Chapter 441： intussusception

"Go and call Yu Yuan." Ling Ran gave a command and said: "Tell the pediatrics one more time, and let them prepare the air-filled bowel machine. If you have a free doctor, send one over to see , Intussusception, about four hours. "

Intussusception is a standard emergency, and it is fatal in less than 24 hours. However, four hours belonged to the initial state. The child was just crying and had enough time to deal with it.

Of course, given the busyness of pediatricians, such non-emergency emergencies are likely to take a long time to come, rather than waiting for them to do it themselves.

In this regard, Huo Congjun and Ling Ran have the same ideas. Symptoms that can be handled by the emergency department clearly, why do you have to look for a specialist consultation room? Specialist clinics are so busy that they may shirk from time to time. Sometimes, patients who are suspected of abandoning emergency referrals have mild symptoms and are too lazy to take them in.

The reason why the emergency department cannot handle minor illnesses independently, besides the hospital policy, is the hospital policy.

As long as the hospital policy is passed, the emergency department will expand at will, hire more doctors, and handle mild cases independently, which is natural.

The emergency department of a Chinese hospital is different from a foreign hospital. Because foreign hospitals have to bear unresponsible patients, so that emergency departments cannot make ends meet, many hospitals have been forced or voluntarily cancelled emergency departments.

The long wait for emergency departments in European and American films also originated from this.

However, the emergency department of Chinese hospitals does not have such trouble. Of course, there are some patients and their family members who have run away from the hospital. It is not uncommon for patients who cannot afford medical expenses, or patients who depend on them for various reasons. However, in general, the emergency department of a hospital can at least be self-financing.

Being able to take responsibility for your own profits and losses naturally means that you can expand as much as you want, except for the restrictions of hospital policies ...

Ling Ran now wants an emergency pediatric.

Even the hassle of borrowing an air-filled 2 sausage machine is saved.

The intern was a little confused, and whispered, "Wait for the confirmed B-ultrasound to come back?"

He was not the first day to work, and he knew some complicated situations of consultation between departments. The most obvious part is not to waste people's resources.

If the patient really has an intussusception, then what is not said, pediatrics have to find a way to prepare the machine.

Compared with those emergency patients who use cold bottles to treat colds and prescribe medicine for constipation, the small patients here in Ling Ran obviously need more medical resources.

However, if people have prepared the machine and you are mistaken here, it is not just a joke, the pediatrician must also blame the emergency doctor.

Ling Ran answered quickly: "No, hurry up."

The intern didn't have much to struggle with, so he rushed to call.

When everything was settled, the intern let go of the phone and sighed with a smile, "Dr. Ling is pretty good at doing things."

"That's why Dr. Ling." The younger sister at the nurse station heard him talk about Ling Ran, and immediately diverted some attention to sweaty interns.

The intern approved and nodded, showing a thoughtful expression.

The young lady at the nurses station swept the corners of her eyes to know what the trainee thought. The trainees she met had more patients than the trainees. Most of the trainees were basically a mold. .

"Dr. Ling said, don't you have to wait for the B ultrasound to confirm the diagnosis?" Miss Nurse decided to be a kind person.

The intern said "En", "This way, the patient will be able to do the treatment directly when he returns ..."

"Dr. Ling said not to wait, do you know why?" Miss Nurse asked again in a low voice.

The intern noticed the inner meaning and shook his head blankly.

"Dr. Ling is the person in charge of the treatment team. Moreover, the people are good, the technology is good, and everyone likes it." Miss Nurse smiled. "You pay the bill yourself, if you don't wait for the diagnosis, be careful."

The interns understand that they have different lives. If they have experienced more, they will naturally know.

"I don't know when I can open the list without waiting for the diagnosis." The intern laughed at himself.

Miss Nurse easily said: "When you don't ask this question, you probably know how many more years you will struggle."

Yu Yuan and the patient came to the treatment room at the same time.

Ling Ran got the ultrasound map and looked at it for a while before handing it to Yu Yuan, saying, "There is a concentric circle scanned. The degree is not very deep. You can do 3 intestines with air."

In Ling Ran's treatment group, only Yu Yuan used the air-filled 4 bowel machine. Naturally, he gave it to him, and Ling Ran had to observe by himself first.

