Chapter 718: Epistaxis (I)

He had already been to the emergency department once, and this time Fang Han was familiar with it.

When Fang Han walked into the department, nurses and individual doctors from the emergency department noticed Fang Han.

"Isn't that yesterday's Doctor Fang, who came to operate again today?"

"I don't know, there doesn't seem to be a surgery scheduled this morning, right?"

The nurses talked in a low voice, because they were not familiar with each other, but no one stepped forward to greet them.

Fang Han looked at the situation in the emergency department of Yanjing Hospital as he walked, it was only eight o'clock in the morning, the emergency department was already overcrowded, the doctors were very busy, and there was already a long queue in front of the nurse's desk.

"Let one go, let one go. ”

Fang Han was strolling, when suddenly there was a hurried shout behind him, and two nurses hurriedly came in from outside pushing the flat cart, followed by a young doctor about thirty years old.

"Rescue Room No. 3, notify Dr. Gao. ”

The young doctor walked briskly along the flat car and shouted to the nurse's desk.

"Okay. ”

The doctor at the nurse's desk knew it was an emergency as soon as he heard it, and hurriedly picked up the phone to inform the senior doctor.

When Fang Han heard the shout, he hurriedly dodged, the flat car had already reached his side, and there was a young man about thirty years old lying on the flat car, the clothes on the young man's body were very dirty, and there were thick calluses on his hands.

The young man's nose was still covered with gauze, and it was already stained red with blood.

The young man's eyes were slightly closed, and he looked unconscious.

Almost subconsciously, Fang Han followed the side of the flat car, grabbed the young man's wrist as soon as he stretched out his hand, and asked while checking the pulse: "What is the patient's condition?"

This reaction was a habit that Fang Han developed in the emergency department of Jiang Zhong Hospital.

As an emergency doctor, Fang Han has dealt with many emergency patients in Jiangzhong Hospital, coupled with Fang Han's special status in the emergency department of Jiangzhong Hospital, when Fang Han asked, his tone subconsciously carried a tone unique to senior doctors.

The young doctor who followed the car was stunned by Fang Han's question, and hurriedly said: "It's nostril bleeding, the patient is a mason on the construction site, the problem of nostril bleeding has been many years, and it has been maintained with medicine, but it has not been cured, last night before going to bed, the patient began to bleed from the nostrils, but he didn't take it seriously, took some medicine, plugged his nostrils with paper and fell asleep, or got up in the morning and the worker found that it was abnormal, so he called the emergency number......"

"No, who are you. ”

Li Junxian was halfway through his words, and suddenly came to his senses, who is this kid?

Although he is wearing a white coat from Yenching Hospital, he looks quite young, is this a new intern from the Nima department or a regular trainee?

I look like a department head.

What is the patient's situation, what is the problem, what is the patient's situation, do you understand it as a new intern or a regular trainee?

This is an emergency department, the patient's condition is not good at this time, the patient's situation Li Junxian feels tricky, and has asked the nurse's desk to inform his senior doctor, Dr. Gao, a young man understands?

Fang Han touched the patient's pulse while listening to Li Junxian's narration, his brows furrowed slightly.

If the patient's pulse is absent, it is already a crisis.

Leng Buding Li Junxian asked: "Who are you?"

Fang Han glanced up at Li Junxian: "Who am I is not a question that needs to be clarified now." ”

As he spoke, Fang Han reached out to look at the patient's pupils, and reached out and patted the patient's cheek gently: "Hey, can you hear me, if you can hear it, you can reply." ”

Li Junxian is so angry.

Who is this, the new trainee, there should be no interns at this time, Nima is a newcomer, and his temper is not small.

Li Junxian originally planned to say another few words to Fang Han, but when he saw Fang Han's movements, he couldn't help it.

As a doctor in the emergency department, Li Junxian could naturally see that Fang Han was checking the patient's condition, checking the patient's pupils, and at the same time checking the patient's conscious response.

Li Junxian had actually checked it just now, and the patient's consciousness had been lost, and there was no response when he called.

Looking at Fang Han's movements, this kid also had two hits.

The situation is urgent, Li Junxian didn't bother to say more to Fang Han, after all, Fang Han is only checking now, and there is nothing to do, Fang Han is wearing a white coat from Yanjing Hospital, that is the doctor in their hospital, even if he is an intern, there is nothing that he can't say if he takes a hand to see the situation.

It's just that the average intern or regular trainee is not so bold.

Maybe I met a stunned young man.

It is not clear about Fang Han's identity, and Li Junxian does not need to make extraneous branches, the emergency department is first aid, if the rescue of the patient is delayed because of this, or if the quarrel with other doctors is found out by the director, both of them will be punished.

Although there are clear levels in the hospital, it is also necessary to set up a shelf as a doctor.

"I'll settle accounts with you later. Li Junxian snorted in his heart, a newcomer dared to speak to him like this, let this kid know what kind of place this place is later, and the newcomer will have to have a long memory to be obedient.

Li Junxian naturally didn't know what Fang Han thought, Li Junxian had been ignored by him at this time, and slapped the patient's cheek twice, but the patient had no reaction, this was a complete loss of consciousness.

