Chapter 535 accidents caused by anesthesia, one person's power is finally limited

Author: Jiangbianyu Weng

Chapter 535 accidents caused by anesthesia, one person's power is finally limited

In the hospital, medical staff must have the advantages of land and people and two major advantages.

If you want to persuade the patient, the method is more.

And everyone is the same interest, and even no one needs to mention some points. In this case, they basically know how to operate.

"I won't be wrong to listen to the doctor. The reputation of Tuya Hospital is so great that the medical ethics must not be worse. Let's quickly send Xie Chao to the Provincial People's Hospital."

"I also feel that people should be sent to the Provincial People's Hospital. After all, it is a public hospital, which is more secure in all aspects."

"Taking advantage of the first aid vehicle, contact it yet, hurry up."

Family members, you say a word, and soon set the matter.

Patients were pulled away by the driver doctor on the first aid car and the nurse.

Renting a ambulance and transporting patients can usually only rent private ambulances, also known as the ambulance in the foreign hospital. The hospital's own ambulance generally does not pick up this kind of work.

At this time, the ambulance driver will be contacted to hire a car doctor, a nurse.

The cost is usually counted in the fare, but the family members need to block another red envelope for doctors and nurse.

If the family members are not sensible, the red envelopes are not in place, and the doctors and nurse who follow the car will be negative.

Watching the patient was pulled away, Zhou Can and Director Lou both relieved.

You can always receive a few patients who need to persuade.

With a clear refusal, few big hospitals do so. They use some soft methods to persuade patients.

"Xiao Zhou, how low is the patient's rescue rate just now?"

Director Lou asked indifferently.

"If there is no miracle, it will be dead."

Zhou Chan answered that he had to be cut off.

"So positive?"

Director Lou's level is not low, but on the level of diagnosis, he is not as good as Zhou Can.

"It is very conservative. I dare to be sure that even if the patient is excreted now is only thick yellow, it will become soy sauce color for at most, and it will have acute renal failure.

Removal, at the same time, it also induced respiratory failure. Don't look at this patient is not particularly serious, but it has not been saved. "

If it was placed in the past, Zhou Can would definitely not dare to give the diagnostic opinion so surely.

Even if you face yourself, you dare not be so sure.

Now, his pathological diagnosis is promoted to the level of the director. In addition, in order to treat Su Qianlian for the treatment of kidney disease, he specializes in the diagnosis and treatment of kidney disease in bitter effort. Even the urology has been learned.

Therefore, he can basically take such patients to diagnose such patients.

"Cut a right lung leaf, why do you still break the patient's kidney? This third hospital is really constantly exploding!" Director Lou also heard of some things in the third hospital.

Basically, there are mostly negative news.

Especially in recent times, there have been problems with the fund chain of the third hospital. There are no extra spare money to deal with negative news.

So all kinds of shades were continuously published by the victims to the Internet.

Almost at the end of the way, the end of the wall pushed the end.

"It should not be directly related to the leaf removal of the right lung. I suspect it is likely to be caused by anesthesia. I used to think that the third hospital invited an extraordinary expert in Japan.

It is not that one or two doctors can support it. The third hospital lacks the background, and there are many shortcomings. This medical accident is likely to be a scourge of anesthesia.

Zhou Can's eyes flashed.

I really looked at the third hospital before.

After this patient dies, will the family members do not do it, and it is hard to say now.

Some family members are relatively honest and feel that the patient dies after surgery, and the doctor has tried his best. Often he will not find a hospital for trouble.

Family members are not easy to find a hospital for trouble.

For individuals, the hospital is a behemoth.

Family members and patients are relatively weak.

"The problem of anesthesia? Analyze it out."

Director Lou does not look at the experience, and the level is not low, but when facing some difficult diseases, it seems very weak. This is determined by talent, specializing in the field of attack, and diagnosis of thinking.

Regardless of whether he admits, although Zhou Chan is particularly young, because of the teaching of famous teachers in many departments, coupled with his own talent, he has accumulated continuous accumulation, and the ability to diagnose many difficult cases has exceeded Director Lou.

