Chapter 160

In the early years, Huaguo's medical care was almost always overturned, regardless of the establishment of departments or the construction of hospital buildings.

Almost learn from others, for example, older people may remember the emergency department of the previous hospital.

It is a long passageway with treatment rooms on both sides. There are fewer people, and it looks pretty good. You can see the end at a glance. It is very transparent and clear. The door is for the doctor.

However, once there are more patients, the people in this kind of building will all turn into human balls. You squeeze me, I squeeze you. Sometimes, nurses and doctors can't even get in with the patient, which is very inconvenient .

So, later, many hospitals actually began to learn from the meatball country. Emergency centers are generally octagonal.

Slightly like gossip, or like a spider. Larger hospitals have more spider legs, and smaller ones have fewer spider legs.

The triage desk is in the middle, and the most eye-catching one is the myocardial infarction emergency treatment room. The big blood-red characters remind patients and their families all the time.

Moreover, with the development of Chasu Hospital, the emergency center has divided into several detailed treatment directions, with internal medicine on several adjacent tentacles, and surgical departments on other adjacent tentacles.

Internal medicine has an emergency room, and surgery has an operating room.

It can be said that the most modern department of Chasu Hospital is the current emergency center.

As long as the work is not overloaded and dozens of patients come to the hospital at the same time, the advantages of this kind of building will be brought into play. The triage desk is the center, which regulates the work of doctors and nurses without interfering with each other. It can also use the fastest time to divert patients. .

Although Chasu Hospital is located in the frontier, because of Zhang Fan's relationship, the emergency center of Chasu Hospital is almost at the top of the list in Northwest China.

Leaving aside the staffing, let's take a look at the emergency 120s parked at the door, the various instruments in the department, and the apron built on the roof, although Ouyang hasn't flicked the plane yet.

But it has a bit of a modern taste.

Then look at the equipment inside, hyperbaric oxygen chamber, gastric lavage machine, four-dimensional color Doppler ultrasound, X-ray projection room... Just these instruments, to be honest, these instruments alone are comparable to a second-level hospital.

During the Spring Festival in other departments, there were really two or three kittens in the department, which seemed extraordinarily empty and quiet. The big static character finally showed its power at this time.

The emergency center is not,

Just like the morning market in the market, there are children who were injured by playing firecrackers, and the man who was hungover and nauseated last night and came to prescribe sober medicine, and there are also brothers-in-law who broke the head of brother-in-law during the big festival, or husbands and wives tearing each other Injured and divorced.

Really, in the hospital, sometimes, all kinds of weird things can happen, especially on holidays.

Physicians led the child into the medical emergency room, and surgeons led the injured policeman into the surgical treatment room.

In the chaotic and noisy emergency center, those who complained and quarreled were quieted down.

Blood, fresh blood, to be honest, as long as a normal person sees the same kind of large-scale bleeding, the first thing he feels in his heart is a sense of rejection, which is born with his genes.

Like the danger that the body can feel, try to stay away.

"Quick, how old is the child, have you ever had a similar situation before? How did you treat it?"

There is no need for Ouyang to deal with the room. At this time, Ouyang is not idle, and immediately asks the parents about the child's situation.

The young mother's eyes were filled with tears, "The child is only eight months old, and this happened occasionally in the past, so I went to the county hospital and said it was fine.

But who knows, when her grandfather teased her when she woke up this morning, she suddenly lost her voice with a smile, and then slowly began to turn blue.

We went to the county hospital, but the doctors at the county hospital didn't let us in, so they sent us to the city hospital with 120.

Doctor, please save the child, she is only eight months old, she was fine yesterday.

If something happens to her, how can I live, my baby. As the young mother spoke, she began to cry again.

To be honest, there are many pitiful things in the hospital, but the most touching thing is the child.

Big, bright eyes look at the world with innocent eyes. When the pain comes, he or she may not be able to speak, and can only endure the pain that adults cannot bear.

Sometimes, treating a child, really, there is no time to practice, and after the treatment, the doctors and nurses themselves feel uncomfortable and dare not look at it.

Outside the emergency room, Ouyang helped collect information, and inside the emergency room, Ren Li and the others realized that something was wrong.

"No, the child has a congenital heart disease, hurry up, color Doppler ultrasound, ready for interventional treatment!

Hurry up and call the doctor outside, hurry up! "

The introduction of oxygen did not improve the child's changes one bit.

The eight-month-old child was lying on the emergency bed, and the doctors watched her, struggling to breathe.

The little man half clenched his fists involuntarily because of his breathlessness, and the sweat on his forehead was like soybeans, which appeared at this age that shouldn't have appeared.

The nostrils are open, it should be a small and delicate nose, but at this time the nostrils become extraordinarily enlarged.

The mouth was wide open like a fish that landed on the shore, desperately trying to take in more oxygen.

The sternum is obviously sunken, and the muscles between the ribs have collapsed in, like a small skeleton frame.

