张力性气胸,赵兆伟使劲儿在脑子里搜索着医学课本里的知识。这会儿他想骂辅导员了。任崇达让他们提前来见习,诊断学内科学外科学没有老师给他们讲过,他们只看课本根本印象不深分不清知识点。任老师是“坏”,故意让他们提前来见习要吓唬吓唬他们,果然把他吓到要哭惨了。“现在要怎么办,莹莹?”赵兆伟再问。听见后面他们的对话声,负责开车的两名交警冒起了虚汗,问:“你们行不行啊?”“放心!”这两个字,谢婉莹是对所有人说的。此时,无论如何医生都不能说出自己的弱处,否则全体心理崩塌了。没关系,她知道张力性气胸是什么,胸膜腔漏气了,漏气通道为单向活瓣。正常人呼吸,吸气是气体吸入肺,呼气气体排出肺。张力性气胸变成了吸气气体照常吸入,呼气气体排不出去。气体一直在胸腔内积累,肺萎塌,气管偏移,影响心脏。这个患者本身有心脏病,此时张力性气胸显得更加凶险。暂时不清楚是自发性气胸或是外伤导致的气胸。不管怎样,必须马上处理,排气,否则,年轻患者随时没命。虽然她只是见习生,但是可以向上级医生汇报获得操作指示。感谢江医生在她临走前对她的叮嘱!谢婉莹拿起手机打,先打江医生电话。江医生那边嘟的一声很快和她接通:“怎么了,你说!”她打来肯定是有事,江医生不用想也知道。“患者张力性气胸。”谢婉莹快速快答,不能浪费一分一秒。听到她这话,江医生脑门冒出冷汗:事大了!“我必须马上帮他进行穿刺和排气。”谢婉莹说。“你等等!”江医生冷静下思路。这是个心脏病患者,不能乱来的,哪怕是他在现场都不敢乱来。幸好他提早打电话通知医院,和谢婉莹说:“你陪病人回去国协的事我和医院说了,心外科的杨医生应该在急诊守着电话,你现在打电话给他!”.孤星接到指示,谢婉莹事不宜迟拨打回医院急诊科的电话。急诊电话机铃铃铃响,护士接起电话:“喂,这里是国协急诊科。什么事请说。”“我是谢婉莹,江医生叫我找心外科的杨医生。”求助电话真的来了!围在电话机旁讨论的金医生、林医生、杨医生刚走开,听见急诊护士说话,全跑了回来。傅昕恒立即指示急诊护士转机。急诊护士将护士站电话转到了急诊医生办公室里的电话。一帮医生进了医生办公室里关起门听,能听清楚些。杨医生拿起电话筒:“病人怎么了?”金医生抢过他手里的电话筒放了回去,按了免提键。她也紧张,她要听她的学生怎么样了。“张力性气胸,杨医生。”谢婉莹回答的声音从对面传回来。围在电话机旁的临床前辈们心头如弓一样绷紧:张力性气胸,不是简单的问题了!
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