PD :: Volume #6

#540: Emergency room

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Doctor, my hand good pain, does not seem like own...... ” 医生,我这只手好痛,好像不是自己的……” Dongzhou Jihua Hospital emergency medical treatment building, in this emergency room, physician-in-charge Li Ruiquan is looking to examine to an emergency patient. 东州济华医院急诊楼,在这个急诊室里,主治医师李瑞全正给一位急诊病人看着诊。 In the ER, 30-year-old Li Ruiquan is mainly various that the responsible bone fracture, the wound infection and flesh wound cause multi- sends the wounds and compound wounds and various no shifting bone fractures new has fixedly. Patient right hand ache that he looks at now, possibly is the bone fracture, no shifting bone fracture. 在急诊科,30多岁的李瑞全主要是负责骨折、创伤感染、外伤导致的各种多发伤及复合伤、各种无移位骨折的新型支具固定。他现在看着的病人右手疼痛,可能是骨折,无移位骨折。 „How to get a cut?” Li Ruiquan asked that outside also had the continuous emergency patient to wait, therefore his language fast like consistent quick. “是怎么弄伤的？”李瑞全问道,外面还有源源不断的急诊病人在等着,所以他的语速像一贯那样快。 On the situation of this patient, should the same old story, first shoot a movie, best make CT to inspect, having a look at the bone to injure what situation, has shifting. 就这病人的情况,应该还是老一套,先去拍片,最好做个ct检查,看看骨头伤成什么情况,有没有移位。 „Does not know that......” patient is the young man of university student appearance, in the facial features that the pain must turn green full is the emergency patient common anxious, despondent and fears, upper body long sleeve gym suit, without flesh wound, so that the bloodstain, the left hand grabs the right hand upper arm, grasps very much makes an effort, the blood vessel hyperemia condition of right hand back sticks out suddenly. “不知道……”病人是个大学生模样的年轻男子,痛得发青的面容上满是急诊病人常见的焦虑、抑郁与恐惧,上身长袖运动服,没有外伤以致的血迹等,左手抓着右手上臂,抓得很用力,右手背的血管都充血状态地暴起。 Patients is saying, while is painful pulls out the cold air/Qi, „starting from this morning, I felt right hand strange...... is that type, this hand how association president in my feeling...... then, started the pain slowly, was getting more and more painful, I did not want this hand......” 病人一边说着,一边痛得直抽冷气,“从今天早上开始,我就觉得右手怪怪的……就是那种,这只手怎么会长在我身上的感觉……然后,慢慢就开始痛了起来,越来越痛,我不想要这只手……” Li Ruiquan is not short in the day that the ER treats, the patients of all forms have seen, patient listening the bewildered words are also common. 李瑞全在急诊科待的日子不短了,形形色色的病人都见过,病人这种听着莫名其妙的话语也是常见的。 He does not hear like nearby intern little Yuan strangely, asked: „You meant, you did have no flesh wound and collision, the right hand suddenly on the pain?” 他不像旁边的实习生小袁那样听得古怪,问道:“你意思是说,你没有任何的外伤、碰撞,右手突然就痛了吗？” „No , without......” patient hiss the sound said, the right hand to shiver slightly, the left hand as if could not suppress this hand quickly, the speech sound had the weeping voice: „Doctor, can you help me cut it a bit faster? This hand I do not want, this is not my hand......” “没有,没有……”病人嘶声道,右手微微颤抖,左手似乎快抑制不住这只手了,话声有了哭腔:“医生,你们能不能快点帮我把它截掉？这只手我不想要了,这不是我的手啊……” „Where hurts specifically? Hurts?” Li Ruiquan also asked that if the situation of poison, should not only be restricted in this hand. “具体是哪里疼？还是都疼？”李瑞全又问,如果是中毒的情况,不应该只限于这只手。 „Hurts...... starts...... patient trembling sound said from shoulder here”, proposed again wants the request of amputation: „Can cut it?” “都疼……从肩膀这里开始……”病人颤声道,再一次提出想要截肢的请求:“能不能就把它截掉？” Li Ruiquan does not go to compare with this with the patient, some patients can talk nonsense in the ache. 