Chapter 701: The First Night Shift of My Hospitalization Career

Night falls.

Lu Chen's first night shift in his hospital career has begun.

During the day, Lu Chen is mainly responsible for emergency consultations in various departments.

In the evening, Lu Chen had one more job, which was to be ready to support the various departments of the Department of Cardiology in the rescue operations at any time.

Generally, there are many people in the department during the day, and if a rescue incident occurs, Lu Chen's help is not needed.

But it's different at night. The night shift configuration in most wards is one attending doctor and one graduate student.

If you encounter any trouble in resuscitation, you need to call the hospital chief to come over and help.

Lu Chen put his old mobile phone on the bedside, turned up the ringer volume, and started to sleep.

That's right, just start sleeping.

Take the time to sleep, this is the general training of a hospital resident.

Because there is no telling, you will be called up in the next second.

…

One o'clock.

An ambulance roared into the first hospital of Shanghai.

"Doctor, rescue, rescue!"

A flat cart was rolled out of the ambulance by doctors and nurses.

On the flat car, a man in his sixties was breathing heavily.

"The patient has severe difficulty breathing and poor blood oxygenation. He may need endotracheal intubation!"

The doctor following the 120 car quickly pushed the patient to the emergency department ward.

The doctor on duty in the emergency department rushed out immediately.

"How is the patient?"

"The 60-year-old male patient has been having trouble breathing at home for 5 days. He has some cough and sputum. He came to the emergency department early this morning. There was no bed in the respiratory department, so he went home temporarily. He had a sudden chest tightness again in the evening!"

The patient was immediately pushed into the emergency ward of the emergency department.

The man was half sitting on the bed, slightly out of breath, wearing a mask to inhale oxygen. He couldn't see if his lips were cyanotic.

But others are still awake. Bedside ECG monitoring: blood pressure 1hg, heart rate 118 beats/min, respiratory rate 25 beats/min, and blood oxygen saturation 92%.

Wu Si immediately felt that the situation was not good.

The values ​​​​of these indicators are not very good, especially the blood oxygen saturation. Under oxygen inhalation, his blood oxygen is only 92%!

When a normal person breathes in the air, the blood oxygen saturation should be above 98%, which means that most of the hemoglobin is combined with oxygen.

Hemoglobin is like a speedboat, responsible for transporting oxygen to the body's tissues. A blood oxygen saturation of 98% means that so many speedboats are almost full.

But the patient in front of me has a blood oxygen saturation of only 92% when using a mask to inhale oxygen. This means that a lot of hemoglobin is not fully loaded, which means that the oxygen is not enough. Of course he is hypoxic!

"Request emergency consultation from the respiratory department, cardiology department, and ICU immediately!"

"Bring me the intubation bag!"

"Open two more intravenous pathways!"

…

In the ccu lounge.

Lu Chen was sleeping soundly when the rapid ringing of his cell phone woke him up.

The heart rate immediately jumped from 60 beats/min to 120 beats/min.

Lu Chen rubbed his eyes and got up from the bed.

He shook his somewhat confused head, put on his white coat, put on his stethoscope, and went out.

"It's the emergency department again. It's going on day by day. It's really not quiet!"

Lu Chen complained a little, but his steps were not slow at all, and he arrived at the emergency ward in a short while.

At this time, in the emergency department ward.

The patient's breathing calmed down slightly, but the blood oxygen saturation still hovered around 90%.

As soon as Lu Chen walked into the ward, Wu Si, the attending doctor in the emergency department, immediately stepped forward and said, "Mr. Lu, a patient with difficulty breathing has just arrived. Please come over and take a look."

"What's the specific situation?"

Lu Chen silently accepted the title "Mr. Lu".

"The patient caught a cold five days ago, and has been coughing and sputuming since then. This morning he came to the respiratory department and was hospitalized, but there was no bed. The chest tightness worsened at night."

After saying that, Wu Si handed Lu Chen a blood gas analysis result, "The blood gas was just taken, and the partial pressure of oxygen is only 56%."

Lu Chen took the blood gas analysis and frowned: "Severe pneumonia? Respiratory failure?"

With such a low partial pressure of oxygen, respiratory failure can be diagnosed.

Wu Si nodded, "Currently I am considering pneumonia and respiratory failure."

"Then you should ask for consultation from the respiratory department, right?" Lu Chen glanced at Wu Si.

Wu Si smiled awkwardly, "The patient has a history of high blood pressure. I still need to ask you to take a look to rule out heart diseases. If I send a patient with myocardial infarction and heart failure to the respiratory department, they will not be allowed to go to the medical department to complain about me tomorrow. ah……"

Lu Chen smiled and said nothing more.

The doctors in the emergency department are all very smart. Patients like this basically call in all relevant departments.

After all, the patient is older and cannot be guaranteed to have heart disease because of respiratory failure caused by heart failure.

Lu Chen looked through the other examinations the patient had done in the emergency room that morning.

The patient also did a blood routine in the morning, and the white blood cell count increased a bit.

"It's probably a lung infection." Lu Chen thought to himself.

In addition, the patient had moderate anemia. Lu Chen asked the patient's family members. The family members said that the man had had hemorrhoids for many years, which was probably caused by excessive bleeding.

"It looks like the patient has pneumonia." Lu Chen said to Wu Si beside him, "The respiratory intensive care unit is the most suitable place."

"We can't move any beds at the moment." Wu Si spread his hands. "We can't live in the corridor. We are not allowed to live in the corridor now."

While the two were talking, doctors from the respiratory department and ICU came.

The four of them discussed and decided that the patient could only be admitted to the ICU for the time being.

The patient's pneumonia was not ordinary pneumonia, but a severe one. His blood oxygen level would drop at any time and he could not maintain it. He needed a ventilator.

"What is the attitude of the family members?" said the ICU doctor.

"We will do our best and spare no effort." Wu Si immediately replied, "These are the words of the patient's daughter just now. They are waiting outside."

The respiratory doctor could not help but complain, "It's inexplicable. If we are going all out, why did you delay coming to the hospital for 5 days at home?"

Wu Si reminded, "I asked the family members and they said that no one was at home at the time. It was inconvenient for the patient to come to the hospital alone, so he just endured it for a few days. I just scolded them. Don't talk about this later, so as not to make them collapse."

The family members are the patient's two daughters.

The eldest daughter is a few years older than Lu Chen, and the youngest daughter is about the same age as Lu Chen.

Oh, and there are two sons-in-law.

The sons-in-law smoked at the door. Although the nurses had dissuaded them, they still smoked secretly. As soon as they opened their mouths, they smelled of cigarettes and could not hide it.

Wu Si reported the patient's condition to the family, saying that the patient's condition was serious, it was severe pneumonia, and he needed to be treated in the ICU. However, the cost of the ICU was expensive, so he had to be mentally prepared. Moreover, he could only go all out for treatment and could not make any guarantees.

These were all routine words. As an old hand in the emergency department, Wu Si had already mastered the art. He had to report the situation truthfully, but he couldn't scare the family.

It took some skills to let the family know the severity of the condition, but he couldn't say it was fatal.

...

Outside the emergency room.

The two daughters were worried and said they would try their best to rescue the patient and agreed to go to the ICU.

It seemed that they had already discussed it, so they didn't hesitate too much.

At this time, Lu Chen had written the consultation opinion and was about to leave.

Suddenly, the patient's eldest daughter lamented, "My dad is so miserable. Last year, my uncle and my uncle died of colon cancer, and this year he has this again. It's really a disaster!"

Lu Chen suddenly woke up when he heard this. 16377/10427773