Chapter 765 (Add 3 for the Sunny Day when the Leader Was Hit by Dark Clouds)

A bunch of people rushed in behind the patient, all of them were young, seventeen or eighteen years old, and the oldest was in his twenties.

His face was frightened and uneasy, and one of them was already in tears.

"Doctor! Please, save him!"

"Yes! I kowtowed to you!"

...

The eldest boy was also helpless, and fell to his knees at the door of the emergency room with a plop, his face full of nervousness and worry.

The head nurse Tian Xianglan happened to be there, hurried out and looked at a group of young men who were only in their twenties.

He said quickly, "Young man, get up first."

"Where's your boss? Not here yet?"

The older young man couldn't help but swallow his saliva: "Come on! We have already called and contacted, we must save him..."

Speaking of this, even a few young people have no idea, not sure if the boss will come.

Tian Xianglan sensed a possibility as soon as she heard the tone, and she was immediately angry.

Compensation for work-related injuries is stipulated by law, and no one can be exempted from liability.

However, in many cases, whether a work-related injury is counted or not involves a lot of wrangling.

Especially these small factories, small workshops, employing young people, and signing labor contracts may have many problems in small factories.

However, now is not the time to worry about this, it is important to save people first.

Tian Xianglan hurriedly helped with the arrears procedures and asked the older boy to contact his family.

...

...

Several doctors in the emergency office rushed in in a hurry. After seeing the patient, they couldn't help but feel numb in their scalp and shrank their hearts.

At this moment, Chen Cang's eyes changed when he looked at the patient.

He suddenly found that a virtual mannequin appeared in front of him!

Chen Cang looked at the model and was shocked!

Because he clearly felt that this model was the condition of the patient at this moment, and he could clearly see which glass had penetrated how deeply, what blood vessels were injured, and whether any internal organs were injured...

At this time, the entire patient's anatomy chart and blood flow chart, including breathing, heartbeat, enterohepatic circulation, etc., all appeared in Chen Cang's virtual four-dimensional map.

At this time, the patient suddenly began to breathe short, and the value on the ECG monitor showed that the blood pressure suddenly dropped.

On Chen Cang's virtual four-dimensional human body model, he quickly made a judgment!

This seems to be Chen Cang's clinical thinking model!

That's right!

Chen Cang suddenly realized that this four-dimensional map is a four-mode model map formed in his mind for the patient.

And when the patient was short of breath, the virtual map quickly changed.

Chen Cang could actually see that after the glass pierced the pleural cavity, the air entered and the negative pressure disappeared... The backlog in the lungs caused difficulty in breathing!

The answer is obvious!

pneumothorax!

right!

It's a pneumothorax!

Looking at this virtual human, Chen Cang was a little excited.

This virtual four-dimensional map is too awesome, right?

To be able to prepare to judge the patient's human condition, can an emergency surgeon have a stronger skill than this?

No diagnostic skill is more powerful than this four-dimensional map at this moment!

It's so arrogant!

God level!

Absolutely divine!

Thinking of this, Chen Cang trembled a little. This passive skill was probably his strongest at the moment.

Big profit!

real!

Thinking of this, Chen Cang was a little excited.

At this time, Xiaolin said loudly: "Director Chen, the breathing is short, reaching 40 times per minute!"

Chen Cang reacted immediately and said to Zhang Wenfu who was beside him: "The patient has a pneumothorax and is ready for thoracentesis! Here..."

Everyone was stunned for a moment, and looked at Chen Cang curiously!

Zhang Wenfu nodded and immediately began to prepare the drainage tube for thoracentesis!

Chen Cang did not do it himself, he was still judging the patient's vital signs.

Soon, the pumping of the chest cavity was completed, and the patient really calmed down.

At this moment, everyone looked at Chen Cang with admiration and made a judgment in an instant. What a keen and accurate clinical judgment!

...

Before the operation, Chen Cang must ensure that the patient's vital signs are stable, think about all the dangerous situations that can be imagined, and control the amount of bleeding.

Chen Cang looked at the blood pressure, breathing, heartbeat... and the patient's condition, and suddenly said to Wang Yong beside him.

