[206] Careful investigation is very important
"Can you relax a little? Don't be nervous, aunt." Liu Jingyun tried to calm the patient's emotions.
"I can't bend my waist, but I can't bend my waist." The aunt kept shouting that her waist hurt.
Liu Jingyun looked back at the clock. The surgeon might be coming later. If he saw that the patient was not well-ansed, he would probably be angry. This was the surgery at noon, and the surgeon sacrificed his rest time for the patient to do it urgently.
The surgeon was angry, and like the last time he went back to the emergency department, he finally sued the anesthesiology department: It was just a simple lumbar anesthesia department, and no one in your anesthesiology department could do well?
"Don't be nervous, take a deep breath, aunt. Can I shake your hand first?" Liu Jingyun held the patient's hand, and she really wanted to take herself to suffer pain instead of the patient.
Xie Wanying looked at the patient's condition and showed it to the patient from head to toe to see what went wrong.
Lumbar disc herniation, so the back pain is? Is the patient's main complaint exaggerated? It is said that it is so painful that it can't bend a little? Some patients are nervous when they enter the operation room, which is too nervous, which amplifies their pain.
The patient's heart rate on the monitor is a bit fast, but his blood pressure is strange, and it is a bit low?
"Senior Sister." Xie Wanying called out to Senior Sister again.
Liu Jingyun turned her head and asked the junior sister in confusion: "What's wrong?"
"It shouldn't be able to do numbness."
Maybe the junior sister doesn’t understand it very much. Lumbar disc herniation can be caused by lumbar numbness. Liu Jingyun is going to tell the junior sister.
Bypassing the patient's bed, he walked to the opposite senior sister. Xie Wanying whispered: "Maybe there need to be ruled out spinal problems, such as ankylosing spondylitis?"
Is there something wrong with the spine? Liu Jingyun was shocked.
"How many examinations have the patients in the emergency department performed?" Xie Wanying asked.
Liu Jingyun looked back at the medical records placed on the treatment car. It was correct that the emergency patient was a patient. Maybe the emergency doctor was afraid of what would happen to the anus and rushed to undergo surgery.
What was the specific situation? Liu Jingyun walked back and picked up the medical record and checked it. It turned out that the patient had an anal fistula. He had an anal surgery before. He used local anal anal at that time. There was no risk of local anal anal anal anal anal anal anal anal anal anal anal anal it was treated. Later, he found that the recurrence was serious, which may involve high anal anal anal one. He came in from the emergency room and entered the operation room this time, probably hoping to have a thorough anal surgery.
To undergo surgery, you can do some preoperative examinations, such as electrocardiogram, which is roughly no problem, blood tests and coagulation. Because anal fistula is definitely infected and the white blood cells are higher, surgery is needed.
Liu Jingyun thought about it again and again, why did the junior sister suspect that there was a problem with her spine?
"If the pain is so painful, will the spine deformity? The last local anesthesia surgery, you may not need to bend down." Xie Wanying said, "And the patient is thin and has high white blood cells. It is said that it is caused by anal fistula, but will there be other reasons?"
If you bend down and get hurt, you usually don’t say that the pain is so painful. It doesn’t work if you bend down a little bit, and the patient says that the head hurts too.
If you have spinal problems, you will definitely not be able to do waist numbness. This is a contraindication for waist numbness.
It is true to be cautious, but in order to find out if this is the reason, the patient needs to go to take an video, and contact a clinician for consultation. If the other teachers are fine, today is the director Zhang, and Liu Jingyun is too impressed.
Putting down the medical record, Liu Jingyun walked back to the patient's bed, reached out to touch the patient's back to check the patient's spinal condition. This was the positioning action she had to do before anesthesia. After touching it carefully, she found that the patient's back muscles were very stiff and obviously different from ordinary people. It felt that something was wrong.
“Didn’t you take a chest x-ray?”
Chapter completed!