The emergency surgery arrangement is generally rescued first, and then rescue patients who might be life -threatening. Finally, it is the patient who treats the general situation.

Most of them are emergency.

Broken, cut, injured, bitten by animals ... These are the most common patients in the emergency operating room.

The type of patients connected over the rescue room should be more complicated.

What drink pesticides, eat mushroom poisoning, suddenly vomit blood ... What kind of patients may receive it.

If the rescue room requires surgery, check the inspection. After talking with your family members, you will finally be sent to the emergency operating room. If you have the ability to exceed the emergency operating room, you can only be sent to the specialist.

"What is this situation?"

Dr. Xu asked the nurse who sent the patient to come in.

"Acute cholecystitis, I have checked the abdominal flat tablet CT, the situation is not good."

The nurse handed the inspection report to Dr. Xu for viewing.

"I only did the urine test, did I do not do a blood test?" Dr. Xu rolled rolled, frowned.

"I did it, but the time was a bit tight, and there was no results in the laboratory. Because the patient's condition was a bit critical, I wanted to send it in to you first."

The level of the doctor of the emergency department is definitely not as good as Dr. Xu.

Most of the medical staff in the emergency department know that Dr. Xu was once a director -level physician, so when he encountered some serious surgical patients, he would eventually take Dr. Xu's diagnosis results.

"This ultrasonic image prompts that there are stones inside the sac!"

Dr. Xu's brows frowned even more.

Acute cholecystitis, traditional abdominal operation is only secondary surgery. If minimally invasive laparoscopy surgery is performed, it belongs to the third level.

Patients want to perform this operation in the emergency department, and they can only perform traditional abdominal operation.

Because the patient's age is too old, the physical condition does not look very ideal, and there must be a certain risk of opening the abdomen.

Doing such surgery often chooses the operation instead of doing it right away.

"Did you just receive it today?"

"Well, I heard that it was delivered at 5 o'clock in the morning."

"Do you fast?"

"After sending it over, the doctor in the emergency duty night shift suspected that it was cholecystitis or gallstones, and the patient had asked the patient to fast."

The work of the nurse is actually very hard.

Even if it is just a simple task to send surgery patients into the surgery, you still need to remember the basic information of a large number of patients. So that the surgeon can answer the answer when asked.

Their role is more like a bridge between the surgeon and a doctor.

"This patient also has a fever, so old, and the risk of surgery is high!"

After reading all the inspection reports, Dr. Xu's brows were locked, and the color of his face was groaning.

"Xiao Zhou, come here to consult together!"

Dr. Xu called Zhou Can.

Dr. Lu stood next to the Castle.

Even if Dr. Xu has no idea, he should call it with his high -age hospitalization.

Calling a rules for consultation, it is just a contempt for him.

"Can you let me see?"

Dr. Lu couldn't stand.

When Qiao Yu was present, he didn't want to look at Zhou Can alone.

"sure."

Dr. Xu gave the information to Dr. Lu.

The patient is weak and weak, "Doctor ... birth, cough ... hurry up to do surgery for me ..." Acute cholecystitis will bring great pain to the patient.

Before this old man entered the operating room, he thought, as long as he entered the operating room.

Doctors can relieve his illness with three, five, and two.

Unexpectedly, after being pushed forward, the doctors were not in a hurry to surgery him, but studied his condition together.

"Don't worry, the surgeons must determine the safety of the surgery to give you surgery! The anesthesiologist is also on the way."

Abdominal surgery, this needs to use a professional anesthesiologist.

You can do it if you do n’t hit a game.

In fact, even if it is only an external anesthesia, it needs a professional anesthesiologist to operate.

The surgery industry has a specialized attack. Doctors may understand the knowledge of anesthesia, but they cannot be so proficient in them.

A top surgical team requires at least one master, two to three auxiliary doctors, an anesthesiologist, an instrument nurse. If it is required to be more harsh, it is also indispensable for the nurses of the platform.

good.

During the operation, everyone's division of labor is different.

The importance of anesthesia doctors is not weaker than the main knife.

Dr. Lu took the inspection information and checked one by one.

After a while, he showed a word seriously.

"This gallbladder must be removed by surgery!"

It is basically equivalent to not saying.

Patients have already pushed the operating room, and they must be ready to perform surgery.

Don't cut off the gallbladder, do you still keep the New Year?

"Talk about your specific point of view!"

Dr. Xu seems to have some concerns about the patient's condition, and want to hear more doctors' professional opinions.

He really listened to Dr. Lu's surgery.

"The stones are so serious and acute inflammation occurs. Surgical resection is the only way to cure." Dr. Lu gave his diagnostic point of view.

"Well, there is a certain reason."

Dr. Xu just nodded slightly, and there was no big expression on his face.

"Xiao Zhou, your diagnosis ability has always been excellent, and also helped the staff!"

"OK!"

After looking at all the information carefully, I checked the actual situation of the patient.

"I think it is not appropriate to surgery now!"

Zhou Can followed Dr. Xu to learn various surgical knowledge these days, and the progress has made great progress.

The vision, prediction ability, and the control of risks have greatly improved.

The patient was anxious as soon as he heard it.

"Do you, please help me perform surgery! I can't stand it anymore. No surgery, I ... vomit, wow ..."

Wow!

The patient had vomiting. Fortunately, the nurse Liu Xia was experienced, and his eyes were fast. He helped the patient to catch it.

Twelve hours before surgery, forbidden water, is actually to prevent patients from vomiting in anesthesia, and then cause suffocation.

In this case just now, if the patient is very dangerous if it is anesthesia.

"Do you think patients should not surgery now because there is no pre -surgery?"

Dr. Xu asked.

The content of the patient's vomiting is not very small, it looks very worrying.

"This is actually a matter of considering anesthesia doctors. I think there are two views that are not suitable for surgery now. First, from the inspection report, the patient should be biliary stones to damage the biliary internal mucosa, which eventually leads to bile stagnation in the gallbladder, which causes triggers

A bacterial infection. He will feel acute pain, nausea and vomiting, it should be that bile can not be discharged, and the internal pressure should be too strong. "

Zhou Chan's incomparable Chen Shu took his own diagnostic point of view.

It is more detailed than Dr. Lu's two words.

Doctors have a lot to do with their personal style. Lazy people, they can also save trouble when diagnosis, including the surgical plan given, and more consider how to deal with it quickly and simply.

Patient prognosis, many potential risks in the operation.

Either they are not professional, they are too lazy to think.

There are such doctors, and at least 10 % of the doctor's team.

Many of them are mixed.
To be continued...