"Brother Teng, is such a patient valuable for rescue?" Ni Hong listened beside him, knowing the danger of such a patient.

"It is hard to say that as long as the patient has not died, we should not give up easily. Besides, I know this patient, I am not old and have good physical fitness. Suddenly, a large amount of brain bleeding will cause severe stress reactions. This stage is the most dangerous stage for the patient. If we take measures to help the patient overcome the stress level, there will be hope."

"Brother Teng, I am most convinced and admired by you. As long as you think patients with hope will do their best to fight. This is respect and awe of life. Okay, let's sleep, I guess you will be busy tomorrow." Ni Hong didn't dare to delay Shi Yuanteng's rest any longer.

The next morning, Shi Yuanteng finished breakfast at home and drove to the hospital to work alone. Since the hospital opened, Shi Yuanteng has become accustomed to this kind of two-point and one-line life.

Shi Yuanteng came to his office, put on a white coat, turned on the power of the water boiler, and then left the office and walked towards the intensive care unit.

When he arrived at the intensive care unit, Shi Yuanteng took the isolation suit handed to him by the nurse and walked inside.

Everyone knows that Dean Shi will definitely go to the intensive care unit to check this morning. Therefore, except for the doctors left behind in the ward, other doctors are concentrated in the intensive care unit. There are not many opportunities for learning such as this, and they don’t want to miss it.

The patient's medical history is relatively simple, and Shi Yuanteng did not stay in ICU's office and took everyone directly to the patient's bed. Zhan Peng, who received the patient last night, reported the patient's condition to Shi Yuanteng last night.

"The patient is still in a deep coma and has undergone tracheostomy and indwelling artificial trachea at Linhai People's Hospital. At present, the patient's pupils are equally round and large, with slightly weak light reflexes, and blood pressure, heart rate, and blood oxygen saturation are all maintained at normal levels. Gastric juice is withdrawn from the indwelling gastric tube, and no signs of gastric bleeding are found."

"I did a blood routine last night, with more than 18,000 white blood cells, mainly neutrophils. The blood sugar is normal, and the body temperature has been above 38°C since I was admitted to the hospital, and the phlegm sounds obvious in both lungs. This is the sputum that has been sucked out from last night to now." Xiao Zhanpeng pointed to a glass bottle connected to the central sputum suction device beside the bed. Shi Yuanteng saw that there was indeed a lot of sputum.

After listening to Xiao Zhanpeng's report, Shi Yuanteng was not in a hurry to say anything. He began to conduct a physical examination for the patient in detail, from the incision of the head to the auscultation of the heart and lungs, Shi Yuanteng meticulously examined it.

"Doctor Xiao's report just now is very detailed and very good. Listening to his report, I know that he has thought of many problems and has taken corresponding preventive measures to address these problems. This not only reflects his level, but also reflects his careful and responsible attitude, which is worth learning from everyone." After the physical examination, Shi Yuanteng began to analyze the condition. Before the analysis, he did not forget to praise Xiao Zhanpeng. Shi Yuanteng would always promptly praise and affirm the doctors who did a good job.

"The patient is currently in an acute phase and is still in a stress state after cerebral hemorrhage. The situation is very dangerous and we cannot take it lightly. I will analyze it one by one, but when you deal with the patient, the patient must be evaluated and considered as a whole."

"First of all, the patient's emergency resection of part of the skull that night was carried out to reduce the pressure of the 'open window'. It was very timely and necessary. Without this step, we may no longer see this patient today."

"You can look at the place where the skull is removed, and it is obvious that it is protruding outward. This shows that the patient's intracranial pressure is still very high, and the subsequent dehydration treatment cannot be relaxed. Reducing the pressure and reducing brain edema is equivalent to rescuing the oppressed but not necrotic brain tissue."

"The management of the respiratory tract is very important. In addition to the application of antibiotics, there are three very important points. First, turn over and pat the back in time. The method and strength of patting the back should be paid attention to." Shi Yuanteng said while carefully turning the patient into a lateral lying position with the assistance of Xiao Zhanpeng, and then perform a demonstration of patting the back.

"Everyone just saw that the strength and direction of the back are very important. Every time you turn over, you must pat the back. The purpose of patting the back is to let the objects deep in the lungs pass through the large bronchial and trachea, so as to suck it out when sucking sputum."

"In addition, we must keep the airway wet. The air inhaled by normal people is wetted layer by layer, and the patient no longer has this function. If the humidity is not done properly, it is easy to form sputum scabs in the tracheal casing and block the tracheal casing. If it is blocked and we do not discover it in time, it will be very dangerous."

"Finally, let's talk about suctioning phlegm. When suctioning phlegm, the suction tube should be placed gently. The deeper the tube should be placed as deep as possible and the deep phlegm should be sucked out. The cleaner the phlegm, the faster the condition of the lungs will improve, and the time for unplugging the tracheal tube will be greatly advanced."

"At present, the patient's heart condition is pretty good. What should be paid attention to is the changes in the patient's heart rate and heart rhythm. Under stress, these changes will occur and cannot be taken lightly."

"The condition of the digestive tract is pretty good, at least there is no stress ulcer, which is a thing worth being happy about. But the stress state has not passed yet, so we must pay close attention."

"The patient has a history of hypertension, and the increase in intracranial pressure will lead to corresponding increase in blood pressure. How to balance blood pressure and keep blood pressure at a stable and appropriate level is very important. It is also something that the supervisor, doctor on duty and nurse should pay attention every day."

"The patient has been drinking heavily for a long time and is currently in an alcohol withdrawal state. Fortunately, his liver function is not bad, but you should also pay attention to this factor, especially when taking medication."

"Finally, it is something that you may be more likely to ignore. You must always monitor the patient's nutritional status, water, electrolytes, and acid-base balance. This is the basis for maintaining the patient's life. If this foundation is not managed well, all our efforts will be gone."

"Director Mu comes to see him at least once a day and guides them for treatment." Mu Kejun is much higher than Fu Yideng's level for the comprehensive management and treatment of critically ill patients.

"Don't look at the patient's seriousness now. As long as we work hard to help the patient overcome the cerebral edema and lung infection, the patient will have the possibility of survival. In my opinion, the patient's survival is very likely. Let's work together to make a patient sentenced to death by another hospital to survive with our efforts." Shi Yuanteng's last words gave confidence to everyone present and made them excited.

After Shi Yuanteng finished speaking, he turned around and left. In addition to the doctor who was transferred to the intensive care unit, the others also returned to their wards to check the patients.
Chapter completed!