Chapter 246 Neglected critically ill patients
One morning a few days later.
Gu Jianqiu and Xia Xueting were in the Chinese medicine department for treatment. During this period, more patients came to see them for treatment. They were busy until they were about to get off work at noon.
Gu Jianqiu finished seeing the patient first, and Xia Xueting had another patient who had not finished seeing the patient, so Gu Jianqiu waited for him at the door.
At this time, a 120 ambulance came to the emergency room. Next to their traditional Chinese medicine clinic is the emergency center 120. After arriving at the door, the nurse rushed down a patient from the car in a panic and reported to the doctor that the patient's heart had stopped beating.
The director of the emergency center suffered a serious misdiagnosis last time, and almost killed the famous international movie star Sakai Rika. Therefore, he had been transferred and replaced by another director, surnamed Wu.
Director Wu is very experienced and immediately organized cardiac resuscitation and rescue.
Gu Jianqiu was waiting for Xia Xueting, but Xia Xueting was still treating the last patient. She gave it very carefully and couldn't finish it for a while. So Gu Jianqiu walked to the door of the emergency room bored to see that they were busy.
At this time, Gu Jianqiu found a middle-aged woman sitting on a bench in a corner of the emergency room, and a middle-aged man and two and a half-year-old children were standing next to him.
This middle-aged woman had a sick face, her abdomen was raised high, and she was in poor spirits, and seemed to be weak.
Because she was right next to the door, Gu Jianqiu could see clearly that she should not be pregnant at her age, and her illness aroused Gu Jianqiu's alertness.
Gu Jianqiu casually asked the middle-aged man standing next to her and said, "What's the disease?"
Because Gu Jianqiu had taken off his white coat and hung it in the outpatient room, now wearing casual clothes, the middle-aged man glanced at him and thought he was watching the fun, but he asked kindly, but he didn't mind answering, and simply said: "Stomach hurts, constipation."
Gu Jianqiu frowned. If she was simply constipated, she would not have such a mental state. Judging from her face, her face was full of illness, but it was not just constipation. She asked again: "Look at her mental state, it seems that she is not just constipation, right?"
When the middle-aged man heard this, he looked at Gu Jianqiu again. He looked a little admired and said, "Yes, yesterday, when my wife was mopping the floor, the ground was too slippery, and she fell accidentally, and her stomach hit the coffee table. From then on, she said she had stomach pain. She came yesterday afternoon for a checkup, but she didn't find any results. But her stomach hurt even more yesterday night, so she came today, but there were too many people in the outpatient clinic and couldn't wait. So she came here to see the emergency department, but she was very busy here and was waiting for the doctor to see it."
Gu Jianqiu said: "Can I take his pulse for him? I am a doctor from Jiantman Hospital and from the Department of Traditional Chinese Medicine. I don't think she is very good."
When he heard that he was a doctor and that his wife's illness was not good, the middle-aged man was a little nervous and quickly agreed. As a patient's family, of course he was willing to treat him. Even if he was a doctor in other departments, as long as he could care for him, it would be a touch.
Gu Jianqiu took the patient's wrist to take the pulse and found that there was a clear pulse dizziness in the Guan pulse on her right hand. Because the Guan pulse on her right hand was positioned as the spleen and stomach, which means that there were serious problems with the spleen and stomach of the patient. Gu Jianqiu said in a deep voice: "Is your wife's spleen and stomach sick? Or has she been injured?"
The man was shocked, looked up at Gu Jianqiu and said, "Yes, doctor, how did you know?"
"What exactly is the disease of the patient's spleen and stomach? Tell me quickly that the patient's condition is very bad. We must hurry up and don't ask too much."
"Okay, my wife had a gastrointestinal bleeding last month. She went to the hospital for surgery, and then she was discharged from the hospital."
"Gilm tract bleeding? Where is the bleeding? Do you know?"
The middle-aged man thought about it and looked at his wife again. The woman said in a weak voice: "The doctor said yes, the blood vessels of the gastric mucosa... were broken..."
After he said this, the middle-aged man also remembered it and quickly said, "Yes, I remembered it. It seems to be called "There is a rupture and bleeding of the gastric mucosa submucosa." However, the surgery has been performed and was only discharged from the hospital after the operation."
Gu Jianqiu shook his head and said, "Your wife's condition is very bad. I suggest you do a related examination immediately. It's not just constipation or abdominal trauma. I guess there is something wrong with the original surgery, so check it as soon as possible."
"No way? My wife was discharged from the hospital after she was cured. The surgeon said the operation was very successful. How could something go wrong?" The middle-aged man seemed to be dissatisfied with Gu Jianqiu's conclusion just now, so he ignored him. He still looked at the patients and nurses anxiously, waiting for them to come to see his wife after they finished their work.
At this time, Xia Xueting had already finished her illness, walked over and said to Gu Jianqiu: "Change your clothes quickly, let's go back, I'm all starving to death."
"Wait for a while, there are some problems here. I found that the patient's condition was not right. I want to remind them." He said as he walked into the emergency room and came behind Director Wu and said, "Director, a patient who was waiting there for a long time. I found that her condition was very critical. Can you show her first?"