"The current blood loss is about 900-1000ml! The patient's current bleeding rate is about 100ml per minute. Tell the blood transfusion department to make various emergency preparations."

Although it looks terrible, it is fortunate that the large blood vessels were not injured.

Everyone glanced at Chen Cang suspiciously, can this be judged?

Chen Cang continued to bend over and said to Xiao Lin, "Cut off all the clothes!"

Kobayashi nodded, revealing the patient's body.

"Prepare to change the medicine bag!"

"Contact the ultrasound room!"

Nurse Lele hurriedly prepared.

And Chen Cang started to remove the glass residue in the chest area.

Only the precordial area was not taken out quickly, because this piece of glass has penetrated into the pericardium, which is very troublesome to handle, and most importantly, this piece of glass has already caused hemopericardium, although it is not enough for the heart. tamponade, but must be prepared before surgery, pericardiocentesis under ultrasound!

At this time, Li Baoshan also rushed back to the emergency room.

When I saw the patient, I was shocked.

There are many wounds on the body, even though Chen Cang has already dealt with some of them, but because of this, the scars and bloodstains on the patient's body look terrible.

At this moment, the doctor in the color ultrasound room came with the ultrasound machine.

Under the command of Chen Cang, most of the broken residues have been cleaned up.

This made Li Baoshan hesitate for a while, after all... This is not an easy job to pull out the broken glass.

You have to accurately judge whether each piece of glass hurts the key, whether it damages the blood vessels, and whether it can cause adverse consequences after pulling it out.

This is very difficult for a surgeon!

It is necessary to accurately think and judge the anatomical structure, and make accurate conclusions through detailed physical signs!

too difficult.

But……

Looking at the large piece of glass slag around him, Li Baoshan swallowed and pulled out so much, but the patient's physical symptoms turned out to be more stable. This Xiao Chen... is really amazing.

In the entire rescue room, only Chen Cang was talking.

He accurately issued various medical orders, and the doctors around him had no doubts, and they were all executed in an orderly manner.

The excess glass was removed, and many bleeding spots were sutured by other doctors. The amount of bleeding became less and less, and the patient is now fully aware of it.

But even with the effects of anesthesia, it still hurts!

Seeing that there were still five or six large pieces of glass on the patient's body, Chen Cang took a deep breath: "Prepare for pericardiocentesis under B-ultrasound, extract pericardial effusion, contact the operating room, and prepare for surgery!"

Li Baoshan was taken aback: "Is there pericardial effusion?"

The surrounding doctors also looked to Chen Cang for prestige.

Chen Cang nodded: "Well, yes, you see, the patient's bleeding volume is now under control, blood pressure is slowly dropping, and breathing is still a little faster under intubation... Now all cases can be ruled out, there is only one possibility, that is This piece of glass has penetrated into the pericardium, causing slow pericardial hemorrhage. Although it will not cause pericardial tamponade, it is not conducive to the operation and needs to be removed in advance, and the operation will be much more convenient after a while."

"I estimate that there should be about 50-100 ml of blood in the pericardial cavity now!"

Everyone was stunned for a moment!

This... can this be judged?

The doctor in the color ultrasound room took a look at the probe, nodded and said, "Yes, Director Chen is right, there is indeed blood accumulation in the pericardial cavity now, about... between 75-90ml."

Chen Cang nodded, the reason why he didn't say 75ml was simply because he didn't want to exaggerate too much, his guess was too accurate, not very good...

Suddenly, the whole room fell silent.

Is this... the ability of logical thinking is too strong?

How much do you need to know about the human body to make such a judgment?

Li Baoshan looked at Chen Cang with surprise.

This kid...is getting weirder.

This kind of clinical judgment, especially the grasp of various organs and circulation of the human body, can be understood through every detail. This kind of clinical thinking is really too strong!

How can there be such a cultivation base without decades of Taoism!

Li Baoshan has seen an old director, he is so strong, but... he is over seventy years old, but how old is Chen Cangcai?

Li Baoshan couldn't help but muttered in a low voice, "Damn... pervert!"

...

...

ps: Thanks to the leader "Bai Jingjing's husband" for the 80,000 reward, plus more!

Thanks for the 20,000 tip on "October 25th".