Rebirth 90: I opened a hospital in Shencheng

Chapter 662 The interventional technique that has been promoted!
The next day, around eight o'clock in the morning.

Emergency department locker room.

Nie Chen changed into a white coat and a badge.

"How was last night?" Nie Chen asked.

Jiang Luoyan sat on the chair, crossed her legs and said, "It's okay, four have abdominal pain, two have chest pain, and one has a headache. There is also a patient with myocardial infarction who has already gone to the cardiac surgery ward."

"Well, it's hard work."

"Tch, you also said it was hard work, I thought you..."

"That depends on who to tell." Nie Chen said coquettishly.

Jiang Luoyan's heart moved and he smiled.

in the afternoon.

Jiang Luoyan came back to work at two o'clock.

Among them, Ren Yue, Yin Susu and others have also taken over several patients.

In the emergency department, if the patients are not very critical, the emergency department will transfer them to the department in the main building, because the beds in the emergency department are very tight, the flow of people is high, and the patients are urgent and critical.

"Doctor Nie, a patient, male, 60 years old, suddenly fainted." Tang Yongjia ran over and said to her.

Nie Chen nodded, handed the list to Zhou Xuezhen and said, "This patient's problem is not serious, let's do a routine urine test for him, and if it's normal, go to the urology department."

"Ok."

After explaining, Nie Chen ran towards the door of the emergency room.

Dr. Che handed the list to Nie Chen directly, and said, "Doctor Nie, the patient suddenly fainted at home, and an electrocardiogram was done in the car."

Nie Chen nodded, and an elderly woman chased after him, shouting: "Doctor, doctor, please help my wife, my wife suddenly fainted at home, please, please help him."

"Okay, I'll try my best."

"Gastroenterology, liver and gallbladder second line." Nie Chen said to Hu Qingyue.

Hu Qingyue nodded and said, "Okay!"

Rescue the interior.

Nie Chen took the electrocardiogram in his hand and read it very carefully because he had some doubts.

"Dr. Nie, the second-line doctors of gastroenterology and hepatobiliary surgery have arrived." Zou Jiaqi said.

Nie Chen nodded, and said to several second-line doctors: "Let's take a look at the patient's condition first. This patient has been hospitalized here before, and the film has just been transferred. According to the family's chief complaint,

Hepatic cirrhosis was preliminarily diagnosed based on previous medical records. "

The second-line doctor walked up to the patient and said, "Come on, the old man stretches his legs."

The second-line doctor checked and said to Nie Chen, "Why don't we treat it according to liver cirrhosis initially? After all the test results come out, we will proceed with further treatment."

Nie Chen looked at the electrocardiogram and said, "I've been looking at the electrocardiogram just now. Judging from this electrocardiogram, the patient's condition is still a bit complicated...I'll take a look again."

"Row."

The second-line doctors didn't have any opinion on what Nie Chen meant.

Because they all knew Nie Chen's strength.

Nie Chen put down the electrocardiogram, and said to the patient, "Master, I am Dr. Nie Chen. Now tell me, do you have any discomfort in your chest? Is there any discomfort in your heart?"

"I can't say where I feel uncomfortable, but my chest is tight, and the part of my heart is tight and uncomfortable."

Nie Chen nodded: "I will give you a checkup."

"it is good."

Nie Chen put on a stethoscope and listened to the left and right sides of the patient's chest and abdomen.

Then he stood up and said seriously: "The situation of this patient is still a bit complicated. The abdominal pain caused by liver cirrhosis, so I suggest an acute PC examination."

Ren Yue stood aside and asked, "Should I still draw blood? Do a myocardial enzyme test?"

"Of course." Nie Chen nodded.

The second-line doctor said: "Then treat according to Dr. Nie's advice. Who is going to communicate with the family?"

Nie Chen smiled and said, "Let me go, this is my job."

Get out of the emergency room.

Nie Chen saw the patient's family members, and was pulled aside by the patient's family members, referred to as aunt, as soon as he went out.

"Doctor, how is my wife?"

Nie Chen waved his hands and said, "Auntie, don't get excited, let me give you a brief introduction to the current situation."

The aunt bit her lip and nodded.

"We are worried that the patient will have problems now, because the electrocardiogram shows that there will be a little change, that is, there are some symptoms, so we recommend an urgent interventional examination."

"Ah? Doctor, what is an interventional examination?"

Judging by the way aunt looks, she probably doesn't understand.

Nie Chen patiently explained: "It is to check whether the coronary artery is blocked."

"Check the coronary artery for blockage?"

Nie Chen smiled and said: "The specific operation process is to insert a catheter in the patient's arm, and then scan the image of the blood vessel through the connected computer. A catheter was inserted into the base of the thigh."

drop by drop...

The phone rang again.

Nie Chen connected: "Doctor Nie, female, 60 years old, complained of chest pain, went to the emergency room by herself, accompanied by family members, please come and have a look."

This is the voice of Liu Xiaoxiao at the emergency triage desk.

Nie Chen said to Jiang Luoyan: "I'll go over and take a look, and you can watch over here."

"Well, let's go." Jiang Luoyan nodded.

At the triage desk, Liu Xiaoxiao said, "Dr. Nie and the others are there!"

Directly saw an old woman sitting on a stool, clutching her chest.

Her dependent was a young woman, presumably her daughter.

"Doctor." Seeing Nie Chen coming, she got up immediately.

"Hi, auntie, what's the matter?" Nie Chen asked.

The patient said: "Doctor, I have a chest pain. My chest hurts badly."

"How long has it been in pain?" Nie Chen asked the patient's family.

"My mother has been in pain for more than half an hour."

Nie Chen turned to the patient again, "Auntie, what's the pain?"

"There is pain in my arms from my chest to my shoulders. I am in great pain. Doctor..."

Nie Chen frowned, raised his head and shouted to Liu Xiaoxiao: "Bed cart!"

"it is good."

After a while, the bed cart came.

"Come on, go up and lie down."

Nie Chen said to Liu Xiaoxiao, "Give her an EKG."

"Ok."

Nie Chen took the electrocardiogram sheet and examined it carefully.

The patient's family member named Peng Fenfen asked, "Doctor, how is it? Is my mother okay?"

Nie Chen raised his head and said, "There is something to do!"

"what?"

"Doctor, what do you mean?"

Nie Chen said: "Extensive anterior myocardial infarction, Liu Xiaoxiao asked two people to send the patient to the emergency room!"

"Ok!"

Liu Xiaoxiao immediately ran out to call for someone.

After a while, Yin Susu and Zhou Xuezhen came over, as well as Liu Xiaodong.

"Send it to the emergency room!"

Rescue the interior.

This female patient with extensive anterior wall myocardial infarction was lying in the bed next to the old man with cirrhosis, with a curtain in the middle.

"Enable ECG monitoring, inhale oxygen, infusion!"

"Ok!"

"Doctor, I'm in pain, save me, save me!"

Nie Chen supported the female patient's head and said, "Don't talk, you can't talk until you go, take a deep breath! Take oxygen!"

The old man with liver cirrhosis looked at the curtain and listened to the sound of calling for help from the next bed, his heart was filled with waves, he couldn't tell when he would die...

Jiang Luoyan stood aside: "How is it?"

Nie Chen shook his head.

At this time.

The patient developed ventricular fibrillation.

"Ventricular fibrillation!"

Jiang Luoyan shouted.

Nie Chen turned his head and said, "Get ready for the defibrillator!"

"it is good!"

Lin Xuan nodded.

"One milligram of epinephrine, intravenous injection."

"Yes!" Liu Xiaoxiao replied.

(End of this chapter)