Signing in at the hospital, the first operation shocked the whole country!
The first operation shocked the whole country!Section 501
"Here is the apple for everyone on our night shift."
Zhao Wenfeng pointed to the dozens of apples in the cabinet and said with a smile,
"Put the apples on there too, and pay your respects, begging for our night shift to be safe."
"okay."
Jiang Yuan couldn't help laughing, put the apple in his hand on it, and bowed.
If there is any department in the hospital that values metaphysics the most, it is undoubtedly the emergency department.
Here, mango is strictly forbidden to eat, Taixian and flag are taboo speech, and there are many taboos that cannot be touched, otherwise they will definitely be attacked by groups.
"Okay, let's get to work!"
Seeing this scene, Zhao Wenfeng breathed a sigh of relief, patted him on the shoulder and said.
......
Midnight,
Debride the room.
"Sigh~"
"Be patient, it will be fine soon."
Jiang Yuan was wearing gloves and was cleaning the wound of a man who had just scratched his arm.
"Doctor, are you all right?"
The man bared his teeth in pain, as if he was about to cry.
[Negative emotion value from Zhou Ye +20, +20...]
"Don't practice skating in the park next night, isn't it dangerous if you can't see anything?"
Jiang Yuan washed the fine sand and gravel from the wound with normal saline and bandaged it with medicine.
"Doctor, I really don't blame me for this!" The man suddenly became angry when he heard the words, "The place where we practice roller skating is empty, who knew that the road was built next to it, and there was a lot of sand on the ground, so I flew out accidentally gone."
Dang bang~
"Okay, don't get wet when you go back. It's hot now. Change the medicine twice a day, and you'll recover in about a week."
Qin Feng fastened the gauze, took off his gloves and smiled lightly,
"Next time you go, just bring a broom with you, that's all, let's go back."
"Thank you doctor."
Hearing this, the man looked a little aggrieved, thanked him, and walked out with his arms covered.
[Negative emotion value from Zhou Ye +30, +30...]
Jiang Yuan took a look at the system in his mind, and he got 100 points for a debridement, which is really good!
Although it's just a start now, the speed is already very fast.
What's more, who doesn't know that severe cases are the most frequent emergency department, just like the man and his family members with laryngeal obstruction before, that's a walking ten consecutive convulsions!
Hey woo~ Hey woo~ Hey woo~
At this moment, a familiar siren sounded suddenly.
Da Da Da~
Immediately afterwards, a series of hurried footsteps came from far and near.
"Jiang Yuan, follow me to the emergency room."
Zhao Wenfeng walked to the door and said with a serious expression.
"it is good!"
Hearing this, Jiang Yuan's eyes lit up immediately, and he immediately followed.
Come to live!
squeak~~~
At the entrance of the emergency green pass, an ambulance braked to a sudden stop, the door opened, and two 120 emergency personnel jumped down and pulled out a stretcher.
"Come on, get ready for bed!"
"1, 2, 3!"
Jiang Yuan and two nurses stepped forward and moved the patient to the flat car in the emergency room.
It was a very beautiful girl with fair skin and pretty looks, and she was wearing cool silk pajamas.
It's just that his face is pale, cold sweat is constantly breaking out on his face, and he is lying on his side clutching his abdomen tightly, but there is a glaring pool of blood on the back of the pajamas near the hem.
"what's the situation?"
"Patient Zhang Yuan, 22 years old, accidentally left it in the rectum when using sex objects at home. The time was about two hours, and there was bleeding."
The first responders who arrived explained the situation in a simple and clear manner.
Hearing this, Jiang Yuan's eyelids twitched, and he glanced at the girl on the flat car from the corner of his eye.
Good guy!
This is to reward yourself for an accident!
"Send it to the emergency room, arrange colonoscopy, abdominal and pelvic CT, and notify the anorectal department to come for consultation."
Zhao Wenfeng immediately arranged.
"Ok."
Subsequently, the patient was pushed into the rescue room.
Rectal foreign body is one of the common symptoms in the emergency department. Generally, it is mostly male, but rarely female, and the age is mainly concentrated between 20-50 years old.
"I want to examine you now, I have to lift your pajamas, is that okay?"
Zhao Wenfeng said to the girl, the girl nodded with a painful expression on her face,
"Jiangyuan."
After confirming the girl's consent, Jiang Yuan gently lifted the girl's nightdress, revealing her smooth legs and waist.
