Sweet Sweet Hello:“Okay,Don’t tease you,Takeaway is still in delivery。”

Zhou Ye suddenly remembered a thing at this time.,Isn’t the pancake fruit??Such a near distance,How is it still distributed??
Is the exporter accidentally?
Zhou Ye is bluntly asked:“Make in this case now,How many people should be on the street?,How to send it so slowly??”
Weekly explained:“It is a deer delayed distribution,I am afraid that the takeaway is cold.。”
Zhou Ye suddenly had some dry eyes,He must doubt yourself wrong.……
He looked to Shu deer,And she cleverly takes the dust of Zhou Ante.,Then I escaped his gaze。
“real?”Zhou Yewu is a little staring at Shu Deer.。
I saw the Deer’s disdain.:“Yes,I am delayed,Because I want you to eat a full meal,Let you eat it again。”
“Going to Wuhan on the road is far away,I have nothing to send you.,Can only be slightly moving!”Shu Lu smiled and said。
Founded in cursing me!
Zhou Ye,Feel very wronged。
This is going to Wuhan.,I still don’t have any mouth.?
His mouth is open, a bleak smile。
6Old man,Yang,Central cadres in the company,Hobby sports。This company activity,Hold a basketball game,Despite the power of the Jiu Niu two tiger,Still lost the game。
Lost the game is naturally unhappy,Even some sadness,Friends persuaded that it is not a game.,But he still feels a bitter victory.,Especially thinking of all kinds of work in work,Drink a few cups later,Um,Correct,How to drink a few bottles,beer。This is not a potent,This is fine,Drunk a mess。Alcohol,Gone。Yang drunken,not talking,倒 倒。Snoring。I also vomited friends。The next morning,Yang Mou woke up,Found the headache,More decent,Chest is also faint pain,Every time you breathe,Chest pain is even more。Headache, he doesn’t care.,But chest pain,Let him be afraid。Because his father is died because of chest pain.,That is2Year ago,Doctor diagnose acute myocardial infarction,Just arrived in the emergency department.。So Yang is particularly sensitive to chest pain。Special fear。With the help of my girlfriend,Driving to the emergency department of near hospital。The consultation is another acquaintance,Old horse,Middle-aged doctor who was fighting the emergency department。The old horse briefly understands the patient(Yang)After the situation,Think that Yang is drinking more,Many people still have such uncomfortable next day after drunkenness.,General problem is not big。So comforted Yang a few words。But chest pain is not a small problem after all.,Emergency department or a chest pain emergency center?。this means,Any emergency doctor should not take the patient’s chest pain,Even if the patient said it was cut by a knife, it was clear that the chest was clear.,It is also necessary to see the wound confirm that it is really traumatic instead of my myrosis.。That’s another thing。
Although the patient is not a typical chest crush-like pain(Typical chest pain in acute myocardial infarction),Not a depression,The old horse still makes a prayer to have an electrocardiogram for the patient.。When you hear the patient, there is a history of hypertension,Especially I heard the patient saying that my father is my heart.,The old horse is more vigilant.,Opening a doctor, let the nurse to blood testing myocycium protein to patients、A series of indicators such as myocardial enzymes。patient36age,Previous history history,Father’s heart disease,Now there is a chest pain casually catch an emergency doctor,Be alert to patients with heartbeat,At least to eliminate myocardial infarction。As long as the electrocardiogram、Nothing of tropon protein,Other chest pain, there is still time to slow down。Yang told the old horse again,doctor,I feel that I have no strength.,Especially the left shoulders、arm、The side of the thigh is very painful,There are still numb,do not know why。The old horse has a sentence,drunkard,It seems that it is the first to drunk.,If you often drink drunkenness, you will not care about these reactions.。However, the patient’s left limb pain has really evoked the curiosity of the old horse.。Why is this so?Why is there only left pain?,Don’t hurt on the right,Old horse。What diseases who have been thinking about the side limbs in thinking?,I can’t find a satisfactory explanation for a while.。At this time, the patient’s girlfriend provided key information.,She said that the patient has been sleeping on the left side last night.,Will it be a pain caused by the limb?。Lao Ma watching the hairstyle of the patient,It is indeed a lot of hair on the left.,Default, patient friend’s statement。Give her an appreciation,It is correct to say that the drunken man is sleeping.,You are doing very right,If it is flat to sleep,Speaking that the patient suffocates a vomiting,Even a life.。Patient girlfriend smiled,It is said that the doctor saw the doctor in the past few days.,I will also learn now.,Who let him drink so dead。It is inevitable outside words.。But if you can get a sleeper on the left and right side, it is better.,Old horse,Sleeping is easily injured by the limb,Fortunately, it seems that it doesn’t look.,It’s good for two days.。Old horse also
