Since 1981 Health School

  Chapter 81 Questions on the first day of ward rounds

  After Lan Lijuan heard that the distribution of the internship teachers was so unfair, she suddenly took a deep breath in her heart.

  The girl who wanted to be strong didn't expect to encounter such an unfair thing on the first day of entering the department? This completely poured cold water on her enthusiasm.

   Seeing her face change, Chen Qi immediately touched her with his arm, comforting her softly:

   "Don't worry, some things have to be done step by step. After all, they are college students and have been intern for half a year. They have a certain amount of work experience. We are just fledglings. It is normal that no big director is willing to take us."

  Lan Lijuan bit her lip: "Their grades in the senior high school entrance examination were not as good as mine. Squad leader Chen, we have to work hard, we can't be compared to others!"

   "That's right, lagging behind in internships doesn't mean they will also lag behind in work. Their starting point is a little bit higher than ours, that's all."

  The two are still talking in low voices, the science meeting is over, and several new interns are looking for their mothers.

  Dr. Yi Zewen is a little fat. He is about 30 years old this year. At this age, he is just a small doctor who does some first-level minor operations in surgery:

   "Chen, Lan, hello, I am Yi Zewen, and I will be your tutor next."

  Chen Qi hurried up and bowed to Yi Zewen: "Mr. Yi, please take care of us."

  Lan Lijuan also hurriedly followed Chen Qi and bowed.

  Yi Zewen was a little surprised by the gift from the two interns:

   "You don't need to be so polite. I'm your teacher now. Maybe we'll be colleagues after next year. Feel free to order. Let's go. Director Zhu will make a ward round today. I'll take you to have a look."

  In the corridor of the ward.

  Director Zhu Huoyan walked in the front, walking with a bit of vigor, a gust of wind blew by, and the white coat was a little light. This momentum, at first glance, is a big boss.

  Director Jin Peilin and two deputy directors Shen Zhemin and Liu Chuanpin followed closely behind.

  Following them are the small attending surgeons of the Department of Surgery, followed by the small doctors at the bottom of the department, followed by several interns from Haidong Medical University.

  When it was the turn of Chen Qi and Lan Lijuan, two technical secondary school students, they were pushing two small carts with books of medical records on them.

  Just from this picture, everyone's status in the department is clear at a glance. The technical secondary school students are at the bottom of the food chain and have the least status, so they push the medical record trolley.

  More than a dozen doctors walked in the corridor in such a mighty manner, just like young and Dangerous in the Hong Kong movie, which frightened the family members of the patients in the corridor to retreat.

  Walking into the ward, Director Zhu stood on the right side of the bed, and a large group of white coats filed in, staring at the patients in a daze, and the family members who accompanied the bed dropped the apples on the ground.

   "Why are there so many doctors, I, I am going to die?"

  The patient who was speaking was lying weakly on the bed. When he saw so many doctors surrounding him, his eyeballs almost protruded from fright.

  Director Zhu is still very polite to the patient: "Don't worry, comrade, we are making routine rounds today, and whoever is the doctor in charge of the bed should report the condition immediately."

  The doctor in charge of bed 1 is Yi Zewen. When Dr. Yi heard this, he hurriedly squeezed up from behind. Just as he was about to report, he realized that he had no medical records and was so anxious that he was about to sweat.

   At this time, Chen Qi had already appeared behind him, and handed him the iron clip of the medical record without any hassle.

  Dr. Yi glanced at the intern gratefully, then opened the medical records and began to report.

  Lan Lijuan saw that Chen Qi had the ability to predict and predict, so she took the medical records in advance and handed them over to the teacher as soon as possible, feeling amazing:

   "Squad Leader Chen, how do you know that Teacher Yi is going to use the medical records soon?"

  Chen Qi whispered:

"I'll teach you a trick. Take the teacher to make a ward round and find out how many beds you have. You must prepare the medical records in advance. In addition, you'd better record all the patients who are in charge of the bed later, and try to make sure that you don't need to look at the medical records. Answer the patient's condition and test results."

  Lan Lijuan nodded again and again, thinking that the class leader is the class leader and knows everything.

  Dr. Yi has finished reporting over there. Director Zhu checked the wound and nodded: "The sutured wound is recovering well."

  Then he straightened up, looked at several interns next to him, nodded Zhang Jun and asked:

   "Student, tell me, what are the grades of spleen damage?"

  When Zhang Jun heard this, he replied naturally:

"It is divided into 4 grades: grade 1 splenic subcapsular rupture or mild damage to the capsule and parenchyma, splenic laceration length ≤ 5.0, depth ≤ 1.0 cm; grade 2 splenic laceration length > 5.0, depth > 1.0 cm, However, the splenic hilum is not involved, or the splenic segmental vessels are involved; grade 3 splenic rupture involves splenic hilum or splenic division, or blood vessels in the splenic lobe are involved; grade 4 splenic rupture is extensive, or the splenic pedicle, splenic artery and vein trunk is involved.”

  Director Zhu: "If you are on the scene to give first aid, how should the patient with liver and spleen rupture and bleeding be transported?"

  Zhang Jun was at a loss for words for a while, he thought it was a theory, and he was blinded by this kind of experimental operation.

  Director Zhu glanced across Zhang Jun's face, and said to Lu Yuehua next to him, "You answer."

  Lu Yuehua obviously thought about it, and quickly replied: "Patients with ruptured liver and spleen usually have a lot of bleeding, and hemorrhagic shock occurs quickly. They should also be transfused with blood and fluids first, and then transported after the shock improves."

  Director Zhu: "What position should I adopt when transferring?"

  This question is beyond the outline again, it is not written in the textbook at all, and Lu Yuehua couldn't answer it for a while, Director Zhu looked at another university intern, Ai Kelong: "Come here!"

  Ai Kelong squeaked: "This one, probably lie on your back?"

  Director Zhu snorted coldly:

"If you know it, you know it. If you don't know it, you don't know it. What is a rough idea? Do you just guess so roughly when you meet a patient? You have to know that this kind of hepatosplenic hemorrhage has a high mortality rate. It is very likely that you will be killed by a small mistake. A human life."

   Ai Kelong blushed when asked, and his hands were shaking from nervousness.

   On the first day of this internship, he was scolded by the director, and most of the college student's self-confidence was blown away.

  Through the three university interns, Director Zhu finally found out that there were two technical secondary school interns behind him, especially that Chen Qi who impressed him yesterday, so he asked directly:

   "Chen Qi, can you answer this question?"

  Chen Qi stood up straight and raised his voice a bit:

"Good director, during first aid, patients with liver rupture should lie on the right side; in case of spleen rupture, lie on the left side to reduce bleeding; in case of open spleen rupture, use sterile warm water cotton pad or hemostatic sponge immediately Pack it to stop the bleeding and then move it."

   After listening to the answer, Director Zhu kept his face and asked again: "What if it is gastrointestinal bleeding?"

  (end of this chapter)