Chen Cang stumbled to the Department of cardiac surgery of the first hospital of Dongda.


    At this time, he wants to be hospitalized.


    But after thinking about it, I don''t know which department to run!


    Chen Cang would like to ask whether the pain department can treat buttock pain, but when asked about the cause, Chen Cang doesn''t know how to answer better.


    Did you say... I was hit by Jeet kune do?


    Hey


    tired


    Qin xiaolick, Qin xiaolick, how can you run so fast!


    This is your father. Don''t stop it.


    Chen Cang feels anxious.


    When I arrived at the Department, it was already 6:30. As soon as I came in, I saw sanbo stand up immediately!


    "Chen Cang is coming!"


    Suddenly, Ge Huai pressed Chen Cang on the chair: "Xiao Chen, Niu force, unexpectedly won the first place in the group and fought on behalf of Dongyang. What do you think?"


    Chen Cang stood up at once!


    What''s your feeling?


    I don''t hurt him!


    Bo Er Zhang Dai pressed Chen Cang onto the chair: "Xiao Chen, you are really powerful. We didn''t find that you are so good. Sit down quickly and have an operation later. You have to teach us well. We specially prepare three operations tonight!"


    Chen Cang immediately stood up. This time, he glanced at Bo San, took away his chair and said faintly:


    "Well said, I won''t sit... I sat all day."


    Meng Xi came in at this time and said with a smile, "come here."


    Chen Cang smiled: "good teacher Meng!"


    Meng Xi nodded: "sit down first. Dr. Ge, go to bed 12 and give the discharge notice first. There is also the discharge certificate. The patient''s family members will come to go through the formalities early tomorrow morning."


    Chen Cang smiled: "I won''t sit, Dr. Ge. I''ll give you a discharge certificate."


    Ge Huai nodded, "thanks, Xiao Chen."


    After the discharge certificate was written, Meng Xi signed it and the date was written tomorrow.


    Director Xia of cardiac surgery makes a ward round on Tuesday. At this time, a large prescription should be made on Tuesday and Friday according to the patient''s situation.


    This comes to the prescribing of drugs in various departments of the hospital. Generally, we are used to prescribing drugs twice a week.


    Big prescription means that if you want to prescribe medicine on Tuesday, you can prescribe it directly to Friday, take the liquid for three days and give long-term medical advice.


    It is also convenient to modify the temporary doctor''s order and replace it in time.


    In this way, it is also convenient for nurses to take medicine and doctors to give medical orders.


    If you prescribe medicine today, he prescribes medicine tomorrow, which will affect the order of the Department.


    And... Don''t feel that nurses are subordinate to doctors.


    It''s very troublesome for doctors that nurses don''t cooperate with their work.


    Therefore, it is very necessary for doctors and nurses to cooperate.


    Even directly related to all aspects of medical work.


    Tuesday morning is very busy, so many things are basically done in advance in the evening. Don''t think you can do your own things at will when the director makes a ward round


    After a series of things, people are preparing to go to the operating room.


    Suddenly, the nurse hurried in: "director Meng! Dr. Ge, it''s bad. The patient in bed 12 suddenly fainted."


    In a word, Meng Xi rushed directly to bed 12!


    Chen Cang followed, while GE Huai got up and turned back and took the medical record folder.


    Bed 12 is the patient of Ge Huai and Meng Xi. They are responsible for any problem.


    As soon as I came into the ward, I suddenly found the patient lying on the ground. He was a young man in his thirties and sixties. His wife and children were at a loss.


    "Doctor! Well, why did you faint?"


    Meng Xi looked serious and said to the woman, "don''t be nervous, calm down."


    "ECG monitor, blood oxygen protection, urgent check blood glucose!"


    "Xiao Chen, carry the patient to bed!"


    "Xiao Yang, electrocardiograph!"


    "The nurse station gives emergency consultation to the emergency department!"


    ……


    Meng Xi gave a few doctor''s orders in an instant.


    When cardiac surgery patients faint, the first consideration is the sequelae of the heart.


    After all, after the operation, there will be some postoperative complications more or less, some will cause arrhythmia and so on.


    Of course, there are many reasons for fainting, which can not be generalized, but it is urgent that cardiac surgery should eliminate heart problems.


    At this time, Ge Huai had run in with the medical record book.


    All the nurses are busy in an orderly way.


    Meng Xi observed the patient and helped Chen Cang put the patient to bed and untie his clothes.


    He asked about GE Huai.


    "What is the history of the disease? Is there hypertension, diabetes, hyperlipidemia?"


    Ge Huai shook his head: "no! The admission examination was normal. The patient had a previous physical examination. This time, it was aortic aneurysm resection. No hepatitis, tuberculosis, etc. were found..."


    After hearing this, Meng Xi said to the nurse who was dropping the test paper, "urgently check the blood sugar?"


    After seeing the results, the nurse immediately said, "blood sugar 9.8!"


    Normal!


    Meng Xi turned and asked Ge Huai, "did you do cerebrovascular MRI when you came?"


    Ge Huai was stunned!


    Who does this?


    We are cardiac surgery, not neurology or neurosurgery.


    However, Meng Xi is also right. This sudden onset of fainting should consider the problem of cerebrovascular. Even if there is no hypertension, if the patient has cerebrovascular malformation or the patient has intracranial aneurysms, the rupture of aneurysms can also lead to coma!


    This cannot be ruled out!


    After all, some people have aneurysms that grow in more than one place.


    Ge Huai took a deep breath and shook his head: "if he didn''t do it, the patient did a head CT. There was no abnormality."


    He also knows that cranial CT can only see a general picture, but can''t see many things.


    At this time, if you do a CT, you can see whether there is cerebral hemorrhage. However, at this moment, the patient has no chance to be sent to the CT room.


    Moreover, the probability of intracranial aneurysm rupture is too low!


    At this time.


    Chen Cang said: "the pupils on both sides are equal in size and circle. I don''t find the pupils scattered and the light reflection is normal... I don''t feel like cerebral hemorrhage!"


    Chen Cang''s words brightened Meng Xi''s eyes. Yes... The most basic physical examination and nervous system examination were ignored.


    Although we can''t completely rule out intracerebral hemorrhage now, it''s almost ten years old.


    Sometimes, diagnosis is really an exclusion method, especially when the cause is unknown. To make a clear diagnosis quickly, exclusion is also the best method.


    The whole process seems long, but it takes less than a minute!


    At this time, the ECG machine has been connected!


    However, before the ECG machine spit out the film, the nurse suddenly said, "director Meng! It''s ventricular fibrillation!"


    In a word, the people suddenly changed their faces!


    Meng Xi was stunned and hurriedly said, "contact the emergency department, get the defibrillator and hurry!"


    It''s dangerous all of a sudden!


    The patient had just undergone aortic aneurysm resection, and now suddenly encountered ventricular fibrillation, and the risk coefficient soared.