My medical skills are a billion points

Although the blood pressure is not completely normal, it is already at the lowest line of normal human blood pressure.

There is no need to worry anymore. Excessive blood loss caused ischemia and hypoxia to her brain, causing damage to brain cells.

And Zhao Fangshu had already called the blood transfusion department again, asking for another 6U red blood cells.

However, no matter how long it takes for these six units of blood to arrive, at least the patient's current condition can afford to wait.

There will be no major danger again, because her superior vena cava has been completely sutured.

But Xiao Chu's operation was very beautiful, and he didn't bleed anymore.

The rest of the time is to fight infection, continue blood transfusion, and give nutrition and other treatments.

After the operation was completed, Xiao Chu sent the patient to the intensive care unit.

Now the anesthetic strength of the patient has not passed, and he is still unconscious.

Must be sent to the intensive care unit to continue observation.

Moreover, she also faces the possibility of postoperative infection and whether she has hypoxic-ischemic encephalopathy.

This all takes time to observe.

Xiao Chu had just settled the patient in the intensive care unit, and when he walked out of the intensive care unit, he saw a man and a woman, and immediately ran towards him.

"Doctor, are you my mother's attending physician? How is my mother doing now?"

Chapter 340

Seeing the man's eager expression, Xiao Chu hastily comforted him: "Your mother was seriously injured, she suffered a rupture of the superior vena cava, she lost too much blood and fell into a coma.

After our timely emergency operation, the ruptured blood vessel has been repaired.However, your mother was injured too badly, and she has not passed the critical period yet. "

Before Xiao Chu finished speaking, the man hurriedly interrupted: "Doctor, where is my mother now? Can I go and see her?"

"The patient is now in the intensive care unit, you can't go there to accompany her."

"And now her condition is very serious, her vital signs are unstable, and she cannot be disturbed, and must be observed in the intensive care unit.

Your family members now only need to wait outside the intensive care unit. If the patient's condition changes, the doctor inside will communicate with you in time. "

The man is not an arrogant and unreasonable person. He knows that family members cannot enter the intensive care unit of the hospital.

So he just nodded.

"Thank you doctor, please cure my mother."

"We will definitely do our best. As long as the patient passes the critical period, we will transfer her out of the intensive care unit, and your family members can accompany her."

Xiao Chu didn't give too much explanation to the family members about the specific changes in his condition.

Naturally, there will be doctors in the intensive care unit to communicate with the man.

He, Zhou Ziqiang and others returned to the doctor's office and took a short rest.

Zhou Ziqiang picked up the water glass, drank more than half of it, and then looked at Xiao Chu with bright eyes.

"Xiao Chu, I really didn't know you still have this ability!"

"Your acupuncture has such a miraculous effect, and it can control the patient's blood pressure. It's amazing!"

Gao Yingjun also came closer: "Director Xiao, Doctor Xiao, I didn't expect you to have such a hand."

"Not only did you do a good job in surgery, but you didn't expect to be able to do acupuncture. Your knowledge is also extensive, and you've let people die!"

Anyway, the doctors in the office knew that Xiao Chu used acupuncture to control the drop of the patient's blood pressure, which was beyond their expectation, and they were all amazed!

Now that the operation was successful and the patient's blood pressure had been stabilized, the few of them had time to ask Xiao Chu.

Xiao Chu smiled.

"Don't think acupuncture is so miraculous, it was actually a course I took when I was in college.

However, my teacher is quite famous in the acupuncture circle, so I studied with him for a long time. "

"Usually this is just my hobby, and I don't take it as my main business.

My hobby is to save people with a scalpel.After all, there are too many diseases that acupuncture cannot solve. "

After hearing Xiao Chu's explanation, Zhou Ziqiang and others also nodded in agreement.

After all, as doctors, their greatest wish is to hope that patients can walk out of the hospital in their own hands.

After a pause, Zhou Ziqiang said again: "Xiao Chu, are you going to participate in the first aid skill competition soon?"

"How are you getting ready? Are you nervous?"

Xiao Chu said with a smile: "Tomorrow is the competition, the preparations are not bad, I hope I can live up to the trust of the hospital."

Although Xiao Chu didn't pay much attention to this first aid skill competition.

For him, these so-called first aid skills are completely pediatrics.

But in front of other people, he can't boast too much.

Those who should be humble, still have to be humble.

Zhou Ziqiang drank the remaining half glass of water and put the teacup on the desk.

