As she spoke, Su Yun began to play the powerpoint.
The overall design plan was discussed by Su Yun and the others together with the little girl called Yu Fengmin.
Zheng Ren had originally planned to find a cafe and open all night, then create a romantic atmosphere.
However, there were too many people who couldn't resist coming up with ideas. Each person had an idea, and soon, this matter became a huge plan.
Their settings had already changed from indoor to outdoor, from a shop to a small square outside lovers' lane. A few shops along the road needed to install lights to turn a part of the small square into a stage.
Zheng Ren was dumbstruck when he heard this, and his heart was pounding.
According to Su Yun, if he didn't take the ring in his hand and kneel down to propose to Xie Yi, he would be sorry for this arrangement.
"The problem now is that we are being questioned by the owner when we install the lighting fixtures. Even if we pay, it won't work. They won't talk to us at all. " Su Yun tapped the screen with a laser pen.
The Demonstration Room was silent.
Chu Yanran and Chu Yanzhi looked at each other. The two of them seemed to be a little hesitant. But after a few seconds, Chu Yanran said, "Why don't we have an interview with the industry and Commerce Bureau? "
"Not good. " Su Yun frowned. "Don't cause trouble for the family. "
"Well... " Zheng Ren looked at the thoughts in his mind and said hesitantly, "This is Linyin Street, right? "
"Boss, you really don't shop! "
"If I remember correctly, Yiren told me that her family has seven buildings in Linyin Street, " Zheng Ren said.
" ... " Su Yun was stunned. Then, he slapped his leg and said, "Could it be that the owner behind is Xie Yiren? ! "
This matter... was getting more and more strange.
However, it was probably a professional manager hired by Xie Yi's father that could be responsible for so many housing rental activities in the CBD district.
"I'll go and Ask? But what reason should I find to tell Xiao Yi? " Chu Yanzhi was a little fl.u.s.tered.
"It's easy to find a reason. You Go and ask first, then contact her on wechat. " Su Yun immediately made the decision.
Wasn't lying something that came out of the mouth? Did he think everyone was like Zheng Ren?
Zheng Ren was about to speak when his phone suddenly rang.
"Director Zheng, a patient's carotid artery has been cut by glass. Ambulance 120 has been received and is returning to the emergency department! "
Chapter 568 - 568 had no carotid artery rupture due to hemorrhagic shock
It was a call from the first-aid doctor in the ambulance.
Zheng Ren stood up immediately and asked hurriedly, "Does the patient still have blood pressure? "
"Blood pressure... 110/65 mm Hg, " said the first-aid doctor after a slight hesitation.
" ... " Zheng Ren was stunned.
Did he hear wrongly? He should have said the carotid artery.
That was the carotid artery! After a cut, the blood could circle around the big artery that could reach the roof.
The carotid artery was cut, but the blood pressure was still normal? Was he not awake, or was the 120 emergency doctor not awake?
"Take another look at the blood pressure and restate the condition of the patient, " Zheng Ren said in a deep voice as he opened the door of the demonstration room and walked out.
Su Yun made a hand gesture and followed Zheng Ren to the emergency department to wait for the patient after making simple arrangements.
"Director Zheng, the blood pressure is confirmed. The patient's family said that 15 minutes ago, because of an argument, the patient threw a glass cup onto the wall. A glass fragment flew out and scratched the patient's carotid artery. "
The first-aid doctor reported hurriedly.
"I have repeatedly confirmed with the patient's family that I did see blood spurting out of the neck with my own eyes. But there was only one, and then it was gone. "
"What about the wound? " Zheng Ren asked.
"The family used a towel to cover the wound, so I didn't dare to open it. The patient's blood pressure is stable. I'm worried that there will be a problem if I open it. "
"Okay, you did the right thing, " Zheng Ren said. "Come back quickly. "
After he said that, Zheng Ren hung up the phone.
'strange... ' Zheng Ren muttered.
"Boss, let's talk when you're here, " Su Yun said. "We need to see if the family has been drinking. "
Yes, Su Yun was right.
It could also have been after drinking... it was not even lunchtime yet, so the possibility of drinking was not high.
However, this possibility was not ruled out.
The two of them did not go to the emergency room at all. They stood inside the door and waited.
The flatbed car of the emergency department had been waiting there for a long time. When the escort saw Zheng Ren, he greeted him with a smile.
"Director Zheng, your class is quite busy, " the escort said.
" ... " even the escort knew about it? Zheng Ren was speechless.
"I've been in the first municipal hospital for more than five years. The night before yesterday, I was the busiest one. I didn't even get to sleep. I ran all night, " the escort said.
"Then what should we do? " Su Yun snickered at the side. "We're doomed. There's nothing we can do. "
As they chatted, the shrill call of the 120 ambulance sounded. The sound was getting closer and closer, and the few of them fell silent.
As the ambulance steadily stopped in front of the emergency building, the door opened, and the emergency surgeon jumped out.
"Chief Zheng. " He immediately looked at Zheng Ren and said, "The patient's condition is stable. "
Zheng Ren nodded.
