Back in 2002 as a doctor

The sound of the 120 ambulance became louder and harsher. Zhou Congwen felt that the adrenaline in his body was secreting more and more, and it was almost reaching the limit.

It must be a patient in the chest department. Zhou Congwen kept popping up such a thought in his mind, and he couldn't press it down.

A few seconds later, the flat car quickly pushed to the emergency room.

The doctor in the 120 ambulance followed him and said while running, "The patient quarreled with his wife, smashed the TV screen with a punch, and the radial artery ruptured. When I went there, there was blood all over the place."

"..." Zhou Congwen was speechless.

"The patient was not allowed to make a call. Finally, after he passed out from hemorrhagic shock, he called 120 for emergency treatment at home. Three minutes ago, I had a cardiac arrest on the 3 car. I pressed all the way, but I couldn't be saved."

The simple description clearly explained the patient's past and present lives, and Shen Lang sighed, "Look, I said that I can't get married. I will have cerebral hemorrhage, and I will quarrel and smash the TV screen. Let's go, not our patient."

While speaking, Shen Lang pulled Zhou Congwen, but he didn't.

"Why are you going?"

"Cardiac arrest, I'll go and have a look." Zhou Congwen followed the flat car all the way to the emergency room.

Although the patient's ECG monitoring waveform is not a straight line, it is meaningless.A glance at the ECG monitoring shows that both legs of the patient have crossed the gate of hell, and I don't know whether to drink Mengpo soup.

The heartbeat stopped for 3 minutes and the heart was pressed outside the chest all the time. These specific words appeared in Zhou Congwen's mind.

Should be able to try.

The flat car almost braked suddenly and stopped in front of the emergency bed. A group of burly men in the room were all driven out, and the patient was carried to the emergency bed immediately.

The emergency surgeon pressed for 20 seconds, and the patient's electrocardiogram only had the waveform of pressing, without any spontaneous beating.

The emergency surgeon knew that there was no hope, but the family members of the patients must have arrived one after another, even if it was a dead person, it would take half an hour to rescue them.

He glanced around and saw that the nurses were all busy, and only Zhou Congwen was standing by.

"Xiao Zhou, come and press it for me, I'll prepare the pile driver."

The pile driver is an automatic chest compression device. It is generally used for half an hour for hopeless patients, which can be regarded as a period of psychological acceptance for the family members of the patients.

Zhou Congwen walked to the patient and pressed his hands on the sternum.

The body temperature is still there, and the emergency time after 3 minutes in the ambulance is less than 5 minutes after getting off.

Thinking of this, Zhou Congwen sank down, using his own strength and weight to press on the manubrium of the sternum of the patient in cardiac arrest.

"Gaba~" There was a crisp sound.

Chapter 0418

Accompanied by a "click", the patient's body twitched, and there was an inhalation sound in his throat, and at the same time, there were changes in the electrocardiogram.

The electrocardiogram, which had always been meaningless and scattered waveforms before, trembled. It seemed that even the cold machine was aware of the violence contained in Zhou Congwen's pressing just now, and began to fear.

"roar~"

The patient breathes spontaneously and takes a deep breath.

It was as if he had just woken up from a big dream.His chest swelled, and then he let out a long sigh.

"Give it away." Zhou Congwen glanced at the electrocardiogram on the ECG monitor, which showed a sinus rhythm.

The emergency surgeon and the nurses who were busy preparing to use the pile driver to complete the final comfort treatment were all dumbfounded.

What's the point?

How many times did Zhou Congwen press it?It seems that there is only one stroke, so how can the patient survive?

The emergency surgeon even had a suspicion - he had made a misjudgment just now, the patient did not have a cardiac arrest, everything was a hallucination.

Otherwise, there is no way to explain what happened in front of you.

"Hurry up and give away the watch, and tell them to prepare a large amount of blood." Zhou Congwen turned around and pulled Shen Lang away from the emergency room.

Looking at Zhou Congwen's back, the emergency surgeon's lips moved twice, but in the end he turned his head and beckoned the patient to be sent to the hand surgery department.

The patient looks stable now, but who knows if he will suffer another cardiac arrest in the next second.Seize the time rehydration, blood transfusion is the key.

Several intravenous infusion channels were opened to the maximum by the emergency surgeon, and the fluid slipped into the blood vessels. The patient's breathing was relatively stable, and the heart rate... seemed to be much more honest. The heart was beating obediently, with no signs of temporarily stopping.

