Chapter 4032        【121】Try
Look, even if you are familiar with the patient's medical history, doctors will still easily forget it at important moments.
The importance of doing your work step by step is to maintain a clear idea to avoid making low-level mistakes.
As Dr. Xie Wanying emphasized, it is actually the professional habit of following the steps for medical treatment for two lifetimes. The so-called powerful aura of the boss is all polished out in this way.
Dr. Zhang Desheng, who had a reexamination for the patient, was confused again.
The reason is that he remembered that before he had to do CPR, he must have to check the patient's pupils first.
The patient's pupils do not show obvious signs such as one big and one small, which can only confirm that there may be no cerebral hemorrhage, but it does not mean that there is no brain tumor.
The patient's sudden heartbeat and breathing are in shock.
Rescuing patients without machine-assisted examination is simply a difficult science.
The confused Dr. Zhang Desheng looked at Dr. Xie Wanying.
According to Dr. Xie’s previous performance, it is possible to determine the patient’s probability.
What Dr. Xie is confused about is what she said before: the use of rescue medicine.
It’s not that you can survive the crisis of using medicine by finding out the cause of the disease, but the most difficult thing is to use medicine.
Many Western medicines are highly targeted, but too targeted makes doctors not know how to use them on patients with complex conditions.
For example, in the eyes of Dr. Xie, the patient should be cautious when he has recurrence in the brain and pushing the pressure booster.
The patient has gastrointestinal bleeding, which causes the patient to fall into shock.
Gastrointestinal bleeding may be caused by gastroduodenal stress ulcer caused by brain tumors. The specific pathogenesis is that central nervous system problems cause excessive secretion of gastric juice. Too much gastric juice damages the patient's own gastrointestinal mucosa, causing ulcers and even bleeding perforation.
The patient showed signs of acute edema on both feet.
Hemorrhage requires fluid replenishment, and edema requires diuresis. How do you balance this?
Blood tests are used to obtain a bunch of indicator data. Ninety-nine percent of such complex situations require consultation and discussion for most of the day. Moreover, the plan obtained by the bosses after the fight is feasible, and they need to verify it.
If the patient's heartbeat stops at any time, where does this time be consumed?
In medicine, the way to solve problems with all walks of life is very important to determine order.
Is Dr. Duan here?
Dr. Duan could not find a plan before obtaining Western medicine data.
Maybe Dr. Duan will have the same choice as Dr. Xie, so why not ask the master of traditional Chinese medicine.
Dr. Wen Zihan used traditional Chinese medicine theory as the foundation for clinical experience to judge the patient's condition positioning and development direction very accurately.
"Are you sure she started to get sick in the afternoon? Are there any other symptoms before fainting?" Dr. Wen Zihan asked.
The family members tried their best to recall.
"Five pm?" said Yaxi's mother.
"I remember when you told Doctor Tao it was not five o'clock." Yaxi's father reminded his wife.
"It was my sister who looked for her. I went over and found out that she was fainting on the ground."
“What time?”
"Maybe three, four, five? My sister and I were taking a nap at that time."
Never expect your family to explain all the patients’ situations clearly.
It doesn’t matter, traditional Chinese medicine had known this before. The reason why traditional Chinese medicine descriptions often make people feel mysterious is because they are not specific to every second.
Dr. Wen Zihan said again, and praised Sister Xie first: "Doctor Xie is right, this patient has a chance to be saved."
Regardless of the study of traditional Chinese and Western medicine, most patients die at night. The reason is not only that it is difficult to detect patients die at night, but nurses patrol in the hospital at night.
If you use it accurately for rescue, critically ill patients find that they have a high chance of pulling them back during the day.
According to traditional Chinese medicine theory, a certain dose of diuretics can be chosen first to try.
Chapter completed!