The sudden death made Dr.
Liu and Li Min lose their souls.The grief of the child's parents made Dr.
Liu even more painful.At the morning meeting, Chen Wenqiang listened to the summary of Dr.
Liu's death case, asked the patient's medical records to look through the back and forth, and finally asked Dr.
Liu: "You didn't notice any signs before the child?"
”Dr.
Liu nodded: "It's good to come back after surgery last night."
It was my old neighbor's child, who rushed me to the operation, and everything was normal during and after the operation.Before 12 o'clock at night, I'm going to sleep, and I went to see it, and it's all good.Then at four o'clock, I saw that the three of them had fallen asleep with the lights off, and asked the nurse that the liquid had run out and that I had never gone in. ”Chen Wenqiang listened to Dr.
Liu's explanation, and his face became more and more tense and embarrassed.Director Shi quietly tugged at his sleeve, Chen Wenqiang glanced at Director Shi, silently pulled out his sleeve, and shook his head at Director Shi.Director Shi insisted, and tugged on Chen Wenqiang's sleeve again.The two of them were like pantomimes, watching a room full of doctors and nurses.In the end, Chen Wenqiang bit his lip and nodded at Director Shi, and everyone could see that he was holding back what he was about to say.He turned to the nurse's duty diary and took it in his hand, closed his eyes and took two deep breaths before he could barely speak in a very restrained tone."
Let's do the rounds to treat the living people in the department first!
Tell all the surgeons to come over at 4 p.m. to discuss the death case. ”Director Shi's sigh gently floated out of his mouth.Low air pressure shrouded the sky over the trauma surgery department with Chen Wenqiang's words.No matter how dull a person is, it is not so simple to perceive the child's death.Those who can slip away are busy on tiptoe.Chen Wenqiang made a phone call, and the head nurse had no choice but to wait for Chen Wenqiang to put down the phone and notify the orthopedic department and the general public to discuss the death records.Chen Wenqiang's voice is a little loud."
Old Zhou, the child who our department did last night was the case of acute purulent appendicitis, and he died suddenly at nearly six o'clock this morning.You come to us at four o'clock in the afternoon for a death discussion. ”…… Probably Director Zhou was reluctant to come.Chen Wenqiang's next voice was full of unhappiness and orders, and he didn't want Director Zhou to come over alone to participate in the discussion of the death record."
You and Director Liu are here, and let the doctor on duty who presided over anesthesia last night also come.The anesthesiologists who were not with the stage at four o'clock this afternoon all came over and participated in the death discussion. ”"Bang" Chen Wenqiang dropped the microphone.Everyone avoided Chen Wenqiang like a cat and mouse, but Li Min couldn't dodge.Chen Wenqiang also has to look at the wounds after the trauma.She prepared the dressing bowl and instructed Kevin Lu to stand and wait in the door of the dressing room with the disposal cart.Chen Wenqiang's face was very ugly, but fortunately, he hadn't lost his mind and turned his anger on Li Min's head.As usual, Director Liang had to come over after the morning meeting to see the partial intestinal resection.The stitches that had been taken apart were just there."
Xiao Li, do you have any wire scissors and hemostatic forceps?""
Brought it.I also brought two gentamicin and syringes. ”"You want to take them all apart?"
Chen Wenqiang asked Director Liang."
Take it apart.There's something wrong inside, and the more beautiful it looks outside, the more troublesome it is. ”Li Min handed over something, and Director Liang took the syringe and injected gentamicin deep into the abdominal cavity.Then half of the patient's wound is disassembled, and a small half of iodophor gauze is inserted for drainage."
Look, it's still our Dr.
Li's intimacy, this thing is neatly prepared, I know that I want to dismantle the sutures and plug the drainage strips.Okay, let's do it first, I'll come back in the afternoon. ”"Lao Liang, the medical records of the death at four o'clock in the afternoon are discussed.Let all the doctors in your department arrive. ”"What case?""
Acute purulent appendicitis.At the age of eleven, he died suddenly ten hours after surgery. ”Director Liang immediately changed color and said, "Okay, I'll come over on time."
Those who work night shifts outside the general area will come. ”*At four o'clock in the afternoon, all the doctors in the surgery crowded into the Department of Trauma Surgery, plus about the same number of intern students, as well as more than a dozen doctors from the Department of Anesthesiology, and eight new trainees in the Department of Surgery today.The men crowded the nurse's office on the eleventh floor.Before we could start the discussion, almost everyone was starting to wipe their sweat.Chen Wenqiang's face was gloomy and he sat down at the head of the nurse's desk as the day nurse in charge, and there was an electric fan above his head turning happily.The only people who are qualified to sit under the fan are the department directors and deputy chief physicians.But Xie Xun, the young deputy chief physician and deputy director of the department, did not squeeze into the pile of directors to show his identity and status.He came to the trauma surgery early and picked a place where Chen Wenqiang couldn't see without twisting his neck.A washbasin at eye level with Chen Wenqiang.There was a cool place next to the sink, he seized the tiled platform against the wall of the sink, sat on it, called Li Min to talk, and beckoned Director Liu of the anesthesiology department to sit with him."
Doctor Liu, you report the medical records."
Chen Wenqiang's voice was very bad, he spoke, and the office of so many people was crowded, except for the slight sound of the electric fan, no one dared to speak in a whisper.Dr.
