The patient hurried into a group of people behind him. They were not old, seventeen or eighteen, and the oldest was in their twenties.
His face was frightened and uneasy, and one of them had been frightened to tears.
"Doctor! Please, help him!"
"Yes! I kowtow to you!"
……
The biggest boy was also helpless. He knelt down at the door of the rescue room with a plop, and his face was full of tension and worry.
The head nurse Tian Xianglan happened to be there. She hurried out and looked at a group of young men in their twenties.
Hurriedly said: "young man, get up first."
"Where''s your boss? He hasn''t come yet?"
The young man couldn''t help swallowing his saliva: "come on! We''ve called and must save him..."
Speaking of this, even a few young people are not sure whether the boss will come.
Tian Xianglan felt a possibility as soon as she heard her tone. She was also angry.
Compensation for work-related injuries is stipulated by law, and no one can be exempted.
However, many times, whether it is an industrial injury or not involves a lot of wrangling.
In particular, these small factories, small workshops and small factories with young employees may have many problems in the signed labor contracts.
However, this is not the time to worry about this. It''s important to save people first.
Tian Xianglan quickly helped to handle the arrears procedures and asked the big boy to contact his family.
……
……
Several doctors in the emergency office rushed in. When they saw the patient, they couldn''t help but feel numb on their scalp and shrink in their heart.
At this time, Chen Cang''s eyes changed when he looked at the patient.
He suddenly found that a virtual human model appeared in front of his eyes!
Chen Cang looked at the model and was surprised!
Because he clearly feels that this model is the patient''s situation at this moment. He can clearly see how deep the glass has penetrated, what blood vessels have been hurt, and whether the internal organs have been hurt
At this time, the human body structure diagram and blood flow diagram of the whole patient, as well as breathing, heartbeat, liver and intestinal circulation... All appear in Chen Cang''s virtual four-dimensional diagram.
At this time, the patient suddenly began to breathe rapidly. The value on the ECG monitor showed that the blood pressure immediately decreased.
On Chen Cang''s virtual four-dimensional manikin, he quickly made a judgment!
This is like Chen Cang''s clinical thinking model!
you ''re right!
Chen Cang suddenly realized that this four-dimensional diagram is a four model diagram formed in his mind for the patient.
When the patient is short of breath, changes are made quickly on the virtual map.
Chen Cang can actually see that after the patient''s stripping pierces the pleural cavity, the air enters and the negative pressure disappears... The backlog of lungs causes the breath to be tender!
The answer is obvious!
Pneumothorax!
yes!
It''s pneumothorax!
Looking at this virtual human, Chen Cang was a little excited.
Is this virtual four-dimensional map awesome?
Can you be prepared to judge the patient''s human condition? Is there a stronger skill for an emergency surgeon?
Any diagnostic skills at this moment are not more powerful than this four-dimensional map!
That''s awesome!
God level!
Absolutely divine!
Thinking of this, Chen Cang trembled. This passive skill is likely to be his strongest at present.
Big money!
really
Thinking of this, Chen Cang was a little excited.
At this time, Kobayashi said loudly: "director Chen, shortness of breath, up to 110 times per minute!"
Chen Cang immediately reacted and said to Zhang Wenfu: "the patient has pneumothorax, ready for thoracentesis! Here..."
Everyone was stunned and looked at Chen Cang curiously!
Zhang Wenfu nodded and immediately began to prepare the drainage tube for thoracic puncture!
Chen Cang didn''t do it himself. He was still judging the patient''s vital signs.
Soon, the chest pumping was completed, and the patient''s breathing was stable.
At this moment, people looked at Chen Cang with instant admiration and made instant judgment. What a sharp and accurate clinical judgment!
……
Before the operation, Chen Cang must ensure that the patient''s vital signs are stable, think of all possible dangerous situations, and control the amount of bleeding.
Chen Cang looked at the blood pressure, breathing, heartbeat... And the patient''s situation, and suddenly said to Wang Yong.
"At present, the blood loss is about 900-1000ml! The bleeding rate of the patient is about 100ml per minute. Tell the blood transfusion department to make various emergency preparations."