李瑞全不去跟病人较这个真,有些病人在疼痛的时候会胡言乱语。 He also asked some issues, the right hand of patient does not have the old trouble, this morning before getting out of bed , by the present around 3 : 00 pm, like has actually traded a hand well completely, is others' hand, but the patient felt oneself have never had the right hand, because was only joined this different extremity/limb, the ache is incomparable. 他又问了一些问题,病人的右手没有旧患,今天早上起床之前还一直好好的,到现在下午 3 点多,却像完全换了一只手,是别人的手,而病人感觉自己从来不曾有过右手,只因为被接上了这只异肢,才疼痛无比。 The words of this situation, may be the acute outbreak that any chronic damage causes. 这种情况的话,有可能是什么慢性损伤导致的急性发病。 That mostly is the issue of nervous system, must look for the nerve internal medicine department, or neurology department. 那多半是神经系统的问题,或许要找神经内科,或者精神科。 „First shoots a movie.” Li Ruiquan wrote on the medical record toward table to write, wrote while said: „First pats x light, having a look at the bone is what situation. Has not looked at the flat and thin piece, I am unable to give you correctly to judge. You shoot a movie, go to that side the wound orthopedics of three buildings to look, I transfer to you.” “先去拍片吧。”李瑞全执笔往桌上的病历写了起来,边写边道:“先拍个x光,看看骨头是什么情况。没看过片子,我也无法给你正确的判断。你拍了片,去三楼的创伤骨科那边看,我给你转过去。” When the time comes must transfer other branches, decided by the wound orthopedics that side. 到时候还要不要转其它科,就由创伤骨科那边决定了。 „No, no!” The patient anxious say/way, „how long shooting must spend, I could not bear, Doctor, help......” “别,别！”病人焦急道,“拍片得花多长时间啊,我受不了了,医生,救命啊……” Li Ruiquan sees patient such ache, feared oneself judge to contain errors, but has not seen to the present has contracted the extremity/limb, stops the penmanship: „You curl the sleeve, I have a look.” 李瑞全见病人这么疼痛,也怕自己判断有误,而到现在还没见过患肢,就停笔道:“你把袖子卷起来,我看看。” „... It is not good, I cannot loosen......” patient also urgently saying that the complexion turns green, „loosens, this hand, this hand...... I do not know......” “不…不行,我不能松开……”病人又是急道,面色发青更甚,“一松开,这只手,这只手……我也不知道……” Li Ruiquan is helpless immediately, the diverse and confused sound of patients outside waits to see the doctor has been passing on, he is not the psychiatrist, is the ER doctor, without the means slowly establishes the medical-patient relations between the too much time and each patients, otherwise the following person could not see a doctor. 李瑞全顿时无奈,外面候诊的患者们的纷杂声响一直都在传进来,他不是心理医生,是急诊医生,没办法拿太多时间跟每位病人之间慢慢建立医患关系,不然后面的人就看不了病了。 At this time was responsible for Nurse horse in this emergency room having doubts to walk, Li Ruiquan said: „keen Yi, you helps him take off the clothes, making me have a look at the right hand.” 这时候负责这个急诊室的马护士疑惑地走来,李瑞全就道:“敏怡,你帮他把衣服脱掉,让我看看右手。” „It is not good, really not good......” the pain of patient whole face with struggling, „this hand was not my...... I cannot control it......” “不行,真的不行……”病人满脸的痛苦与挣扎,“这只手不是我的……我控制不了它……” horse nurse arrives at side of patient, but the patient was still resisting, does not make anybody touch that severe pain limbs. 马护士走到病人的旁边,但病人仍然抗拒着,不让任何人触碰那只剧痛的肢体。 „Your I do not have the means to look to you like this.” Li Ruiquan is not the complaint, but is somewhat anxious, „shoots a movie, shoots a movie.” “你这样我没办法给你看啊。”