Whether it was the family member who was drinking nonsense or there was a reason to cover up the illness and the course of the illness, as long as the patient's condition was stable, everything would be fine.
The patient was pushed down. Zheng Ren was stunned to see that the system panel on the upper right side of his field of vision was marked -- carotid artery laceration.
It was consistent with the process described by the family member, but the carotid artery was lacerated. How could his blood pressure be fine?
Zheng Ren did not believe that he could stop the blood spurting out of her carotid artery by pressing with a towel.
Taking two steps forward, Zheng Ren took a look at the patient.
Her face was normal. There was no pale color caused by the large amount of bleeding. When she saw Zheng Ren coming up, she smiled. Just as she was about to speak, Zheng Ren stopped her.
"Don't move. Don't move. Do You Hear Me? " Zheng Ren said loudly.
"I'm fine, doctor, " the patient said discontentedly as she lay on the gurney.
There was a yellow towel covering her left neck. There was no blood on the towel.
What was going on? Zheng Ren became even more confused.
He pushed the patient to the emergency room and put on the ECG monitor. Zheng Ren took a look.
Blood pressure, pulse, breathing, and oxygen saturation were all normal.
Seeing Zheng Ren being careful, Su Yun was also a little puzzled.
He observed the patient's family. Their behavior was normal and there were no signs of alcohol abuse.
"Tell me what happened. " Zheng Ren stood in front of the patient and asked the family while carefully taking away the yellow towel.
There was no blood spurting out, and there was no obvious wound on the neck. There was only a 4mm scratch on the left sternocleidomastoid muscle.
If not for Zheng Ren's good eyesight, this small scratch would have been easily ignored.
There was no bleeding, no bleeding, and no subcutaneous hematoma!
Was the injury of the carotid artery such a manifestation? Zheng Ren began to suspect the Big Pig Trotter again.
Not only did the guy not give him a mission for a long time, he even gave such an unreliable diagnosis this time.
"Doctor, I saw a gush of blood spurting out. I was scared silly, " a middle-aged man said.
"Are you sure it was a gush of blood? "
"Yes, it was sprayed on the floor at home. "
The first-aid doctor said, "Chief Zheng, I saw it. The volume was about 20 ml. "
It was strange.
The diagnosis of the Pig Trotter was in line with the family's statement. Zheng Ren did not ignore the various possibilities of a small probability.
"Are you feeling unwell? " Zheng Ren began to ask the patient. "Answer slowly. Speak slowly too. Don't be anxious. "
"Doctor, everything is fine. " The patient saw Zheng Ren's serious expression and carefully thought about it. Then, he said, "It's just that when I'm panting, the left side of my neck feels a little uncomfortable. "
There was no definite abnormality.
Zheng Ren changed a piece of gauze for the patient and immediately said, "Prepare to do the neck CTA. "
Su Yun nodded. He knew why Zheng Ren was nervous.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/568-had-no-carotid-artery-rupture-due-to-hemorrhagic-shock_51118377661420510 for visiting.
Surgeons were not afraid of blood and flesh flying everywhere. They were only afraid of patients who looked normal but were not breathing in the blink of an eye.
They were fine when they were sent here. They could even talk without any problems. If something happened to the carotid artery and it was ignored, the patient would suddenly die. It would be strange if the family did not cause trouble.
If Su Yun had not studied medicine and encountered such a situation, he would have been sent here fine. The doctor also said that it was fine, but in the blink of an eye, the patient was gone. If he did not cause the first People's Hospital of Haicheng City to close down and rectify the situation, he would have seen a ghost.
At such a time, he could only do the most detailed examination. He would rather kill the wrong person than let it go.
In order to determine if there was a problem with the blood vessels in the neck, the best examination was the CTA examination of the blood vessels in the neck.
It was a simple and easy task.
Zheng Ren took care of the patient to prevent the patient from moving around and causing irreversible damage. Su Yun went to contact the CT room and said that there was an emergency patient here who needed to be examined.
It was close to noon, and the CT department was about to get off work.
Su Yun happened to be the last patient. When Su Yun came back, Zheng Ren carried the first aid kit and asked the escort cart to bring a nurse along. They ran all the way to the CT department.
When Sister Zhao heard the sound of the cart, she knew that Zheng Ren and the others were here, so she came out to welcome them.
"What patient? " Sister Zhao asked.
"Carotid artery injury, " Zheng Ren said.
Sister Zhao glanced at the patient. Seeing that nothing had happened, she did not refute Zheng Ren's words. She opened the door and let the flatbed in.
Together with the patient's family, they carried the patient to the CT bed. The patient's wife stayed in the C T room. Zheng Ren nagged for a few more words, telling the patient not to move around. Only then did he enter the operating room.
"Thank you, president Zheng, " sister Zhao said with a smile when she saw that the patient's family was gone and that the patient's condition was not urgent.
"Huh? " Su Yun was puzzled. "Sister Zhao, why are you thanking him? "
"My Neighbor said that when he went to the medical university, the doctor there was very enthusiastic. He said that he was a patient of boss Zheng of Haicheng and that the light was green all the way. "
Chapter 569 - Fortunately, he was not careless
"Oh, as long as you're satisfied, " Zheng Ren's expression was a little stiff. He had something on his mind, so he did not bother to brush off sister Zhao and said lightly.
