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Chapter 1080 lasts for 72 hours (2)

"Doctor, my husband won't be in trouble, right?"

The patient's wife followed behind, with a worried look on her face.

"It's hard to say now. Let's do a suture with a broken trough and then a brain CT. Judging from the current situation, there is no life danger for the time being, but it's hard to say whether there is bleeding in the skull."

Wu Xiaodong introduced the patient's wife.

"Is it okay if my tongue is broken? Wouldn't you die?"

The patient's wife asked worriedly: "Don't everyone on TV have a broken tongue, and people will die soon?"

"No, don't worry, my master personally sutured it. My master's suture level is very high. After the suture is completed, it will have little impact on the future. The main thing is to consider whether there is intracranial hemorrhage."

Li Xiaofei also explained.

The tongue is an important organ for humans to eat and speak. Observing the color, quality, shape and changes in tongue coating of the tongue is also one of the important contents of Chinese medicine's observation and diagnosis.

Medically known as the tongue, it is a muscle-like organ in the human oral cavity, with an epithelial tissue covering the surface of the mouth. There are multiple muscle bundles independent of each other and in different directions inside the tongue, which allows the tongue to make flexible tilt, roll, and tilt activities, so that it has functions such as assisting chewing, stirring, swallowing food, and assisting vocalization.

In some novels and TV series, there are often scenes of committing suicide by biting your tongue.

So is the statement of committing suicide by biting your tongue really reliable? Is it really as easy and quick as it is said in TV and novels?

In fact, the mortality rate of suicide by biting the tongue is not high, and it is not fast. Among the various means of suicide, it is very rare to bite the tongue. As for normal people, it is very painful and difficult to bite off their tongue.

And even after biting the tongue, people will not die immediately.

The causes of death of "bone biting the tongue" that are circulated on the Internet can be roughly classified into three categories, namely "pain and death theory", "blood loss theory" and "suffocation theory".

The main reason for the "sad to death" is that when biting the tongue, it produces neurogenic shock, which eventually leads to confusion in the respiratory and circulatory systems. Obviously, this statement is not valid. There is a problem with the understanding of neurogenic shock in this reason. Although "neurogenic shock" can be simply understood as "shock caused by nervous system stimulation", it is definitely not "shock to death".

The statement of blood loss is actually not true. The tongue contains a large number of capillaries and several thicker arteries and veins. After biting the tongue, it will cause a lot of bleeding, but it will not easily lead to death.

The total amount of blood in the human body is about 4 to 5 liters, and the blood loss must exceed 30%, that is, more than 1.5 liters may be life-threatening. It is not so easy to lose 1.5 liters of blood by relying on the blood vessels in the tongue.

As for the suffocation, there are three types of saying that the broken tongue is swallowed, resulting in choking to death. The reason for this statement is that the tongue is an organ that assists swallowing, so the broken tongue after the tongue bites is swallowed due to the loss of swallowing function. However, if you want to bite the tongue and commit suicide, or bite the tongue by accident, then the disconnection end of the tongue is located outside the incisor, and the probability of falling out of the outlet cavity is much higher than being swallowed. Moreover, even if the broken tongue is swallowed, it is very likely to enter the esophagus rather than the trachea, so it is not reliable.

Another way to think that the broken tongue root will shrink into the throat, causing suffocation. However, the part where the tongue is bitten is the free end of the front part, while the back part of the tongue is pulled by the developed geniogloss muscle towards the mandible bone in the front and lower part, so it is difficult to shrink into the throat, so it is not reliable.

As for the third statement, the outflow of blood is injected into the trachea and causes suffocation. If the blood can fully block the respiratory tract, the amount of bleeding required is much less than death from blood loss, but it still requires a relatively large amount of blood. It takes a long time to bleed, and it also requires a fierce one.

Therefore, from a medical perspective, the saying of committing suicide by biting your tongue is actually not reliable. Don’t panic after accidentally biting your tongue. Keep the broken tongue and suture it in time for treatment.

When the patient was sent to the emergency room, he was still in a coma. Fang Han first asked the patient to undergo a craniocerebral CT and then performed a suture of the house.

The CT scan time is not long, and the simple CT scan time is very short. It takes about two minutes from the time the patient enters the examination room to the end of the examination.

The patient was unconscious and did not even take anesthetics. Fang Han debrided and sutured the patient when the patient was not clear about it for a while.

"Dr. Fang, this is a CT scan of the patient!"

Just as Fang Han's stitching was done, Wu Xiaodong walked up with a CT film.

"The patient has a large area of ​​congestion in the skull, and there is no need to undergo craniotomy in this case."

Fang Han took the CT scan and looked at it, saying: "The impact of craniotomy on the patient is quite large. The patient is not in danger of life at present. In this way, I will first prescribe a prescription for promoting blood circulation and removing blood stasis, take three doses to see the effect."

As he said that, Fang Han walked to the side and wrote a prescription and handed it to Li Xiaofei.

