Rebirth 90: I opened a hospital in Shencheng

Chapter 640: The Diagnosis Shot That Hangs in the Line of Life!

When Nie Chen walked over, he heard the words of the patient's family members.

"How long?" he asked.

The child in the patient's family turned his face away and wept bitterly, probably because he was frightened by her father's appearance.

"It's been an hour."

Nie Chen nodded: "Send it to the emergency room first."

"go!"

"Hurry up!"

The medical staff was busy in a hurry, pushing the bed cart to transfer the patient to the emergency room.

The patient was still yelling on the bed cart: "They are all liars! Listen to me~ I won't go~ah~"

Rescue the interior.

Nie Chen closed the curtain.

The patient's voice is really disturbing, but there is no way.

The emergency room is all separated by curtains. If there is a separate emergency room, there is basically nothing closed except for the isolation room and the treatment room.

"Get ready for bed."

As soon as the straps on the bed cart were untied, the patient's hands and feet became disheveled. He took out his hands and waved them desperately in the air.

"I'm going to kill...!"

"Hey, hold it down, don't let him move!" Nie Chen said.

"calm down!"

The patient is still dishonest.

"This restlessness!" Nie Chen frowned and said, "An An Ding!"

"One stable." Liu Xiaoxiao nodded.

Nie Chen turned his head and held down one of the patient's hands: "Calm down!"

The patient's forehead was dripping with sweat and he couldn't stop the sharp noise, which made other people passing by stop and watch. When they saw that there was no picture, they turned around and left.

"An Ding is here." Liu Xiaoxiao ran over with the needle in hand.

"Quick, tie it!"

Valium was injected into the patient's body, and the patient quickly calmed down.

Nie Chen frowned and asked the family member next to him, "How much did you drink?"

"Not many, just two mistresses, about five taels." Said the patient's family.

"Has this ever happened before?" Nie Chen asked.

"It's never happened before, today is a sudden attack."

Nie Chen nodded: "Well, Qian Ping? Let him draw blood first, check blood routine, liver function, blood coagulation and blood ammonia, then do a liver ultrasound, and add a head CT."

Nurse Qian Ping nodded: "Okay, I understand."

The family asked urgently, "Doctor, what's the situation with my husband?"

Nie Chen pouted: "I'm not sure yet, but don't worry, wait until the results come out."

At present, Nie Chen will not easily express his judgment in front of the family members. Everything has to be explained to the patient's family members after the test results come out. This is more persuasive and authoritative.

After applying diazepam, the patient stopped.

The medical staff rushed to organize a bed for the patient. In this case, it is still unclear what caused the disease, so be very careful.

Nie Chen specially arranged for Peng Yueling to be in the emergency room.

Then I went on inspection again...

Here in the clinic.

Wang Jiachao and Liu Xiaodong sit in for consultation.

Nie Chen came over and took a look.

"It's almost time to get off work."

Wang Jiachao nodded: "Right now, by the way, Dr. Nie, I have a patient who is not sure about his mental health, and I am talking to you."

"Well, tell me." Nie Chen nodded.

"She's just a [-]-year-old girl. She doesn't say anything. Her mother answers the questions for her. Isn't she a little too squeamish?"

Nie Chen asked, "Deaf-mute people."

"No, when she first came in, her mother asked her to lean on her, and she even agreed."

"What's the disease?"

Wang Jiachao said: "It's just diarrhea, three times a day, and it's a bit watery. Her mother rushed to prescribe the medicine. I don't think there's a big problem. It's just a little shortness of breath. Let her go for an infusion first."

Nie Chen thought about it for a while, and then he had an idea.

"No, come with me."

"what?"

Nie Chen turned and ran towards the infusion area, followed by Wang Jiachao.

"Wait for me, what's going on?"

Infusion area.

A fifteen or sixteen-year-old girl was sitting on a chair, and her right hand was being infused with intravenous fluid. Now she was breathing a bit tight, her face was pale, without any red blood.

