The system takes me for surgery
Chapter 103: Incision of Trachea
"Don't be afraid, just ask her to come to me if there is anything, you give me your director's account number, and I will cancel the doctor's order." Liang Yi stopped the doctor's order directly, and then ran to tell the nurse.
The nurse didn't believe it at first, so she went to see the head nurse before stopping the infusion.
The system suddenly responded: [Task [-] has been completed]
Although it was finished, Liang Yi was not happy at all, because the head nurse was staring at her viciously, as if she was very dissatisfied with his arrival.
The head nurse sneered and said, "Liang Yi, each department has its own rules. If you are not from our department, please don't come and dictate, especially our nursing matters."
"I see." Liang Yi wanted to leave.
The head nurse said, "Our director asked you to stay, and I want to tell you something."
Liang Yi frowned, feeling not very good, this director is famous in the hospital as a ghost, because the new security guard didn't know her, there was a lot of quarrel in the hospital, the whole hospital saw her power up.
The ghost is still here.
Xu Bihua wears oval glasses that are as thick as the bottom of a bottle, with a pointed chin and protruding ears. She is small and looks a bit like Michael Jackson.
When Liang Yi saw her, he instinctively took a step back. The aura of this female director was stronger than that of a holy god of war.
Director Xu Bihua came over, looked up at Liang Yi, raised her glasses, and said, "Liang Yi, it's you."
Liang Yi shrank his neck and nodded, smiled awkwardly and said, "Hello, Director."
Xu Bihua said: "For that incident just now, I thank you on behalf of our department."
" You're welcome."
Liang Yi didn't see any gratitude from her expression, but more unfriendly.
"However," Xu Bihua said, "I still have something to talk to you about."
I knew things would not be so simple, Liang Yi said in his heart: "If you have anything to say."
"You are staying in our department now. By the way, which department are you in?" Xu Bihua had heard the name Liang Yi before, but she really didn't know which department she was in, but Liang Yi didn't know either.
"I don't know, I'm in orthopedics now."
"Orthopedics, right? Then I'll call Hu Yaoguo over, and you wait for me."
"Okay..." Liang Yi never thought that there would be such a day when he would be retained by another department and had to ask the director to come and find someone.
At this time, Cai Xiaojie came in, looked at Liang Yizai, but did not dare to speak directly.
Xu Bihua said: "If there is anything, please tell me."
Cai Xiaojie nodded and said, "The woman in bed No. 4 said that she was afraid of the cold and dizzy, and now she said that she had a severe sore throat."
Xu Bihua frowned, and said, "This patient is also troublesome. He has all kinds of symptoms. I'll go and have a look..."
After finishing speaking, Xu Bihua left. Liang Yi stayed in the office and saw Xu Bihua's half-written medical records. He found that this patient was really strange. At first, he went to the emergency room last night. The diagnosis was abdominal pain and mild sore throat. .
After taking the medicine, there was no effect, and the abdominal pain intensified, so I was admitted to the ward. Now the abdominal pain is relieved, the sore throat is aggravated, and I have fever and chills.
Liang Yi closed his eyes, recalled the textbooks he had memorized, and found that this disease was not typical in anything, and it was really difficult to judge.
The greatest instinct of a doctor is to have a strong curiosity and desire to explore the diagnosis of diseases, which is a necessary condition for becoming an excellent doctor.
Liang Yi came to bed No. 4, and the patient's sore throat became more and more serious. Xu Bihua glanced at Liang Yi impatiently.
She was examining the throat of a female patient and saw that the tonsils were swollen. Liang Yi stepped on her feet and looked at them. Xu Bihua said, "The tonsils are inflamed."
The female patient nodded and said, "No wonder I feel a sore throat, chest tightness and shortness of breath."
"Where's your husband?" Xu Bihua asked the female patient.
"He said his back was sore and he went to see a doctor at the orthopedics department." The female patient replied.
After seeing the women, Xu Bihua still had no idea. Years of clinical experience made her highly sensitive to suspicious diseases.
When she returned to the office, she was just about to sit down and look through medical books.
The nurse suddenly ran over and said, "Director! Bed No. 4 has difficulty breathing."
Xu Bihua ran out. The woman was fine just now, but now her face suddenly became cyanotic, and her blood oxygen level fell below 85. She shouted, "Go and call Director Zhao Yonghui of the General Surgery Department."
She has worked in the Department of Gastroenterology for so many years, and she seldom encounters patients who change so quickly, so she feels a little flustered.
Liang Yi ran to the patient's side, saw that the patient was already in a coma, and said, "I can't wait, iodophor, scalpel."
Xu Bihua was stunned for a moment, and said, "What are you doing!"