Wu Xiaodong planned to say something, but he opened his mouth but still didn't say anything.

"Director Wu, my master is very responsible."

Li Xiaofei whispered to Wu Xiaodong: "And from the perspective of traditional Chinese medicine, surgery is only performed when there is no way. It is the best choice to be able to use traditional Chinese medicine to regulate and treat. Although our emergency department has Western medicine surgery, it is still traditional Chinese medicine at all."

Wu Xiaodong gave Li Xiaofei a blank look and was too lazy to pay attention to him.

As an associate chief physician, when is it Li Xiaofei's turn to be a hospitalized officer to teach?

This is also Li Xiaofei is Fang Han’s student, so he will change his own...

"Master, it's getting late, why don't you go to bed for a while?"

The patient took the medicine, Li Xiaofei walked into the duty room, Fang Han was reading the book, it was almost three o'clock in the morning.

"That child is in no way?" Fang Han asked Li Xiaofei.

"Take some medicine every once in a while, everything is normal."

"Well, that's good." Fang Han nodded.

"Master, go to bed, I'll just watch."

Fang Han looked at the time, stood up and said, "Okay, then I'll go to sleep for a while. It's nothing, you can also find an opportunity to take a nap."

Li Xiaofei is a hospitalized officer and is on duty continuously. He is busier during the day than at night.

"Doctor Fang, Mr. Li!"

As soon as Fang Han got up, a nurse came in to inform: "A patient with bone injury has come."

"Go and go and have a look."

The patient was already arranged in the treatment room by the nurse. Fang Han and Li Xiaofei came to the treatment room and smelled a strong smell of alcohol as soon as they entered the door.

There were several people in the treatment room, and they all seemed to be drinking a lot.

"Doctor, look at my brother."

Fang Han and Li Xiaofei entered the door, and a few people began to speak out, saying one by one, one by one, one by one, one by one, something messy.

"Everyone is quiet, this is the hospital. Doctors don't ask, don't speak out." Li Xiaofei scolded with a stern face.

After drinking a lot of alcohol, no one was crazy about drinking. Li Xiaofei scolded him, and the few people became quiet.

Fang Han walked up to check the patient. The patient was in his thirties and was burly. He was lying on the treatment bed now.

"What's going on? Tell me about the situation alone!" Fang Han walked forward and asked while diagnosing the patient.

When Li Xiaofei saw a few people quarreling again, he hurriedly pointed at one of them: "You say."

"A few of us had drunk alcohol, and we were a little bit over the top and accidentally fell down the steps..."

The young man pointed at by Li Xiaofei roughly talked about his passing.

"It doesn't seem like I fell down the steps, right?"

Fang Han said while doing an inspection.

"The doctor fell down the steps." Several people hurriedly said.

"It should be a crushing injury!"

Fang Han finished the inspection and said, "Don't hide what's going on."

"Doctor, isn't it necessary?" Several people obviously didn't tell the truth.

"Tell me the specific situation, I can handle it easily, so I won't ignore what I have."

Fang Han said: "I just think you fell down the steps, and it will not affect your reimbursement."

Fang Han understood very well if a few people didn't tell the truth.

This accidental fall belongs to the reimbursement scope of combined treatment and medical insurance, but if it is caused by man, it is not easy to reimburse.

"Doctor, you are such a sensible person."

The young man who was pointed at by Li Xiaofei just now smiled awkwardly and told the truth.

Several of them are classmates from elementary school and they have a good relationship. They rarely get together to drink wine. They drink a little high, but they haven't overdone it.

As the drinks were drinking, a few people chatted, talked about the past, and then competed, saying that you could not drink me, and the other one said that I could not drink you.

The winner was not decided by drinking, and a few people started to wrestle again, and then fell again after wrestle.

He is in his thirties, not a young man of seventeen or eighteen years old. After drinking, his body is heavy and he is injured and fallen. The other person presses straight up, and then the person next to him hears some noise... His right leg and right arm, pressing down, were broken.

"Drink less alcohol in the future, don't show off after drinking."

Fang Han said, walked to the side and prescribed a prescription to the nurse, and then said to Li Xiaofei: "Come on, help me!"

Li Xiaofei walked forward, Fang Han signaled Li Xiaofei to grab the patient's right button, and Fang Han himself grabbed the patient's wrist with one hand and shook it gently.

"It hurts, doctor, it hurts!"

The patient shouted in pain.

"Now I know it hurts, what have you done?"

Fang Han said angrily and said, "Can you still know the pain after drinking?"

"Wine is not numbness... medicine..."

Before the word medicine was released, Fang Han suddenly pulled his wrist and twisted slightly, and sent it forward.

"Okay, don't move around for the time being, I'll put a plywood in a while."

As he spoke, Fang Han had already loosened the patient's wrist and then reached out to massage the patient's right leg.

"I'll go!"

The young men next to them were stunned.

"Doctor, are you so awesome?"
Chapter completed!
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