Chapter 62 CT Room
At seven o'clock in the evening, Li Ge took Xie Qin over for a CT examination. Wang Yang had nothing to do when he saw the emergency department, so he followed him.
"Wang Yang, here!"
Li Xiang waited early at the door of the CT room and waved to Wang Yang.
Meng Yue looked at Li Ge curiously and asked: "When did they meet?
I remember Li Xiang is not so approachable!"
"Just help Sister Qin."
Li Ge did not participate in Meng Yue's topic, but pulled Xie Qin into the ct room.
Because there are a lot of people doing CT every day, there are medical staff in the hospital taking relatives to the line, and they are found that medical staff will be severely punished.
Therefore, during work in the CT room, no medical staff came to disturb you. They would wait for the CT room to get off work and then bring the patients to do the CT room, but the premise is that you have a good relationship with the doctor in the CT room.
Otherwise, the doctor in the CT room had been busy for a day and would definitely run fast after get off work, but the hospital hates overtime the most.
When Wang Yang entered the CT room, he saw a female doctor furious at a medical staff member. This was a normal scene in the hospital. His superiors educated his subordinates to choose to teach them a lesson at the off-get off work time, which is also a kind of growth for subordinate doctors.
If a mistake in a doctor's profession may affect the patient's life, and the seriousness will affect a family.
The strictness of subordinates is responsible to the patient.
After the female doctor scolded her subordinate, she turned her head and saw Li Xiang, and immediately changed her smile, "Li Xiang is here, why haven't you seen your sister recently!"
Li Xiang laughed and said, "I want to see my sister too, but ICU is too busy. After the surgery, my sister gets off work."
"Next time after the operation, you can tell my sister in advance, sister can wait for you!"
Sister Qian and Li Xiang gave a charming look and continued to look at Wang Yang and others, "You can bring the patient in!"
Wang Yang looked at Li Xiang with a strange look. These two men looked like they had a leg, so don’t look at them inappropriately, don’t look at them inappropriately! "Li Ge, take Sister Qin in first!"
Li Ge has laid an indwelling needle in Xie Qin's body, which can directly create contrast agent and perform CT imaging with a high-pressure syringe. He can directly take Sister Qin into the CT chamber.
"Sister Qian, is your husband in good health?"
Li Xiang asked.
"I saved my life last time thanks to you. I invited you to our house for dinner several times, but you didn't go!"
Sister Qian said sadly.
"Well, I will definitely come to visit me next time!"
Li Xiang said with a sneer.
Wang Yang finally realized from the side that he was not what he thought, but he was actually driving in his mind.
Meng Yue installed a high-pressure syringe and contrast agent on the side. After connecting the equipment, everyone left the CT room.
The noise from the machine came from it, and no one present felt it was noisy. After all, he was in the hospital every day, just like the vegetable market every day, and he had already practiced the magical skill of closing the ears.
While waiting, Li Xiang suddenly received a call from the doctor on duty.
After answering the phone, Li Xiang looked at Wang Yang and said, "Iciu hemorrhagic shock patient consultation, you happen to be here, go with me."
“What’s the situation?”
Wang Yang looked confused.
"I don't know much about the specific situation, it seems to be a patient in a traffic accident."
After Li Xiang finished speaking, he walked out of the CT room.
Wang Yang quickly greeted the others and followed Li Xiang over.
As soon as I arrived at the iCu, Director Xiao called over.
"Xiao Wang, where are you now?
Come to ICU for consultation immediately. The patient has hemorrhagic shock, and you should have an interventional surgery."
Director Xiao said.
"I'm already in the icu!"
"So fast?"
After Director Xiao hung up the phone, his face looked a little bad. He thought of some bad things, such as the old idiot dug his own corner! When Director Xiao hurried to the consultation site, he saw a idio doctor introducing the patient's condition to Wang Yang and Li Xiang.
"This patient had a traffic accident on Fuzhou Avenue at 6:15 pm. The initial diagnosis was a pelvic fracture and was sent to the orthopedic surgery department. The blood pressure was 110/70mmhg at that time, but the orthopedic surgery department found that the patient's blood pressure dropped very quickly, so he hurriedly sent to the ICU. After an emergency check of the pelvic CT, he was diagnosed with large area of bleeding after retroperitoneal bleeding. After consultation, the treatment plan was determined."
The patient's medical history was reported in detail. Li Xiang clamped his slender fingers while Wang Yang frowned.
The diagnosis is the same as given by the system light board, and there is no problem.
However, bleeding in the operating room is rare, and pelvic fractures usually require no surgery.
The pelvis itself has a special structure. Generally, fractures will cause bleeding on the fracture surface and a small amount of effusion. These do not require surgery. Just use some hemostatic drugs and antibiotics.
However, once the blood vessel rupture and bleeding caused by a pelvic fracture, the blood vessel pierced at the fracture end is any part of the internal and external blood vessels and pelvic vena cava plexus, which will lead to posterior peritoneal hematoma.
Because these blood vessels are located behind the peritoneum, after bleeding, they will be wrapped in the peritoneum and a hematoma will occur.
Because the pressure on the posterior peritoneum is very high, it is impossible to use surgical methods to stop the bleeding.
The posterior peritoneum can be compared to a water pump. The moment the water pump is opened, the liquid stored in the area will gush out, and the operator will not give any chance.
"Ahem!"
Director Xiao coughed twice, took the emergency CT video handed over by Dr. ICU next to him, and observed the patient's vital signs.
"The patient's condition should be ruptured pelvic artery and posterior peritoneal hematoma, which is not suitable for surgical procedures, so interventional surgery can only be used to treat hemostatic."
Director Xiao turned his attention to Wang Yang, and he finally understood why Wang Yang appeared on the iCu.
As long as the interventional surgery is involved, the first thing that comes to mind in all departments of Tao City First People's Hospital is Wang Yang from the emergency department.
The last time, the two patients in the obstetrics and gynecology department and urology department performed interventional surgery, which seemed to be used for a short time. Later, Director Xiao asked his former old comrades-in-arms. According to what the old comrades said, the skill of being able to perform interventional surgery in such a short time is quite skillful.
Director Xiao himself definitely won’t, he just said that he would come over and help Wang Yang stand on the stage.
Director Iciu was walking over with a worried look on his face. The patient's consultation results were very bad, and many people suggested giving up directly.
This kind of pelvic fracture and retroperitoneal hematoma are killed if you use a knife, and if you don’t use a knife, you will die if you don’t use a knife.
The interventional surgery is just a guess, and they are not sure whether they can stop it.
When Director Iciu was worried, he looked up and saw Li Xiang and Wang Yang, and directly ignored Director Xiao next to him, "Doctor Xiao Wang, are you sure about this operation?"
“No big problem.”
Wang Yang's interventional surgery level has reached the expert level, so some interventional knowledge will naturally be automatically understood. In addition, he won the lottery [Interventional Embolization of Pelvic Fracture], and Wang Yang is quite confident about this surgery.
Li Xiang looked at the confident Wang Yang from the side, and a curious look appeared in his eyes. He felt that he could not even start this operation. Could Wang Yang have a solution?
"Director, I apply to be Dr. Wang Yang's assistant."
Chapter completed!