Chapter 488 Shameless emergency department, perverted patients!

"We know the cause of pulmonary embolism. It should be that a blood clot formed after acute severe pancreatitis and fell into the pulmonary artery..." Director Xiao said.

They have not been idle these days, and they checked the cause of pulmonary embolism.

The most common clinical case is lower limb venous thrombosis.

Many long-term bedridden patients, especially the elderly, once a blood clot forms in the lower limb veins, it is easy to follow the blood circulation and block the smaller pulmonary artery after it falls off.

Small blockages rely on oxygen inhalation, large blockages rely on ventilators, and full blockages rely on resurrection coins.

However, the ICU performed bedside ultrasound on Yuan Yu, and no blood clots were found in the arteries and deep veins of the lower limbs.

Then the biggest possibility is that the embolus formed after pancreatitis slipped into the pulmonary artery along the blood channel.

But what they couldn't understand was that the two basic principles of pulmonary embolism, thrombolysis plus anticoagulation, thrombolysis is even the primary treatment measure, why is it completely different here in Xu Qiu.

"Because it's not necessary." Xu Qiu's answer was extremely concise.

Not necessary?

These three words made Director Xiao and others suddenly stunned.

How confident is the clinical intuition to make such an evaluation of such a patient who may die at any time?

Even if Wang Ping came, he would not dare to say so...

Oh, Wang Ping is not as good as Xu Qiu, so it's okay.

"Why is it unnecessary?" Director Xiao couldn't help asking.

Xu Qiu called up Yuan Yu's medical records and marked her blood pressure changes, saying: "Although the patient's blood pressure is fluctuating, the reason is the rebound caused by not taking antihypertensive drugs.

Moreover, although her blood oxygen saturation cannot be raised, it is generally stable.

These two points illustrate a problem-her pulmonary blood vessels are not completely blocked, and pulmonary embolism is not critical.

For patients with non-critical pulmonary embolism, only anticoagulation and prevention of thrombus expansion or new formation are required. At this time, rash thrombolysis can quickly open blood vessels, but it has great risks.

The patient has acute severe pancreatitis and a poor physical foundation. If thrombolysis is performed, it is very likely to cause massive bleeding or even cerebral hemorrhage, and these consequences are even more fatal!"

After the analysis, there was only silence in the office.

Director Xiao, Director Jiang and others woke up as if from a dream, with deep admiration on their faces.

"So that's it..." Director Xiao took a deep breath and felt a little scared.

Fortunately, they did not question Xu Qiu's medical advice.

"I'm curious, does Wang Ping still have the face to be your teacher." Director Jiang sighed.

He has worked in the ICU for so many years, and has frequently dealt with the directors of various departments, and he is even more familiar with the emergency department.

Director Jiang has long been resentful of Wang Ping.

That bastard often does not do his job.

Every time he sends someone over, except for the first sentence "Hello, emergency department", the rest of the words are not credible.

It was particularly rampant in the past few years. Wang Ping often called and said that the patient's vital signs were stable, only a little scratch, and he could move.

When the person arrived at the ICU, he was indeed able to move, but only one finger could move.

Some people said that the patient was stable, but in fact, the patient only had heartbeat and breathing; some people said that the patient was conscious but had difficulty in moving, but once they were admitted, they found that the patient could fall into coma at any time, and was also paralyzed from the upper part of the body...

The famous saying of the emergency department is, "Send the patient alive to any department, and the mission will be accomplished."

Of course, sometimes being alive means that the patient must have a breath left... Seeing that the patient is dying, the doctors in the emergency department will ask to push the patient faster, so as not to die on the way and fail to transfer.

However, it has been much better in the past two years. After Xu Qiu came, the emergency department's calls have changed from "The patient is still breathing, please accept him quickly" to "Is there a patient in your department who is still breathing? Send him here quickly."

Before, Wang Ping could still support his teacher's face by treating respiratory emergencies such as pulmonary embolism,

but now it seems that Xu Qiu has surpassed a certain tool teacher in this regard, both in terms of judgment and experience.

...

Yuan Yu did not stay in the clinical hospital for too long. Three days after being transferred to the general ward, Xu Qiu could no longer see her husband during rounds.

To be precise, her ex-husband.

Yuan Yu's face showed no joy of remaining life after death. Her pupils were dilated and her face was full of regret. She said, "He paid all my expenses and left me 30,000 yuan. We divorced."

Xu Qiu calmly examined her body. Since it was confirmed that hydrochlorothiazide caused her pancreatitis, her antihypertensive drug was changed to Betaloc, also known as Metoprolol.

Yuan Yu looked lonely.

She stretched out her hand, and suddenly realized that the boy who would hug her at any time and obey her was gone forever, and she let it go silently.

"After signing the divorce agreement, I realized that I was not worthy of him.

He started working part-time in junior high school and tried every way to make money for my studies.

When I was in college, my peers were still thinking about skipping classes to play games, but he had already started a business and worked from nine to five every day... But I thought he was shameful, and instead fell in love with a senior in school. Now that I think about it, the other party even needs his parents to pay for the room, how can I compare with him!"

The interns who followed behind to check the room pretended not to hear.

In their hearts, they were complaining wildly.

Fortunately, the real man has left, otherwise he would be so angry that he would vomit blood when he heard your words!

Men are fighting outside, and you use your man's money to fight with other men in bed!

Is this still a human being?

"No one will give me hot milk anymore." Yuan Yu said, and tears began to fall again.

The interns frowned.

Still thinking about milk?

Her ex-husband protected her too well. She lived in the ivory tower of the school for the first half of her life and had almost no contact with the society.

They are at least a first-class, 985, 211 master's and doctoral students, and they have to work hard to gain a foothold in the city and get a passing social grade. Can Yuan Yu really cope with this cruel society?

Her ex-husband gave her an extremely rich life, allowing her to easily have everything, a house, a car, and a carefree life, but she abused it with her own hands.

It can be predicted that it will be extremely difficult for her to return to society...

"I heard that you have to drink a glass of water before going to bed, a glass of milk? Don't drink too much water." Xu Qiu reminded kindly.

No wonder her blood pressure is not well controlled. Drinking too much water will increase blood volume and increase heart pressure.

The interns admire her.

For such a woman, it is really difficult for them to keep a normal mind. They can't feel sorry for her at all, and even think she deserves it.

But Xu Qiu's attitude did not change at all, and he still treated the other party as an ordinary patient.

This alone was enough for the doctors present to learn for a long time.

After leaving the ward, Xu Qiu remembered another thing and asked, "Did she abort the child because of idiopathic hypertension during pregnancy?"

If it was really because of this, we should also pay attention to the patient's heart, cerebrovascular system and vision.

"No..." Yang Yuen sighed. Even though she had seen the perverted and open eyes of foreigners for many years abroad, she felt that Yuan Yu was a little too perverted.