The weather warmed up, and construction resumed in front of the single dormitory building.Li Min and Yan Hong worked the night shift again, and after Li Min returned to the dormitory, the two of them looked at me, I saw that you could do nothing.The sound of the rumbling cement mixer, don't think about it when you sleep.Li Min was sleepy and tired and couldn't read the book, so he suggested Yan Hongdao: "Accompany me to wash clothes?"
”"Where are you hanging?"
It's not like that, the wire rope is full of Yan Hong's achievements in the morning.Li Min went to touch the heater, only the heat of the warm and non-icy hands.This is to prevent the heating from being completely stopped in case of a cold spring, and it is impossible to count on this temperature to dry clothes.Yan Hong handed Li Min a washed apple and said, "Minmin, I'm looking forward to the end of tomorrow now." ”"What?"
Li Min didn't keep up with her thoughts, "There are still more than nine months."
How do you think so?
”"Do you remember the washing machine we saw when we visited the affiliate, with the dryer?""
What, you want to buy it?
More than 6,000 pieces!
A good two-cylinder washing machine is one-tenth of it. ”"I'd rather not buy any other appliances, I'd buy that washing machine."
Li Min peeled the apple slowly, thinly and evenly.Without raising her eyelids, she asked, "Tell me why."
If you convince me, I'll buy it with you. ”"When the double-cylinder washing machine is washing clothes, do we have to watch from the sidelines, back and forth to dehydrate?
The clothes were washed, and the toilet floor was full of water.After the washing machine throws the clothes in, wash them and take them out, the dryness is more than 95%, and you can shake the moisture, is this reason enough?
”"Half of you.I've just had lunch, and I can't eat the whole apple. ”Li Min carefully rotated the fruit knife and cut the apple until only the core was left.waited until Yan Hong reached out and grabbed it, and then cut off the connection and separated."
It's enough.I think the refrigerator needs it too.The microwave oven I saw at the Friendship Store last time seemed to be imported from Japan.I don't think it matters if you buy a TV or not, we haven't watched TV for so many years, and I guess we won't have time to watch it in the future. ”"I also like the microwave, it's so convenient to heat up a meal.But we don't have foreign exchange papers, so we can only think about it. ”"Maybe I'll be able to change it then, but it's hard to say."
Li Min absentmindedly nibbled on the apple and asked, "What else do you want to buy?"
”"Dishwasher.""
No, I don't have to.Aren't you going to ask someone to help with the housework?
”"I discussed it with Pan Zhi, and he said that it was inconvenient to live at home.""
Then you won't hire anyone?""
That's all I have to worry about.What are you going to do?
”"I want you to bring one for me, I need her to live in my house.I live in such a big house by myself, and I'm a little scared. ”"That's fine.I'll find one for you. ”"Originally, I wanted Xiaofeng to live with me, but she wanted to live in her own one-bedroom apartment.She said that she didn't have any floors, but bought a bed and simply cleaned up the kitchen, enough for her to boil water and cook noodles after the night shift. ”"Hey, did Xiaofeng tell you, Secretary Tang talked to her and asked her to give the house to someone else, saying that she and Wu Dong had registered and couldn't have two houses."
Yan Hong threw the kernel into the pinch and washed her hands slowly."
I'm not free.When did she say that?
”Li Min still gnawed on the apple slowly."
Just two days ago.""
Sunday, right?
I worked overtime to write medical records, and you forgot?
The number of surgeries we have had recently is about the same as at the beginning of January, and we are all burning incense when we can come back at this time today.What did Xiaofeng say?
Vacate the house?
”She said that she must return the house, so she and Wu Dong went through divorce procedures.It is better to live together illegally than to return the house. ”Li Min burst out laughing, then choked up.Yan Hong handed her a water cup and drank a few sips of water before suppressing the juice that choked on the trachea."
That house was prepared by Xiaofeng for her brother, and she won't return it.How did you solve it in the end?
”Secretary Tang asked Director Fan to do Leng Xiaofeng's work, but Leng Xiaofeng did not face Director Fan.Things are frozen there. ”"If it goes on like this, it will be difficult for Leng Xiaofeng and her younger brother to enter the provincial hospital in the future."
