffee-like liquid, and the amount was not much, so I was rushed to the hospital..."

After entering the emergency room, Zhou Chen looked at the physical examination list of the injured person before:

Body temperature 36.5, pulse 110 beats/min, blood pressure 10575mmHg, respiration 22 beats/min.

Acute pain, indifferent expression, pale complexion, and clammy limbs.

There was no deformity of the thorax, weakened chest breathing, soft tissue swelling in the right hypochondrium and subxiphoid process, no squeezing pain in the thorax, voiceless lungs percussion, no weakening of breath sounds on auscultation, and no wet and dry sounds.

The heart boundary is not large, the heart rate is 110 beats/min, the heart rhythm is regular, and there is no murmur in each valve area.

The abdomen was slightly distended, and abdominal respiration was weakened; tenderness, rebound tenderness, and muscle tension in the entire abdomen were all positive, and the liver and spleen were not palpable; percussion pain in the liver area was positive, and the upper limit of the liver was at the fifth intercostal space of the right midclavicular line, and moving dullness in the intestine was positive. The sound disappears.

Abdominal puncture draws out non-clotting blood mixed with bile.

Abdominal X-ray showed mild pneumatosis in the abdominal bowel, no free gas under the septum, and pneumatosis in the retroperitoneum.

Then, Dr. Zhang Jian told Zhou Chen about their preliminary diagnosis.

"My initial diagnosis is: a history of upper abdominal trauma with obvious blood loss, thirst, palpitations, pale complexion, pulse 110 beats/min, blood pressure 12.0/9.OkPa, signs of hemoperitoneum, positive shifting dullness, abdominal cavity Draw out non-clotting blood mixed with bile."

Zhou Chen took a look at the injured man's comprehensive examination results, nodded, and affirmed his preliminary diagnosis.

"Well, this is traumatic liver rupture."

"Without further delay, let's plan the operation as soon as possible..."

Seeing the serious condition of the injured, Zhou Chen did not dare to neglect too much and said immediately.

That's right, for such patients, volume expansion is generally used in treatment, and exploratory laparotomy is performed in the emergency department to deal with the damaged organs.

Liver trauma accounts for about 15% of abdominal trauma, and is often accompanied by large blood vessel or biliary tract injury.

According to relevant literature reports, the mortality rate of liver trauma can reach 31%.

For such injured patients, suture, packing, hepatic artery ligation, and partial hepatic lobectomy are generally used clinically, and the results are satisfactory.

After Zhou Chen finished speaking, Dr. Zhang Jian looked confused and hesitated for a moment.

Zhou Chen looked up at him, and asked, "Doctor Zhang, what else do you want?"

After a moment of silence, Zhang Jian said: "It is very important to perform such an operation, and the signature of the family members is required. There is no family member of the injured person present. Besides, he has not yet paid the fee, so we can't rush..."

(End of this chapter)

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