Chapter 441 Intussusception

"Go and call Yu Yuan over." Ling Ran ordered, and then said: "Tell the pediatrics department again and ask them to prepare an air enema machine. If there is a doctor who is free, send one over to take a look." , intussusception, about four hours."

Intussusception is a standard emergency treatment, and if it develops quickly, it will be fatal within 24 hours. However, four hours is the most elementary state, and the child is still crying, so there is plenty of time to deal with it.

Of course, given the busyness of pediatricians, it may take a long time for them to come to such a non-emergency emergency department. Instead of waiting, it is better for the emergency department to do it by itself.

On this point, Huo Congjun and Ling Ran had the same thoughts. Why do you have to go to a specialist clinic for symptoms that can be dealt with clearly in the emergency department? The specialist consultation room is so busy, and they will shirk it from time to time. Sometimes, the patients who dislike the emergency referral have mild symptoms and are too lazy to accept them, so that the emergency department has to beg them to do things.

The reason why the emergency department cannot handle mild cases independently is not only the hospital policy, but also the hospital policy.

As long as the hospital policy is passed, it will be natural for the emergency department to expand at will, hire more doctors, and handle mild cases independently.

The emergency department of Chinese hospitals is different from that of foreign hospitals. Foreign hospitals have to bear the burden of patients who are not responsible, so that the emergency department cannot make ends meet, and many hospitals have either been forced or voluntarily canceled the emergency department.

The long wait in the emergency department in European and American films also stems from this.

However, the emergency departments of Chinese hospitals do not have such troubles. Of course there are patients and their family members who evade bills, and it is not uncommon for patients who cannot afford medical expenses or who are reluctant to leave for various reasons, but in general, the emergency department of the hospital can at least be responsible for its own profits and losses.

Being able to be responsible for its own profits and losses naturally means that it can expand as much as it wants to expand, except for the restrictions of the hospital policy...

Ling Ran wants an emergency pediatric department right now.

Even the trouble of borrowing an air filling machine is saved.

The intern was a little confused about the situation, and asked in a low voice, "Don't wait for the confirmed B-ultrasound report to come back?"

It's not his first day at work, and he knows some complicated situations of inter-department consultation. The most obvious part is not to waste other people's resources.

If the patient really has intussusception, that's fine. The pediatric department has to find a way to prepare the machine.

Compared with those hanging bottles for colds,

For emergency patients who are prescribed medicine to treat constipation, the little patients here in Ling Ran obviously need more medical resources.

However, if someone has prepared the machine and you say that you made a mistake, it is not only a joke, but the pediatric department will also blame the emergency doctor.

Ling Ran quickly replied, "No, make arrangements quickly."

The intern didn't mean to struggle, so he hurried to make a phone call.

After everything was settled, the intern put down the phone, let out a sigh of relief, and said with a smile, "Doctor Ling is quite straightforward in his work."

"That's why it's Doctor Ling." The young lady at the nurse's station heard him mention Ling Ran, and immediately gave some attention to the sweaty intern.

The intern also nodded in agreement, and showed an expression full of imagination.

The lady at the nurse's station glanced out of the corner of her eye, and she knew what was going on in the intern's head. She had seen more interns than the interns had seen patients, and most of the interns were basically the same. .

"Doctor Ling said that you don't need to wait for the diagnosis of B-ultrasound, right?" The nurse sister decided to be a kind person.

The intern said "En", and said: "In this way, the patient can be treated directly when he comes back..."

"Doctor Ling said there's no need to wait, do you know why?" The nurse asked again in a low voice.

The intern noticed the inner meaning and shook his head blankly.

"Dr. Ling is the person in charge of the treatment team. Besides, he is a good person and has good skills. Everyone likes it." The nurse lady smiled: "You can make the bill yourself. If you don't wait for a diagnosis, you should be careful."

The interns understand in seconds, the same person has different fate, after a lot of experience, they will naturally know.

"I don't know when I will be able to open an order without waiting for a diagnosis." The intern laughed at himself twice.

The nurse lady said with a knife: "When you don't ask this question, you will probably know how many years you will have to fight."

Yu Yuan and the patient came to the treatment room at the same time.

Ling Ran got the B-ultrasound image, looked at it carefully for a while, and then handed it to Yu Yuan, saying: "There are concentric circles in the scan, and the degree is not very deep. You can do air enema."