"Cut the trachea," Liang Yi said.
"I know, wait for Zhao Yonghui to come and do it." Xu Bihua watched the patient's face become more and more cyanotic, and the sweat dripped down from his forehead.
"It's too late!" Liang Yi shouted.
The patient's spirit was listless, weak, his extremities were cold, his face was pale, his pulse was thin and weak, and his blood pressure dropped. His condition was very critical.
Due to dyspnea, it is the most critical symptom. Once dyspnea occurs, emergency treatment is required.Due to swelling and displacement of the epiglottis, edema of the arytenoid cartilage, aryepiglottic folds, and retropharyngeal folds, the laryngeal entrance is significantly reduced, resulting in inspiratory dyspnea and wheezing.
After the scalpel was brought, Liang Yi decisively cut the trachea and made a temporary airway.
The director of the Department of Gastroenterology saw Liang Yi's emergency airway incision so calmly, and he was impressed. There are many surgeons who can perform such an operation, but very few can do it well in such a critical situation. .
The patient used a temporary airway to breathe. Liang Yi checked the patient's mouth again. There was an abscess on the epiglottis and tongue.
Liang Yi shouted, "Bring a laryngoscope."
This time, Director Xu Bihua's attitude was much better, and she beckoned the young nurse to borrow equipment.Liang Yi breathed a sigh of relief and said to Director Xu Bihua, "It's not tonsil suppuration, it's acute epiglottitis."
"Acute epiglottitis?" Xu Bihua has been in the Department of Gastroenterology for a long time, and she has gradually lost her memory of the disease in the Department of Respiratory Medicine, and she doesn't like consultations, so her knowledge is increasingly limited to this specialty.
"Acute epiglottitis sometimes has similar symptoms to a cold, but once edema occurs and the throat entrance is significantly narrowed, it only takes a few minutes to kill the patient," Liang Yi said.
The laryngoscope was brought, and Liang Yi bit the pus wall with the laryngoscope to drain the pus, and a large amount of pus flowed out.
The system responded, [the second task has been completed]
Liang Yi breathed a sigh of relief, this kind of rescue is really fatal!too tired!
The director, Xu Bihua, fell into deep thought. She wondered if there was really a problem with her years of closed development?Shouldn't she be limited to her own gastroenterology department? She tried not to ask for consultations, because she didn't want people to look down on her as the director of a woman.
Liang Yi went to the bathroom to wash his face, and the rescue made him sweat profusely.
The nurse didn't believe it at first, so she went to see the head nurse before stopping the infusion.
The system suddenly responded: [Task [-] has been completed]
Although it was finished, Liang Yi was not happy at all, because the head nurse was staring at her viciously, as if she was very dissatisfied with his arrival.
The head nurse sneered and said, "Liang Yi, each department has its own rules. If you are not from our department, please don't come and dictate, especially our nursing matters."
"I see." Liang Yi wanted to leave.
The head nurse said, "Our director asked you to stay, and I want to tell you something."
Liang Yi frowned, feeling not very good, this director is famous in the hospital as a ghost, because the new security guard didn't know her, there was a lot of quarrel in the hospital, the whole hospital saw her power up.
The ghost is still here.
Xu Bihua wears oval glasses that are as thick as the bottom of a bottle, with a pointed chin and protruding ears. She is small and looks a bit like Michael Jackson.
When Liang Yi saw her, he instinctively took a step back. The aura of this female director was stronger than that of a holy god of war.
Director Xu Bihua came over, looked up at Liang Yi, raised her glasses, and said, "Liang Yi, it's you."
Liang Yi shrank his neck and nodded, smiled awkwardly and said, "Hello, Director."
Xu Bihua said: "For that incident just now, I thank you on behalf of our department."
" You're welcome."
Liang Yi didn't see any gratitude from her expression, but more unfriendly.
"However," Xu Bihua said, "I still have something to talk to you about."
I knew things would not be so simple, Liang Yi said in his heart: "If you have anything to say."
"You are staying in our department now. By the way, which department are you in?" Xu Bihua had heard the name Liang Yi before, but she really didn't know which department she was in, but Liang Yi didn't know either.
"I don't know, I'm in orthopedics now."
"Orthopedics, right? Then I'll call Hu Yaoguo over, and you wait for me."
"Okay..." Liang Yi never thought that there would be such a day when he would be retained by another department and had to ask the director to come and find someone.
At this time, Cai Xiaojie came in, looked at Liang Yizai, but did not dare to speak directly.
Xu Bihua said: "If there is anything, please tell me."
Cai Xiaojie nodded and said, "The woman in bed No. 4 said that she was afraid of the cold and dizzy, and now she said that she had a severe sore throat."