李瑞全也不是抱怨,但真有点急,“去拍片吧,去拍片吧。” The driven away patient, was struggled hesitant, finally loosened the left hand slowly, but strange is, should, because blood unimpeded the right hand that but the vein returns to normal, actually blue vein suddenly/violently Tu, on the back of the hand even a little becomes dark rapidly. 受到驱赶的病人,挣扎犹豫之间,才终于缓慢地松开了左手,但奇怪在于,本应该因为血液畅通了而静脉平复下去的右手,却更加青筋暴突,手背上甚至迅速有点发黑。 Li Ruiquan has had to pay attention, immediately feels in one's heart strange...... 李瑞全一直有留意着,顿时心感古怪…… little Yuan's look also doubts, has not waited for them to think, that right hand of patient sticks out suddenly suddenly, fiercely one neck that blocks nearby Nurse horse. 小袁的眼神也是一疑,没等他们多想,病人的那只右手突然暴起,猛地一下扼住旁边马护士的脖子。 This flash, horse Nurse, Li Ruiquan and the others are startled, the heart tightens, associates to these not pleasant medical-patient event...... 这一瞬间,马护士、李瑞全等人都是怔着,心脏收紧,联想到那些不会让人愉快的医患事件…… But now this patient must yell anxiously, „drops, drops!!” His left hand grasps toward right the arm again, makes an effort to pull, the complexion must become flushed by the anxious painful impact, taking the form of crazy. 但现在这个病人自己也是急得大叫,“放手,放手！！”他的左手再次抓向右手臂,用力地拉扯着,面色被焦急痛苦冲击得涨红,形似疯癫。 „......” Nurse horse is also not the complexion becomes flushed rapidly, both hands grab the hand on neck to untie. “唔……”马护士亦是面色急速涨红,双手抓住脖子上的这只手要解开。 Meanwhile, Li Ruiquan and intern little Yuan rushes, holds on this patient with joint forces, must pull open it, what makes them amazed is, they and patients are similar the figure, they actually do not draw this fellow unexpectedly. Accurate can draw the body, actually cannot pull open that hand. 与此同时,李瑞全和实习生小袁都冲了上去,合力拉住这个病人,要将其拉开,但让他们都惊诧的是,他们和病人都差不多身形,他们两人却竟然拉不动这家伙。准确来说拉得动身体,却拉不开那只手。 „Sorry, sorry!” The patients cried anxiously, both eyes look out in all directions, the left hand has copied that fountain pen on table suddenly, is clenching teeth, one grips own right hand to conduct the back. “对不起,对不起！”病人急哭了,双目四望,左手骤然抄过桌上的那只钢笔,咬着牙,一下扎到自己右手背上。 The patients a pitiful yell, the right hand conduct the back the blood to gush out immediately, one becomes less crowded, Li Ruiquan then pulled away the patient. 病人随即一声惨叫,右手背上有鲜血涌出,为之一下松动,李瑞全两人这才把病人拉开去了。 horse nurse coughs violently, is rubbing own neck, but also some veiled correct/however...... 马护士猛烈地咳嗽起来,揉着自己的脖子,还有些蒙然…… Because the hospital had in recent years to them has trained several capturing movements, Li Ruiquan both hands firmly controlled the patient on the floor, urgently said: „Called the security......”, but felt improper, the patient did not seem like intentionally, seemed like the acute dysphrenia, „fixed him, informed the neurology department that side......” 因为近年医院有给他们培训过几下擒拿动作,李瑞全双手牢牢地把病人控制在地板上了,急道:“叫保安……”但又感觉不妥,病人不像是故意的,似乎是急性精神障碍,“固定他,通知精神科那边……” At this time, outside heard here sound, had the security, nurse and patients to walk. 这时候,外面听到这边的动静,有保安、护士、患者都走来。 And welled up another waiting to see the doctor patient, a middle-aged man, was the whole face is anxious, the left hand closely is grasping the right hand arm. 其中涌进来了另一个候诊病人,一个中年男人,也是满脸焦急,左手紧紧地握着右手臂。 „Doctor, the doctor...... my hand good pain...... is not my, I want to cut it, helping me cut it......” “医生,医生……我这只手好痛啊……不是我的,我想截掉它,帮我截掉它……” Li Ruiquan looks up that patient, looked by the autogenous control is crying patient, heart one cold. 李瑞全抬头望了望那位病人,又看了看被自己控制着的哭着的病人,心头一寒。
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