medical treatment

Chapter 529

"Sir, do you think my strength is good enough?"

Yu Zhiming, who was lying on the sofa, heard this delicate voice that could make his body shudder, and said in a muffled voice, "Very good!"

"Sir, do you think my technique is still lacking?"

"It's very rare!"

"Sir, do you need a card?"

"We have launched a great gift package with preferential rewards. As long as you apply for a Lifetime Card, you will be provided with eating, playing, and//sleeping services, as well as giving birth services as a gift."

"Get a card! Get a card! Get a card..."

Yu Zhiming hurriedly replied a few times, then suddenly turned over and grabbed the seductive little fairy beside him into his arms.

Up and down.

But the next moment, he smelled a familiar scent.

"What's the matter?"

Gu Qingning's face was bright red, she nodded with spring in her eyes, and replied softly, "Well, it was just half an hour ago."

Yu Zhiming sat up, and asked with concern: "Is there any discomfort? Does it hurt?"

"At dinner, I saw that you ate a lot of the very spicy conch. You also ate some of the cold lobster sashimi."

Gu Qingning giggled and said, "I used to have some small pains, but this time I don't feel much."

"It is said that having a boyfriend can cure dysmenorrhea. I have personally experienced it, and it is indeed effective."

Yu Zhiming said solemnly: "Actually, a boyfriend cannot relieve a woman's dysmenorrhea, and there is no clinical saying that a man can relieve a woman's dysmenorrhea."

He further popularized science and said: "There are two reasons for women's dysmenorrhea, physiological and pathological."

"Physiological dysmenorrhea is due to changes in the hormonal environment in the body and increased secretion of prostaglandins, which will cause uterine contractions and make women dysmenorrhea."

"Generally speaking, this kind of pain cannot be improved by men or regular sex life."

"As for pathological dysmenorrhea caused by pathological causes such as endometriosis, pelvic inflammatory disease, and uterine fibroids, men cannot relieve it."

Seeing this guy's serious scientific appearance, Gu Qingning suppressed a smile, and argued in a serious tone: "There are many people on the Internet who have spoken out."

"It is said that after having a boyfriend and having a sex life, the dysmenorrhea has been significantly relieved."

"Facts speak louder than words, how do you explain it?"

Yu Zhiming snorted and said, "Are you sure that these posts on the Internet are all made by you girls?"

"Perhaps, most of them are sent by men with unspeakable purposes, deliberately misleading you girls."

"Of course, because the base is too large, it cannot be ruled out that some girls do relieve their dysmenorrhea through men."

Yu Zhiming pondered and said: "These girls may have some endocrine disorders and disorders."

"After they found a boyfriend, they adjusted the endocrine during the contact with the boyfriend, so that the sex//hormone levels in the body tended to be coordinated, and the sensitivity of the smooth muscle of the uterus to prostaglandins during menstruation was relieved, thereby alleviating the symptoms of dysmenorrhea .”

"But for the vast majority of girls, men have little effect on their dysmenorrhea."

After a pause, Yu Zhiming suddenly thought of something, and said with a soft smile: "It can't be said that men can't play a role."

"They can get a cup of hot water to warm up girls' stomachs."

"You can chat, divert the girls' attention, and achieve the effect of relieving pain to a certain extent."

"You can also lightly rub the girl's lower abdomen with the palm of your hand."

Hearing this, Gu Qingning's eyes widened, and she pinched her waist, transforming into a little tiger.

"Since you know so clearly, if you don't act quickly, people still feel a little uncomfortable."

Well, this is digging a hole for myself...

Yu Zhiming first poured a cup of hot water for Gu Qingning, then held her in his arms and rubbed her belly...

Yu Zhiming, who turned into a warm man, had been with Qing Ning for more than ten minutes, when he suddenly heard the sound of hurried footsteps, coming from far and near outside.

He put down the lime, stood up from the sofa, and saw a little nurse running towards the door.

"Doctor Yu...Doctor Yu..."

The little nurse who ran too fast bent over and took a few breaths to calm down and speak coherently.

"Emergency, heart problems, Dr. Chen is a Chinese medicine doctor, not good at dealing with..."

Before the little nurse could finish her sentence, she looked up and saw Yu Zhiming, who was wearing a down jacket, had already stepped out of the gate quickly.

The little nurse quickly took a deep breath, turned around and ran out, leading the way while introducing the situation.

Two or three minutes later, Yu Zhiming walked quickly to the medical center on the first floor of the dome building, and saw an old man in his 3s and 70s, inhaling oxygen, sitting in a multifunctional examination chair.

Even with oxygen, the old man was still short of breath and pale.

Yu Zhiming also noticed that the old man's jugular veins were round and bulging.

Dr. Chen, who was standing aside, saw Yu Zhiming coming in, and said eagerly, "Dr. Yu..."

Between the words, Yu Zhiming's right hand was already pressing on the old man's left chest...

"Acute pericardial effusion requires pericardiocentesis."

The pericardium is a sac that encloses the heart and consists of two parts: a serosa layer and a fibrous layer.