Xu Bihua frowned, and said, "This patient is also troublesome. He has all kinds of symptoms. I'll go and have a look..."
After finishing speaking, Xu Bihua left. Liang Yi stayed in the office and saw Xu Bihua's half-written medical records. He found that this patient was really strange. At first, he went to the emergency room last night. The diagnosis was abdominal pain and mild sore throat. .
After taking the medicine, there was no effect, and the abdominal pain intensified, so I was admitted to the ward. Now the abdominal pain is relieved, the sore throat is aggravated, and I have fever and chills.
Liang Yi closed his eyes, recalled the textbooks he had memorized, and found that this disease was not typical in anything, and it was really difficult to judge.
The greatest instinct of a doctor is to have a strong curiosity and desire to explore the diagnosis of diseases, which is a necessary condition for becoming an excellent doctor.
Liang Yi came to bed No. 4, and the patient's sore throat became more and more serious. Xu Bihua glanced at Liang Yi impatiently.
She was examining the throat of a female patient and saw that the tonsils were swollen. Liang Yi stepped on her feet and looked at them. Xu Bihua said, "The tonsils are inflamed."
The female patient nodded and said, "No wonder I feel a sore throat, chest tightness and shortness of breath."
"Where's your husband?" Xu Bihua asked the female patient.
"He said his back was sore and he went to see a doctor at the orthopedics department." The female patient replied.
After seeing the women, Xu Bihua still had no idea. Years of clinical experience made her highly sensitive to suspicious diseases.
When she returned to the office, she was just about to sit down and look through medical books.
The nurse suddenly ran over and said, "Director! Bed No. 4 has difficulty breathing."
Xu Bihua ran out. The woman was fine just now, but now her face suddenly became cyanotic, and her blood oxygen level fell below 85. She shouted, "Go and call Director Zhao Yonghui of the General Surgery Department."
She has worked in the Department of Gastroenterology for so many years, and she seldom encounters patients who change so quickly, so she feels a little flustered.
Liang Yi ran to the patient's side, saw that the patient was already in a coma, and said, "I can't wait, iodophor, scalpel."
Xu Bihua was stunned for a moment, and said, "What are you doing!"
"Cut the trachea," Liang Yi said.
"I know, wait for Zhao Yonghui to come and do it." Xu Bihua watched the patient's face become more and more cyanotic, and the sweat dripped down from his forehead.
"It's too late!" Liang Yi shouted.
The patient's spirit was listless, weak, his extremities were cold, his face was pale, his pulse was thin and weak, and his blood pressure dropped. His condition was very critical.
Due to dyspnea, it is the most critical symptom. Once dyspnea occurs, emergency treatment is required.Due to swelling and displacement of the epiglottis, edema of the arytenoid cartilage, aryepiglottic folds, and retropharyngeal folds, the laryngeal entrance is significantly reduced, resulting in inspiratory dyspnea and wheezing.
After the scalpel was brought, Liang Yi decisively cut the trachea and made a temporary airway.
The director of the Department of Gastroenterology saw Liang Yi's emergency airway incision so calmly, and he was impressed. There are many surgeons who can perform such an operation, but very few can do it well in such a critical situation. .
The patient used a temporary airway to breathe. Liang Yi checked the patient's mouth again. There was an abscess on the epiglottis and tongue.
Liang Yi shouted, "Bring a laryngoscope."
This time, Director Xu Bihua's attitude was much better, and she beckoned the young nurse to borrow equipment.Liang Yi breathed a sigh of relief and said to Director Xu Bihua, "It's not tonsil suppuration, it's acute epiglottitis."
"Acute epiglottitis?" Xu Bihua has been in the Department of Gastroenterology for a long time, and she has gradually lost her memory of the disease in the Department of Respiratory Medicine, and she doesn't like consultations, so her knowledge is increasingly limited to this specialty.
"Acute epiglottitis sometimes has similar symptoms to a cold, but once edema occurs and the throat entrance is significantly narrowed, it only takes a few minutes to kill the patient," Liang Yi said.
The laryngoscope was brought, and Liang Yi bit the pus wall with the laryngoscope to drain the pus, and a large amount of pus flowed out.
The system responded, [the second task has been completed]
Liang Yi breathed a sigh of relief, this kind of rescue is really fatal!too tired!
The director, Xu Bihua, fell into deep thought. She wondered if there was really a problem with her years of closed development?Shouldn't she be limited to her own gastroenterology department? She tried not to ask for consultations, because she didn't want people to look down on her as the director of a woman.
Liang Yi went to the bathroom to wash his face, and the rescue made him sweat profusely.
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