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Chapter 718 Epistaxis (1)

I have been to the emergency department once, and this time Fang Han is familiar with it.

When Fang Han walked into the department, a nurse from the emergency department and some doctors noticed Fang Han.

"Isn't that Dr. Fang from yesterday? I'm here to have surgery again today?"

"I don't know, it seems that there was no surgery this morning, right?"

The nurses whispered, but because they were not familiar with each other, no one came forward to say hello.

Fang Han walked while watching the situation in the emergency department of Yanjing Hospital. It was only eight o'clock in the morning, and the emergency department was already crowded. The doctors were very busy, and there were already long queues in front of the nurse table.

"Give it, let it go."

Fang Han was walking when suddenly a hurried cry came from behind. The two nurses hurriedly came from outside, following the flat cart. A young doctor in his thirty years old was following the flat cart.

"No. 3 Rescue Room, please notify Dr. Gao."

The young doctor walked quickly along the flat car while shouting at the nurse's desk.

"OK."

The doctor at the nurse desk knew it was an emergency room as soon as he heard it, so he hurriedly picked up the phone to notify the superior doctor.

Fang Han heard the shout and hurriedly flashed. The flat car had already arrived beside him. On the flat car was a young man in his thirties. The young man's clothes were very dirty and his hands were thick calluses.

The young man's nose was still stuffed with gauze, and it was stained with blood.

The young man's eyes closed slightly and he looked unconscious.

Fang Han almost subconsciously followed the car next to the flat car. He reached out and grabbed the young man's wrist, and asked while taking the pulse: "What's the patient's condition?"

This reaction was a habit that Fang Han developed in the emergency department of Jiang Intermediate People's Hospital.

As an emergency department doctor, Fang Han has handled many emergency patients in Jiang Intermediate People's Hospital. In addition, Fang Han's special status in Jiang Intermediate People's Hospital's emergency department, when Fang Han asked, his tone subconsciously had a unique tone of a superior doctor.

The young doctor who was following the car was stunned by Fang Han's question and hurriedly said, "It's nostril bleeding. The patient is a bricklayer on the construction site. The problem of nostril bleeding has been for many years. He has been using drugs to maintain it, but it has never been cured. Last night, the patient started bleeding from nostrils before going to bed, but he didn't take it seriously. After taking some medicine, he plugged his nostrils with paper and fell asleep. It was still when the worker woke up in the morning that he found an abnormality and called the emergency number..."

"No, who are you?"

Li Junxian was halfway through and suddenly realized, who is this kid?

Although I was wearing a white coat from Yanjing Hospital, I looked quite young. Is this a new intern or a regular trainee in the department?

It makes me feel like the director of the department.

What is the situation of the patient? What is the serious matter? Can you understand the situation of the patient? A new intern or a regular trainee?

This is an emergency department. The patient's condition is not good at this moment. Li Junxian felt it was difficult for the patient's condition. He had asked the nurse to notify his superior doctor, Dr. Gao. Is a young man who made a mistake?

Fang Han frowned slightly while touching the patient's pulse while listening to Li Junxian's story.

The patient's pulse is scattered and there is nothing, which is already a crisis.

Suddenly, Li Junxian asked: "Who are you?"

Fang Han looked up at Li Junxian: "Who am I am is not a problem that needs to be understood now."

As he said that, Fang Han reached out to look at the patient's pupils, and reached out to pat the patient's cheek and gently patted him: "Hey, can you hear me? If you can hear me, just reply."

Li Junxian is so angry.

Who is this? A new student, shouldn’t have an intern at this time. Damn, a newcomer, has a pretty big temper.

Li Junxian originally planned to say a few more words to Fang Han, but he held back when he saw Fang Han's actions.

As a doctor in the emergency department, Li Junxian naturally could see that Fang Han was checking the patient's condition, checking the patient's pupils, and also checking the patient's consciousness and reaction.

Li Junxian had actually checked it just now, and the patient's consciousness had been lost and he had no response when shouting.

Looking at Fang Han's actions, this kid was having a good time.

The situation was urgent, and Li Junxian was too lazy to talk to Fang Han. After all, Fang Han was just checking now and there was no violation. Fang Han was wearing a white coat from Yanjing Hospital, which was the doctor in their hospital. Even if he was an intern, it was nothing unreasonable to take the initiative to check the situation.

But most interns or regular trainees are not so bold.

Maybe I met a naughty guy.

It is not clear about Fang Han's identity, and Li Junxian does not need to cause trouble. First aid in the emergency department is the first. If the patient's rescue is delayed, or if the director quarrels with other doctors during the rescue, the director will find out that both of them will be punished.

Although the hospital level is clear, as a doctor, it is time to set off the airs.

"I'll settle the score with you later." Li Junxian snorted in his heart. A newcomer dared to speak to him like this. After that, the boy would know where this place was. Newcomers should still have a long memory to be obedient.

Fang Han naturally didn't know what Li Junxian thought. At this moment, Li Junxian had been ignored by him and patted the patient's cheek twice. The patient had no response. This was a complete loss of consciousness.