"I think patients do in -chest surgery, and they usually use side lying positions. This will cause patients to close the limbs on the side of the operating table to bear gravity and compress the injury. This patient's left shoulder, arm, hip, hip,

The thighs have obvious soft tissue compression, swelling and darkening. It is likely that during the surgery, after the general anesthesia is implemented, the lower pad is too hard, causing the left limb to be severely squeezed, and muscle ischemia necrosis and broken. "

"The capillaries rupture, obstruction, and transparency changes. The surgery is over, the patient changes to the supine position, and the side limb pressure is lifted. At this time, local bleeding occurs, and a large amount of plasma liquid seeps quickly to the tissue gap, which will form muscle swelling. Because there is no because there is no no.

In time, after the muscle gap pressure is increased, the local blood is blocked and ischemia, which ultimately causes swelling, stiffness, and cold. "

Zhou Can carefully analyzed the patient's entire injury process.

Pressure during surgery, it is easy to be ignored by the hospitals.

This actually needs to be highly vigilant.

"When I checked the patient just now, pressed his swelling part of his left side, all hard, like stones, cold limbs. This shows that the limb muscles have been necrotic, and the best treatment period has long been missed."

When checking the patient, it seemed that he just pressed it at will, but Zhou Can directly judged the patient's status with rich experience in diagnosis and treatment.

"Yes, the analysis is very in place. Do you think kidney failure is related to side limb compression injuries, right?"

After listening to Director Lou, he nodded deeply and recognized.

The young doctors next to them were quietly taking notes and recorded Zhou Can's analysis. They were used for later learning and attracted them as a lesson.

"Because the left muscles are necrotic and swollen and harder, this will cause a large amount of exudation or bleeding in the local area, which will eventually lead to a reduction in blood volume of the whole body. The blood pressure of the patient is so low, which is the best proof. After the blood capacity of the whole body is reduced, the blood of the kidney is

The irrigation is reduced and the ischemia occurs. At the same time, the necrotic muscles of the injured injury will also further increase the renal poisoning in the cycle of a large amount of toxic substances. At this time, the muscle red protein is deposited to directly block the renal tube, which leads to acute renal failure in the patient.

"

Zhou Can analyzed the complete process of renal failure one by one, and he heard Director Lou very appreciated.

Other doctors and nurses look at Zhou Can with worship or admiration.

"Unfortunately, the patient is still so young, and a life is delayed. If there is a problem after surgery, it can be treated in a timely manner, and maybe there is hope for rescue.

Back to heaven, lack of technique, illness into the cream. "

Zhou Can did not clearly say that the third hospital delayed the life of the patient.

But from his analysis, he clearly saw the loss and mistake of the third hospital in the treatment process.

This is a typical serious medical accident.

Nympho

After finishing the operation under the emergency department in the evening, after checking the room, eating the delicious meals from Su Qianlian, Zhou Can hurried to the heart chest surgery.

There are still a lot of things waiting for him to deal with it.

The old cadre has agreed to the surgery, how to persuade the family, it is unclear.

This is how the hospital is like this, which can only allow family members and patients to adapt to the hospital's diagnosis and treatment model, and it is impossible to act according to the wishes of family members and patients.

The treatment fee of this old cadre can basically be reimbursed 100 %, and there is no shortage of money at home. His daughter -in -law wants to use the safest 'best' surgical method to place vascular stents to solve.

The doctor couldn't follow her thoughts.

How many brackets do you have to put?

And the effect is not good.

Use a artificial blood vessel directly to complete the bridge, and everything is solved.

The cost is much lower, and it is also worry -free and effort. There is basically no need to worry about this problem of this blood vessels. The only problem with the artificial blood vessels is aging, and there is not the leak that does not match.

Let's talk about aging.

The use of artificial blood vessels is at least ten years, and the better is more than 20 years.

In fact, there may be no problems in 30 years.

Because it is sealed in human body.

Except for blood, the corrosion of the body fluid has basically no problem of contact with the outside air. This will undoubtedly greatly extend its service life.

The old cadre is sixty -five years old, and even if he lives to one hundred years old, there are only 35 years left.

It should be no problem at that time to support the artificial blood vessels.

Even if there is a problem, you can come to the hospital to change a new one at any time.
To be continued...