In addition, the pulse of the inch mouth is looming, and the patient's condition is quite bad.

Combined with Li Junxian's description just now, Fang Han can judge that the patient has epistaxis, that is, the lungs, liver, stomach and other organs caused by nostril bleeding.

Epistaxis is a common symptom in clinical practice, and there are many clinical causes of epistaxis in Western medicine, which can be caused by diseases of the nasal cavity itself, or caused by perinasal or systemic diseases.

Epistaxis is a condition that can be easily cured, while others are uncured and recur for a long time.

The patient should be the latter, which is a recurrent and long-term incurable condition.

Coupled with the patient's work, the patient is a mason, about 30 years old, a mason, this is a harder job, generally speaking, patients with epistaxis, because the nostrils often bleed, more or less have anemia symptoms, plus the patient is doing physical work, the work is more tiring, in the long run, the body can be imagined.

The patient started bleeding from his nostrils before going to bed last night, but he didn't pay attention to it and didn't see a doctor, so he had been bleeding all night, which is severe blood loss.

The patient's blood loss this time led to a sudden loss of yin fluid, and the yang had nothing to attach, and now there is a crisis of yang qi exploding.

"Check the patient's blood type first, do an expedited, and contact the blood bank to send the plasma as soon as possible. ”

Fang Han was thinking about it, but the flat car did not stop, the patient had been pushed all the way to the door of the emergency room, and Li Junxian instructed the nurse while pushing the patient into the emergency room.

The patient had a bleeding nostril last night, which was obviously due to excessive blood loss, and Li Junxian still has this bit of common sense.

If the patient loses too much blood, the first thing to do is naturally blood transfusion.

"Got it, Dr. Lee. ”

The nurse answered, then glanced at Fang Han again, and hurriedly went to prepare for blood drawing.

After instructing the nurse, Li Junxian glanced at Fang Han again: "I don't care what you do, and I don't care where you come from, now that the patient's condition is critical, what should you do, don't make trouble here." ”

Fang Han's footsteps stopped, and he raised his head and glanced at Li Junxian.

Li Junxin didn't bother to look at Fang Han anymore, and pushed the flat car into the rescue room.

Fang Han was stunned and didn't follow in.

Fang Han was just a subconscious action just now, and he had already reacted at this moment, this is Yanjing Hospital, not their Jiangzhong Hospital.

In addition, Fang Han has figured out the patient's situation, although this situation is dangerous, if the blood transfusion can be done in time, the patient can still turn the corner.

"Doctor Fang?"

Fang Han stood at the door of the rescue room and didn't have time to leave, when a middle-aged doctor in his forties strode over not far away.

"Do you know me?" Fang Han looked at the middle-aged doctor in front of him, a little unfamiliar.

"I had surgery with you yesterday. Gao Zengmin said with a smile.

"Hello. ”

Fang Han was stunned for a moment, and hurriedly said hello, he didn't pay much attention when he entered the operating room yesterday, and the doctors were all wearing masks when he did the operation, Fang Han really didn't recognize the person in front of him.

"My name is Gao Zengmin. ”

Gao Zengmin smiled and asked very politely, "Doctor Fang, what are you?"

Yesterday and Fang Han operated on the same stage, Gao Zengmin's level of Fang Han is very clear, for surgeons, technology is king, although Fang Han is young, but the technology is top-notch, Gao Zengmin is not big in front of Fang Han.

"Hello Dr. Gao. ”

Fang Han was polite, and then said, "I came to the emergency department to report, and I encountered an emergency case just now, and I came over with it." ”

"It seems that I will be working with Dr. Fang in the future, and I hope that there will be a chance to share the stage with Dr. Fang. ”

Gao Zengmin was a little more enthusiastic when he heard it, when he had surgery yesterday, Gao Zengmin heard the conversation between Qian Xiaolin and Fang Han, Qian Xiaolin recruited Fang Han at that time, and now that Fang Han has come to the emergency department, can there be fewer opportunities for surgery in the future?

This is a big deal, follow Fang Han to have a good relationship, won't there be more opportunities to be on the same stage in the future, isn't this technology going up slowly?

"Dr. Gao is polite, the patient has been sent to the emergency room, Dr. Gao will go to see the patient first. ”

"Why didn't Doctor Fang go in?" Gao Zengmin asked.

After asking, Gao Zengmin didn't wait for Fang Han to answer, he understood, Fang Han just came, and he was young, so he guessed that he was driven out by the doctor inside, right?

That's a great opportunity.

"Doctor Fang, let's discuss it, you are here with the patient, and you must know the situation better than me. ”

"It's fine. ”

Fang Han was a little not very relieved, since he met Gao Zengmin, and Gao Zengmin knew him, it couldn't be better.

As he spoke, Fang Han had already pushed the door into the rescue room one step ahead of Gao Zengmin, and Gao Zengmin followed closely behind.

Li Junxian was continuing to do further rescue and examination of the patient in the emergency room, when he heard the sound of footsteps, he saw Fang Han as soon as he turned around, and his face sank at the moment.

"I said what's the matter with you, why did you come in again, can you enter this place?"