Chapter 481
"What happened?"
Seeing Chu Tianyu fidgeting after the call, everyone immediately felt that something was wrong.
"Chairman Yang, Director Xiao, sorry, I have to leave early. There is a patient of mine who is not in good condition in the emergency room. I need to rush over to see him."
Chu Tianyu looked guilty.
This was the party he organized, and all the people he invited were very important. As a result, he had to leave early. If it were normal, he probably wouldn't have the chance to have dinner again.
However.
All the people present were doctors, and situations like this were too common.
Not to mention the dinner party.
Sleeping, going to the toilet, daytime, night, which period of time was not called to the hospital to work overtime.
"I understand, anyway, we have almost eaten, let's go together." Yang Dehuai glanced at the leftovers on the table and said considerately.
"It's hard to get a taxi at this time, I'll ask Qin Yong to pick us up together."
Xiao Chenguang also spoke at this time.
After all, everyone had to go to the Provincial First Hospital for a meeting, and it wasn't too early to go now.
"Thank you, thank you."
Chu Tianyu immediately expressed his gratitude.
Pay the bill and go out.
Qin Yong was waiting patiently outside.
Then everyone rushed to the emergency department of the Provincial First Hospital.
Compared with Qilu Hospital, the Provincial First Hospital was built later, but the infrastructure is more complete.
The two buildings are divided into north and south, connected by a corridor in the middle. One building is marked with outpatient department and the other is marked with emergency department.
The eye-catching signs are easy to identify.
Soon, the car stopped in front of the emergency building.
Chu Tianyu got off the car first. This time he did not greet everyone, but went straight to the emergency department.
Xiao Chenguang and Yang Dehuai also got off the car and walked in together.
"Director Chu, you are here. The patient is in the emergency room. The situation is quite bad. The department has already examined him. It's a bit tricky."
The nurse at the triage desk was looking forward to Chu Tianyu coming to the emergency room. She immediately greeted him and began to report the case.
"Which patient?"
Chu Tianyu was actually in the car and was puzzled all the way.
During this period, he has been helping in Yingcheng Central Hospital and rarely comes to the provincial capital.
Except for coming back to check the wards and take a look at the patients on weekends, he has not received any new patients.
How come his patients come to the emergency room for rescue at this moment?
"The patient's family said that it was your patient who fell and injured a month and a half ago."
"A month and a half ago?!"
Chu Tianyu was a little confused when he heard this.
He was indeed in the provincial capital during that period and saw a lot of patients during that period. According to the nurse's description, he couldn't remember it at all.
He could only walk quickly to the emergency room.
Push the door and enter.
The moment he saw the patient, Chu Tianyu's doubtful heart sank instantly.
The patient lying on the bed had a dark face and obvious swelling.
The chest was rising and falling rapidly, and the connected ECG monitor was constantly ringing alarms.
He was listless at the moment and motionless. The most surprising thing was his legs of different thicknesses.
One of the legs in plaster was obviously swollen, and the exuded tissue fluid stretched the skin, and the thin skin seemed to be able to ooze water with a light touch.
"Is this compartment syndrome?!"
The patient's marble-like leg skin is like a spot caused by local ischemia and hypoxia.
The limbs have completely lost touch.
The dorsalis pedis artery has no fluctuations. No matter how it is stimulated, the whole leg seems to have lost its function, lying limply on the bed, motionless.
"This is 5P syndrome, I'm afraid the leg can't be saved."
With rich clinical experience, Chu Tianyu instantly understood the situation in front of him.
"Director Chu, what can I do? My child just turned 20 and hasn't married yet. If he has an amputation, how can he live in the future?"
When Chu Tianyu talked about the risk of amputation, not only the young man lying on the bed was stunned.
The parents who followed him in the emergency room were also stunned.
"I remember that you had a fracture of the tibia and fibula caused by a fall before. I performed the operation myself. There was no problem with the postoperative recovery. The plaster came back half a month later to fix it again. Didn't you come?"
Faced with the inquiry, the originally panicked family members were speechless for a moment.
Finally, the patient, who was still lying on the bed, said with difficulty: "The main reason is that my home is far away. I thought the operation was done and there was no need to bother, so I didn't come."
"..."
Faced with such an explanation, Chu Tianyu didn't know what to say for a while.
Every time after the operation, the patient and his family would be explained the condition again and again after the plaster was applied.
If the plaster is displaced or the skin is painful, come to the hospital to re-apply the plaster.
This is not to make more money, but to fear the situation of the patient in front of me.
One of the points of compartment syndrome is that it will be caused by the long-term compression of tissues due to the displacement of the plaster.
Once it is formed, it can be incised and drained in the early stage, but if gangrene and other conditions occur, amputation is the only way to save life.
And the patient in front of me.
It is obvious that it has reached this stage.
A large amount of necrotic tissue toxins enter the human body with the blood, and a series of complications such as hyperkalemia, renal failure, and shock follow one after another.
At this time, the patient's test report came out.
The creatinine reported a critical value, the renal filtration rate decreased, and obvious acute renal failure had already occurred.
In fact, these clues can be seen through the swollen skin of the patient.
"How could this happen?!"
"At the time, I just felt a little pain, and thought that fixing the plaster in this way would make the bones heal faster. I really didn't know it was so dangerous."
The young man was terrified.
He only had a simple fracture, and he had already gone home to rest after the surgery.
How could he face the risk of amputation when he returned to the hospital again after just over a month?
He couldn't accept it, and neither could his parents.
However.
At this moment, the young man who had been able to speak just now suddenly lost consciousness.
The monitor sounded a piercing alarm.
The sudden change scared everyone present.
"Son, what's wrong with you? Don't scare your mother!"
The family members hurriedly called the young man's name, but got no response.
Even Chu Tianyu was a little panicked.
He knew that the patient was in a bad condition and needed surgery, but the degree of deterioration of the condition was obviously beyond his expectations.
As the director of hand and foot surgery, he was better at on-stage surgery. At this moment, he was not as skilled as the emergency doctor on duty in sudden emergency first aid.
"Director Chu, the patient has lost consciousness, has an irregular heart rhythm, and his blood pressure is dropping rapidly. I have asked the anesthesia department to come and intubate. Do you think it is necessary to perform surgery immediately?"
The doctor opened the simple balloon and quickly ventilated the young man to ensure that his blood oxygen saturation was within the normal range.
The rescue vehicle had been pushed over there.
Seeing this scene, Chu Tianyu dared not perform emergency surgery. He first stabilized the patient's condition.
Just when he was struggling in his heart and didn't know how to choose, a steady voice sounded in his ears.
"Professor Chu, the patient needs surgery immediately."
"Not only that, emergency first aid must also be followed at the same time."
At this time, Xiao Chenguang appeared in the rescue room, and with him, of course, was Yang Dehuai who got off the car together.
"Director Xiao, what should we do now?"
Chu Tianyu was also very anxious. Seeing Xiao Chenguang now, it was as if he had caught a beam of light in the dark night.
He was even so anxious that he even ignored Yang Dehuai who was standing next to him.
You should know that among all the people present, only Xiao Chenguang has clinical experience in the two major departments of general surgery and emergency.
This is undoubtedly the best news for current patients.
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