Director Wu was a little impatient. He was very busy now. He turned around and saw that it was Gu Jianqiu. He couldn't help but quickly put away the displeasure on his face. Gu Jianqiu is not an ordinary person now. Not only did he have a very good relationship with Vice President Long Charlie, he also created miracles in the hospital several times, including rescuing international movie star Sakai Rika, and that time it was a problem caused by the emergency center and was misdiagnosed.
So Director Wu did not dare to be negligent and hurriedly said, "Doctor Gu is you, I didn't hear clearly what you said just now."
Gu Jianqiu turned around and pointed to the middle-aged woman who was waiting in the chair at the door and said, "The patient's abdomen is highly bulging and the abdominal wall is edema. The family said she had a gastrointestinal bleeding surgery last month. I just took her pulse and found that there was a serious stomach problem. I suggest you give her corresponding treatment and examination as soon as possible."
"But, the patient's heart stopped beating and was being rescued. I'd better wait a moment, okay?"
Director Wu did not dare to speak too hard, so he told Gu Jianqiu in a negotiating tone.
Gu Jianqiu said in a low voice: "I see that there are enough people who have rescued you here. You can pull out two to check the patient, so it will not affect your cardiac resuscitation and rescue. The patient is also in a critical condition. If you do not take timely measures, there will be danger. It will be too late to rescue him if there is danger!"
Of course, Director Wu didn't know the director of the emergency center who had been dismissed before. It was Gu Jianqiu who suggested that he check Sakai Rika in detail, but was rejected, and it almost caused a disaster in the end. This time, Director Wu already knew that Gu Jianqiu was not easy to mess with, and he didn't want to cause trouble, so he said to Gu Jianqiu: "Is this good? Help see what measures should be taken. You decide, I'll ask two nurses to take her to check."
"Yes, - inhale oxygen immediately, then pierce the abdominal cavity and send ascites for examination, and immediately establish an intravenous channel to prevent the rescue from occurring in case of critical illness."
Although Gu Jianqiu is a Chinese medicine doctor, Chinese medicine hospitals always need to learn Western medicine, and he is also very solid in Western medicine. Especially during this period, he has read a large number of books, including Western medicine.
Director Wu just wanted to dismiss Gu Jianqiu as soon as possible so as not to delay his rescue, so he nodded and said, "Okay, I'll send someone to take measures immediately."
Director Wu has indeed had enough people to rescue patients with heartbeat and can draw out people, so he arranged two nurses to immediately take oxygen inhalation, establish intravenous channels, and draw ascites for the patient for examination, etc.
When the patient's family saw that Gu Jianqiu had said a few words, the doctor immediately arranged for corresponding examination measures to his wife. He was naturally very grateful and nodded and smiled at Gu Jianqiu.
He could laugh, but Gu Jianqiu couldn't, because he felt that the patient's condition could not be ignored. If a doctor ignored the patient's critical condition, it might leave lifelong regret and guilt. So Gu Jianqiu thought about it and said to the middle-aged man: "I'll accompany you to check up."
The middle-aged man is very grateful.
Gu Jianqiu accompanied them to check.
Xia Xueting knew that Gu Jianqiu was not a very emotional person. He was very rational in medicine. He was so cautious. There must be his reason, so he followed behind without saying a word.
After the examination was completed and while waiting for the examination results, the patient's blood pressure suddenly dropped sharply and he developed shock symptoms.
While Gu Jianqiu used his true energy to control his heart to prevent his heart from stopping, he quickly followed the nurse and quickly pushed the patient back to the emergency center.
The patient with a heartbeat in Director Wu's side had recovered his heartbeat after rescue and was transferred to the intensive care unit for observation. He was about to relax, but when he saw Gu Jianqiu and the others pushing the patient back quickly, he immediately felt a bad feeling. He heard from the nurse that the patient's blood pressure was very low and almost in shock. He was so scared that he sweated coldly and quickly organized the rescue of the patient.
Since intravenous channels and oxygen inhalation have been established in advance, rescue can be carried out quickly and shock symptoms have been effectively corrected quickly.
At this time, the laboratory test results came out, and the ascites routinely reported three pus balls.
Septic shock!
Director Wu's eyes widened and immediately decided to transfer to the intensive care unit as a critically ill patient.
After entering intensive care, further examinations were found that the patient had a rupture and bleeding submucosal artery of the gastric mucosal constant diameter last month, and an abdominal infection occurred after the operation, but the patient forced to be discharged from the hospital before he could be cured. This time, if Gu Jianqiu had not discovered it in time, he would be in danger.
Director Wu couldn't help but hold Gu Jianqiu's hand and shook it hard, saying gratefully: "Thank you, Doctor Gu, you reminded me, otherwise there would be a big problem!"
Gu Jianqiu also felt very lucky. If he hadn't been waiting for Xia Xueting to be bored and just turned to the emergency center to take a look, he wouldn't have discovered this situation. Of course, if he had not observed carefully, and if his cultivation level had not reached the sixth level, he would not have been able to determine from the patient's facial diagnosis, which would have been considered as the patient's life should not be exhausted. (To be continued, please search for Astronomy, the novel is better and faster!
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Chapter completed!