"Congwen, awesome!" Shen Lang gave a thumbs up and exclaimed in a low voice.

Zhou Congwen pulled him out of the way, and the flat car whizzed by.

"What happened just now?"

"Heart compressions." Zhou Congwen said, "Nothing special."

"But 120 was pressed for 3 minutes in the ambulance, and another 1 minute in the hospital. I saw it with my own eyes!"

"We are chest doctors, cardiothoracic surgeons, can we do heart compressions like them?" Zhou Congwen said with a smile.

Shen Lang felt that Zhou Congwen was fooling himself, but he didn't know what to ask.

The hustle and bustle of the emergency department behind him was still there, and the waves were getting higher and higher like waves. It seemed that it was still in the high tide period, and the tide would never end.

"Congwen, why don't you go back, I feel very bad today." Shen Lang whispered next to Zhou Congwen, "I'm always afraid that something will go wrong, I guess I have to call you before you get home."

"..." Zhou Congwen was helpless.

I really don't know what's wrong today, it's okay to be messy.

It was still the first half of the night, and they were fighting and jumping off buildings.Wait until those desperate guys finish drinking and driving before...

No, what are you thinking? This is Zhou Congwen's deep self-blame.

Subconsciously, he bowed his back and walked forward like his own boss.This posture is still comfortable, but unfortunately the boss won't allow it.

Wait until the number of operations in the Thoracic Surgery Department of the Third Hospital exceeds that of the People's Hospital and everything is on the right track, so let's go.Whether it is 912 or Shanghai, there are not too many emergency departments, and there is no need to be busy day and night.

"Let's go, go back and have a rest, I'll go back after we smoke a cigarette." Zhou Congwen said lightly, "It's not that evil, you think too much..."

Before he finished speaking, Shen Lang's cell phone rang.

Shen Lang immediately took out his mobile phone and quickened his pace towards the ward.

"Hello!" Shen Lang's voice was a little hurried.

"Brother Chen, urgent consultation with the Department of Respiratory Medicine!" The nurse said hastily.

"What patient?"

"It was said to be a lung abscess, but suddenly the blood oxygen didn't come up, and the person went into shock." The nurse said, "They told us to hurry up and take a look."

"understood."

Shen Lang hung up the phone and complained, "The patient with lung abscess wants us to go to the emergency room for consultation. What are we doing? Look at how evil this evening is, there is an emergency consultation for lung abscess."

Zhou Congwen sighed, he had already anticipated his tragic future tonight.

Now even Shen Lang, who has always been talkative, stopped talking, and rushed to the Department of Respiratory Medicine as fast as he could.

Although I know that there is a high probability that it has nothing to do with thoracic surgery, emergency consultation is emergency consultation, and I must arrive within 10 minutes.

The two came to the Department of Respiratory Internal Medicine. Although the corridor in the ward was a little quieter than the emergency room, there was a sense of anxiety.

I don't know what happened tonight, Zhou Congwen felt that it must be his fault.

If it weren't for the few emergency and critically ill patients in the recent period, I wouldn't have thought about Li Qinghua's luck suppression;

If it weren't for Li Qinghua's luck to suppress it, there wouldn't be so many strange emergencies;

If there weren't so many weird emergencies, I should grind eggs at home at this time, grind eggs quietly, without being disturbed, and then go to bed.

Life is hard.

With this in mind, Zhou Congwen strode into the doctor's office of the Department of Respiratory Medicine.

"Director Sun, why are you here?" Zhou Congwen asked in surprise when he saw that the director of the Department of Respiratory Medicine was watching the film with a worried face.

"Huh? Xiao Zhou, why are you here?" Director Sun also asked suspiciously.

It's so late, only the little doctor on duty should be there.

"Don't mention it, I've been tossing all night." Zhou Congwen glanced at the film inserted in the film reader, his eyes were fixed on it immediately, and he couldn't move it.

The film showed that the patient's right lung was white, with large areas of inflammatory exudation and abscess parcels. The condition was indeed serious.

But Zhou Congwen didn't pay attention to this. He noticed that the patient's lung image was a little weird.

"The patient is my classmate. He was hospitalized three days ago because of a fever. Examination showed a large area of ​​inflammation and abscess." Director Sun briefly introduced, "But tonight he is not in good condition. Suddenly his blood oxygen saturation drops to about 80%. It's also at 85 mmHg."

