When doctors have a simulated operating room

The doctor said that the patient was very embarrassed.

Bob showed a trace of embarrassment on his face.

What's going on? ?

Who called at this time to interrupt my conversation with Dr. Zhang Yi? ?

So tactless? ?

As a result, he took out his phone and saw that it was the number of the emergency room.

Bob immediately looked at Zhang Yi apologetically and walked to the door to answer the phone.

"Hello? This is Bob from the cardiothoracic surgery department."

"Why do you need to go to our cardiothoracic surgery department for a glass scratch? You should go to general surgery or trauma surgery?"

Hmm?

Hearing Bob's conversation, Zhang Yi subconsciously looked back at him.

Scratched by glass?

Or the emergency department of the Ma Si General Hospital? ?

Could it be... the boy who was injured at the airport just now?

The boy's condition is indeed critical. If the pericardial effusion is not discovered in time, he may not be able to make it to the operating table.

"Okay, you are already in the operating room, right? What's wrong with your heart rate?"

"Well... OK, wait a minute, I'll come over and take a look."

After hanging up the phone, Bob turned back and smiled helplessly at Zhang Yi:

"Oh~ I'm so sorry, Dr. Zhang Yi, I really wanted to talk to you more, but now there is a boy in the operating room. I suddenly found an irregular heartbeat while cleaning the wound, so I have to go up for a consultation.

Of course, I hope... if Mr. Yi's daughter's surgery next week... it would be great if I could be with you~!"

After struggling for a long time, Bob still shamelessly expressed his little wish in his heart.

What's the point of face!

This man is Zhang Yi!

He can perform blind surgery at a young age!

If such a big guy suddenly appears, shouldn't he seize every opportunity to get surgery with him?

After saying that, Bob was about to turn around and leave.

But Zhang Yi suddenly called him:

"Wait, Doctor Bob, is the patient with peeling and scratching that you just received on the phone a little boy?"

I didn't expect Zhang Yi to know?

Bob was obviously stunned for a moment and then nodded repeatedly:

"Yes, but how do you know, Doctor Zhang?"

He didn't seem to say anything on the phone just now?

How can Zhang Yi know so much?

The next second, Zhang Yi explained:

"We saw the injured little boy when we just left the airport. He was playing with a billboard at the airport. As a result, the glass on the billboard shattered and fell down, causing a large area of ​​scratches.

I had already checked at the scene at that time. The boy had many wounds, but the bleeding was not serious.

I thought he was not in danger of life. What happened? Is there a problem with the heart rate now?"

Bob nodded:

"Yes, they said the heart rate has not changed, but it's very strange. They said that the frequency of the amplitude of the radio wave is decreasing. I have to go and take a look."

Bob looked at the time and immediately prepared to turn around and leave.

Zhang Yi followed a few steps and said:

"If the heart rate has not changed but the amplitude has decreased, it should be considered as pericardial effusion. Just do an echocardiogram."

Bob turned around and looked at Zhang Yi in surprise.

This man is quite enthusiastic.

He is not his patient, why is he so kind-hearted?

He is still chasing me to talk about the examination plan?

To be honest, if there is a problem with the electrocardiogram, even if Zhang Yi doesn't remind them, they will immediately arrange for an echocardiogram, okay~!

"Okay, thank you, Dr. Zhang!"

After that, the elevator door slowly closed.

Looking at the elevator door, Zhang Yi frowned slightly, thinking that the boy had very little pericardial effusion at least when Zhang Yi saw him at that time, but it is not ruled out that there will be a sudden increase after being transported to the hospital.

The changes in the electrocardiogram may just prove this point.

After all, that place is the heart, with several large blood vessels in front and behind. Once the amount of bleeding increases, it will take only a moment for him to die.

Of course, Zhang Yi can't see the boy himself at this time.

Zhang Yi can only guess what the situation is.

However, Zhang Yi knows the cause of pericardial effusion!

It's that little... ! !

In fact, it is difficult for outsiders to observe changes in the electrocardiogram. Isn't it just a ripple of a right triangle and an inverted triangle, which rises and falls immediately?

But it is this fluctuation that represents the working state of the human heart.

Any slight change may cause the patient to die.

Therefore, every doctor must have the ability to observe subtle changes in the electrocardiogram.

Fortunately, the doctor in this hospital observed it!

Well, the idiot is really the idiot, or

Something.

…

In the emergency operating room of the emergency department of the Masi General Hospital.

Bob hurried in after changing into surgical gown.

“What’s going on, Aaron?”

After saying that, Bob’s eyes also fell on the little boy on the operating table.

The operation at this time was a simple debridement and suture.

Because the little boy cried too excitedly just now, he had no choice but to add anesthetics.

At this moment, the boy slept very quietly.

“Bob, look at this electrocardiogram, I think it’s a bit strange.

The child’s heart rate has been maintained at 94 beats/minute since we entered the operating room just now, and it has not changed until now!”

Bob glanced at the monitor and asked in confusion:

“Stable heart rate? Isn’t it good to have a stable heart rate? You said there are changes in the electrocardiogram? Where are they?”

As Bob spoke, he looked at the heartbeat ripples.

The heart rate is stable but the ripple amplitude decreases?

Quite strange.

How could a boy who was scratched by glass fragments have a stable heart rate but a decreased ripple amplitude?

Unless...

After observing for a while, Bob suddenly thought of what Zhang Yi had just said.

The decreased amplitude of the heartbeat ripple means that the heartbeat intensity is decreasing!

How could the heartbeat intensity of a patient whose skin was scratched by glass fragments decrease for no reason?

Generally, the heart rate remains unchanged, but the amplitude intensity decreases, which is more common in mild pericardial effusion.

Could it be...

Zhang Yi was right? ?

Bob did not hesitate and arranged an echocardiogram directly.

While waiting for the results, Bob also called the cardiothoracic surgery department.

But he did not find a doctor from their hospital, but Zhang Yi.

It happened that Zhang Yi had not left at this time. He was discussing the surgical plan and details with Dean Jin and Director Kang in the office.

"Mr. Zhang Yi, Dr. Bob is looking for you."

Zhang Yi raised his head: "Bob?"

"Yes, it seems to be related to the patient in the operating room."

When Zhang Yi heard this, he immediately thought of the little boy.

"Hello, Bob, is there anything special?"

"Oh~! Dr. Zhang Yi! You are right, I looked at the boy's electrocardiogram, the current decreased, and the heartbeat intensity also decreased. It may be pericardial effusion.

I have done an echocardiogram now, and the results will be out soon!

Thank you so much, Dr. Zhang~!

Oh~ The results are out, I will see if there is really pericardial effusion."

There was silence on the other end of the phone, and Zhang Yi was also waiting for Bob's reply.

There is definitely effusion, Zhang Yi absolutely believes in his eyes.

But...

I am afraid that the machine can't see it.

Sure enough, the next second Bob replied with a slightly disappointed tone:

"Oh my God, sorry Dr. Zhang Yi, the test results show... this child does not have pericardial effusion!"

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