Yu Yuan watched the B-ultrasound directly on the PAD, and after confirming the same, he asked: "What about the patient's family?"

"Here is here." The father of the child near him promised, anxious and guilty.

The fear and blame that broke his own child caused his palms to sweat constantly, and he was sweating after wiping his pants.

"Just a family member? Is anyone still here?"

"The child's mother will be here soon." The one who became the father was more worried.

Yu Yuan said "En", saying: "The air-filled 5 bowel machine is to be used under X-rays. We are now going to the radiology department. The family members are here and can come directly."

Hearing the X-ray, the child's father could not help but feel uncomfortable, and whispered: "The X-ray has radiation. Do you have to use it?"

"There are two solutions for intussusception, one is to irrigate 6 intestines, and the other is surgical treatment. If the delay is too long, it can only be surgically treated." Yu Yuan has been in hospital for so long, Speaking also became fierce.

The critters were even more scary when they were fierce. At this moment, the child cried again, and when Dad suddenly became messy.

"Let ’s go, the machine should be ready." Ling Ran raised his chin and headed to the radiology department first.

After a while, the mother and mother rushed.

Yu Yuan, who has obtained the informed consent form, looked at the expression of fear, sadness, and fear of the mother and said, "Intussusception is a serious disease that can cause death within 24 hours. Fortunately, you have to send it in time. It hasn't progressed to the point where surgery is needed, and I recommend starting treatment immediately to avoid losing the best time for treatment. "

A child who was horrified shook with a sentence that could be fatal. She could not care about hitting her husband again and asked, "What now?"

"You hold the child, I'll do it." Yu Yuan paused and said, "Children are not suitable for anaesthesia, you must stabilize."

After a while, the 3-year-old was put on the console.

I saw Yu Yuan pick up a rubber tube and shoved it into the child's **** door. The child cried wow, forcing the parents to desperately hold the child down.

"Okay." Yu Yuan completed the enema in the smallest time unit, and once he pulled the hose, he was sprayed with one hand.

Ling Ran nodded comfortably. He heard that was the case. Now it seems necessary to observe in advance.

"You can't eat anything for 8 hours after surgery ..." Yu Yuan calmly made a doctor's order while she cleaned up the mess.

The child's mother kept apologizing and came forward to help.

"Dr. Ling, thank you." The child's father held the child in his arms, and after a while he was afraid: "If it wasn't for you to discover, we would be in trouble."

During the waiting time, he had passed intussusception on Baidu and was deeply afraid.

"It's okay." Ling Ran nodded, looking at the child's calm expression and feeling quite good.

If there is any advantage to being a pediatrician, it is that pediatric patients have a great chance to fully recover. This is a scene that is not always seen in oncology and various chest and general.

"Ling Ran." Dr. Zhou intervened and walked over from the outside.

"Doctor Zhou?"

"Oh, just happened to say, I got a call here, the car accident, it seems to hurt the liver, do you want to come over and see?" Dr. Zhou's back is straight, really like walking around.

Ling Ran looked up at the card in the radiology department and said naturally: "Okay, I just want to have a liver resection."

"That said, I guess you just want to do it." Dr. Zhou immediately pulled Ling Ran away with a smile on his face.

As they walked, they were still chatting:

"Patient in the emergency department?"

"Yep."

"What did you cut?"

"Nothing was cut ~ www.novelhall.com ~ Nothing was cut. Are you surrounded by people?"

"intussusception."

"Isn't intussusception to cut the intestines? Why, was it stolen by the general public?"

"I found out earlier that air infusion of 7 intestines is just fine."

"A bit boring."

In the rear, the little patient's mother hugged her son tightly, shivering, and then trembling, whispering, "It's terrible to be a doctor."

"It's a bit." Her husband chilled back.

The little patient ’s mother listened to her husband ’s voice, her mind was a little loose, and old hatred was rising. She put her hand around her waist and said fiercely, “If you dare to mention my son ’s hind legs, I will cut your life. You dug your eyes, pulled out your tongue, pulled out your intestines, tied your tongue and intestines together to make a slingshot, beat your life roots, eyeballs, heart, liver, spleen, lungs and stomach, one by one. ,have you understood?"