asphyxia,Even a life.。Patient girlfriend smiled,It is said that the doctor saw the doctor in the past few days.,I will also learn now.,Who let him drink so dead。It is inevitable outside words.。But if you can get a sleeper on the left and right side, it is better.,Old horse,Alone
NS102chapter Treat patient immediately
6Old man,Yang,Central cadres in the company,Hobby sports。This company activity,Hold a basketball game,Despite the power of the Jiu Niu two tiger,Still lost the game。6Old man,Yang,Central cadres in the company,Hobby sports。This company activity,Hold a basketball game,Despite the power of the Jiu Niu two tiger,Still lost the game。
Lost the game is naturally unhappy,Even some sadness,Friends persuaded that it is not a game.,But he still feels a bitter victory.,especially
Lost the game is naturally unhappy,Even some sadness,Friends persuaded that it is not a game.,But he still feels a bitter victory.,Especially thinking of all kinds of work in work,Drink a few cups later,Um,Correct,How to drink a few bottles,beer。This is not a potent,This is fine,Drunk a mess。Alcohol,Gone。Yang drunken,not talking,倒 倒。Snoring。I also vomited friends。The next morning,Yang Mou woke up,Found the headache,More decent,Chest is also faint pain,Every time you breathe,Chest pain is even more。Headache, he doesn’t care.,But chest pain,Let him be afraid。Because his father is died because of chest pain.,That is2Year ago,Doctor diagnose acute myocardial infarction,Just arrived in the emergency department.。So Yang is particularly sensitive to chest pain。Special fear。With the help of my girlfriend,Driving to the emergency department of near hospital。The consultation is another acquaintance,Old horse,Middle-aged doctor who was fighting the emergency department。The old horse briefly understands the patient(Yang)After the situation,Think that Yang is drinking more,Many people still have such uncomfortable next day after drunkenness.,General problem is not big。So comforted Yang a few words。But chest pain is not a small problem after all.,Emergency department or a chest pain emergency center?。this means,Any emergency doctor should not take the patient’s chest pain,Even if the patient said it was cut by a knife, it was clear that the chest was clear.,It is also necessary to see the wound confirm that it is really traumatic instead of my myrosis.。That’s another thing。
Although the patient is not a typical chest crush-like pain(Typical chest pain in acute myocardial infarction),Not a depression,The old horse still makes a prayer to have an electrocardiogram for the patient.。When you hear the patient, there is a history of hypertension,Especially I heard the patient saying that my father is my heart.,The old horse is more vigilant.,Opening a doctor, let the nurse to blood testing myocycium protein to patients、A series of indicators such as myocardial enzymes。patient36age,Previous history history,Father’s heart disease,Now there is a chest pain casually catch an emergency doctor,Be alert to patients with heartbeat,At least to eliminate myocardial infarction。As long as the electrocardiogram、Nothing of tropon protein,Other chest pain, there is still time to slow down。Yang told the old horse again,doctor,I feel that I have no strength.,Especially the left shoulders、arm、The side of the thigh is very painful,There are still numb,do not know why。The old horse has a sentence,drunkard,It seems that it is the first to drunk.,If you often drink drunkenness, you will not care about these reactions.。However, the patient’s left limb pain has really evoked the curiosity of the old horse.。Why is this so?Why is there only left pain?,Don’t hurt on the right,Old horse。What diseases who have been thinking about the side limbs in thinking?,I can’t find a satisfactory explanation for a while.。At this time, the patient’s girlfriend provided key information.,She said that the patient has been sleeping on the left side last night.,Will it be a pain caused by the limb?。Lao Ma watching the hairstyle of the patient,It is indeed a lot of hair on the left.,Default, patient friend’s statement。Give her an appreciation,It is correct to say that the drunken man is sleeping.,You are doing very right,If it is flat to sleep,Speaking that the patient suffocates a vomiting,Even a life.。Patient girlfriend smiled,It is said that the doctor saw the doctor in the past few days.,I will also learn now.,Who let him drink so dead。It is inevitable outside words.。But if you can get a sleeper on the left and right side, it is better.,Old horse,Sleeping is easily injured by the limb,Fortunately, it seems that it doesn’t look.,It’s good for two days.。The old horse didn’t say it anymore.,Because he knows,If you want to turn your drunken sleep on the left and right side,The people who are waiting next to them must be frequently awake to help adjust the position.,Who can get it?。Then,Patients are not always moving,Generally don’t press big problems。Unless the patient is really drunk, it is not moving.
