Since 1981 Health School

The little patient was taken out of the ward by her mother and sent to a minibus, ready to be transferred to the fourth hospital.

This simple ambulance converted from a minibus was borrowed by Chen Qi from the People's Hospital on purpose. No matter who said that the second hospital and the fourth hospital didn't have an ambulance.

Dean Gai was a little dejected. According to the previous rules, patients who could not be handled by the fourth hospital were transferred to the second hospital. As a result, the second hospital has now reduced to sending patients to the fourth hospital.

This is the strength of the Four Courts? Or is the Second Academy behind?

Chen Qi was happy in his heart, but he didn't dare to provoke the little old man.

I'm afraid that this person really has the backbone not to transfer him to another hospital. It's fine if he can't get an excellent project. Delaying the treatment of minor patients is a big deal.

"Dean Gai, don't worry, the patient will be handed over to us."

"Hey, it's really a turn of wind and water, but I'm a little strange, the disease that our second hospital can't cure, what special method does your fourth hospital have?"

"Ahem, let's keep this secret first, we have to formulate a treatment plan based on the clinic."

The two directors were still chatting, and Director Yao from the Department of Pediatrics came over and said softly:

"Dean Chen, this small patient needs to pay special attention on the road. The situation is not very good. If the patient's family members strongly requested to be transferred to the fourth hospital, otherwise I would not agree to it anyway. It is easy to have accidents on the road."

Chen Qi looked not far away, two assistants were arranging the patient, and he didn't care much:

"Don't worry, Director Yao, you see we have oxygen and a lot of emergency medicine in the car. As long as we can survive the half-hour drive, we can talk about it when we get to the Fourth Hospital."

Director Yao wanted to give a few more reminders, but Yan Shifan shouted over there: "Tou Chen, we are ready and we can go."

"Okay, here we come."

Chen Qi turned his head and shook hands with Dean Gai and Director Yao, "Then let's set off first, comrades just wait for our good news."

When Dean Gai watched the ambulance drive out of the hospital, he was so angry that he threw the cigarette on the ground:

"Damn, why am I so aggrieved? See how this kid Chen Qi can call a middle-level meeting of the whole hospital immediately to cheer me up. If I can't do business well, I will take your skin off!"

After finishing speaking, Dean Gai coaxed away, and Director Yao and the others next to him looked at each other in blank dismay, not daring to vent their anger.

"Hey, old man, what's going on today?"

"What else can I do? I've lost face. The level of the second courtyard is not as good as that of the fourth courtyard. The old man can be happy."

"Speak softly, you didn't see the dean came back again."

At this moment, Dean Gai came back aggressively, glared at the doctors present, then picked up the cigarette butt that had just been thrown away, and walked towards the administrative building while cursing.

The ambulance had just driven out of the urban area, and when it was about to pass by Xiguomen, Chen Qi unconsciously looked towards the construction site of the hospital's staff quarters.

These days, because houses are built with prefabricated red bricks, the staff quarters of the Fourth Hospital have been built very quickly. It seems that the walls are already being built, and it is estimated that they will be completed by the end of the year.

This community is the darling of the workers of the Fourth Hospital. These doctors and nurses have nothing to do after get off work, so they like to take the No. 5 bus to the construction site. By the way, they work as supervisors to see if they cut corners.

Chen Qi was not short of money, and he didn't get a kickback from the project fund. His request was to spend 100% of all the money on the project.

And he also asked Wang Yongjun, the vice president in charge, to keep an eye on the quality of the project. It is acceptable for the contractor to treat guests to dinner, but don't take the red envelope.

Wang Yongjun is one of Chen Qi's allies, so naturally he will not tear down his family.

Of course, whether he got the kickback or not, only he knows...

When Chen Qi was thinking about the project, he heard Yan Shifan exclaiming beside him: "Tou Chen, the situation is not right."

"Ok?"

Chen Qi came back to his senses, and immediately looked at the little patient who was inhaling oxygen, his heartbeat quickened all of a sudden, thinking that Director Yao really told him that there was an accident on the road.

Because the little patient suddenly coughed a few times violently at this time, and then his whole face turned red and red, as if he was holding his breath, and his hands and feet were stiff.

Chen Qi knew at a glance that the airway was blocked, and the most likely cause for infants and young children was phlegm blockage, which is very fatal. If the rescue is not timely, the little patient will die on the road.

The problem is that the ambulances of later generations are routinely equipped with sputum suction devices, but in this 1986 ambulance, almost nothing is needed.

