Chapter 38 Diagnostic Meeting
Liu Tangchun wanted to integrate the two of them together to write a paper when he died - otherwise he would not be able to explain to Vice President Liu Pingchuan and Liu.
The transaction between Liu Tangchun and Liu Pingchuan is very simple. Liu Tangchun came forward to persuade Xu Yourong and Sun Lien to form a "scientific research team" and sign and publish articles. Liu Pingchuan provided the two with convenient environment and funds, as well as "case support".
Liu Pingchuan used his many years of experience and connections to explain to Chen Qingmei how bad Chen Wen's situation was, and put pressure on the group of old classmates outside the Shenhe. In any case, he had to keep Chen Wen in the Fourth Central Hospital first. For this reason, he could even ask His old friends to come to Ningyuan for consultation - Flying knife is OK, but transfer to the hospital is not OK.
In fact, Liu Pingchuan’s behavior cannot be wrong. After all, his suggestions also have sufficient medical reasons. Chen Wen’s brain has just been pricked, and a worm sac with a diameter of about three millimeters was sucked out of it. It is structurally more fragile than the normal brain. It is hard to say whether the bumps on the plane will cause Chen Wen’s cranial pressure fluctuations. Once the cranial pressure rises, the changing pressure may squeeze the brain tissue into other holes in the skull, forming a brain hernia, which will cause the patient to die during the transfer.
Despite some selfishness, Liu Pingchuan's behavior is still considering the patients. Staying in the Fourth Central Hospital with complete facilities is obviously more beneficial to Chen Wen's treatment in the short term.
Liu Pingchuan gave his old face and asked for help. The Great Director of the God of Union was also happy to give Liu Pingchuan this face. The bed at the God of Union was already nervous. Since Chen Wen's condition was not urgent, they had nothing to be dissatisfied with.
Vice President Liu's face could make Xiehe give in, which made Liu Tangchun feel even more stressed. He didn't expect Xu Yourong to have such a big reaction to this arrangement. If he couldn't persuade him, he would be shameless to see Lao Liu.
"This case?" Xu Yourong was obviously a little moved. In addition to surgery, diagnosis is also a very important part of the list of skills that neurosurgeons need to master. Surgery can be accumulated through a large number of surgeries, but treating cases that others have diagnosed is of no help in improving the doctor's diagnosis level. To improve diagnosis technology, Xu Yourong needs some cases that have not been diagnosed by peers to hone himself.
The group of three rushed into the rescue room quickly. Cao Yanhua was organizing the rescue of Xiaolin Xun. His systolic blood pressure soared to 220, and the wound in the ear canal continued to flow out under the influence of blood pressure.
Esmolar has been input into Kobayashi Xun's body through the venous channel. Esmolar, which took effect in the ultra-short term, quickly curbed Kobayashi's rapidly rising blood pressure. But his heartbeat was still so fast that it was scary. Cao Yanhua thought about it again and again, and injected Kobayashi Xun with two units of Esmolar - this drug that controls blood pressure, which can also play a role in arrhythmia.
"The hypertension crisis caused by emotional excitement?" Seeing Xiaolin Xun's vital signs return to normal, Cao Yanhua finally breathed a sigh of relief. But at the same time he was even more confused. If Xiaolin Xun's ear canal bleeding was admitted to the hospital before, because of delayed bleeding caused by a car accident, then the current hypertension crisis is simply a symptom of falling from the sky.
"It's not very similar. Most people have to be so excited to make themselves angry like this?" Sun Lien observed Kobayashi's condition again. The signs of amnesia and skull base fractures are still there. But in addition to hypertension, there is also a new indicator. "Extremely low thyrotropin levels."
Extremely low? Sun Lien felt nervous. This was the first time he saw this term in the status bar. The status I saw before was at most "high", and I think it was just "low". The extremely low value, which is usually not a good thing to appear in endocrine items in human body.
"He was emotional and could not be restrained." Sun Lien thought, "This morning, I talked to him about Lin Lan's surgical plan. He also seemed very excited, and later he had bleeding symptoms... I thought it was delayed bleeding."
"It may not seem now." Xu Yourong nodded, "This symptom has already appeared in the morning. However, he was asleep due to a mild concussion, so he did not continue to show it?"
"Now his condition has basically stabilized." Liu Tangchun looked at Kobayashi Xun on the bed with interest, "You two, discuss the condition and give me a treatment plan together."
It doesn't matter to Sun Lien. Anyway, as a guitar student without prescription rights, being able to get this kind of case diagnosis is like a dream. The four surprises at noon have brought new situations now. Sun Lien simply wanted to jump up and shout "YES!"
Xu Yourong hesitated a little, "I have to go out of the clinic tomorrow..."
"Liu Pingchuan said that your outpatient task was suspended." Liu Tangchun made a work adjustment arrangement for Vice President Liu. Anyway, as long as Xu Yourong was pulled into Sun Lien's case, she would not be afraid that she would not sign the paper in the end.
From when did the attending doctor sign the paper, the department director and even the vice president need to pay attention to it? Liu Tangchun felt a little confused.
Xu Yourong quickly nodded in agreement. Such a patient was very challenging, and she was indeed thinking about it.
"Do a thyroid five-choice." Sun Lien's suggestion is very direct. Since the status bar indicates that the thyroid stimulating hormone levels are low, start with the thyroid gland.
"It can't be a thyroid problem." Xu Yourong's attitude was very direct. "Hyperthyroidism will not cause intermittent emotional outages. If you do a cerebrovascular accident, you will first rule out the cerebrovascular accident. The car accident may have caused some of his brain tissue to edema and prevent bleeding. Over time, his edema is fading, and the bleeding caused his heartbeat and blood pressure reaction."
"The developer that needs to be injected with cerebral angiography contains iodine. If he has thyroid problems, the developer may further stimulate his thyroid disease. This may kill him." Sun Lien was startled by Xu Yourong's suggestion. Although car accidents and cerebrovascular accidents are often closely connected, he is more willing to believe in the prompts and judgments of the status bar. If Kobayashi has a thyroid disease that can cause the crisis of hyperthyroidism, the risk to the developer is too great.
"He looks like a hyperthyroidist?" Xu Yourong was not very adapted to the atmosphere of discussing the condition with others, especially with a regular student. "He has no goiter, no eye protrusion, and is not very thin. At the same time, he does not have these three manifestations of indifference to hyperthyroidism, generally the elderly are basically the elderly. He doesn't look like a person in his seventies or eighties."
"You can't tell that his eyes are bulging because he was in a car accident in the morning!" Sun Lien was anxious. "Look carefully, he had a hematoma on his entire forehead and cheekbones. If he could see the bulging out of the body, he would have to be a goldfish!"
Chapter completed!