YM778.TV Chapter 2939: 【2939】Scared
I\'m really worried about a skull fracture. You can take a film first to determine the general situation, and if necessary, do a further CT examination. Therefore, if Dr. Guan had the first consideration of nervous system damage in this area, he should have ordered an X-ray examination instead of arguing with Dr. Wang on the phone and queuing for CT.
ct is not like magnetic resonance imaging. The time for each patient to be scanned is relatively fast, and the slow time is the time for the doctor to read the film. The imaging doctors in the top three hospitals on duty at night are actually very experienced. If there are too many patients in a crowd, we will scan them all before reading the images, so as to avoid complaints from patients and their families who are waiting in line.
In summary, what does this doctor want to do?
The doctor is considering whether to call an ophthalmologist for treatment.
Eye trauma is very special, not to mention the diagnosis. If there is an ocular trauma wound, suturing of the ocular trauma is an independent specialist skill of ophthalmology, which requires deep learning. If the stitching is not correct, it will directly affect the patient\'s vision and turn it into a complete visual impairment.
The doctor said to the nurse that any surgeon can sew the wound, and it was just playing the piano. Now even if the doctor thinks about it, he knows that his words are lacking in consideration.
Now there is no obvious exposed wound in the eyes of this patient. The vision must be a little damaged, after all, there is a bruise. Let the ophthalmologist come down to measure the visual acuity of the injured person, and other more detailed examinations may not be able to be done at night. It\'s better to let the injured be observed in the hospital overnight. If there is nothing wrong, wait for the day to hang up the number of the professor of ophthalmology. The level of doctors on duty at night has never been very good.
After all, is it that the injured person is going to lie down in the emergency room and cannot be admitted to the inpatient department?
The Department of Ophthalmology does not accept patients. This is to say that the National Association of Ophthalmology is not well-known, it is a very small department, and the number of beds is very small.
Think that\'s just how it is?
Xie Wanying said again: "Teacher, this patient needs to take an electrocardiogram quickly."
"What?" Doctor Guan asked, startled.
The person from the cardiothoracic surgery department said that they had checked just now and judged that the injured person\'s heart was fine.
Mi Wenlin Mi Siran, the younger brother and sister, looked at Xie Wanying, who was talking, with dissatisfaction in his eyes, suspecting that this senior Xie had nothing to do with them.
"Does your chest hurt?" Xie Wanying lowered her head and asked the injured person again.
"Yes—it hurts—" The wounded\'s weak voice came out of his mouth.
Doctor Guan heard something wrong this time, and approached the injured person and asked, "Where does it hurt, doesn\'t it hurt your head?"
"Here—it hurts." The patient\'s hand tried to lift.
Everyone can see clearly that the injured person\'s hand is trying to point to the chest.
"Impossible." Mi Wenlin and Misi said categorically, lifting off the casualty\'s shirt and pointing, "No wound, no pneumothorax, no bleeding. There is no murmur in the heart, and the heart rate is within the normal range. He may be Ribs hurt a little bit. Otherwise, get a chest x-ray."
The rib is really damaged. Generally speaking, there will be some bruising on the skin surface. Now this patient is saying that his chest hurts so fast that he can\'t speak. If there is chest trauma, it is impossible to say that there is no skin manifestations.
As for whether this junior brother and junior sister can really hear the heart murmur. The brothers at the scene, Zhang Desheng, wanted to ask questions. Heart murmurs are easy to hear if they are obvious.
(end of this chapter)