Chapter 764: How did the metamorphosis become? (Sunny day 3 for the leader was hit by dark clouds)(1/2)
A bunch of people rushed in behind the patient, each of whom was not young, at the age of seventeen or eighteen, and the oldest was only in his twenties.
His face was frightened and his expression was uneasy, and one of them was already scared and his face was filled with tears.
"Doctor! Please save him!"
"Yes! I kowtowed to you!"
...
The biggest young man was helpless and fell to his knees at the door of the rescue room with a plop, his face full of tension and worry.
The head nurse Tian Xianglan happened to be there, and hurriedly ran out, looking at a group of young men who were only in their twenties.
He quickly said, "Young man, get up first."
"Where is your boss? Haven't come yet?"
The older young man couldn't help swallowing: "Come here soon! We have called, we must save him..."
Speaking of this, even a few young people were unsure of it, and they were not sure if the boss would come.
Tian Xianglan felt a possibility as soon as she heard it, and she was immediately angry.
Compensation for work-related injuries is stipulated by law, and no one can be exempted from liability.
However, many times, whether it is considered an industrial injury involves a lot of disputes.
Especially these small factories, small workshops, and employers, and the labor contracts signed may have many problems.
However, now is not the time to worry about this, so it is important to save people first.
Tian Xianglan quickly helped complete the arrears and asked the older boy to contact his family.
...
...
Several doctors from the emergency office rushed in. When they saw the patient, they couldn't help but their scalp became numb and their hearts suddenly shrank.
And at this moment, Chen Cang's eyes when he looked at the patient changed.
He suddenly discovered that a virtual human body model appeared in front of him!
Chen Cang looked at the model and was shocked!
Because he clearly felt that this model was the patient's situation at this moment. He could clearly see which glass penetrated how deep it was, what blood vessels were damaged, and whether it was damaged by internal organs...
At this time, the entire patient's human structure and blood flow chart, as well as breathing, heartbeat, intestinal liver circulation, etc., all appeared in Chen Cang's virtual four-dimensional diagram.
At this moment, the patient suddenly began to breathe rapidly, and the values on the electrocardiogram monitor showed that his blood pressure suddenly dropped.
Chen Cang quickly made a judgment on the virtual four-dimensional human body model!
This is like Chen Cang’s clinical thinking model!
That's right!
Chen Cang suddenly realized that this four-dimensional picture was a four-mode model picture formed in his mind for the patient.
When the patient was breathing rapidly, changes were made on the virtual map.
Chen Cang could actually see the patient's peeling and piercing the pleural cavity, air enters and negative pressure disappears... and accumulates the lungs, causing the breathing to be tender!
The answer is obvious!
pneumothorax!
right!
It's pneumothorax!
Looking at this virtual person, Chen Cang was suddenly a little excited.
This virtual four-dimensional picture is too awesome, right?
Can an emergency surgeon have a stronger skill than this?
No diagnostic skills are more powerful than this four-dimensional diagram at this moment!
Too awesome!
God-level!
Definitely a god-level!
Thinking of this, Chen Cang was a little trembling. This passive skill is likely to be his strongest at present.
A big profit!
real!
Thinking of this, Chen Cang was a little excited.
At this time, Kobayashi said loudly: "Director Chen, his breathing has reached 110 times per minute!"
Chen Cang immediately reacted and said to Zhang Wenfu beside him: "The patient has pneumothorax, and is ready for thoracic puncture! Here..."
Everyone was stunned and looked at Chen Cang curiously!
Zhang Wenfu nodded and immediately began to prepare for the drainage tube for chest puncture!
Chen Cang did not do it himself, and he was still judging the patient's vital signs.
Soon, the chest cavity was exhausted and the patient's breathing was stable.
Everyone looked at Chen Cang's eyes and instantly admired them. They made a judgment in an instant. What a keen and accurate clinical judgment!
...
Before the operation, Chen Cang must ensure that the patient's vital signs are stable, think of all the dangerous situations that can be imagined, and control the amount of bleeding.
Chen Cang looked at his blood pressure, breathing, heartbeat... and the patient's condition, and suddenly said to Wang Yong beside him.
"The current blood loss is about 900-1000ml! The patient's current bleeding rate is about 100ml per minute. Tell the blood transfusion department to make various emergency preparations."
Although it looks terrible, it is a blessing that it does not hurt the large blood vessels.
Everyone looked at Chen Cang in confusion. Can they tell what they could do?
Chen Cang continued to bend down and said to Xiaolin: "Cut off the clothes, cut them all!"
Kobayashi nodded, revealing the patient's body.
"Prepare the dressing bag!"
"Contact the Color Superior Room!"
Nurse Lele quickly prepared.
Chen Cang began to remove the glass residue in the chest area.
Only the anterior area of the heart was not removed quickly because this piece of glass had been pierced into the pericardium, which was very troublesome to deal with. And most importantly, this piece of glass had caused pericardial blood accumulation. Although it was not as heart-pressing as it was, it was necessary to prepare before the operation and perform pericardial puncture under ultrasound!
At this time, Li Baoshan also hurriedly returned to the emergency room.
When I saw the patient, I was shocked.
There are many wounds on the body. Even though Chen Cang has already treated some of them, it is precisely because of this that the scars and blood on the patient's body look very terrible.
At this moment, the doctor in the color ultrasound room also came with the B-ultrasound machine.
Under Chen Cang's command, most of the broken residue has been cleaned up.
This made Li Baoshan hesitate. After all,... unplugging the broken glass is not an easy job.
You have to accurately judge whether each piece of glass has damaged the vital points, whether it damages the blood vessels, and whether it can lead to adverse consequences after being pulled out.
This is very difficult for a surgeon!
It is necessary to accurately think and judge the anatomical structure, and accurately draw conclusions through detailed signs!
Too difficult.
But……
Looking at the large area of glass slag around, Li Baoshan swallowed. After pulling so much, the patient's signs became more and more stable. Xiao Chen... is so amazing.
Only Chen Cang was talking in the entire rescue room.
He issued various medical orders accurately, and the doctors around him did not doubt it, and they were all implementing them in an orderly manner.
The excess glass was cleaned up, and many bleeding points were sutured by other doctors, and the amount of bleeding became less and less. The patient is still very aware of it.
But even if it has the effect of anesthetics, it still hurts!
Seeing that there were still five or six large glass pieces on the patient's body, Chen Cang took a deep breath: "Prepare the pericardial puncture of B ultrasound, extract the pericardial effusion, contact the operating room, and prepare for the operation!"
Li Baoshan was stunned: "Is there any pericardial effusion?"
The doctors around him also looked for Chen Cang.
Chen Cang nodded: "Well, yes, you see, the patient's bleeding volume is now controlled, his blood pressure is slowly falling, and his breathing is still a little faster under the cannulation... All situations can be ruled out now, and there is only one possibility, that is, this piece of glass has penetrated into the pericardial, causing slow pericardial bleeding. Although it is not as tampered with pericardial pressure,... it is not conducive to the operation and needs to be removed in advance. The operation will be much more convenient after a while."
"I estimate that the pericardial hemorrhage should be about 50-100 ml now!"
To be continued...