Then look at the color of the skin, eye circles, and lips. The color is the heaviest, blue to purple, and blue.

The child's body was bruised and bruised as if it had been hit by a serious car accident.

The small head was tilted weakly, and the small eyes looked at the group of white-clothed adults around him dully.

Heart, there was once a great surgeon who promoted surgery to the flower of medical treatment, once said such a sentence:

Performing an operation on the heart is a blasphemy to the art of surgery. Anyone who attempts to perform heart surgery will end in ruin!

From this sentence, one can imagine how afraid doctors were of heart disease.

When young parents greet the birth of their children with great joy.

In the end, what they saw was that the child was weak and struggling to breathe in front of them, changing from pink to blue, and finally dying in the struggle.

Really, this kind of blow is nothing more than the worst tragedy in the world for young parents.

This kind of child has a synonym, blue baby. According to the current evidence-based statistics, the mortality rate of children with congenital heart disease accounts for the first place in infant mortality.

This disease is a BOSS-level disease, especially in areas with higher altitudes, the incidence of this disease is quite high.

What is this blue disease? In medical terminology, it is very troublesome. Not only does it need to talk about heart anatomy, but also the basics of circulation, which is very troublesome.

To use a metaphor, the arteries and veins of the heart can actually be said to be distinct.

There are two houses and two bedrooms in the heart, just like a four grid, arranged up and down, left and right.

The venous blood in the body enters the right house first, then is squeezed into the right bedroom, and finally the right ventricle pushes this blood into the lungs.

Then the lung cells are busy taking out the carbon dioxide in the venous blood and stuffing in the oxygen as they breathe in and out.

At this time, venous blood becomes arterial blood. Looking from the blood vessels, the dark blue blood began to turn bright red.

Then the blood that became arterial blood was pressed into the house on the left, and then they entered the bedroom on the left as the door of the house and the bedroom opened.

In the end, the most muscular left bedroom pushed the arterial blood into the main artery and into the whole body.

This is a rough heart cycle.

Whether you eat braised pork heart or roasted lamb heart, do you think this heart looks a bit like a crooked peach?

Yes, it is because of the relationship between several rooms and bedrooms in the heart, the heart is a little crooked.

The bedroom on the left is at the bottom left. Because the blood is pumped into the body, this bedroom is the largest and has the most muscles.

It is also the most powerful when it fluctuates, so generally people see the heartbeat on the chest and hear the beating sound of the heart because of the fluctuations in this bedroom.

Different functions also result in different muscle thicknesses. And some children, because of congenital poor development.

A passage is opened in the wall between house and house, bedroom and five-bedroom, or house and bedroom, forming a gap.

With the gap, arterial blood becomes venous blood, sending carbon dioxide-rich blood to the body.

The organs in the body don't accept their account, they are clearly separated and become confounded, and then the body becomes abnormal.

This disease, the younger the symptoms, the milder, and the older the symptoms, the more obvious.

If left untreated, it often withers and dies when the child is in his youngest twenties.

It doesn't talk about mitral valve, tricuspid valve, or aortic insufficiency.

This kind of disease actually means that the heart has one or more eyes that should not appear, a large or small eye.

Therefore, people cannot have too many eyes!

"Secretary Ren, the child's atrioventricular defect is in a semi-detached state, and he usually covers up his illness. Now this situation suddenly appears, I'm afraid it's..."

The hot director in his heart was doing cardiac color Doppler ultrasound himself, and at the same time reported the results to Ren Li.

When Ren Li heard this, she quickly let go of the child and looked at the color Doppler ultrasound. When she saw it, the hope in Ren Li's heart fell into the abyss.

"Why hasn't the doctor here yet? Emergency consultation. This is an emergency consultation. Hurry up!"

The gentle and refined Ren Li was also in a hurry at this time. In fact, it took less than two minutes to finish the emergency consultation.

Doctors need to be professional, Ren Li is professional enough, but the younger the child, the higher the professionalism requirements.

The same organ, such as the heart, is more difficult to deal with in the body of a kid who eats as much as he wants, and wants to save him.

There is a famous saying in pediatric surgery that you may be able to pick up your patient and put it on the operating table with only one hand, but you may not be able to solve his problem with both hands.

So there is an iron rule in the medical world, unless you have special training in infant surgery, please refer this kind of child to a pediatric surgeon, no matter how far away the journey is.

This is an experience gained in exchange for blood and life.

Pediatric surgery, hehe, this department, really, can only make people laugh.

There is a chain of contempt in the medical field in Huaguo. Those in internal medicine look down on those in infectious diseases, and those in surgery look down on those in internal medicine.

Adult doctors look down on pediatric doctors, and pediatric doctors are unwilling to do pediatric surgery.

A hospital, a large hospital, is in full swing, but the development of pediatric surgery is extremely slow.

There are many reasons.

Pediatric surgery with tea can't escape the shackles of slow development.