The pericardium fixes the heart, buffers the impact of the heart contraction on the surrounding blood vessels, and prevents the rapid expansion of the heart chamber due to exercise and increased blood volume.

It can also stop chest infections from spreading to the heart.

In the pericardial cavity, there are fifteen to fifty milliliters of serosal fluid, which acts as a lubricant.

Pericardial effusion refers to the disease of the pericardium itself or other causes involving the pericardium, resulting in excessive secretion of pericardial fluid and accumulation in the pericardial cavity.

This is a relatively common clinical symptom.

Patients with small pericardial effusions, or large pericardial effusions that accumulate slowly, may be asymptomatic.

As the pericardial effusion compresses the heart and local tissues, corresponding symptoms of varying degrees of severity may appear.

Dyspnea is the most prominent symptom, and irritability, pale complexion, and cyanosis may also occur.

A large amount of pericardial effusion in a short period of time can lead to cardiac tamponade, obstruction of venous return, systemic circulation congestion, hypotension, jugular venous distension and other symptoms.

In severe cases, shock and cardiac arrest may occur.

During Yu Zhiming's investigation, the old man's pericardial effusion was at least six to seven hundred milliliters.

This is a serious situation.

Yu Zhiming discovered that the beating of the old man's heart was severely inhibited, which hindered blood circulation.

Emergency treatment must be given.

"Pericardiocentesis?"

Dr. Chen was startled, and said anxiously, "Dr. Yu, I can't do this puncture."

"Our own ambulance is ready, but it takes four to five or 10 minutes to drive to the nearest large hospital."

"Can you make it in time?"

Four or five 10 minutes by car?

Yu Zhiming frowned involuntarily. Considering the current symptoms of the old man and the heart compression caused by pericardial effusion, he really might not be able to survive.

"I'll do a pericardiocentesis."

Yu Zhiming, who had made the decision, warned again: "Prepare the puncture needle, drainage tube, and surgical disinfection kit."

"Other irrelevant people, etc., all go out."

Pericardiocentesis should be performed in a sterile environment as required to avoid heart infection.

But in the current situation, Yu Zhiming can only act urgently and drain the pericardial effusion first, so that the old man's heart function can return to normal.

As for whether it is infected or not, that is a matter for the future.

Under Yu Zhiming's arrangement, only the little nurse who called him over was left at the scene.

Dr. Chen, other nurses, and friends who cared about the elderly all went outside the clinic.

In order to avoid infection, Yu Zhiming also disinfected the environment and the puncture site of the elderly as much as possible.

Not only did he sanitize his hands, but he also put on a disposable sterile surgical gown, mask and surgical gloves.

After getting ready, Yu Zhiming took the puncture needle from the little nurse and patted the old man's ribs a few more times.

The next moment, without the slightest hesitation, he stabbed in with his hand.

The little nurse next to her was shocked, and then quickly covered her mouth.

Pericardiocentesis has high requirements on the technical level of doctors.

Even in Huashan Hospital, at least a senior attending physician is required to operate under the guidance of ultrasound images.

This is because if the puncture needle accidentally touches the heart, it can easily trigger a cardiac stress response and cause cardiac arrest.

In terms of Yu Zhiming's perception positioning and the stability of his hands, pericardiocentesis is not a big deal.

His main worry before was infection...

Yu Zhiming quickly inserted the drainage tube, and saw the light white liquid sprayed into the drainage bag along the drainage tube.

He checked the patient's heart again and found that its blood pumping function was gradually improving.

"Now the old man can be sent to the hospital..."

Yu Zhiming tidied himself up, carried his coat and left the clinic, and saw Lime waiting outside.

"Zhiming, you are awesome, you have saved another person."

Yu Zhiming sighed softly, and said, "It's hard to say now, we still need to survive the later infection period."

"Let's go, let's go back..."

Gu Qingning took Yu Zhiming's arm out of the dome building, and unexpectedly saw Gu Changyan surrounded by four or five people.

"No! I don't agree!"

"I can't let my men venture into the mountains at night."

Yu Zhiming and Gu Qingning, who were curious, moved closer and listened for a while before they understood what was going on.

A couple of high school students were strongly opposed by their parents, leaving a suicide note to die for love.

Parents will go crazy when they find out.

They found some clues and determined that the two children probably ran to this mountainous area.

Hearing this, Yu Zhiming remembered that when he was on vacation at the Huguang Shanshe on the National Day, the people there said that this mountainous area is a well-known place for self-death.

"Dean, please, my child is only 17 years old."

As he spoke, a man knelt down and begged, "Dean, you don't need to order your employees to enter the mountain, you just need to call them up."

"We're looking for volunteers."

"Those who are willing to follow us into the mountains to find someone, ten thousand per person."

"Whoever finds two children, give one hundred thousand."

"If you accidentally get injured in the mountain, we will take full responsibility and return the compensation..."

Yu Zhiming and Qing Ning stopped listening, and walked towards the villa to the west hand in hand.

Although life is priceless and saving people is extremely urgent, they will not put themselves in danger recklessly just to find those two ignorant guys...

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(End of this chapter)