But in the eyes of doctors, people are just a bunch of tissues and organs, not to mention a large wet bloodstain can be seen on the girl's buttocks.
From this point, it can be determined that the intestinal tract has been traumatized by a foreign body, leading to continuous bleeding. If intra-abdominal bleeding, intestinal perforation, acute intestinal obstruction or peritonitis occurs, the problem is serious.
So the most important thing now is to confirm the situation and remove the foreign object as soon as possible.
"Does it hurt here?"
Zhao Wenfeng pressed several times on different positions of the girl's abdomen.
"It doesn't hurt, it doesn't hurt, it hurts a little here."
The girl's voice trembled, and she replied with a low moan.
"Come and try."
Jiang Yuan nodded when he heard the words, listened to the girl's abdomen, and then pressed.
The patient had a flat abdomen, no abdominal wall varicose veins, soft abdomen, no tenderness and rebound tenderness, no percussion pain in the liver and kidney areas, and normal bowel sounds.
"The abdomen is normal, and intra-abdominal hemorrhage and peritonitis caused by perforation can basically be ruled out."
Jiang Yuan took off his stethoscope and said calmly.
"What's next?"
Zhao Wenfeng nodded, there was no problem with his judgment.
"The patient's foreign body time is about two hours, and the amount of bleeding should be 30-50ml by visual inspection. It is necessary to judge the location and bleeding point of the intestinal foreign body through colonoscopy, and determine whether there is perforation or obstruction."
Jiang Yuan glanced at the area of the blood-stained plaque on the girl's lower limbs, and said without hesitation.
Hearing this, Zhao Wenfeng's eyes flashed a touch of surprise, and then the corners of his mouth showed a satisfied arc.
Sure enough, it's emergency material!
Chapter 373
"Doctor~"
At this moment, the girl on the hospital bed turned her head and moaned as thin as a mosquito.
"what happened?"
Zhao Wenfeng lowered his head and asked.
"Can you... change to a female doctor~"
The girl glanced at the two of them with a troubled expression on her face.
Amount(⊙o⊙)…
"We are professional doctors, don't worry."
"Please doctor~"
As soon as the words fell, the girl shook her head, bit her lips and said stubbornly.
"Then let me ask you."
After pondering for two seconds, Zhao Wenfeng nodded in agreement.
Although doctors treat patients and save lives, it is understandable if patients make such a request. After all, it involves private parts, and people are sober.
Still have to understand!
"Xiaoyue, go see if Dr. Pan is here."
"Ok."
The little nurse next to him ran out immediately.
[Negative emotion value from Zhang Yuan +66, +66...]
At this moment, a reminder bar appeared in Jiang Yuan's mind.
He glanced at the girl, and found that she was also looking at him, and hurriedly avoided the moment they looked at each other.
Soon, the girl was sent to the laboratory for a CT scan, and the doctor from the anorectal department also arrived, and it was a woman.
After the test results came out, the three of them were shocked when they saw the video.
I saw a continuous arc-shaped stick-shaped shadow about 10 cm, which was appearing in the middle and upper part of the rectum, and had reached the sigmoid colon.
The widest part of the whole object is close to 3cm, and the narrowest part is about 1cm. The bottom of the shadow presents a smooth slope, which is against the intestinal wall.
This is a broken fairy stick!
"Doctor Chen, this is a bit difficult to deal with."
Zhao Wenfeng frowned slightly, and looked at Chen Wei, a doctor in the anorectal department.
"Well, this piece has already scratched the intestinal wall. Since the lower end is a broken glass section, if it is taken directly, it may cause more serious intestinal scratches."
Chen Wei also nodded, and then analyzed.
"If the rectum is dilated, can it be removed?"
"You can try it, but you have to be careful if there are small debris in the intestines. If it doesn't work, you still need to open the abdomen."
"That's fine, I'll trouble you, Dr. Chen."
The two discussed it and decided to take out the operation through the rectum first. If it didn't work, they had to turn the abdomen and take it out from the rectum.
Sharp objects and huge objects, these two situations are the most troublesome in the anal foreign body.
As for the girl's situation, Jiang Yuan judged that during the reward process, the object accidentally broke and remained in the body.
Looking at such a smooth incision, and no obvious glass fragments were seen in the colonoscope, it is estimated that it was a natural disconnection, not caused by external impact.
"Aren't you following the stage?"
Chen Wei looked at the two curiously, and said with some doubts.
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