Han Jiangke, a doctor from Cha Su'er, from Beihe, a typical northern man, has a bearded posture. Although he is clean-shaven on weekdays, he has green stubble, a big mouth, a big nose and thick eyebrows. A proper northern gentleman.

With a height of more than 1.8 meters and a figure as wide as a door panel, no matter how you look at it, he is an orthopedic surgeon, but this young man is actually a master's student in pediatric surgery!

This man's temperament is gentle, but he has a natural face of a robber, and crying children sometimes dare not cry when they see him.

Dr. Han was wearing a pale pink hand washing suit unique to pediatric surgery and a white coat, running around the hospital like the wind.

In less than three minutes, Dr. Han ran to the emergency center.

"Hurry up, Dr. Han, hurry up, this way!" The nurse at the guidance desk at the door, like a runner waiting for a baton, pulled Dr. Han and started to run beyond the internal medicine treatment room.

...

In another corner of the emergency center, a group of men in police uniforms waited anxiously and lost outside the door of the surgical treatment room.

Squatting, walking around, talking on the phone all the time. However, all of them have the same expression, dejected, like a defeated soldier who has lost a battle.

"Director, three, three brothers, they are in the hospital now."

The director kept calling to report to his superiors.

"Hurry up, call the Hospital Infection Office and report your occupational exposure!"

Xue Fei from the emergency center anxiously told the head nurse.

"The Hospital Infection Office is not at work, and there is no one today!"

"If you need any help, tell me!" At this time, the jacket crowd who had been forgotten in the corner came out.

"Manpower, we are short of manpower, and we still have blockers. Our hospital doesn't have enough blockers, and the Municipal Center for Disease Control and Prevention has them!" Xue Feihan got down.

The first wave of children, the second wave of police. Followed by a group of ice brothers and sisters, the third wave.

Moreover, among the third wave of people, there was a phenomenon of coma, too much, too much!

In the emergency center on the first day of the new year, Xue Fei's heart was in suspense. Don't look at the people wearing steel bracelets, lying there like mud, but who can guarantee that they will not violently hurt others? Guaranteed that there will not be one or two deaths at this time.

And this group of people is said to be violent AIDS carriers.

Don't look at these people who dislike pigs and dogs on weekdays, but once they die in the hospital, there are many people who make troubles.

In the treatment room, the three policemen let the doctors deal with them with a look of sorrow greater than death.

Yes, being a policeman, especially a policeman on the border of a country, is too antidote to drugs and AIDS.

A doctor, a policeman, their occupations are exposed, to be honest, they are hard to guard against.

To deal with this kind of occupational exposure, you must first wash it with a lot of water, and then directly apply alcohol.

In general debridement and disinfection, alcohol cannot be used for skin damage, because it is too painful.

But now only rely on alcohol, I hope it can kill part of the virus.

After Zhang Fan clamped the high-concentration medical alcohol cotton ball with the tongs, it sizzled into the meat like red-hot iron tongs.

The iron-blooded man, his brows were pimples from the pain, and there was a muffled sound from the pain in his chest.

A cotton ball, a white alcohol-rich cotton ball, Zhang Fan gritted his teeth, and stuffed it directly into the damaged muscle, going in and out, changing the cotton ball, going in and out, changing the cotton ball.

Every cleaning is really a heart-wrenching punishment. If there is only pain, really, for the police, any pain is fine, they can bear it, they can bear it, but now they have AIDS.

Outside the door of the emergency room of the internal medicine department, "Hurry up, get the parents to sign, whoever will sign, hurry up."

"I sign! I sign!" The child's mother struggled to stand up, while the child's grandparents had collapsed on the seat, looking pitifully at the doctor who came out.

"Where's the child's father?" The doctor looked at it, and there was a lot of resentment in his tone. When did the child become so pitiful, but the child's father has not yet appeared, so irresponsible .

"The phone was connected, but no one answered!" The child's mother bit her lip lightly and signed.

Then, after hesitating for a moment, he picked up the phone and called.

At this time, the familiar bell rang in the passage next door, and it was so familiar and harsh to the ears of the child's mother.

The director of the police station held the phone number of his injured brother, and he was at war between heaven and man, answering or not answering, answering or not answering.

If you don't accept it, you will have to face it sooner or later. If you accept it, how can you explain to the family members of others.

Suddenly, he raised his head abruptly, and saw a woman leaning on the wall with tears all over her face appeared in front of him around the corner.

When you see your husband's mobile phone appearing in the hands of his colleagues, look at the blood covered by these husbands and colleagues.

Her world collapsed.

The mountain-like man looked at his brother's wife, he opened his mouth, but couldn't say a word.

"He, what's wrong with him?" The child's mother leaned against the wall and asked with all her strength.

If it weren't for the child in her heart, really, she wanted to cry loudly, she wanted to curse loudly, and then have a good time...

Really, when she married him, she often dreamed that she was in the hospital and saw her man covered by a white sheet.

Unexpectedly, today, there is a child on one side and a husband on the other.

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