Seeing the sudden change in the condition of the son in his arms, Shen Lifen immediately screamed in fright.

All the people in the ambulance were in a hurry.

Chen Qi hugged the child, not caring whether it would be cold to the child, tore off the small quilt wrapped outside, and then put the little patient on his forearm, so that the baby's head Lower than the body, with the forearms supported above the thighs.

Support the baby's head, neck and chest with one hand, and quickly pat the area between the shoulder blades of the little patient with the other hand, papa papa papa 5 times in a row.

Yan Shifan squatted on the head of the small patient and kept observing. At this time, he shouted: "It hasn't improved."

Chen Qi didn't say a word, and continued to slap his back, doing three movements in a row. As a result, no phlegm came out of the patient's mouth, and his face became more and more red, and began to develop into purple.

Chen Qi knew that the back slap method failed, and immediately switched to another first aid method, the chest push method.

He quickly turned the little patient over, placed his face up on his lap, kept the little patient's head lower than his body, and then pressed his chest with two fingers.

This is actually a standard "Heimlich first aid method". After pressing, there will be rhythmic relaxation and repetition to form an airflow to impact the foreign body and help it expel.

But after this combination of fists, it may be that the phlegm is too thick, or it may be that the phlegm is too deep. In short, the phlegm is not discharged smoothly.

At this time, the little patient's face had turned gray-black, and his whole body began to convulse.

Shen Lifen began to cry loudly, the border alliance was loudly urging the driver to speed up, and Yan Shifan began to search for emergency medicine with shaking hands.

Even though it was the colder season in early spring, the sweat on Chen Qi's back broke out suddenly.

This little patient died in the ambulance transferred to the hospital today, so Chen Qi's responsibility is huge.

Chen Qi can imagine how outsiders would scold him, just like when he was doing hand surgery, scolding him for not doing his job properly, a plastic surgeon to treat diseases of "pediatric surgery"?

Isn't this delaying the child's illness? How can I explain this to the child's fighting hero father who is far away in southern Xinjiang?

The situation was already very critical. The car had just driven past the Xiguo Gate, and was still in the Zhongjiawan area. Even if the ambulance was already flying, it would take at least 10 minutes to get to the Fourth Hospital.

The child can't last 10 minutes at all.

Moreover, the golden rescue time is only 5 minutes. After this time, even if you are rescued, you will still be a vegetable or a fool, and you might as well be dead.

It's too late to say it's too late, Chen Qi didn't care too much, and quickly put the little patient on the stretcher.

Then he knelt on the carriage, lowered his head, and mouth to mouth with the little patient.

Since there is no sputum suction device, the only way Chen Qi can think of is to "manually suck sputum".

Yan Shifan, Bianmeng, and Shen Lifen were all dumbfounded, and Shen Lifen even forgot to cry, covering his mouth with his hands at a loss.

(Fortunately, it is not in the United States, otherwise it is estimated that this lawsuit will have to be fought, and the violation of young children will compete with Michael Jackson.)

Artificial mouth-to-mouth suction can be used in first aid. The method is that the rescuer wraps the patient's mouth with his mouth, and pinches the patient's nose with his hands to suck hard. The purpose of aspiration of sputum.

However, artificial mouth-to-mouth suction is not recommended unless necessary, because there are a variety of viruses and bacteria in the human mouth, which will cause cross-infection.

There is another one, from a psychological point of view, sucking other people's phlegm into one's own mouth is unacceptable to most people, and even close relatives will have psychological shadows.

So Chen Qi's actions stunned the people in the car, and at the same time ignited their last hope.

Finally, the hard work paid off, and when Chen Qi took the third breath, the phlegm that blocked the airway of the little patient was finally sucked out.

As soon as the airway was unobstructed, the little patient cried out immediately, and her dark and purple complexion immediately improved.

Shen Lifen cried out again, with a lot of snot and tears, crying and laughing like a crazy person, she was really tortured to the point of going crazy.

Yan Shifan and Bianmeng also collapsed in their seats in fright, and let out a long sigh of relief.

Chen Qi quickly spit the thick phlegm sucked out of the small patient onto the gauze. At this time, there was a strong vomiting feeling in his stomach, which was suppressed by him, and he vomited in front of the patient. This was the greatest harm to the patient and his family. disrespect.

Anyway, Chen Qi has secretly decided that he will never eat fish heads in his life, especially the brains inside the fish heads are so thin that he can't even look at them...

The ambulance driver also knew that the situation was not good, and almost stepped on the gas pedal to the bottom.