Zhou Congwen walked to the film reader, stretched out his right hand and curled his flat head, rustling.

"It should have nothing to do with your chest department. I want to ask you to have a look and give advice together. Strange, the fever is not serious, why the blood oxygen and blood pressure will drop."

Director Sun said to himself.

"Don't tell me, it really has something to do with our chest department. The patient probably needs to be on stage. Then do a CT scan. I think it's lung torsion." Zhou Congwen said to Director Sun with his flat head.

"Nonsense, there's no such thing as lung torsion." Director Sun reprimanded in a low voice.

"Director Sun, look here." Zhou Congwen clicked the film on the film reader with his hand, "I guess you think it is the abnormal effect caused by lung abscess, but think about it from another angle, if the lung lobe is twisted by 20 degrees, is it also the same? Condition?"

Director Sun was taken aback when he heard what Zhou Congwen said.

Chapter 0419

It seems, seems, probably makes sense.

"And let's think about it this way, it's normal for a patient to have a sudden drop in blood pressure and blood oxygen." Zhou Congwen persuaded lightly.

"I don't dare to move it." Director Sun was a little worried. "The blood oxygen can't be held in the semi-recumbent position. If I move, I'm worried that the blood oxygen will be gone. If there is respiratory and cardiac arrest in the CT room, You can't even save them."

"I'll take a look at the patient." Zhou Congwen said.

"..." Director Sun hesitated to speak, Zhou Congwen felt strange, "Director Sun, what's wrong? Isn't the patient your classmate?"

"Oh, don't mention it." Director Sun sighed deeply, "Both of them are my classmates, but the male classmate who got sick a few years ago brought someone home, and it turned out that my female classmate was at home with her colleagues...cough Keke, just met it.

The couple quarreled viciously, and almost lost their lives at the time. "

Zhou Congwen frowned.

"After that, the two of them have been exhausted like this, and no one is willing to talk about the divorce. Treatment is treatment, but the family has not cooperated, and I am also worried."

It turned out that this was the case, and Zhou Congwen understood why Director Sun did not complete various related examinations when the patient's condition suddenly took a turn for the worse.

What a bloody night.

Shen Lang wasn't tired at all, his eyes were shining brightly, and the fire of gossip was burning behind him, he was guessing the scene of a couple who bumped into each other at home with different people.

"Does your female classmate want to just drag on like this and wait for someone to leave?"

"I guess it is." Director Sun said dully, "It's all my fault. I didn't admit him to the hospital at that time."

"I'll go and have a look. It's time for a checkup." Zhou Congwen persuaded, "Director Sun, think about it, these two couples are really troublesome. Get the disease cured, and we'll talk about it later. If it can't be cured , you guess the trouble will fall on you."

Director Sun sighed deeply after hearing what Zhou Congwen said.

Zhou Congwen reckoned that Director Sun had the same thought in his heart as he did before. It would be great if he didn't accept this patient. If he didn't accept...

However, there is a high probability that the patient has torsion of the lung. If it is not accepted, it will be a big problem!

With this disease, the patient is unable to call for help when thrown at home, and he will die before dawn.

Going to the ward, Zhou Congwen saw the patient lying alone on the bed in the ward, inhaling oxygen through a nasal cannula, with a pale face.

Although it was difficult to breathe, he didn't even seem to have the energy to catch his breath, like a dying fish, only his eyelids could blink occasionally to show that he was still alive.

"Where's the escort?" Zhou Congwen asked with a frown.

"Smoking and calling in the fire escape." Director Sun replied helplessly, "I guess I was hoping to die soon, but this time my wish came true."

Zhou Congwen has no problems with medical treatment and diagnosis, but he has nothing to do when it comes to the trivial matters of his parents.

Regardless of the patient's family members, it is better to find out the patient's situation first.

He took out his stethoscope and started auscultation. As Zhou Congwen guessed, the breath sounds in the middle lobe of the right lung disappeared completely.

"Director Sun, now I judge that there is a high probability that the lung is torsion, so I need to get a CT and hurry up for surgery."

"Lung torsion is too rare..." Director Sun was still a little puzzled.

"It's rare, with a probability of about [-] out of [-], but the mortality rate is extremely high. Even if you don't have surgery, you still need to do lung CT."

Director Sun gritted his teeth and nodded, "I'll talk to my classmate, you can't just die here without doing anything, what the hell is going on."