In Ling Ran's treatment group, only Yu Yuan had used the air enema machine, so he was the only one who did it, and Ling Ran himself had to observe it first.

Yu Yuan directly watched the B-ultrasound on the PAD, and also confirmed it before asking: "Where is the patient's family?"

"Here, here." The father of the child, who was close in front of him, agreed repeatedly, with anxiety and guilt on his face.

Playing badly with his own child, the worry and self-blame made his palms sweat continuously, and his pants were sweaty after wiping.

"Are you the only family member? Is anyone else here?"

"The child's mother will be here soon." The father was even more worried.

Yu Yuan said "En", and said: "The air enema machine will be used under X-ray. We are going to the radiology department now. If the family members are here, they can come directly."

Hearing the X-ray, the child's father couldn't help but feel uncomfortable, and said in a low voice: "The X-ray has radiation, do I have to use it?"

"There are two solutions for intussusception, one is air irrigation, and the other is surgical treatment. If it takes too long, surgery is the only solution." He also started to speak more aggressively.

The little animal was even more frightening when it became fierce. At this moment, the child started crying again, and the father suddenly became flustered.

"Let's go, the machine should be ready." Ling Ran raised his chin and went to the radiology department first.

After a while, the child's mother also ran wildly.

Yu Yuan, who had already obtained the informed consent, looked at the child's mother's frightened, sad, and terrified expression, and said, "Intussusception is a serious disease that may cause death within 24 hours. Fortunately, you sent it in time. If it has not developed to the point where surgical treatment is necessary, I suggest starting treatment immediately so as not to lose the best opportunity for treatment.”

The child's mother was trembling because of a sentence that might kill her. She couldn't care less about beating her husband, so she asked, "What should I do now?"

"Press and hold the child, and I will operate it." Yu Yuan paused and said, "Children are not suitable for anesthesia, you must hold on."

After a while, the 3-year-old child was put on the console.

Yu Yuan picked up a hose and stuffed it into the child's buttocks. The child burst into tears, forcing the parents to hold down the child desperately.

"Okay." Yu Yuan completed the enema in the smallest time unit, and pulled the hose again, and was sprayed with poop.

Ling Ran nodded in relief. He heard that this was the case. Now it seems that it is still necessary to observe in advance.

"You can't eat for 8 hours after the operation..." Yu Yuan calmly made the doctor's order while cleaning up the mess.

The child's mother repeatedly apologized and stepped forward to help.

"Doctor Ling, thank you." The child's father hugged the child in his arms, fearing for a while: "If you didn't find out, we would be in trouble."

While waiting, he had baidued the intussusception and was terrified.

"It's fine." Ling Ran nodded, seeing the child's stable expression, he was in a good mood.

If there is any advantage to being a pediatrician, it is that pediatric patients have a high chance of recovering completely. This is a situation that is not always seen in oncology departments and various thoracic and general surgeries.

"Ling Ran." Doctor Zhou put his hand in and walked leisurely from outside.

"Doctor Zhou?"

"Oh, I happened to meet you. Let me tell you. I received a call. It was a car accident. It seems to have injured my liver. Would you like to come over and have a look?" Doctor Zhou straightened his back, as if he was just strolling by.

Ling Ran looked up at the key card of the Radiology Department, and said naturally: "Okay, I just want to have a liver resection."

"That's right, I guess that's what you want to do." Doctor Zhou immediately pulled Ling Ran away with a big smile on his face.

The two were still chatting while walking:

"An emergency pediatric patient?"

"kindness."

"What did you cut?"

"Nothing was cut."

"Nothing was cut, you surrounded a bunch of people?"

"intussusception."

"Doesn't intussusception need to cut the intestines? What's the matter, was robbed by the general surgeon?"

"It was discovered in the early stage that it would be enough to fill the 7 intestines with air."

"It's kind of boring."

In the back, the mother of the little patient hugged her son tightly, shivering and frightened, and said in a low voice: "Doctors are scary."

"It's a little bit." My husband also had a chill down his spine.

Hearing her husband's voice, the little patient's mother relaxed a little, and her old hatred welled up. She grabbed her husband's back with one hand and said viciously: "If you dare to mention my son's hind legs again, I will cut off your lifeblood." I dug out your eyes, pulled out your tongue, pulled out your intestines, tied your tongue and intestines together to make a slingshot, and beat out your lifeblood, eyeballs, heart, liver, spleen, lungs and stomach one by one ,have you understood?"