The flat car pushed a middle-aged and elderly male patient, like a wild dog, and ran straight to the emergency room.

Zheng Ren glanced at the system panel in the upper right corner of the field of view.

What a strange diagnosis.

Brain trauma, ketoacidosis!

In Zheng Ren's eyes, these two diagnoses are not important at all.

If you don’t even have a subarachnoid hemorrhage, will Zheng Ren care?

Brain trauma is similar to the concussion mentioned ten years ago, but there is no diagnosis of concussion now.

The patient has no organic lesions, but only because of the impact of the head, which causes transient dizziness, headache, nausea, vomiting and other symptoms, is collectively called brain trauma.

Because there are no organic lesions, it has become the best disease for fighting and car accidents to cause injuries.

This doesn't matter, the fatal thing is ketoacidosis.

Pathophysiologically, ketone bodies are intermediate metabolites of fat decomposition into fatty acids in the liver.

Under normal circumstances, the body produces a small amount of ketones, which are transported to the heart, kidneys, skeletal muscle and other tissues as energy sources. The concentration of ketones in the blood is very low, generally no more than 1.0 mg/dl, and ketones cannot be measured in the urine.

In severe cases of diabetes, ketone bodies can be measured in the urine. In the worse part, when the ketone bodies accumulate too much in the blood, the blood can become acidic and cause acidosis, which is called ketoacidosis.

Zheng Ren watched the nurse busy, put electrocardiogram monitoring on the patient, left intravenous channels, and waited for the doctor's next instructions.

He came to the patient and smelled it, and the smell of rotten apples. Now Zheng Ren felt aware that it must be ketoacidosis.

"Test your blood sugar." Zheng Ren said: "Call the endocrine system immediately and ask the hospitalized officer for consultation."

The nurse was a little surprised. The patient had a bandage on his head, and there was obvious head trauma. Why did Mr. Zheng ask for an endocrine consultation?

However, the strict hierarchy difference between superiors and subordinates of the hospital made them not express their opinions during rescue, but chose to obey.

"The patient's family!" Zheng Ren shouted.

120 A boy of eighteen or nineteen years old was following the ambulance. He eagerly came to Zheng Ren, "Doctor, is there any danger?"

At the same time, the sound of hurried footsteps came from the corridor.

Generally speaking, a 120 ambulance allows a family member to come up to help take care of the patient. Of course, the rules in different places are different, and this is what Haicheng is like.

Other family members can take a taxi by themselves or drive a car to the hospital with a 120 ambulance.

Zheng Ren was a little unhappy when he saw that he was a young man.

The adults in this family are really very enthusiastic. Judging from the patient's age, he is about sixty years old, the child may be his grandson or grandson.

What do adults do for food? How can a teenager follow in the car?

"Where are your parents?" Zheng Ren asked.

"..." The boy was stunned for a moment, then said, "He is at work."

"Are there any adults coming?" Zheng Ren asked.

"Aunt Zhao and Uncle Li both follow."

This is more difficult to deal with, and Zheng Ren is a little difficult to deal with.

The patient's deathly diagnosed is ketoacidosis, and he may die at any time. However, the immediate family member in charge of the family is not here...

"Then you should do it, who are you a patient?"

"I am his neighbor."

"..." Zheng Ren was stunned. What a messy relationship?

"Mr. Zheng, the patient's fingertips of blood sugar is 54.2mmol/L." The nurse said with admiration.

This extreme blood sugar level is rarely encountered even in emergency departments. Maybe the endocrinology department will have a little more?

This also indirectly proves that the patient's condition is critical.

Zheng Ren can't deal with ketoacidosis. He doesn't know how to deal with it, but at least he is not professional.

"10u insulin subcutaneous injection, 500 normal saline, blood collection and gas analysis, ions." Zheng Ren said immediately.

Small doses of insulin to correct hyperglycemia, plus rehydration, correct fluid loss and ion disorders, are the focus of the initial treatment.

There is only so much Zheng Ren can do.

The endocrinology department is not far from the emergency building. It is estimated that in a few minutes, the arterial blood of blood and blood may not be able to be collected, so it will be pushed to endocrine for specialized treatment.

At this time, two middle-aged men, one man and one woman ran in, panting.

"Doctor, how about Uncle Wang?"

Zheng Ren glanced at them and asked, "It's very dangerous. Has the patient's immediate relative notified?"

"He has no immediate family, he is just one person, we are all neighbors." The man said.

Well……

Zheng Ren was in trouble.

But it seems that this man has a good popularity. His neighborhood relationships are so cold now. If he is a little bit worse, he will only be discovered if he dies at home and becomes terrible.

"The patient's blood sugar is particularly high. Now he is diagnosed with ketoacidosis. It is very dangerous. He will go to the endocrinology department for hospitalization later." Zheng Ren looked at the three people present and sent the patients, hoping to see some clues in their eyes.

"It's hard to say whether you can save me." Zheng Ren said: "Who will pay the hospitalization fee later."

"Doctor, do your best. Don't worry about the hospitalization fee, I'll pay it later." The man said.

"Brother Li, your family is not rich and the child is still young, so I'll do it." The woman said.

Zheng Ren was a little surprised.

In the hospital and in the emergency room, I am used to being indifferent to human nature. It is rare for a widowed, widowed, orphans to pay the hospitalization fee.

The boy who came first said firmly: "Uncle, aunt, stop fighting, I'll hand it over first. When I was in the car, I called my dad and was rushing back. He asked me to pay the money first. I still have New Year's money, so it's okay."

There was a dispute over this, and a deputy director of the Endocrinology Department rushed over.

Feng Qing, in his forties, is not tall, is very honest and stuttering.

Zheng Ren knows Feng Qing because general surgery involves surgery for elderly patients. Most of the time during preoperative evaluation requires consultation in the endocrinology department.

The chronic consultation is undertaken by Deputy Director Feng Qing. The emergency consultation is undertaken by the hospitalization chief.

I don't know how he came here today.

"Director Feng, the patient has a blood sugar of more than 50 years, and is considering ketoacidosis." Zheng Ren ignored the dispute between several neighbors and instead introduced the condition to Director Feng: "A small dose of insulin has been given a subcutaneous injection, and blood gas and ions have been checked."

"Okay." Feng Qing didn't say much, because he had stuttering, so he basically expressed his words in one or two words.

"Received to the court?" Zheng Ren respectfully solicited Feng Qing's opinions.

"Okay." Feng Qing said, and began to check his body.

The patient has problems with light reflexes, and the condition has reached a certain level.

"Top CT, do it now or go back to do it?" Zheng Ren asked.
Chapter completed!