"It just so happens that I don't have work tomorrow, so I'll cheer for you after the house inspection. What time do you start the game?"

"The official game is at [-]:[-] in the morning, but you need to enter the field early at [-]:[-]."

"Okay! If you don't go to work then, we will all go to cheer you on, and you will definitely come back with a championship."

Several people were chatting, when a nurse came in and shouted, "Director Xiao, an old patient of yours has come to see you."

Logically speaking, there is a doctor on duty in the emergency department, and the nurse will not come here to call Xiao Chu.

But since it is his old patient, Xiao Chu of course needs to receive him.

The patient was an elderly man in his sixties, accompanied by his daughter.

Although the patient asked Xiao Chu to see a doctor by name, Xiao Chu didn't have much impression of this patient.

After all, he sees too many outpatients every day, and it is impossible to remember the appearance of each patient.

At this time, the patient's expression was a bit painful, and he said to Xiao Chu: "Doctor, I asked you to see high blood pressure before, but now I have a stone disease, and my back pain is severe, please give me a cure as soon as possible!"

"Have you had ureteral stones before?"

"Well, yes, I still have the test results from a month ago."

The patient said, and quickly took out a CT report.

CT showed: right ureteral stone.

"Where is your pain now?"

Xiao Chu asked while checking his body.

"Right, here, and here."

The patient pointed to the lower back on the right side and replied.

"What kind of pain method? Is it painful by twisting or pulling?"

Xiao Chu continued to ask.

"It seems to be tearing and hurting, and I can't tell. It's just a stone. Give me a painkiller injection."

Xiao Chu was unmoved.

He is already immune to the behavior of patients who need to take painkilling injections when they come up.

Without a clear diagnosis, he will not use painkillers indiscriminately.

"Do you feel stuffy?"

"It's not stuffy, it's just painful."

The patient answered in pain.

"Doctor, can you check quickly and give my dad an injection so that he doesn't suffer so much."

The patient's daughter couldn't sit still anymore.

Xiao Chu frowned.

"This family member, the patient's diagnosis has not been clarified yet, so don't rush to draw conclusions.

Although your father has a medical history of ureteral calculi, I see that his condition is not entirely caused by calculi.

Must be checked clearly before further treatment.Otherwise, can you take responsibility for misdiagnosis or missed diagnosis due to your urging? "

Hearing what Xiao Chu said, although the patient's daughter was a little dissatisfied, she didn't say any more.

The patient had a history of right ureteral stones in the past, and the abdominal CT performed one month ago showed that there was indeed a stone in the right ureter.

This time it was pain in the right side of the waist again, and it was true that the possibility of pain caused by stones was considered first.

But Xiao Chu always felt that something was wrong.

It's a doctor's gut feeling.

"Where it hurts, please point me again."

The patient's daughter looked unhappy, and still felt that Xiao Chu should relieve her father's pain first.

But seeing Xiao Chu's serious expression and seriously examining her father, she couldn't say much.

The patient points again to the location of the pain with the hand.

Xiao Chu found that the location of his pain was between the upper part of the kidney area and the lower corner of the scapula.

Moreover, Xiao Chu's physical examination on him also found that the pain in the kidney area was not obvious.

Obviously, this is not pain caused by stones.

This patient's illness is probably not as simple as he said.

Chapter 341

This is the conclusion drawn by Xiao Chu's rich clinical experience.

It is also all the possibilities that he must consider as a doctor.

On the surface, this patient looked, though a lot, like pain caused by a kidney stone.

But the painful part is too high, unlike normal kidney stones, the painful part is usually in the waist.

And this patient is in the subscapular position.

So this aroused Xiao Chu's vigilance.

So he inquired about the patient's condition in detail.

"Do you feel nauseous?"

"No."

"Do you feel like you always want to defecate?

"No."

"Is there any stretch pain in the testicles?"

"No."

The patient answered Xiao Chu, and the family members became impatient again.

Even Wang Panpan, who has been studying by the side, is also a little muttered in his heart.

Teacher Xiao is too cautious!

This patient has a history of kidney stones, and now the pain is in the waist area, which should be caused by the stones.

Why did Mr. Xiao keep asking about the patient's medical history and not give him a color ultrasound examination?

Of course, as a trainee doctor, she didn't dare to directly question Xiao Chu's decision, she could only mutter to herself.

Wang Panpan even felt that Xiao Chu was making a fuss out of a molehill.

Do a color Doppler ultrasound directly on the patient, clarify the location of the stone, and give an injection for pain relief, and it's over!