In addition, the pulse of the Cunkou is faintly visible, so the patient's condition is quite bad.

Combined with Li Junxian's account just now, Fang Han can judge that the patient is epistaxis, that is, the lungs, liver, stomach and other internal organs caused by nostril bleeding, which accumulates heat, which burns the nose and damages the nasal meridians, thus leading to weak internal organs, which are insulated without power, and blood overflows the nose.

Epiphany is a common clinical symptom. There are many causes of epistaxis in Western medicine. They can be caused by diseases of the nasal cavity itself, or by peripheral or systemic diseases.

The treatment of epistaxis is different due to different causes. Some are easy to cure, while others cannot be cured for a long time and have repeated attacks.

The patient should be the latter, which is a case of repeated attacks and long-term treatment but not cured.

In addition, the patient's work is a bricklayer, about 30 years old, a bricklayer, which is a relatively hard work. Generally speaking, patients with epistaxis often have bleeding from their nostrils and have more or less symptoms of anemia. In addition, the patient is doing physical work and the work is relatively tiring. If this continues, the body can be imagined.

The patient started bleeding from nostrils before going to bed last night, but he didn't care and did not seek medical treatment. He had already bleeding all night, which was severe blood loss.

The patient's blood loss caused a sudden loss of yin fluid and the yang was left alone. Now the crisis of yang energy dying has occurred.

"First check the patient's blood type, make an emergency, and contact the blood bank to send plasma as soon as possible."

Fang Han was considering the situation, but the flat car did not stop. The patient was pushed to the door of the emergency room. Li Junxian pushed the patient into the emergency room while instructing the nurse.

The patient had nostril bleeding last night, and it was obvious that he had excessive blood loss. Li Junxian still has this common sense.

If patients lose too much blood, the first thing they need to do is naturally transfusion to replenish blood.

"I got it, Dr. Li."

The nurse responded, then looked at Fang Han again, and hurriedly went to prepare for blood extraction.

After instructing the nurse, Li Junxian glanced at Fang Han again: "I don't care what you do or where you came from. The patient's condition is critical now. You should do whatever you should do, so don't cause trouble here."

Fang Han stopped and looked up at Li Junxian.

Li Junxin was too lazy to look at Fang Han anymore, so he pushed the flat car into the rescue room.

Fang Han was stunned for a moment and did not follow him in.

Fang Han just acted subconsciously, and now he has already reacted. This is Yanjing Hospital, not their Jiang Intermediate People's Hospital.

In addition, Fang Han has figured out the patient's condition. Although this situation is dangerous, if blood transfusions can be promptly transfused, the patient can still turn the risk into safety.

"Dr. Fang?"

Fang Han stood at the door of the emergency room before he had time to walk, a middle-aged doctor in his forties strode not far away.

"Do you know me?" Fang Han looked at the middle-aged doctor in front of him, a little unfamiliar.

"I had surgery with you yesterday." Gao Zengmin said with a smile.

"Hello."

Fang Han was stunned and hurriedly said hello. He didn't pay much attention when he entered the operating room yesterday. The doctors were wearing masks when the operation was performed. Fang Han really didn't recognize the person in front of him.

"My name is Gao Zengmin."

Gao Zengmin smiled and asked politely: "Doctor Fang, are you?"

Yesterday, he had an operation with Fang Han. Gao Zengmin knew Fang Han's level very well. For surgeons, technology is the king. Although Fang Han is young, his technology is top-notch, and Gao Zengmin did not take advantage of Fang Han.

"Hello Dr. Gao."

Fang Han was polite and then said: "I came to the emergency department to report. I just encountered an emergency case and came with me."

"It seems that I will work with Dr. Fang in the future. I hope there will be an opportunity to be with Dr. Fang."

Gao Zengmin became a little more enthusiastic when he heard this. Yesterday, when Qian Xiaolin and Fang Han had the operation, Gao Zengmin heard the conversation. Qian Xiaolin recruited Fang Han at that time. Now Fang Han has come to the emergency department. How can he have fewer opportunities for surgery in the future?

This is a big shot. With Fang Han in a good relationship, will there be more opportunities on the same stage in the future? Isn’t this technology going up?

"Doctor Gao is polite. The patient has been sent to the emergency room. Dr. Gao will go see the patient first."

"Why didn't Dr. Fang go in?" Gao Zengmin asked.

After asking, Gao Zengmin understood without waiting for Fang Han's answer. Fang Han came and was young again. He was probably kicked out by the doctor inside?

This is a good opportunity.

"Doctor Fang, let's discuss it. You came with the patient and must know the situation better than me."

“Okay.”

Fang Han was not very relieved. Since he met Gao Zengmin and Gao Zengmin knew him again, that would be great.

As he spoke, Fang Han had already pushed the door and entered the rescue room first, while Gao Zengmin followed closely.

Li Junxian was in the emergency room and continued to provide further rescue and examination for the patient. When he heard the footsteps, he turned around and saw Fang Han, and his face suddenly became dark.
Chapter completed!
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