The car almost drifted into the gate of the Fourth Hospital, and stopped outside the inpatient department of the Second Department of Surgery. Everyone was making their own efforts and contributions to save the child.

In the Fourth Hospital, in the Special Needs Ward of the Second Outpatient Department.

With a stethoscope on his ear, Chen Qi was carefully auscultating the chest of a small patient.

Behind him, Wang Xiaoxian, Director of Pediatrics, Bian Pengfei, Director of Surgery, Li Chunsheng, the new Director of Internal Medicine, and Zhou Liuxin, Chief of the Medical Department gathered together, looking through a series of inspection reports and chest X-rays brought from the Second Hospital.

Shen Lifen and other family members waited anxiously not far away, and everyone's eyes were full of panic and distress.

At this time, let’s look at the situation of the little patient again. This is a patient who was born less than 2 months ago. After this series of torture, moaning sounds can be heard obviously, and her breathing has become quite irregular, not only rapid, but also long and short. The terrible thing is that it is accompanied by apnea from time to time.

Looking at the complexion of the little patient, it turned blue-gray due to lack of oxygen, and the signs include fluttering of the nose. When inhaling, the soft tissue of the thorax is obviously sunken, especially under the costal margin and the lower end of the sternum.

Chen Qi straightened up, and said softly: "Lung breath sounds are reduced, and you can hear fine moist rales when inhaling."

Director Li of the internal medicine department was a little anxious: "This is respiratory distress."

The son's Director Wang said to Chen Qi, "It's more than that, it's all respiratory failure, the inflammation index is so high, accompanied by high fever, Chen Qi, you will really cause trouble for everyone."

Not all doctors are willing to treat critically ill or intractable patients. Most doctors hope that when they work, they can be peaceful, smooth sailing, go to work happily, and leave work with high hearts.

Now that such a baby has come to the Department of Pediatrics, it is not only a general consultation of the whole hospital, but even the Department of Pediatrics has to send the strongest doctors to do the whole process of nursing and monitoring.

One is not good, and in the end, there is no way to recover from it, and the family members have to face the blame.

Chen Qi hurriedly laughed and said: "Director Wang, I want to improve the rescue level of our hospital to a higher level. The medical treatment of chylothorax is invalid, so we can have a surgical treatment."

"Surgery? Hmph."

Director Wang continued to give Chen Qi a blank look, pointed to the auxiliary examination report on the medical record and said:

"Look, the white blood cells have reached 24,000, and the blood red cake is only 60 points, and the liver function is in a mess. Such a severe malnutrition, inflammation has not been controlled, and multiple organ dysfunctions, how do you operate? ?”

"Oh!"

Chen Qi slapped his forehead, and slapped himself angrily: "Ah, my thinking is too limited, I was careless."

The surgeon's thinking is relatively limited.

For example, Chen Qi thought it was just a chylothorax. If it doesn't work, let's have an operation, isn't it just a ligation of the thoracic duct? Although it is a bit troublesome, but he has the level of surgery in his previous life, and he has a golden finger.

But he neglected another point, that is, the vital signs and inflammation of the little patient did not allow him to perform an operation immediately.

It's like some people's teeth are inflamed, and their face is swollen like a steamed bun. When they go to the dental hospital to have a look, the doctor will say that you go back to eliminate the inflammation first, and then move your teeth after the swelling subsides. It's the same reason.

Looking back at this small patient, he alone accounted for three of the four major contraindications before surgery.

First, severe cardiovascular and cerebrovascular diseases, such as: heart failure, respiratory failure, etc.

Second, severe liver and kidney diseases, such as liver failure.

Third, severe malnutrition, if surgery is performed, it will be very difficult for the patient to recover, and the wound may not heal.

Now Chen Qi was scratching his head. If he couldn't be operated on immediately, he probably wouldn't be able to last for a few days with the appearance of a minor patient, and it would really hit his hands.

It is estimated that Dean Gai of the Second Academy has been able to joke for several years.

"Then Director Wang, Director Li, from the perspective of internal medicine, what should we do now?"

Director Li smacked his lips:

"Now we need to culture the sputum to find the most suitable anti-inflammatory drugs. In addition, the drainage needs to be continued. The trouble is that the infusion volume is difficult to control. If the infusion is too small, the dose is not enough. If the infusion is too much, the pleural effusion will increase."

Director Wang added:

"Unfortunately, it would be great if we had a ventilator. I read magazines, and foreign hospitals have a ventilator that can help the human body maintain normal breathing, which is the function of the external lung. If we have one, then More time for internal medicine rescue can be gained."