Sleepless Doctor

The latest website: "Swipe!" A row of nurses immediately stood up, put their hands in front of them, and greeted Wu Mian with the etiquette posture on the standard poster.

"There are patients, ready to be rescued." Wu Mian said directly without being wordy, "The first doctor suspected that it was an aortic dissection."

As soon as the diagnosis was made, the atmosphere in the room immediately became tense.

Those who can come to Jianxie Hospital are at least nurses who have worked for more than three years. Looking at the patient well, maybe a person with a posture change is gone, and the aortic dissection is just so powerful.

The books were too late to clean up, and they were neatly laid out on the table. Wu Mian looked at this scene, slightly satisfied.

This is just the beginning, the others have to take time.

Soon, the 120 ambulance drove to Jianxie Hospital, and Wei Dabao hurriedly jumped out of the 120 car.

"Section Chief Wu!" He shouted as if seeing a relative, "The patient is still...alive."

"..." Wu Mian glanced at the patient, frowning at Wei Dabao, "What are you talking about, what medicine did you give?"

"Sodium nitroprusside." Wei Dabao said breathlessly.

Cai Lili was pushed off the ambulance, Wu Mian stepped forward, let her lie still, then touched her forehead, and opened her eyes to take a look. Then I asked Cai Lili a few questions and listened to several positions with a stethoscope in the emergency room.

The nurses have been suffocated. One is that they have not worked for several days, and their hands are itchy, and the other is that they want to give Wu Mian a good impression.

After all, this year, there are not many hospitals where the head of the Jianxie Hospital is so demanding and human. If you miss this village, it will be difficult to find a similar hospital in the future.

"Get ready to be hospitalized, be an etct." Wu Mian said.

"..." Wei Dabao was startled.

Several nurses began to implement Wu Mian's orders and pushed the patients directly to the circulatory department to be hospitalized.

"Chief Wu, she has a tumor?" Although Wei Dabao has never seen etct, he knows what etct is used for.

In Wei Dabao's consciousness, etct is the last resort to check for tumors. In the provincial capital, etct checked 9600 once. It is said that the medical insurance only pays half of the reimbursement, and the old nose is expensive.

This thing is too expensive, and people in Bajingzi rarely do similar inspections. Wei Dabao has only heard of it, but has never seen etct's inspection report.

"Let's take a look." Wu Mian said, took a look at Wei Dabao, and asked, "Are you okay today."

"..." Wei Dabao was stunned, but the opportunity should not be missed. He immediately bowed and said, "Chief Wu, I will find someone to do my job. I won't delay my normal work. I will return to work more often."

Wu Mian nodded, and did not explain much to Wei Dabao, and went to the circulation department with the flat car.

"Director Gao, the patient is considering Takayasu's arteritis and is preparing to do etct." Wu Mian explained to Gao Boxiang after the meeting.

"Good." Gao Boxiang responded directly. Although aortic arteritis is not a circulatory disease, more hospitals treat aortic arteritis in the rheumatology department.

However, the Jianxie Hospital was just established, and Mr. Wu didn't have many resources at hand, so it's understandable to put it here.

"Doctor Wei." Wu Mian sat down in the office, smiled at Wei Dabao, and asked, "How did you diagnose aortic dissection?"

"The blood pressure measurements on both sides are inconsistent, and the numbers are too different." Wei Dabao said without hesitation.

"Continue to talk about it." Wu Mian looked at Wei Dabao with interest.

Wei Dabao raised his **** and concentrated his chest and abdomen. He stood straight and said, "The blood vessel gap between the left and right upper limbs of a normal person is less than 10 mmHg, and it may be between 10 and 20 mmHg, but most patients do not Will exceed 20 millimeters of mercury."

"If the gap is too large, it may be that elderly patients have severe stenosis or occlusion of the subclavian artery in the corresponding part due to long-term arteriosclerosis or patients with arteritis. If there is severe stenosis, the blood pressure of this side of the upper limb may be It will be lower..."

"Well, it's a good memorial. In addition to the tenth edition of diagnostics, did you check other information?" Wu Mian asked.

"Chapter Wu, some of the diagnostics are too general, I really don't understand." Wei Dabao said bitterly, "I can only look up the information a little bit. For more than a month, my eyes have been bleak."

"That's the part of clinical experience, lay the foundation, clinically for ten years, using snacks, naturally you will be an old doctor who is ready." Wu Mian said with a smile, and didn't pay attention to Wei Dabao's words to look at his own eyes. The matter.

Ten years...We didn't have ten years, and Wei Dabao was a little frustrated.

"Not bad, let's put it this way, have you noticed, what did I do just now?" Wu Mian asked.

"You..." Wei Dabao was taken aback for a while, and immediately remembered the disinfection incident in the emergency department of the Bajingzi Hospital of Traditional Chinese Medicine not long ago. That time Teacher Wu glanced at the patient's mouth... and this time...

Wei Dabao tried his best to recall Wu Mian's actions just now, and it seemed that there was nothing special, just to check it briefly, it was not professional at all. At least in Wei Dabao's view, Chief Wu's actions just now were too sloppy and a little careless.

"You first glanced at the patient's eyes," Wei Dabao recalled, "then did an auscultation."

"Why am I looking at my eyes?"

"..." Wei Dabao looked sad.

"My first action is to touch the patient's forehead." Wu Mian said, "Most patients with aortic dissection will have unbearable tear-like pain, but the patient who was sent did not have it. It is not the main consideration. Ill. But you can think about it, and you know to call me, it’s great."

Hearing Section Chief Wu complimenting himself, Wei Dabao lifted his spirits.

"Chief Wu, why are you touching her forehead?"

"You happened to send a patient who just had the disease. There was no misdiagnosis and no treatment for depression." Wu Mian said, "Generally speaking, the blood pressures on the left and right sides without any symptoms are inconsistent. It is necessary to consider polyarteritis and arterial occlusion. , Aortic dissection. But the patient’s self-reported symptoms..."

When Wu Mian said this, he smiled slightly, Wei Dabao felt that Chief Wu had no good intentions.

"Just explain it here, and you will go back and read the rest of the book." Wu Mian said.

"Oh."

"Generally speaking ~www.wuxiaspot.com~ patients with arteritis will be misdiagnosed as unexplained fever and depression. You can see the problem by chance, and you have made great progress." Wu Mian said with satisfaction, "Dr. Wei, keep working hard. "

Wei Dabao took a deep breath, feeling that he was shining all over.

"If you don't rush back, just follow Director Gao to see the patient's diagnosis and treatment process, and you will remember it later."

With that, Wu Mian stood up, turned and left.

"Chief Wu, why are you going?" Wei Dabao asked.

"I have something to do with me." Wu Mian said, "The inspection will take a long time. Follow along and wait for all the inspection results to come out. You can see how to report the situation to me."

After speaking, Wu Mian strode out of the Circulation Department.

Wei Dabao was a little confused in his heart, what's this saying? Leave yourself in Jianxie Hospital? still……

:. : M.x