The patient is in poor condition after surgery?

How is that possible!

A patient with spontaneous pneumothorax can receive at most a painkiller injection after the operation, just wait quietly for discharge, and it is enough to tell if it is in a bad state.

"What's going on? Tell me slowly." Zhou Congwen's expression became cold.

When Boss Chunxiao saw that he had something to do, he sighed, "Doctor Zhou, you are busy first. If you have any lottery tickets you want to buy, you must come to my place, you must!"

Zhou Congwen nodded and listened to Shen Lang's description of the patient's status.

"The blood pressure has been rising after the patient stepped down. It was 154 when he came down, and now it is almost 200!"

"The heart rate is also fast, around 160."

"Is it sinus?" Zhou Congwen asked.

"yes."

Strangely, Zhou Congwen couldn't think of why the patient had problems with his condition.

It is said that a 17-8-year-old high school student is in good health, and the blow of a general anesthesia surgery should not be so big.

Something must have happened. Zhou Congwen held his hands behind his back, speeded up and rushed to the hospital.

When he arrived at the ward, he seized the time to change his clothes.

"Zhou, you are here."

"What do you say about the overall duty on the internal medicine department?"

"The internal medicine department was in the emergency room and a patient with heart failure said he would be a few minutes late." Shen Lang said helplessly, "I'm sorry, I just wanted to ask you what the situation might be, but I didn't expect you to come directly."

"It shouldn't be a surgical attack. Have you checked your body?"

"..." Shen Lang was silent.

Zhou Congwen didn't say much, and strode into the ward.

The monitor is calling the alarm and the patient sleeps very well, which is probably caused by the action of anesthetic drugs.

After taking a look at the monitor, Zhou Congwen was a little confused. He adjusted the monitor data and looked for various previous indicators.

Blood pressure and heart rate gradually increase over time, and this is undoubtedly true.

But why?

Zhou Congwen took out a stethoscope, a small flashlight, and a percussion hammer from Baifu's pocket, and began to carefully check from head to toe.

Shen Lang was stunned.

Zhou Congwen has the things he took out, but he doesn't need them normally.

Only stethoscopes are used the most, and the others are not included in the diagnosis and treatment scope of thoracic surgery.

Seeing Zhou Congwen's movements are professional and standard, he is even more specialist than a specialist. Is he going to go to heaven? Shen Lang stared at Zhou Congwen's physical examination in a daze, feeling a little envious.

The two-sided pupils are also very sensitive to light reflection.

The respiratory sound of both lungs is clear, the respiratory sound on the surgery side is slightly weak, the chest vial fluctuates well, there is no gas out, and there is a small amount of light red liquid.

The abdomen is flat and soft...why is it protruding in the lower abdomen?

Zhou Congwen started percussion.

The patient's lower abdomen was bulging, and the sound of a drum sound came from the percussion.

Zhou Congwen squatted down and searched along the catheter. When he saw that the catheter was closed by someone, he really wanted to find someone to scold him.

Calm, calm, the world is so wonderful... Zhou Congwen tried hard to guide him in his heart.

"Congwen, what's going on?"

"Who is closing the urinary catheter?" Zhou Congwen asked coldly.

"..." Shen Lang was speechless.

Zhou Congwen didn't expect to get the answer, so he squatted on the ground, opening the closed catheter.

The pale yellow urine flowed into the catheter bag and put about 800ml. Zhou Congwen closed the catheter.

It's a joke!

However, there are too many such jokes in clinical practice.

If it was Boss Zhou in his previous life, and there were countless doctors around him, Zhou Congwen would definitely ask the truth, find the rash ghost, and then hang him up and talk about it for more than ten years. No matter how many years later, he knew that there was such a person who actually closed the urethra catheter after he stepped down, causing the patient's vital signs to be unstable.

But now...

Even if you ask, nurses in both the operating room and the thoracic department will deny it, which will become a unsolved case.

It's okay, Zhou Congwen comforted himself, it's fine if the matter is solved.

Shen Lang looked at it in a daze. When he saw the patient's blood pressure rise and his heart rate accelerated because of the catheter closed and too much fluid accumulated in his bladder, he almost cried.

That's it?

I was so scared that I was sweating all over.

The key is that Director Wang's own condition has worsened after the operation. He is pumping single-dollar in the internal medicine department, and he has no choice but to do so. No one takes the blame, and Shen Lang has been shocked long ago.

Zhou Congwen waited for five minutes, then turned on and put urine again. This time he released a little more urine, with 1,000ml, and then he closed the catheter again.

Too much liquid cannot be released all at once, otherwise the pressure changes in the abdominal cavity can lead to countless malignant changes.

Suddenly, it is not uncommon for people to disappear directly.

Zhou Congwen would definitely not make such a low-level mistake.

Zhou Congwen waited tirelessly, and only after three consecutive times he completely opened the ureter.

The patient's blood pressure and heart rate gradually decrease as the urine is led out. The monitor no longer calls the alarm at the top of his lungs and returns to calm.

The two walked out of the ward without hesitation, and Shen Lang whispered, "Congwen, it must be that the urethra catheter was closed in the operating room."

Zhou Congwen also considered this, because intraoperative anesthesia requires fluid replenishment, so the amount of urine is also high. Thousands of milliliters of urine cannot flow out suddenly after stepping down, so Shen Lang was right about it.

But even so, is it okay for the doctor and nurse who succeeded in the ward?

Zhou Congwen had a calm face and refused to speak.

Shen Lang was a little scared. He felt that Zhou Congwen had become more and more bizarre since he started singing stage scenes with Director Wang, and he no longer knew him.

Back in the duty room awkwardly, Zhou Congwen changed his clothes, and Shen Lang whispered, "That, I'm sorry."

"It's okay, tell the nurse that you will take a closer look at the tubes on your body during the handover operation." Zhou Congwen said.

"Yes." Shen Lang had nothing to say. If he was wrong, he was wrong. The more he explained, the more he was looked down upon.

"It's okay." Zhou Congwen suddenly laughed, and he patted Shen Lang on the shoulder, "You are pretty good, you know to call me."

Shen Lang was a little confused. Zhou Congwen said this, so he was too confident. How could he say it? If he was a director of internal medicine, Shen Lang would agree with the attending doctor who was responsible for saying this.

But Zhou Congwen...

But no matter what, Zhou Congwen solved the problem, and Shen Lang couldn't refute it. Did he call Zhou Congwen by calling him right? Uh, think about it first.

"Congwen, I think you have changed."

"Ha." Zhou Congwen smiled, "By the way, Wang Qiang went to the Personnel Department to report, how many days will we have a class?"

Speaking of this, Shen Lang almost cried.

"One for two days."

"Oh." Zhou Congwen sighed deeply.

He found an excuse to block Wang Chengfa and Wang Qiang's cold arrows, but Wang Chengfa did not need to transfer the internal medicine doctor to duty.

Forget it, it’s worth a two-day shift first, there’s no way to go.

After saying a few words to Shen Lang, Zhou Congwen changed his clothes and went home.

He prayed that Shen Lang must not make any trouble, or come to the emergency room again.

It seemed that Zhou Congwen's prayer had worked and he spent the night safely.

The next morning, Zhou Congwen rushed to the hospital to be on duty.
Chapter completed!