Nie Chen and his gang rushed to the infusion area, and the little girl became dizzy.

"wipe!"

"Wake up!"

"Hurry to the emergency room!" Nie Chen said.

Nie Chen hugged the little girl in one arm and ordered, "Jia Chao, get the infusion bag!"

"okay."

"Give way!"

Rescue the interior.

"Must add cardiac enzymes, send the results as soon as they come out!" Nie Chen said.

The nurse replied, "Okay."

At this time, the little girl's monitor changed, and Nie Chen frowned: "VT!"

Drop drop drop...

The monitor beeps.

"Defibrillators!"

"Okay!" Lin Xuan replied.

Wang Jiachao stood aside, a little nervous.

"scissors!"

"oh oh!"

After hearing Nie Chen's cry, Jia Chao came to his senses, then took the scissors, and cut the little girl's clothes, otherwise there would be no way to use the defibrillator.

"The defibrillator is here!"

"I'll come, leave it to me!" Wang Jiachao responded quickly.

"Synchronized conversion, one hundred joules!" Nie Chen said.

"Okay!" Wang Jiachao responded.

Nie Chen applied coupling agent and touched the patient's chest.

"Get out of the way!"

"boom!"

"Central catheterization, pump dopamine!"

"Okay!" Lin Xuan replied, and then ran out quickly.

Wang Jiachao asked urgently: "What's going on, Doctor Nie?"

Lin Xuan hurried back, pushing the trailer, and Wang Jiachao hurried forward to help.

After all, this little girl is still his patient. If the patient dies at this time, then he really cannot get away with it... What if it is caused by medication?
"VT again."

"Prepare for electrical conversion!"

"Hurry up!"

"Synchronized electrical conversion, one hundred joules!"

"Got it." Wang Jiachao responded.

"Charge."

"After charging, one hundred joules."

Nie Chen took the defibrillator and touched the patient's chest again.

"Get out of the way!"

"boom!"

"Lidoca [-] mg, intravenous injection! Hurry up!"

"Ok!"

Lin Xuan started dealing with lidocaine again.

She is now the only nurse in the emergency room, and she is in charge of all matters related to drug injection.

At this time, a nurse came in and said, "Doctor Nie, the laboratory has reported a critical value..."

Nie Chen sighed and said: "Hurry up and contact the cardiology doctor, come over for consultation and prepare to insert the intra-aortic balloon pump."

The nurse replied: "Okay!"

Lin Xuan is injecting lidocaine into the patient's vein.

"The injection is complete."

Swish!
At this time, the patient's mother broke in and shouted: "Doctor, what's wrong with my daughter? How is she?"

Nie Chen glanced at her and said, "Your daughter has viral myocarditis."

ha?
Inside the office.

As soon as Nie Chen sat down, Peng Yueling came over with the test sheet.

"Doctor Nie, the results are out."

Peng Yueling put the test sheet on the table and said: "Blood ammonia increased to 180, platelets decreased, liver function showed increased transaminase, bilirubin increased, and blood coagulation function was also poor. Dry ultrasound showed that the liver volume shrank and the echo was not good. Both, splenomegaly, ascites."

After hearing these words, Jiang Luoyan, who was sitting on the other side, turned his head and asked, "cirrhosis of the liver?"

Nie Chen shook his head and said, "There's also hepatic encephalopathy. This patient is only in his thirties and has been drinking for more than ten years...Her wife said that she can't sleep without drinking at night."

"Transfer to the ward." Nie Chen said to Peng Yueling.

Peng Yueling nodded.

"Ammonia-lowering treatment, oral administration of Dumic, intravenous administration of sodium glutamate, potassium glutamate, arginine, followed by white vinegar enema..."

Peng Yueling put away the checklist and nodded: "Okay."

As soon as she left, Wang Jiachao walked in and met her face to face.

(End of this chapter)