Liu held the medical record and began to read with a mournful eulogy: "The 11-year-old child was admitted to the hospital yesterday for 1 day due to metastatic right lower quadrant pain.The blood test routine WBC was 10,006, neutral 93, and the six D-2 mers of coagulation were slightly high, and appendectomy under CSEA anesthesia was performed in the emergency department at 18:40 last night, and it was confirmed that it was acute purulent appendicitis during the operation.The procedure went smoothly and lasted 45 minutes.Postoperatively, intravenous penicillin is given to anti-inflammatory, and the fluid is infused before 24 o'clock. ”Dr.
Liu stretched his neck and swallowed a mouthful of saliva, and said with more difficulty: "I went outside the hospital at 4 o'clock in the morning, and the patient's family went to bed with the lights out.This morning, at nearly 6 o'clock, the mother of the child asked her semi-recumbent child to stand up and brush his teeth.Before the child could stand firmly, pink blood suddenly flowed from both nostrils, his limbs twitched, and he was unconscious, and the nurse on duty immediately called me to go to the twelfth floor because he was in a nearby ward.When I arrived in the room, Dr.
Li was already there. ”"Doctor Li, tell me what the situation is."
Li Min wanted to go down from the tile platform, but there were so many people that he couldn't find a place to stay for a while.She had to sit and tell what she had seen.Director Xiang asked, "Is Dr.
Li on the night shift?"
If the father of the sick child stops you, you let him stop you?
”"I'm not on the night shift, I happen to be on the twelfth floor.The boy was living in a bed against the wall, and his father was about forty years old, and he was holding out his arms to block the way, or when you saw him, you knew there was no way I could push him away.He was out of control and couldn't listen to me. ”"Doctor Liu, tell me.""
That child is my old neighbor's child."
Dr.
Liu's eyes were red, and he choked up: "His father has treated me like a brother since I was a child.When the child is sick, he runs to me.Jute knew that I had asked him to have a good anesthesia before the operation last night.The surgery was done by me and Dr.
Chen, who was in general surgery, and every stitch and thread was done very carefully.The child had been very solid since he was a child and did not have any history of illness.I, I" Dr.
Liu couldn't go on, and everyone looked at him and Dr.
Chen sympathetically.Dr.
Chen is a bachelor's degree graduate of Binhai Medical College in this province, and he just became an attending doctor last year.Director Xiang coughed lightly and said, "Lao Chen, I didn't know there was this operation last night. ”If such a minor operation is not reported to Director Xiang on the night shift last night, everyone can only guess the twists and turns in it.But Dr.
Liu and Dr.
Chen did such an emergency operation, and there was nothing to say that they exceeded their authority.* Chen Wenqiang ignored Director Xiang, patted the medical record and said, "Now let's start discussing the cause of death."
The intern spoke first.Wang Dali, you speak first. ”Wang Dali, who was about to become a paper man against the wall, blushed and stumbled, "Dean, I don't know." ”He was about to cry."
Kevin Lu, you know what?""
I don't know.""
Intern, which of you is speaking?"
No one answered."
Yang Yu, you say."
Free novels bring you joy and joy ---> storyskyline.net
Among the new clinical doctors, Chen Wenqiang remembered his name."
I think his pink nosebleed is weird."
Chen Wenqiang nodded and asked, "Is there anything else?"
”"Nope.""
As for the others, there are seven more who went to surgery today."
The small "no" came out one after another."
Li Min, what about you?
You're on the spot. ”Chen Wenqiang clicked to Li Min.The pink nosebleed had been circling in Li Min's mind, guiding her thoughts in the direction of pulmonary embolism and pulmonary edema."
Dean, my statement before the autopsy was speculation.Pink nosebleed, I suspect he is caused by pulmonary embolism.Because of the general postoperative sudden death, the discharge of bleeding due to surgery should be cardiovascular and cerebrovascular accidents, pulmonary embolism, and asphyxia. ”Dr.
Liu, Jute, and Dr.
Chen, who were already tense, all looked at Li Min who was shrinking in the corner first.Li Min's voice was crisp and loud, and the whole room immediately heard it clearly."
Doctor Wang, what is your opinion?
Those who went to surgery last year said one by one. ”Chen Wenqiang called people in order."
Child, child may be a pulmonary embolism.Pink frothy phlegm, which can also come out of the nose if the tongue falls back. ”After the residents were all named, it was Pan Zhi's turn.Without waiting for Chen Wenqiang's roll call, Pan Zhi reported to his home."
I'm Pan Zhi, I went to the provincial hospital for a week, and I was promoted to the general medicine doctor last year.I think that although the child has symptoms of limb constriction and coma, combined with the past history mentioned by Dr.
Liu, it is unlikely that there will be a cerebrovascular accident.Pulmonary embolism is usually accompanied by chest pain, Dr.
Liu went to see the child at 4 a.m., the child was able to sleep peacefully in the second half of the night, combined with his age, and died suddenly without other pain within 10 hours after surgery, I do not support the consideration of pulmonary embolism.Just now, Dr.
Li said that after the child fell into a coma, she used gauze to open the child's mouth, and did not see the tongue fall back.Pink nosebleeds are helpful in the diagnosis of co-occurring lung lesions.As for whether it comes out of the mouth or out of the nose, it doesn't matter much.My guess is biased towards acute left heart failure with pulmonary edema.I would like to know the exact amount of fluid given during yesterday's surgery and the amount of fluid given after the operation?
”"Doctor Liu, Doctor Huang?"
The two were so confused that they couldn't immediately report the amount of infusion.Chen Wenqiang stood up angrily and slapped the table and said, "Did you two have in your heads or have you urinated?"
Now tell me clearly, what did this child die for?
”() The distance is a bit far