verb: move,That’s it likely to press the acne.。Patient ECG came out,Nothing。Heartbered graphic。The result of myocardial tract protein is also the bedside.,So soon there is also the result,There is no special exception。It is estimated not to have a heartron,This is within the expectation of the old horse。But things are not so smooth。、Not long,The patient said that the chest is getting more and more painful.,Even breathing feels laborious。This once again caught the vigilance of the old horse。So let the parents once once again pulled the patient.。Patients do not solve,Said that I just didn’t do my ECG.,How to do。The old horse has to explain him.,Patient condition changes at any time,ECG is also dynamic review,No heart disease now,Does not mean that there is no heartbeat。Patients have to pick up clothes again,Reveal chest,Let the parents apply an alcohol electrode。The electrocardiogram still is still there.。Benous。But the patient does have a breathing force.。Old horse standing next,One clear。Patients are inhaled,It seems to be very hard。Is chest pain?,Old horse。Yes,Chest pain,Feeling breathing。Patient said,Sweater from the forehead。Many diseases can cause breathing costs,Sufficient pneumonia、Pulmonary embolism、Heart failure、Ioth muscles and so on,But the patient’s condition is progressing,unknown reason,Have further examined。Will it be a sense of severe?,Prescent physician asking the old horse。Old horse shakes his head,Said patient,Be alert to these diseases,But the geometry is weak without chest pain.。And the patient does not have this medical history.。In order to confirm that the patient is improvising,The old horse once again asked,I have never heard of the patient.。But the patient is a physical fitness,What will this be myastacome?。Push the past to make a chestCTBar,See if there is no pneumonia, etc.。Old horse。Just horses have diagnosed double lungs to the patient,Didn’t hear very special situations,It is estimated that pneumonia is not。But what is the situation?,I also said it is not clear now.。
NS103chapter Soft tissue inflammation
It’s problematic.,Why does this takeaway little brother have a muscle soft tissue of chest wall??
Li Qifeng looked at the takeaway little brother,“Have you never been hurt recently??”
When he talks, he always looked at the chest of the takeaway.,Special intake。
This is given me a whole patient.?
How is it so hard?。
“Do you have a history of injuries hit a chest??”Li Qifeng asked。
Soft tissue inflammation has many causes,For example, what pneumonia,Also such as trauma,This makes Li Qifeng very difficult for a time.。
Looked by Li Qifeng,Takeaway little brother feels some fear。
He recalled carefully.,Some hesitantly:“When I ride a small hair in the morning.,Speed is too fast,”
。no,Patient answer,But I have a basketball game yesterday.,It is inevitable in the competition.,This is what。patient
Looking at the old horse。Old horse shoots the thigh,Say this explains。But at the same time feel strange,I have never seen people hit the whole chest muscles.,And pain is so violent。Some embarrassment,But when I said, I can’t say anything wrong.。Chat,The patient’s breathing force seems to be better.。The old horse will take a doctor to let the nurse take medicine.,At the same time, I will come back.。Horse told patients,Bloven can treat your chest pain。Patients have a little wonderful,Usually eat ibuprofen is a fever,Or treat headache。How to treat chest pain today。The old horse explained,Ibuprofen is an anti-inflammatory antipyretic analgesic,Theore in theory, pain is effective,Your chest pain is estimated to be the inflammation damage of muscle tissue,Use ibuprofen anti-inflammatory can pain relief,Can treat your chest pain,Headache,Hurry and eat it.。In order to completely eliminate the chest problem,The old horse finally arranged patients to make a chestCT。Patient chest pain is obvious,Do we want to do it?CTAngiography,By the way, there is no pulmonary embolism or aortic dissection, etc.。Prescent physician asking the old horse。This young doctor’s opinion is very good.,Several dangerous thoracic sickness in the emergency department is my heart infarction、Aortic dissection、Pulmonary embolism,These diseases are very easy to misdiagnose,I have to do it if I have a diagnosis.CTAngiography。But patients have no relevant high risk factors,Clinical manifestations are not very similar,The old horse did not consider doingCTAngiography,Just give itCTFlat。