"Mr. Zheng, I called a 120 ambulance. I didn't bring any money. You have money, right?" Chang Yue's voice was still cold.
Zheng Ren took a big breath, and the anger came out when he got up.
If you are an emergency patient, let alone waking up because you are so angry, sometimes you don’t even have time to put on your shoes. But when I received a call from Chang Yue in the early morning, that originally delicate but always stern face appeared in front of me.
But Zheng Ren has always had a good temper, so he still got rid of his anger after getting up.
These guys must have been drinking all night... When he thought of this, he immediately became energetic.
Damn it, you drank all night and are you going to die? ! Did you really call the 120 ambulance? I won't drink it until my stomach bleeds.
"Yes." Zheng Ren said nervously, "How are you? How is Su Yun?"
"I'm fine, I'm in good spirits. I feel like I can go to work directly. Su Yunduo, I fell a little, so it shouldn't be a big deal." Chang Yue said.
Zheng Ren was slightly relieved and cursed in his mind, how could these two annoying guys drink all night
"Mr. Zheng, I also picked up a patient, a middle-aged man with a plate-shaped abdomen. What do you think we should do?" Chang Yue then said the most important thing about calling Zheng Ren.
"Go to the emergency room. I'll go down and take a look." After Zheng Ren said that, he immediately changed his shoes, put on his white clothes and went straight to the emergency room.
As soon as he went out, he turned around and came back, took 200 yuan from his wallet and stuffed it into the jacket pocket of his isolation suit.
The 120 ambulance is not free. It makes one visit and charges different fees depending on the distance. Even if you are one of your own family, there is nothing you can take advantage of. After all, for a hundred or so yuan, he had to smear old Director Pan’s face, and he couldn’t afford to be embarrassed.
The crayfish shop is not far from the hospital. When Zheng Ren went to the emergency room, the 120 ambulance also arrived.
Two flat carts rolled over, and one moved Su Yun on. After drinking too much, the wine was still good. He curled up into a ball and muttered something unknown.
Chu Yanzhi followed beside him, looking helpless.
"I tried to persuade him, but I couldn't persuade him at all." Chu Yanzhi explained, as if this matter was all her fault.
"It's okay." Zheng Ren comforted Chu Yanzhi.
Zheng Ren glanced at it and saw an acute alcohol poisoning message on the system panel... How much did he drink to get alcohol poisoning
"Send him to the emergency ward, give him intravenous naloxone, and give him 500 sugar plus two doses of vitamin C." Zheng Ren simply explained to Chang Yue.
Chang Yue was dumbfounded and took the elevator upstairs with the carer and the car. Chu Yanzhi followed behind, looking pretty good. Compared with Chang Yue, she was just a child, even though they were about the same age.
After walking far away, Zheng Ren discovered that Chang Yue's bare feet seemed to be wet, with every step leaving a footprint.
One is suffering from alcoholism, and one has lost all his shoes... Wipe! Zheng Ren cursed inwardly.
But this is not important. Patients with plate-shaped abdomen are the focus of Zheng Ren.
There was a man lying on another flat car. He had a big frame but was very thin.
Zheng Ren looked at the system panel and saw that the mark on the upper right was red, similar to the red color of the patient on the day of acute nitrite poisoning.
Acute gangrenous appendicitis, septic shock.
Endangered!
Speeding up and pushing the flat cart to the emergency room, Zheng Ren shouted as he ran: "Find the B-ultrasound room to be the bedside, prepare the monitor, and inhale oxygen."
When we arrived at the emergency room, two night shift nurses were ready to take off the patient's coat and put on the ECG monitor.
Zheng Ren checked his body and felt a hot feeling when he touched it.
fine…
In toxic shock, fever is normal. But once there is no fever, it is clinically called cold shock, and you can basically tell your family to prepare for the funeral.
The patient also has a fever, which means that the body's own immune system can still maintain normal work. Although it is dangerous, it is not the most dangerous kind.
The heart rate is 130 beats/min and the blood oxygen saturation is only 93%. The abdomen is like a hard board that cannot be pressed at all.
This is a typical sign of peritonitis. The inflammation irritates the peritoneum and causes abdominal muscle tension, which is also called a slab-like abdomen.
