Chapter 1146

After Chen Cang hurriedly asked the nurse to ask for an urgent consultation, he hurried to the emergency door.

Xu Ziming follows Chen Cang. As the chief director of cardiac surgery, he naturally has sufficient emergency experience.

The key is that his neurology is actually OK!

After all, the wife of the family is the chief physician of Neurology and the deputy director of Neurosurgery of the emergency center. She can learn a lot from her experience.

Not to mention that in the past, in order to pursue Zhao danyan, Xu Ziming did not less prepare lessons and pretended to be a Xueba. He simply knew something about nervous system diseases.

Later, after marriage, family disputes were also unusual. Every time Zhao danyan was angry, he would try to write some papers on the nervous system. Let alone, Xu Ziming really learned a lot.

Otherwise, where can I think of delusional syndrome and diseases such as damage to the nervous system just now.

Here, stop the ambulance and follow the doctor to help the patient land safely.

Nurse Yang Jie hurriedly pushed the bed and transferred the patient to the bed for rescue.

The old man was not in a coma at this time, but closed his eyes. He was obviously upset. He shouted something in his mouth, and his hands swayed around.

When she got out of bed, an old man carefully got out of the ambulance. She was over 80 years old with wrinkles.

Seeing this, Xu Ziming helped the old man and walked down carefully.

The car following doctor here said to Chen Cang: "the patient fell to the ground three hours ago, his speech was unclear, his right limb was numb and weak, and the corner of his mouth was crooked..."

Chen Cang suddenly changed his face: "did he fall first and then fall? Or did he fall first and then fall?"

Then the doctor shook his head: "the old lady herself is not sure."

In a word, the risk factor of patients has increased a lot again.

The old lady came over here and said with worry on her face, "it should be that her legs were weak first and then she fell down."

Seeing this, Chen Cang said to Yang Jie, "take the patient to take a CT to see if there is cerebral hemorrhage?"

For the examination of nervous system, if you want to judge whether the patient has intracerebral hemorrhage within a certain time window, you must do craniocerebral CT, because within a period of intracerebral hemorrhage, CT is more accurate than MRI.

So now when many patients are hospitalized, many doctors always ask them to do CT first and then MRI after excluding cerebral hemorrhage, because MRI can see cerebral infarction more accurately.

Cerebral hemorrhage and cerebral infarction are all called stroke, but there are essential differences in pathogenesis and treatment.

One is that cerebral blood vessels are broken and bleeding needs to stop bleeding, and the other is that cerebral infarction needs thrombolysis and blood circulation.

If the treatment is reversed and the bleeding is activated, this will happen.

Although the death rate of stroke is not high, if your treatment plans are reversed, you will have to be paralyzed if you don't die.

Therefore, patients with suspected stroke should be diagnosed quickly, and basic assessments such as brain CT should be completed within 60min after arriving at the emergency room as far as possible, and treatment decisions should be made.

Chen Cang called the radiology department and urged him to improve the MRI if there was no bleeding.

Although the old lady looked worried, she slowly opened a cloth bag and slowly took out a pile of hospitalized medical records.

"Doctor, this is his inpatient medical record in 2015, which is 18 years, 19 years..."

After Chen Cang opened the case, he was relieved to see that the information inside was in order.

With these things, it really saves a lot of trouble.

Admission medical records are actually the most comprehensive, and there are several cases, which can make a relatively comprehensive judgment on the disease development of patients.

The old lady stood aside and didn't bother Chen Cang, but the melancholy cloud on her face couldn't dissipate.

The old companion's cerebral infarction is not a day or two. Every time he goes to the hospital, it is a severe test for the 82 year old.

Besides, it's an emergency.

Chen Cang couldn't help asking, "aunt, how long has it been since the onset?"

The old lady thought about it, looked at the watch with an obvious sense of history on her wrist, and said firmly, "it's less than an hour, to be exact, it's 50 minutes."

Chen Cang's eyes brightened as soon as he heard it. If it was a cerebral infarction, the shorter the time, the better the treatment effect.

When Chen Cang collected the cases, the old lady could basically say everything and knew the situation of the old man like the back of her hand.

What medicine to take every day, how much to eat, how much blood pressure in the morning and noon, how to control blood sugar recently

Xu Ziming couldn't help saying, "Auntie, you really know this. It's more rigorous than the nurses in the ICU."

The old lady smiled and sighed: "at our age, I'll be happy to be a person. Taking care of him is taking care of myself. When I'm old, I'm afraid of being alone with him. Even if I lie there and don't talk, I feel secure!"

"We got married at the age of 16. Now we're both 82. There's more than one year. I don't think I'll live long without him."

When the old lady spoke, there was a sense of culture between the lines.

Cool and firm eyes.

Xu Ziming was stunned by this sentence for no reason.

The old lady looked at them and said slowly, "doctor, I say something from my heart. It's best to make him comfortable. If it doesn't work, I look at him uncomfortable and I feel distressed. It's better to go quietly."

"He is a capable man. He has come with great momentum all his life and has too strong self-esteem. He told me before that if he was old and lived too much, he might as well go in peace."

"Don't worry, old man, we will try our best!"

Hearing this sentence, Chen Cang and Xu Ziming were stunned. He turned around and found that it was Zhao danyan, Xu Ziming's wife.

I don't know when she has come down!

And I don't know how long I stayed behind.

The key is that Xu Ziming looked at his wife curiously. He didn't expect Zhao danyan to be in the hospital.

Chen Cang turned around and smiled, "sister-in-law, you're coming."

Xu Ziming wanted to say something, but Zhao danyan didn't give a good face at all.

Zhao danyan nodded: "well, show me the patient's medical record."

Chen Cang nodded quickly.

Compared with Zhao danyan, she has a lot of surplus employment. After all, it is a disease in the Department of Neurology. Zhao danyan has a better effect in dealing with it.

Chen Cang nodded and hurriedly handed over his collected information and the patient's medical record book.

Xu Ziming wanted to say something, but he could only sigh.

He really didn't know how to explain it.

Just stand aside.

Chen Cang saw that Zhao danyan ignored Xu Ziming, and Xu Ziming didn't take the initiative to speak. Standing aside, he couldn't help laughing bitterly.

This misunderstanding is really troublesome.

After all, Mitty was not there, and it was unclear what to throw into her arms.