The old horse is doing this to take risks.。But the old horse has its own consideration,Sincerely,for safety,It is best to have all the inspections.。But if the clinician is so dependent on the inspection,What is clinical thinking?。If the patient’s medical history、Clinical manifestations do not support the diagnosis,Why do you have to do this?,After all, it is necessary to use blood vessels.,Many people will allergies to contrast agents,There are still a contravent agent nephropathy,This is also risky。Prescent physicians seem to be nodded。The result will soon come out,CTNo problem,Only the lower right lung a small penetration,Nothing serious,Will definitely not cause such serious chest pain。The old horse determined that the patient was chest pain caused by a chest wall muscle soft tissue.,Estimate is caused by hit,Or what other causes are caused,Anyway, there is no heartbeat,There are no other fatal diseases。And patients are weak、Headache, etc.,That is the drunken reaction,Take a break in two days.。At this time, the patient’s liver and kidney function、The results of blood routine, etc.。Liver function suggests aminotransferase(ALTASTThere is also a significant increase。After seeing the results, the old horse wrinkled.,What’s going on?。In addition to rising turning aminase,Myoglobin is also an unusual increase.,Creatine kinase is more high。This must have a problem。The old horse is gudged.。Brainstorming。These enzymes,To put it bluntly, it is protein.,Several proteins in human blood。Human skeletal muscle、liver、Myocardium、Brain, etc. There will be these enzymes in cells.,Elevation of these enzymes,Often means that these cells are damaged,Cell injury,Enzyme is missing,Flow into blood,At this time, we can see that these enzymes have increased significantly.。But these enzymes have such a wide range of,Which part is in addition to the problem??Prescent physician is very confused。Most likely skeletal muscle。Patients http://www.reiqilong.cn do not have weak limbs、Chest pain?,Can be the patient’s limb skeletal muscle、Enzymatic elevation caused by hindle muscle cell damage。The old horse explained。Prescent,Say the patient’s troponin is normal,ECG is also normal,This should be excluded as an enzymatic elevation caused by cardiomyocytes.。That liver?Liver if it is damaged,There will be so many enzymatic changes.?teacher。The old horse smiled and laughed.,Be right,Liver cells will also have many enzymes,But only one enzyme is very small.,That is the creatine kinase。Creatine kinase generally only exists our skeletal muscle and myocardium,Liver is almost no。So the creatine kinase increases,Either skeletal muscle cell destruction,Either myocardial cell injury。Which one you guess?Skeletal muscle!Prescent physicians do not think about answering。Be right。The old horse http://www.cqfjy.cn laughed,and,The patient’s myoglobin is also very high.,Myoglobin myoglobin,Naturally refers to the protein inside the muscle,Either skeletal muscle,Either myocardium,Not the liver。The liver is damaged does not lead to elevated myoglobin,do you understand?The old horse blinks,Staring at the Person。
】May be skeletal muscle。Patients do not have weak limbs、Chest pain?,Can be the patient’s limb skeletal muscle、Enzymatic elevation caused by hindle muscle cell damage。The old horse explained。Prescent,Say the patient’s troponin is normal,ECG is also normal,This should be excluded as an enzymatic elevation caused by cardiomyocytes.。That liver?Liver if it is damaged,There will be so many enzymatic changes.?teacher。The old horse smiled and laughed.,Be right,Liver cells will also have many enzymes,But only one enzyme is very small.,That http://www.96cyw.cn is the creatine kinase。Creatine kinase generally only exists our skeletal muscle and myocardium,Liver is almost no。So the creatine kinase increases,Either skeletal muscle cell destruction,Either myocardial cell injury。Which one you guess?Skeletal muscle!Prescent physicians do not think about answering。Be right。The old horse laughed,and,The patient’s myoglobin is also very high.,Myoglobin myoglobin,Naturally refers to the protein inside the muscle,Either skeletal muscle,Either myocardium,Not the liver。The liver is damaged does not lead to elevated myoglobin,do you understand?The old horse blinks,Staring at the Person。