Li Min finally finished nibbling on the apple, washed his hands and drank water.Xiaofeng said, it's a big deal to let her brother go home, his brother is already in the hospital, and it will help her brother to go back.She got the house on her own before she got married.In case of divorce in the future, the provincial hospital will not build a house for ten or eight years, will she live in a single dormitory?
”Li Min walked to the window to look at the construction site outside, the warm sun of the remnant winter formed a half-light and half-dark light and shadow on her face, and when she heard Yan Hong's words, she turned her head sharply and asked, "I haven't married yet, how can Xiaofeng think so?"
”"Do you believe her?
Leng Xiaofeng, her parents used the Wu family's money to marry their daughter-in-law.What kind of divorce is she?
”Yan Hong disagreed."
Besides, Director Fan doesn't pay for it, she can't buy it if she wants to."
Li Min thought for a while and asked, "Then you mean that they are singing double reeds?"
”Yan Hong looked at Li Min and smiled, and that smiling face made Li Min want to pinch her."
I didn't say that.If you know, don't tell me. ”"Who am I talking to?
Forget it, let's not talk about it.How was the one after the surgery last night?
”"It's normal for the nurse to mention it in the morning.I wasn't in Su Ying's group, so I didn't go over to watch it after the night shift. ”*They are talking about the patient who was diagnosed with a ruptured corpus luteum after surgery.The corpus luteum is transformed from the follicle after ovulation and is rich in blood vessels.There will be a small amount of bleeding in the normal corpus luteum.If there is too much bleeding, the pressure in the corpus luteum can be increased, and spontaneous rupture of the corpus luteum occurs.There is also an exception for the corpus luteum with external force.The cause is a sudden increase in intra-abdominal pressure.This increased pressure in the abdominal cavity can be caused by strenuous exercise, straining coughing, and bowel movements.One of the special causes of corpus luteum rupture caused by external force is sexual intercourse, which increases the tension in the corpus luteum due to organ congestion, and if the other party moves rudely and the lower abdomen is hit, it will also cause the corpus luteum to rupture.This is one of the gynaecological acute abdomen, which is more common in young women.It should be distinguished from acute appendicitis and ruptured ectopic pregnancy.The patient was admitted to the hospital by her boyfriend with a stomachache in the middle of the night.Medical suspicion of appendicitis transferred to outpatient clinic.The outpatient clinic was admitted to the hospital with abdominal pain pending investigation.After being admitted to the ward, when Li Min went for a physical examination, he found that there was a dull sound in his lower abdomen.Her intuition was wrong, and her blood routine WBC was also within the normal range.After looking for Xie Xun and checking the body, there was no more discovery - because the female patient insisted in front of Li Min that she was unmarried, childless, and had no sex life, and insisted that she was no different from usual.The only thing special is that I feel a stomachache after dinner, and the pain is getting worse and worse.…… So no one thought about rupture of the corpus luteum.However, the patient's abdominal pain symptoms worsened and blood pressure dropped, so they had to undergo laparotomy with "abdominal pain to be investigated".I opened my stomach and found that my stomach was full of blood, and the cause was found - rupture of the corpus luteum.Someone from the obstetrics and gynecology department was called to take over, and the doctor on duty came over and said, "Xie Xun, if you can't do it, I'll call Su Ying to come." ”was so angry that Xie Xun dropped the hemostatic forceps and walked off.It was Li Min who took Dr.
Jin to remove the ruptured corpus luteum, stop the bleeding, and suture it.* "Rainbow, the patient doesn't tell the truth, and she doesn't know who she's trying to trap.In our department, I examined her alone, and repeatedly asked her to insist on not having sex and insisting that her menstruation had not changed.Even if she says she has had sex, I'll ask you for a gynecological exam.But she insisted so much, if I asked again, I was afraid that she would get up and beat me.It would be nice if you went over at night, and we would have surgery together.Dr.
Jin still wants to go with Xie Xun and let me have surgery with your gynecology doctor. ”"I couldn't get out of the delivery room last night, so I had to ask the nurse to go to the duty room to find Dr.
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Zhao.""
But looking at the man's face, I really didn't dare to work with her.I threatened Dr.
Jin, and if he dared to leave, I would go to Director Liang to complain.His face turned red and white. ”"You just bully the honest people.That Dr.
