Sleepless Doctor

Wei Dabao prescribes a prescription in the emergency department, with a wad of medical records in front of him, with a sad expression on his face.

After receiving notice from the hospital, all the doctors had a meeting in the last few days, and Section Chief Wu analyzed and explained the medical records.

Using analysis, Wei Dabao knew what his medical records were like, and he was scolded at meetings. As for being scolded as a dog or being scolded as a sieve, it depends on the mood of Xiao Shizu.

"Doctor Wei."

Wei Dabao was prescribing a prescription, and a voice came from the door.

"Ah? Teacher... Chief Wu, why are you here? You are too polite, just call me Dabao." Wei Dabao was frightened and stood up in a hurry, his chair fell on the ground, and he let out a "bang" ring.

"Does our hospital have endotracheal tubes for children 15-20 months old?"

"..." Wei Dabao was startled, then smiled bitterly, "Chairman Wu, there are no intubation tubes for the children. Only the county hospitals in our county have a few, and they don't use them frequently. The key is that no one does pediatric surgery, only Only in the provincial capital."

"Call the 120 car for me, bring adrenaline, intravenous steroid hormones and antihistamines, and inhale bronchodilators." Wu Mian turned around and left after speaking.

What the hell? Wei Dabao stood dumbfounded.

The long list of names of medicines Wu Mian just said, if you separate it, he should think about it, and he should be able to understand it. But together, Wei Dabao couldn't remember any of them.

"Dr. Wei, I can write here, right." Chu Zhixi turned around and came back, thinking that Wei Dabao could not figure it out, so he picked up the pen on the table and wrote a series of drug names on the prescription book.

"Take these 120 ambulances and call you." Wu Mian said while standing behind.

"Chief Wu, where is the ambulance going?"

"County hospital."

"..." Wei Dabao watched Wu Mian turn to leave, his mouth was extremely bitter.

Drive 120 to the county hospital, do you go for a demonstration? In the county, the county hospital is the big brother. Although it has been sold recently, there is a serious loss of personnel. But the broken ship still has 3 catties of nails, so why isn't it better than yourself.

No, there is little master who is afraid of himself. After Wei Dabao realized it for a moment, he took the piece of paper written by Chu Zhixi and started to prepare medicine while calling the 120 emergency number.

Even if the doctor in the hospital wants to use the 120 ambulance, he must call for the record. Otherwise, once the vehicle is assigned, but the vehicle cannot get out, there will be a big trouble.

It's not like a long time ago when public buses were used privately, and people who drove out in ambulances were all.

While Wei Dabao was preparing something, Wu Mian frowned and strode out of the emergency department of the Bajingzi Hospital of Traditional Chinese Medicine. Sure enough, as Wu Mian expected, the Bajingzi Hospital of Traditional Chinese Medicine did not have a tracheal intubation for children.

"Old Lin, where are you." Wu Mian took out his cell phone and called Daoshi Lin.

"Uncle Master, it's almost at the foot of the mountain, and the child's breathing difficulty is getting worse. I'm filming the video and I'm about to send it to you." Lin Daoshi said hurriedly.

"Send to the county hospital, I'll be there."

After Wu Mian finished speaking, he walked directly to the brown Skoda.

"It's so inconvenient." Wu Mian didn't know how to describe it to Bajingzi Hospital of Traditional Chinese Medicine, so he could only sigh.

"No way, the primary hospital." Chu Zhixi said, seeing Wu Mian walking directly to the driver's seat, and quickly threw the key to Wu Mian, and ran to the co-pilot.

It only takes about 15 minutes to get down from Laoyashan to the county hospital.

Wu Mian felt that the mobile phone received the WeChat, and while starting the car, he handed the mobile phone to Chu Zhixi.

"Look at the video data sent by Lao Lin."

"Yeah." Chu Zhixi fastened her seat belt, picked up her mobile phone and started reading.

"On CT, CT of the head and chest showed extensive subcutaneous emphysema, mediastinal emphysema, pneumopericardium, and even pneumoperitoneum around the orbit, with prominent eyeballs." Chu Zhixi said immediately after scanning the film.

"The test results show that there is a slight possibility of inflammation and infection."

"The patient has no history of trauma..."

"How is the medical record written?"

"No coughing, sneezing, severe vomiting, strenuous physical activity or trauma history." Chu Zhixi knew what Wu Mian was asking, and answered quickly.

Wu Mian frowned, her eyes narrowed, staring at the road ahead, honking the horn constantly, and the car drove under the speed limit.

That is, Bajingzi, with few people, and the car can still be driven. If it is changed to the imperial capital, I am afraid that Wu Mian will rush to the county hospital and the child will be cold.

However, there is no such thing as a large-scale tertiary hospital without endotracheal intubation for infants in the Imperial City.

"Continue." Wu Mian said.

"The most important thing in the differential diagnosis is trauma. From the analysis of the medical records, the doctors who received the consultation should have focused on this." Chu Zhixi said, "I think the medical history is credible."

"Furthermore, before the child becomes sick for the first time, consider having pharyngitis.

The infection affects the deep fascial space behind the pharynx, parapharyngeal, or submandibular areas. Under the action of deep breathing, coughing, and negative pressure in the chest, the gas spreads down to the mediastinum through the prevertebral, anterior tracheal, and posterior pharyngeal spaces.

However, the child has only a simple pharyngitis, which does not involve the deep fascial space, so there is insufficient evidence. "

"Third, up-migrating gas. Intestinal perforation caused by various reasons, the gas penetrates the diaphragm hiatus, and enters the posterior mediastinum along the space around the aorta, atypical vein, thoracic duct, or esophagus.

There is no manifestation of intestinal rupture in the abdomen of the child, which can be basically ruled out. "

"Fourth, the child has a rare interstitial emphysema... Brother, I consider the cause of interstitial emphysema may be a very important factor."

"Infection, severe cough, excessive excitement by holding your breath or inhaling illicit drugs, etc., caused by various reasons, the alveoli rupture, air enters the lung interstitium, and enters the mediastinum along the vascular sheath in the lung interstitium, resulting in mediastinal emphysema. This possibility Sex exists, and it can be very big," Wu Mian said.

"Subsequently, the alveoli and small bronchi under the visceral pleura rupture, and the visceral pleura may remain intact, or there may be no pneumothorax."

"It just makes sense, but it's still a bit far-fetched." Wu Mian drove the car and drove straight to the county hospital, constantly analyzing the existing situation.

What Chu Zhixi was talking about was the problematic point, and he asked for a no-problem check~www.wuxiaspot.com~ The brown Skoda Wild Emperor drove to the emergency department of the county hospital.

"Nurse! Is there any child's tracheal intubation?" Wu Mian strode into the emergency department and asked.

"There is no emergency department. If there is one, it is also in the operating room." The guidance nurse said absently, flipping her mobile phone under the guidance table.

"How many phone calls in the operating room." Wu Mian said solemnly.

"Who are you..." The nurse raised her head, said two words impatiently, and stopped instantly.

"Hello." The nurse stood up with a brush, with a smile on her face.

"Operating room phone."

"*******" The nurse blurted out a number, "The anesthesiologist who can do pediatric anesthesia in our county hospital recently resigned. May I ask you..."

Without finishing a sentence, Wu Mian's figure has disappeared.

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