It is commonly seen when hollow organs rupture and digestive juices flow into the abdominal cavity. Or solid organ rupture and bleeding, caused by blood irritation to the peritoneum.
The doctor in the B-ultrasound room quickly arrived with a cart. While quickly applying coupling agent to the patient's belly, he asked: "The patient's name."
Because a report will be issued later, names are always asked. This is a routine procedure. Otherwise, if a report is accidentally wrong and the patient's diagnosis and treatment is delayed, it will be a big deal.
"Anonymous, male, 35 years old." Zheng Ren looked at the patient's face, roughly estimated his age, and casually reported it.
"There is a mass in the lower abdomen. It is considered to be caused by an abscess around the appendix or a perforation of the appendix. There is a lot of gas in other parts, which cannot be seen clearly by B-ultrasound. There is a small amount of fluid in the pelvis, but it is negative." The doctor in the B-ultrasound room quickly reported all the main diagnoses. To Zheng Ren.
The condition was serious and required surgery.
While Zheng Ren ordered the doctors and nurses to escort the patient to the emergency ward, he picked up the phone, hesitated for a moment, and dialed.
It's a bit bad to disturb old Director Pan so early. But this kind of thing must be reported to the superior doctor, which is no joke.
It would be fine if the patient was really alone. But once the operation went wrong or the condition was too serious and the patient could not be saved, many times relatives and friends would jump out of the cracks in the ground, crying and howling for injustice.
This is the second thing. Zheng Ren didn't even have time to think about it. The main problem lies ahead, surgery is required, and no one will sign.
Director Lao Pan answered the phone immediately, his tone was very serious.
"Xiao Zheng, what's wrong?"
Zheng Ren rarely disturbed Director Pan's sleep. This was his first time in the emergency department. Therefore, Director Pan was a little nervous. This was the doctor's instinctive reaction.
"Anonymous, male, about thirty-five years old. Considered acute gangrenous appendicitis, acute toxic shock, no family contact information." Zheng Ren reported the main issues clearly in one breath.
"To prepare for the operation, I will contact the medical office." Director Pan replied immediately without hesitation.
Zheng Ren hung up the phone and trotted upstairs. He didn't even wait for the elevator and took the fire escape.
"Prepare for surgery." While instructing the nurse, Zheng Ren picked up the phone and called Chu Yanran and Xie Yiren to prepare for the surgery.
Zheng Ren glanced at the reports of emergency blood collection, ECG and other examination items before taking the patients who had indwelling gastric tubes and urinary tubes to the operating room on the third floor.
Hand the patient to Chu Yanran and Chu Yanzhi, and then return to the emergency ward.
At this time, Director Lao Pan was already on the way. The staff on duty at the medical office took a deep breath and brought the video equipment to the doctor's office in the emergency ward.
When Director Pan arrived, the staff of the medical office began to record video files with legal effects.
Zheng Ren reported the medical history, described the patient's status, and the solution, and suggested that preoperative communication and signatures were impossible because there were no family members of the patient.
Next, the medical office authorized Director Pan on behalf of the hospital that the emergency ward had the right to perform operations.
Such a procedure is essential and is an act of self-protection by medical workers.
After recording the video, the staff from the medical department returned to the hospital with equipment and sleepy eyes.
Zheng Ren was a little embarrassed, "Old Director Pan, I'm sorry for waking you up so early."
"We are old and sleepy, and we are already awake." Director Pan waved his hand, "Let's do the surgery. Are you sure?"
When it comes to toxic shock, no one has absolute certainty.
Unlike shock caused by nitrite poisoning, there are no symptomatic drugs for toxic shock caused by diffuse peritonitis. The only way to solve the problem is to use surgery to block the source of the pollution, and to use a large amount of antibiotics after surgery.
As for whether it can recover, it depends on the patient's own condition.
That man... Zheng Ren looked a little gloomy when he thought of that skinny body, and shook his head.
"Just do your best." Old Director Pan patted Zheng Ren on the shoulder, "I'll go ask the hospital for instructions on the expenses after I get to work."
Zheng Ren nodded and hurried to the operating room.