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 gla.s.s cup onto the wall. A gla.s.s 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 cla.s.s is quite busy, ” the escort said.
” … ” even the escort knew about it? Zheng Ren was speechless.
“I’ve been in the first munic.i.p.al 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.
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. “