Sister Zhao saw that Zheng Ren was behaving differently than usual, so she asked, "I think the patient's condition is quite good. Are you worried, chief Zheng? "
"Yes, Sister Zhao, " zheng ren said, "The patient considered it to be a traumatic carotid artery injury. Now that it looks good, perhaps the next second, a stream of blood will spurt out, and the patient will be gone. "
Sister Zhao was surprised. Even a veteran clinical assistant doctor had never seen such a situation as Zheng Ren had described. She operated the machine half-believingly and gave the patient a CTA of the blood vessels in his neck.
The examination took more than 20 minutes. Zheng Ren asked Su Yun to send the patient back.
He did not forget to remind Su Yun to not let the patient move.
Su Yun knew the severity of the situation. Zheng Ren's concern was also his concern.
He had received many emergency patients, and he had seen many strange things. It was better to be careful than to be careful. This was the only way.
Su Yun had once received a patient with spontaneous pneumothorax in the capital.
The patient came on foot. The diagnosis was spontaneous pneumothorax on the left side. The lung tissue was compressed by 60% . The patient told him that he had a history of pneumothorax. He was treated with closed drainage and recovered.
There was nothing to say about this kind of patient. The history was simple, and the treatment was simple. If the patient refused to have thoracotomy or thoracoscopic surgery, the next c.h.e.s.t bottle would be observed for a few days.
However, after the c.h.e.s.t bottle was inserted, dark red fresh blood began to flow out of the c.h.e.s.t tube.
Su Yun was not careless. She moved a stool to sit next to the patient and observed the drainage of the c.h.e.s.t bottle.
Two hours later, the drainage had reached about 200 ml per hour.
Su Yun made a prompt decision. She told the patient's family about the condition and opened the c.h.e.s.t for an examination.
The result was that she did not know whether to laugh or cry.
Because the patient had done a closed drainage, there was adhesion between the lung and the pleura. This time, when the lung tissue was compressed, the parietal adhesion area was torn.
During the operation, there was an avulsion area the size of a thumb and a fingernail. There was blood oozing from that area.
It was just this small amount of blood oozing. When the c.h.e.s.t cavity was pressurized, the blood oozing was not obvious. When the air was drawn out and the c.h.e.s.t cavity returned to normal pressure, there was a large amount of blood oozing.
When he went on stage, the patient was already in the early stage of hemorrhagic shock.
He was almost gone.
If Su Yun had been a little careless.
If there had been a major rescue on the same day and everyone had gone on stage, it would have delayed the time for observation and treatment.
If..
There were thousands of IFS, and the patient would have died in the ward.
Therefore, there was a problem with doctors who worked in the clinic. All the places of doubt and unconfidence would be infinitely magnified.
Perhaps this was also a kind of pessimism and an obsessive-compulsive disorder.
Now, Zheng Ren and Su Yun used this attitude to treat patients with suspected carotid artery scratches.
Seeing that Zheng Ren did not leave, sister Zhao knew that he was anxious, so she rushed to get an X-ray.
When the image of the carotid artery CTA appeared on the screen, both of them were stunned.
A triangular glass fragment was inserted into the carotid artery.
Although it prevented the carotid artery from bleeding, no one could tell when this unstable factor would go w
rong.
The moment Zheng Ren saw the glass fragment, he immediately picked up his phone and called Su Yun.
"The patient saw the glass fragment in the carotid artery. Don't press on the left side of the cut area. Don't press on it! "
"Yes, Ask the vascular department to consult and inform them to prepare for emergency surgery. "
"Comfort the patient and make the patient emotionally stable. "
After that, Zheng Ren heaved a sigh of relief and put away his phone.
If he could find the problem, he could solve it.
The most difficult and dangerous period for the patient had passed.
This type of surgery was initially performed by the General Surgery Department. After all, it was a neck surgery. However, as the vascular department was assigned to other departments, the vascular department took over the responsibility.
It was not that Zheng Ren could not give it a try, but firstly, he did not have any suitable consumables that could block the carotid artery. Secondly, the time for surgical training had run out. If he did not train, who would dare to touch the carotid artery?
As for the technical strength of the first hospital of Haicheng City's vascular department, it was possible that they would not be able to take down the surgery.
However, Zheng Ren did not care.
If the surgery could not be taken down, he could go on stage together, superselect, enter the carotid artery, and place a membrane stent at the bleeding spot. That would be enough.
Although the treatment of the latter was not rigorous and formal, the methods that could save lives were all good.
"President Zheng, how did the glass get in? " Sister Zhao asked as she did the post-treatment.
"It's probably because the high-speed moving glass fragments pierced the skin. Moreover, this kind of glass fragment is damaged. There are no obvious physical signs on the surface of the body, but the illness inside the body is very serious. " Zheng Ren could not help but be afraid when he recalled it now.
If he was slightly careless, this patient would unknowingly bleed out as the glass shard fell off the carotid artery, and then he would die within a minute.
The Surgeon's Studio c1-799 Page 271
