1777 Rescue! Rescue (monthly ticket 850017)
In an instant, countless things happened like tides, and the situation changed drastically. Su Yun, Zhou Litao and the patients' families were stunned.
The family of the patient who was dissatisfied and complained deeply was immediately frightened.
The person who left the hospital fell into a coma!
This news turned into fear, and all dissatisfaction disappeared.
Seeing that the patient and the patient's family did not react, Su Yun immediately ran to the treatment room, took out the blood-drawing syringe and biochemical tube, and quickly collected blood for the elderly.
The old patient obviously couldn't curb his temper, but just as he was about to say something, Su Yun shouted: "Shut up if you don't want to die!"
Just then, Su Yun knew what the problem his boss had been looking for was.
Thyroid abnormality followed by thyroid crisis!
Not long ago, a consultation case sent by Massachusetts General Hospital was a thyroid crisis caused by a patient with abnormal thyroid function after CT enhancement.
This is definitely a terrible, mortal disease.
"Mr. Zhou, does Keri have tapazole?" Zheng Ren asked immediately.
"No." Zhou Litao replied directly.
"Call someone to borrow from the pharmacy!" Zheng Ren shouted: "Tapazole or propylthiouracil are fine, it's large, at least twenty boxes."
"..." Zhou Litao was stunned for a moment and immediately went to someone to talk about this.
"Call the emergency ultrasound room and push the machine over immediately."
"I feel safe, prepare intravenous infusion, proton pump inhibitor, erectonrodon, electrocardiogram monitoring!"
"Call the patients who are in the open and come back quickly!"
"Calculate the rescue medicine!"
After orders were issued one by one, Zheng Ren stood in the corridor of the emergency department, governing everything confidently.
The medical staff in the emergency department were at a loss. Someone issued instructions confidently. The memory in their bodies worked and began to operate quickly according to Zheng Ren's command.
"Boss Zheng!" Director Cheng heard Zheng Ren outside commanding the rescue, and he walked out angrily, "Have you found the problem?!"
"Hyperthyroidism is considered to be caused by eating." Zheng Ren said quickly, "The time has been delayed a little long, and the coma patients have already experienced a thyroid crisis."
When Director Cheng heard that the thyroid gland was in danger, he was stunned for a moment.
This is a fatal disease, with a mortality rate of more than 20%.
"How did you diagnose it?" Director Cheng asked in surprise.
"Sorry, Director Cheng, I don't have time to explain to you." Zheng Ren said: "Nurse, have you called the Liguan patient? The one who is unconscious is not needed."
“Wanting.”
"Mr. Zhou, have you gone to get the medicine? Call me and ask if there is any medicine."
Tapazole is too cheap and the amount is small, so many pharmaceutical companies no longer produce this kind of money-lossing drug.
This is a sad thing to say.
"I just asked, there is no tapazole, but propylthiouracil." Zhou Litao said.
Zheng Ren breathed a sigh of relief.
It is estimated that there are more patients with thyroid surgery on 912 and often have to face thyroid crisis patients, so there are drugs for propylthiouracil.
In the midst of a busy schedule, the sound of the 120 ambulance came. Zheng Ren had no time to explain all this to Director Cheng, so he ran to the door of the emergency passage.
The door opened and the patient pushed it down.
The system panel is bloody and red, and the diagnosis on it is very clear, and the thyroid crisis is thyroid crisis!
Zheng Ren figured everything out at the last moment.
This group of patients should have accidentally ate the animal's thyroid gland, which caused the amount of T3 and T4 to quickly increase in the body.
Generally speaking, symptoms will occur within 5-20 hours and reach the peak within 2-7 days, causing a thyroid crisis.
The big pig's hooves were not diagnosed because it was not a toxin. Although it was considered food poisoning, it was different from food poisoning in the conventional sense. There was no toxin, but the content of a certain substance needed by the human body suddenly increased.
This is the most reasonable explanation.
Seeing the system panel giving a thyroid crisis, Zheng Ren affirmed his guess.
The patient was pushed to the emergency room, and the nurse began to indwell the venous passage, suction, lower gastric tube, and urinary catheter.
The doctor in the ultrasound room rushed over with the ultrasound.
"What patient?" she asked, "where are you going to check?"
Zheng Ren had no time to explain, so he squeezed her aside, picked up the coupling agent and applied it to the patient's neck.
As the probe fell, a very clear sign of fire appeared on the screen.
After confirming it twice, Zheng Ren shouted: "Have you retrieved the propylthiouracil?"
"I'm back, I'm back." Zhou Litao ran to the door, and the nurse who was taking the medicine was holding propylthiouracil and came back panting.
"600mg, injected through the gastric tube!" Zheng Ren said, "Record the time, prepare potassium iodide solution, monitor the workmanship, and static potassium iodide for 1-2 hours."
"Electronic monitoring, pay attention to cardiac function, and prepare propranolol."
It was not until this time that Zheng Ren breathed a sigh of relief.
Seeing 600mg of propylthiouracil enter the patient's stomach through the gastric tube, Zheng Ren knew that this person is likely to die.
It's only a high probability that I can't finish it now.
Director Cheng was silent the moment he saw the Huo Haizheng on the B-ultrasound.
Is this something that Boss Zheng has been pursuing? There was no sign before, it was just a common gastrointestinal cold. Why did it suddenly turn into a thyroid crisis?
There is no way to understand.
But it turns out that Boss Zheng is right.
For the Fire Sea Conquest, only such a clinical evidence is enough.
A few minutes later, Su Yun ran back with the test sheet that was urgently checked.
T3 and T4 were significantly increased and TSH was significantly inhibited. There is one evidence that it was hyperthyroidism.
But the old man has not had a thyroid crisis yet, and it seems that his luck seems to be good.
After confirming this again, Zhou Litao did not wait for Zheng Ren to speak, and asked the nurse to perform blood tests on all patients who could.
Propylthiouracil is ready, and as long as the test results return, nothing is a problem.
The treatment will not be hindered by some things at all. Zhou Litao knew that there was only one reason - because Boss Zheng is there!
If Boss Zheng had a task one day earlier, he would have been dewy. The patient would be sent back and undergo various examinations and consulted in the whole hospital.
Once the diagnosis is clear, the patient may have died. And it is not one patient, but a group of patients.
Director Cheng stood aside, watching the roar of the emergency department's machines roaring and expelling the disease, and felt mixed feelings.
What appeared before him was the scene of Boss Zheng bowing to him just now.
He was a little lost.
More than ten minutes later, the patient in the emergency room fed a propylthiouracil through the gastric tube took effect, and his heart rate gradually decreased, so Zheng Ren came out.
Director Cheng saw that honest and simple face and really didn't know what to say.
"Mr. Zhou, I don't care about the rest." Zheng Ren and Zhou Litao greeted him, and then saw Director Cheng.
Four eyes are opposite.
Chapter completed!