When the Doctor Opened the Plug-in

左右 Around 10 am, a patient was delivered by 120. A child in his thirties was pushing the old man in, and his mouth screamed, "Doctor, my father has a heart attack!"

沧 Cang Cang ran out quickly and walked up with the 120 doctor in the car, saying: "It should not be heart disease, the electrocardiogram is normal."

The young man was unhappy: "My dad is uncomfortable, flustered, and has back pain around him. It ’s been a while, what is a lot of heart disease? And I have Baidu, sometimes the heart disease ECG is normal, Only when it happens ... "

The man Barbara said a lot, I am very cultural, don't lie to me.

Cang Cang stepped forward: "Don't worry, that, Kobayashi first pushed the patient to the rescue room and brought the monitor."

120 came to the doctor with the doctor, handed over the procedures to the nurse station, gave Chen Cang a wink and left.

沧 Cang Cang understands that look is to make him beware of the patient's family, which is difficult.

Man in his 30s, he is well-dressed, wears glasses, and sees Chen Cang: "Doctor, you must carefully consider my suggestion. Myocardial infarction is very dangerous and cannot be treated wrongly."

沧 Cang Cang nodded: "Rest assured, give it to us, you can rest at the door."

After Xu said, Chen Cang pushed in and the man walked at the door, walking around, very uneasy.

Xiao Xiaolin: "Doctor Chen, the electrocardiogram and blood pressure are normal, and the heart rate is a bit fast."

沧 Chen Cang groaned for a moment: "I urgently check a blood routine, call the ultrasound room, and urgently check the abdominal ultrasound near the bed.

During the waiting period, Chen Cang took the opportunity to talk with his family members about the current medical history. It was learned that the other father did have a history of heart disease and high blood pressure. Indeed, heart problems could not be ruled out and ignored. But ... Not heart disease, but more like a cholecystitis.

The color Doppler ultrasound room is very fast. I heard that the emergency diagnosis of abdominal color Doppler ultrasound came soon.

When the family of the patient saw the color Doppler ultrasound, they followed in calmly and saw that they would do the color Doppler ultrasound of the abdomen. They suddenly took a moment and quickly waved their hands: "What are you doing? My dad's heart is uncomfortable. What stomach do you check? It ’s also a heart! Is n’t this messy? How expensive is an inspection! If you can do one less, do one less! "

Cang Cang turned and looked at the man: "Don't disturb the rescue patient, the rescue room can't be accessed at random. And ... your father is not necessarily a heart problem, I suspect it is cholecystitis."

When the man heard Chen Cang's words, he didn't say a word. He went out to pick up the mobile phone and didn't know what he was doing. It seemed to be Baidu.

借 Thanks to this opportunity, the results of color ultrasound have been shown!

The long and wide diameters of the gallbladder are slightly larger, oval in shape, the wall of the gallbladder is thickened, the outline is vague, and the shape is double-ringed, and its thickness is greater than 3mm;

声 The sound permeability of gallbladder contents is reduced, and scattered scattered echo points appear; the enhancement effect of the lower edge of the gallbladder is weakened or disappeared.

proved!

I have acute cholecystitis, and the blood routine of the emergency investigation has returned. About 80% of patients with total white blood cells and neutrophils have increased white blood cell counts.

Now there is no problem with qualitative cholecystitis. If you wait for bilirubin and transaminase, it will be more intuitive.

At this time, the man pushed in the door again and came in: "Doctor you are god! It is cholecystitis ... Baidu said, cholecystitis does have radiation pain."

The man was a little embarrassed and apologized to Chen Cang.

沧 Cang Cang smiled and said nothing. It is normal for family members to worry, after all, care is chaotic.

But Baidu can't see a doctor because a lot of Baidu's information is not comprehensive. A patient came a few days ago and he had blood in his stool and said he was bowel cancer.

例子 Such examples abound.

Moreover, gallbladder disease is a common disease in the emergency department, with frequent occurrences. It is common in clinical practice, and many diseases are very uncomfortable, such as acute cholecystitis, delayed cholecystitis, and cholelithiasis.

Moreover, when this kind of disease is done, it is easy to be confused with myocardial infarction. The textbooks clearly explain what epigastric pain, nausea, vomiting, fever, divergence to the shoulder and back, and paroxysmal aggravation.

But this thing is stubborn by nature. I never listen to textbooks every time I get sick. I always feel free to get sick every time I get sick, and I often confuse it with myocardial infarction!

Such patients are not rare, Chen Cang has long been used to it.

In the past few days, 120 more patients have been delivered. The hospital may say hello to the 120 emergency center.

以后 After the emergency operation room is opened, the operation arrangement is much more convenient.

The patient was also bold.

Uh ...

Uh ...

There are many patients in the emergency department these days. You don't need to go to the operating room for the surgery. You can arrange it yourself. In this way, many patients will not be sent to the general public.

With my own operating room, the emergency department's income can also increase a lot. For the emergency department, it seems that the severe winter is over and spring is coming.

However, Comrade Zhang Youfu, the general director, was in a low mood. According to previous years, in August and September, the surgery was overcrowded. You must know that this is the high season of cholecystitis, appendicitis, and cholelithiasis. In the summer, people's diet is cold and hot, which can easily cause this Diseases of the digestive system.

And this year, surgery suddenly became deserted!

After all, these acute diseases are sent to the surgery through the emergency department. After the sudden opening and the emergency department opened, the general patients suddenly lost a lot.

The Provincial Second Hospital is not a top-level hospital, and to the extent that there is no shortage of patients, patients with more general surgery are still those with minor illnesses.

Suddenly, Li Baoshan presented Zhang Youfu directly.

Zhang Blessing also has itchy teeth. There is no way to rely on him for the operation of the department. What should I do?

No patient!

Zhang Youfu thought about it, picked up the phone and dialed Tan Liguo's phone. He had to reflect on the situation.

After Tan Liguo listened ~ www.readwn.com ~ frowned slightly: "So serious?"

Zhang Youfu shook his head: "It's not very serious, but ... for a long time, there will definitely be fewer patients in the department and the efficiency of the department will be much worse. After all, there are still more mainstream patients."

Tan Liguo pondered a little: "Let ’s go, you ’re a little bit slow. I called on the health section of Dongyang Satellite TV on Monday to do a science popularization activity for the disease. Then you will publicize your department ... Be prepared, don't waste this opportunity. "

有 Zhang Youfu listened, and immediately he was happy, this is a good thing!

The health column is a good publicity channel. Although it is a health promotion, when the patient advocates general surgery, the patient will come to her.

"Then trouble Secretary Tan!"

I hung up the phone and Zhang Youfu directly called Duan Bo in the department: "That, Xiao Duan, come to my house and talk to you."

Zhang Duanbo is Zhang Youfu's confidant, and Zhang Youfu is not thin to him.

After receiving the phone call, Duan Bo didn't ask why. He got up and went to Zhang Youfu's house without saying a word.

After the two sat down, Zhang Youfu said faintly: "Small paragraph, I may have the last Dongyang Satellite TV health channel recently. You recently organized my resumes in honor, and my information is all with you."

As soon as Duan Bo heard it, a flatterer patted him over: "The director is terrific! It is going to be on TV, and the ratings of Dongyang Satellite TV are not low!"

有 Zhang Youfu smiled unpredictably. The clouds were light and light, and it seemed that he didn't care about TV. "Yes, I'm not ready to go up and talk about something. What do you think is better for our promotion this time?"

After Duan Bo thought about it, he said seriously: "Naturally it is the most common disease this season, the disease of the gallbladder system!"