Zhao is from Chen Liping's group.Naturally, she didn't have anything good to say to Xie Xun.Besides, there is usually nothing going on at night in the gynecology department, and it is certain that she is not happy. ”"No wonder.There was another incident last night, she lost more than 1000ml of blood, and all the blood she wanted was transfused.If she had been willing to be honest with me, it wouldn't have been. ”"How much blood did you ask her for?"
“800。”
Li Min's eyes widened in surprise when she saw Yan Hong, and said embarrassedly, "Originally, I only asked her for 400 blood."
But the nurse prepared her for the operation and got her catheter down and told me that she was definitely not a person who had not had sex.I was afraid that she was having an ectopic pregnancy, and when I saw that my blood pressure was dropping sharply, I didn't have time to do other tests, so I added another 400 blood.In fact, I only wanted to lose 400 to her, but Xie Xun insisted.He is a senior physician.It is estimated that Dean Chen is going to lose his temper tomorrow. ”"That won't do anything to Xie Xun.After all, it was the patient who told the lie in the first place. ”He would say that Xie Xun should not be angry with the patient.But I think he was blocked by the gynecologist.He called Su Ying again on the night shift, their children are not that old, right?
”"4 or 5 years old.""
It's time for the obstetrics and gynecology department to take over the stage, so if Dr.
Zhao says that you are busy and can't come, she will talk to Xie Xun well, and it is estimated that I will take Dr.
Jin to complete the operation.""
It's okay to find trouble.Chen Liping is so strong, and the people in her group are not forgiving anywhere.She wanted to suppress Su Ying, but she was a worker, peasant and soldier college student.Maybe when Su Yingming finishes being promoted to deputy high school in the next year, she will have no heart to fight. ”"Your obstetrics and gynecology department is really inferior to surgery.In fact, those people in surgery also hate it, but when it comes to problems, they still put the patient first. ”"Xie Xun has stepped down and left, you still say that patients come first?
Hello!
Believe it or not, if even you left and put the patient on the stage, Dr.
Zhao would have completed the operation by himself.Chen Liping's group is not good-natured and has a nasty mouth, but she has two brushes on her hands, and she can do work.In fact, I was in Su Ying's group, and I didn't care much about them, so Dr.
Zhao didn't have a good face when he saw me.I usually walk around her. ”"If I dare to leave the patient on the stage, Dean Chen can clean me up to death.Secretary Tang will definitely cancel my preparatory period. ”Li Min sneered at Yan Hong's assumption and said solemnly: "Even if my head is arched, I have to do the operation and do it well." ”"I believe in you.Even if it is an ectopic pregnancy, you can do it well, let alone just a simple rupture of the corpus luteum.Xie Xun also knew that you could do it with Dr.
Jin before he dared to leave. ”"Actually, he didn't get started at the beginning, so he held a hemostatic forceps and stood on the operating table to watch me and Dr.
Jin do the operation, but Dr.
Zhao ran away angrily.""
Alas, this run is his Xie Xun's trouble.""
Who's to say it isn't.But he didn't dare to run far.He still gave the blood transfusion doctor's order. ”Key points of differential diagnosis ※※※※※※※※※※※※※※※※※※※※: 1.
The patient has no history of menopause, and the onset is often in the middle of two menstrual periods or in the premenstrual period, and the onset occurs after □□.
(The patient lied here) 2.
Abdominal examination showed obvious tenderness and rebound tenderness.In patients with heavy internal bleeding, there is a moving dullness on percussion.
(When the amount of bleeding is not enough, there is only a dull sound.) ）3.
Gynecological examination, the uterus is of normal size, the posterior fornix is tender, and the adnexa can be palpated with a mass with unclear borders, and there is tenderness.
(As a general rule, unmarried women with no sexual history are not allowed to undergo gynecological examinations.)There is another set of signing procedures. ）4.
Routine blood examination: white blood cells are normal or slightly high, red blood cells and hemoglobin are reduced.
(Normal here)5.Posterior fornix puncture □□ aspirates non-clotting blood.
(This must also be done only if you have a sexual history) 6.
Gynecological B ultrasound and laparoscopy should be performed if necessary.
(laparoscopy was not yet widespread in '91) () is a bit far away