Although it looks terrible, it doesn''t hurt large blood vessels, which is a lucky thing.
People looked at Chen Cang suspiciously. Can they judge it?
Chen Cang continued to bend over and said to Kobayashi, "cut off your clothes, all of them!"
Kobayashi nodded, revealing the patient''s body.
"Ready to change the medicine bag!"
"Contact the color ultrasound room!"
The nurse Lele hurriedly prepared.
Chen Cang began to remove the glass residue in the chest area.
Only the precordial area was not taken out quickly, because this piece of glass has been pierced into the pericardium, which is very troublesome to deal with. Most importantly, this piece of glass has led to pericardial hematocele. Although it is not as good as cardiac tamponade, it must be prepared before operation and pericardiocentesis under ultrasound!
At this time, Li Baoshan also rushed back to the emergency room.
When I saw the patient, I was immediately surprised.
There are many wounds on the body. Even if Chen Cang has treated some of them, it is precisely because of this that the scars and blood on the patient look terrible.
At this time, the doctor in the color ultrasound room came with a B-ultrasound machine.
Under the command of Chen Cang, most of the broken residues have been cleaned up.
This made Li Baoshan hesitate. After all... Pulling out broken glass is not an easy job.
You have to accurately judge whether each piece of glass hurts the key, whether it damages blood vessels, and whether it can lead to adverse consequences after being pulled out.
This is very difficult for a surgeon!
We must accurately think and judge the anatomical structure, and make accurate conclusions through detailed signs!
it''s too hard.
But
Looking at a large area of broken glass around, Li Baoshan swallowed his saliva and pulled out so many. Instead, the patient''s signs turned out to be more stable. Xiao Chen... It''s really powerful.
In the whole rescue room, only Chen Cang was talking.
He gave all kinds of medical orders accurately, and the doctors around him had no doubt. They were all executing them in an orderly manner.
The excess glass was removed, and many bleeding points were sutured by other doctors. The amount of bleeding was less and less, and the patient was well aware up to now.
But even with the effect of anesthetic, it still hurts!
Seeing that there are still five or six large pieces of glass on the patient''s body, Chen Cang took a deep breath: "prepare for pericardial puncture under B-ultrasound, extract pericardial effusion, contact the operating room and prepare for operation!"
Li Baoshan was stunned: "is there pericardial effusion?"
The doctors around are also looking for prestige to Chen Cang.
Chen Cang nodded: "Well, yes, you see, the patient''s bleeding volume is controlled, the blood pressure drops slowly, and the breathing still speeds up under intubation... Now all situations can be ruled out. There is only one possibility, that is, this piece of glass has penetrated into the pericardium, resulting in slow pericardial bleeding. Although it is not as pericardial tamponade, it... Is not conducive to the operation and needs to be improved Take it out in advance, and the operation will be much more convenient later. "
"I estimate that there should be about 50-100 ml of pericardial hematocele!"
Everyone was stunned!
This... Can you tell?
The doctor in the color Doppler ultrasound room looked at it with a probe, nodded and said, "yes, director Chen is right. Now there is blood accumulation in the pericardial cavity, about... 75-90ml."
Chen Cang nodded. The reason why he didn''t say 75ml was simply because he didn''t want to exaggerate. He guessed too accurately and was not very good
Suddenly, the whole room fell into silence.
This... Logical thinking ability is too strong, isn''t it?
How much you need to know about the human body to get such a judgment.
Li Baoshan looked at Chen Cang with some surprise.
The boy... Is getting weird.
This kind of clinical judgment, especially the grasp of human organs and circulation, can be understood through every detail. This kind of clinical thinking is really too strong!
There is no such cultivation without decades of Taoist practice!
Li Baoshan has seen an old director. He is so strong, but... He is already in his seventies, but how old is Chen Cangcai?
Li Baoshan couldn''t help whispering: "shit... Pervert!"
……
……
PS: thank the alliance leader "Bai Jingjing''s husband" for his 80000 reward, Jiageng!
Thank you for the 20000 reward of "October. 25".