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80 Talent

"5 minutes." Zhou Congwen said, taking out his cell phone and taking out his eyes on the time.

The middle-aged man was stunned for a moment, looked at Zhou Congwen with the eyes of looking at the monster, and then smiled gently.

"Xiao Song, come to see the patient." Zhou Congwen greeted the nurse.

When the nurse entered the door, Zhou Congwencai and the middle-aged man came to the doctor's office with Dean Li.

Zhou Congwen also felt that Dean Li looked at him incorrectly, but he knew very well that this guy was wearing a pair of pants with Wang Chengfa and was too lazy to be perfunctory at all.

Even if he is the chief dean.

If you really dare to touch yourself, it is amazing to go to the Medical University to join Chen Houkun. It will be no big deal to collect evidence and report it in a few years.

Zhou Congwen and Cong live, he thinks very clearly. He can deal with it without interfering with treatment. Once it involves life, he must be serious.

"Doctor Zhou, please sit down. Thank you for your hard work today." The middle-aged man did not introduce himself, and Zhou Congwen did not ask, but made a gesture of asking for a seat and sat down with him.

"I'll say a few simple words, where is the patient's lover?" Zhou Congwen asked.

"She is emotionally unstable, I'm looking for someone to take care of her and she's already asleep." The man said.

Zhou Congwen nodded. He didn't want to ask too much. This man probably belonged to the relevant department, and the less contact the better.

"Then let me briefly talk about the patient's current situation." Zhou Congwen began to talk about the patient's situation from the first glance, including physical examination and subsequent speculation, and made it clear and clear.

The pericardial tampon is filled, and the blood pressure in the heart accumulates in the pericardial cavity. The blood flowing out of the small blade on the pericardial can't be compared with the bleeding of the heart, so the pressure in the pericardial cavity becomes greater and greater until the pressure is stronger than the force of the heart beats, so the beating is gradually stopped.

Fortunately, the patient still has breathing and circulation when he comes. With Zhou Congwen's physical examination after leaving the stage, the possibility of irreversible damage to the nervous system is basically ruled out.

Hearing this, everyone around the middle-aged man breathed a sigh of relief. Only the middle-aged man's expression remained unchanged, and the smile on the corners of his mouth seemed to be carved, but it did not make people feel false, and there was only a feeling of being bathed in spring breeze.

Zhou Congwen talked about pericardial tamponade to surgery, then to postoperative complications, and finally about what he was sitting in a small custody room to see the patient.

Simple, clear, and clear. Zhou Congwen told the story in three minutes.

"There is about 80% chance that the patient's family will be able to come into the house to see the patient early tomorrow morning, so there should be no problem." Zhou Congwen said affirmatively at the end.

"If there is no other problem, I will look at the patient and avoid a few rare complications."

After Zhou Congwen said that, he stood up and walked out of the doctor's office.

Several people looked at each other, and Dean Li frowned, "You are sorry for your ignorant doctor."

"Director Li, your hospital is really talented." The middle-aged man looked at the office door with a smile and said, "Zhou Congwen, two years old, 25 years old. A young doctor who is only two years old can do heart repair, and the doctors in the imperial capital were also surprised."

Conclusion of Dean Li.

"The system of training talents in your hospital is very good. Although the doctor is young, he will be cut off when he is broken. Liao Yunqi is lucky to be sent to the Third Hospital. Although I am a materialist, I still have to admit that this is fate."

"Look at what you said." Dean Li was polite, but a flower opened on his face.

"Then I won't disturb you. When Liao Yunqi's condition is stable, I will invite Dean Li to have a meal. Let us express our gratitude to your hospital and Dr. Zhou."

"You're welcome."

...

Zhou Congwen returned to the small custody room and continued to take care of the patients.

The man just now must have been the leader of the relevant department. Zhou Congwen did not feel close to him because of the smile on his face. The patient was lying in the custody room, and there were no family members of the patient who communicated in the office. What should I say?

Moreover, it was very troublesome to deal with them. Zhou Congwen, the last life, had a deep understanding that the later the day, the better.

Just simply say it, the key is whether the patient can recover. To put it bluntly, he will be discharged from the hospital. Hello, I will be happy, everyone will be happy. If there is a few things, I am afraid that the man will not know what bad things he will say.

"Song Yuan, give the patient 10mg of furosemide and intravenous injection." Zhou Congwen took a look at his condition after returning and explained to the nurse.

"Why do I give furosem? I think the amount of urine is OK." The young nurse asked in confusion.

"The patient has a lot of blood loss. When there is insufficient fluid replenishment after surgery, it is easy to cause hypovolemia and accelerate the heart rate for compensation. The time for coronary artery filling is shortened, coronary blood perfusion is reduced, myocardial tissue ischemia occurs, and severe arrhythmias are caused.

But it’s okay to say that ordinary shock is a cardiac stabbing. Although the blood pressure is not high, try to avoid some heart burden."

"Brother Zhou, it's amazing. Why do I feel more and more like an old doctor these days?" The little nurse was confused when she heard it, but Zhou Congwen said so much. It sounded quite professional, and the little nurse's eyes were shining.

Zhou Congwen held a medical record clip and recorded various patient indicators on a piece of paper.

You cannot use antiarrhythmic drugs at will. You need to observe changes in heart rate, heart rhythm, blood pressure, and consciousness, strictly master the dose, concentration, and speed of the drug, record the total dosage, route of administration, and observe the efficacy and toxic side effects of the drug.

I told the young nurse many things that they didn’t understand, and Zhou Congwen didn’t have the idea of ​​being a good teacher.

Alas, 2002, so tired.

After pushing Xidilan, he gave 5% glucose 20mL + amiodarone 75mg intravenous injection, and then received 5% glucose 50mL + amiodarone 600mg in static maintenance. The patient fell asleep and the arrhythm gradually improved.

One piece of paper, two pieces of paper, and three pieces of paper, densely recorded the patient's condition.

Zhou Congwen was very worried and looked meticulous, but tomorrow it would be recorded in the course of the disease and would also have to compare it with the nursing record sheet.

Although the patient may not have any medical disputes, the doctor's status in 2002 was still very high, and the patient would not want to make trouble, but Zhou Congwen has long been used to doing things without any misunderstandings.

As time passes by bit by bit, the sky is getting brighter and the patient's snoring is getting heavier.

I sucked phlegm several times in one night, but the amount of phlegm was not large, and there was no blood in the phlegm. Looking at the increasingly stable life indicators, Zhou Congwen also felt relieved.

fine.

Until 5:30, when the patient woke up, Zhou Congwen chatted with him for a few words.

Shenqing Yuming, this is a medical term. Simply put, the patient has no neurological symptoms and does not experience complications such as brain deficiency, brain death, etc.

In addition, the patient was obviously cured. Less than 12 hours after the operation, he saw blood dizziness on his cheek.

It’s really good to be young, Zhou Congwen sighed and said to go back to the duty room for a while.
Chapter completed!
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