Chapter 1147

Before long, Yang Jie came back with the patient.

The CT results came out.

Zhao danyan took a CT film and said, "it's not bleeding, it's ischemic stroke."

Then bring the MRI results.

"There are many old cerebral infarction points, and there are new infarct lesions in the left basal ganglia and the temporal occipital junction!"

After saying that, Zhao danyan quickly said to Chen Cang, "Xiao Chen, send it to the rescue room and give continuous low flow oxygen."

"Improve the ECG examination and carry out 24-hour ECG monitoring. I'll check the patient."

Chen Cang nodded quickly.

And Yang Jie pushed the patient towards the rescue room.

And Xu Ziming followed behind, saying nothing.

Zhao danyan didn't even look back.

After coming in, Chen Cang helped the patient take oxygen, while Yang Jie did the ECG.

ECG showed myocardial ischemia, but it did not affect.

After reading it, Zhao danyan immediately began to carry out nervous system assessment, including consciousness level, stroke severity and so on

This is the process of neurology system, and the evaluation level is directly related to the treatment plan.

At this time, the old man's consciousness is better than that just now, but his eyes are chaotic, partial motor aphasia, short-term memory decline, and his computational power is also significantly reduced.

The light reflex of both eyes is normal, the tongue is extended to the left, there is obvious mouth eye skew on the face, and the right muscle strength is grade 3 +.

Meningeal stimulation sign and Kirschner's sign... Are also normal.

Generally speaking, the patient's condition is neither light nor heavy, but considering this age, everyone dare not relax.

When the monitor was on, the alarm sounded immediately.

"Blood pressure 190120mmhg!"

Seeing the blood pressure, Zhao danyan suddenly changed her face.

Patients with elevated blood pressure within 24 hours after ischemic stroke should be treated with caution.

Stress, anxiety, pain, nausea, vomiting and increased intracranial pressure should be treated first.

However, at this time, the patient's blood pressure continues to rise, which is prone to many complications.

Such as hypertension, encephalopathy and so on.

Zhao danyan thought for a moment and then said, "labetalol is given intravenously!"

The patient here has also completed blood drawing and is waiting for further treatment.

The old lady stood pacing at the door, embarrassed.

Thrombolytic therapy at the age of 82 is still risky. Although Zhao danyan doesn't say it, she has been collecting evidence.

After an hour, the patient's restlessness was still not relieved.

This made all three worried.

Even with his eyes closed, the old man was humming. No one could understand his voice. His hands were waving like looking for clothes and touching a handful of empty lines in the bed.

Yang Jie, who has been given venous replacement, can't help worrying.

Don't let the patient cause problems!

At this time, the security guard Qi Ping ran in: "Dr. Chen, director Xu, the old lady said that the old man can be more stable around her."

As soon as this remark came out, all three were stunned.

Zhao danyan nodded, "well, let the old lady come in."

The security guard nodded and went out.

There are security guards outside the rescue room to prevent patients or others from breaking in.

Qi Ping is not very old. He is only 22 years old, but he has been an old security guard here for three and a half years.

After the old lady came in with a crutch, seeing the old man like this, she couldn't help blaming: "tell me about you. You can't stop when you get to the hospital."

Hearing the old lady's words, the old man who stretched out his hand suddenly put his hand down.

He said a few words in his mouth. No one understood anyway, but... The whole person stopped making trouble and the corners of his mouth began to rise slightly.

It seems that... Is smiling.

The old lady hurriedly said, "doctor, I'll be right here if you treat me. I won't disturb you. The old man is like a child now. He's old and young. He's nervous when I'm not around."

Hearing the old lady's words, Chen Cang found that the old man laughed.

Seeing this scene, Zhao danyan and Xu Ziming were silent, then looked at each other, and staggered their eyes.

Zhao danyan was not on duty today.

But when I got home, I couldn't sleep after a quarrel with Xu Ziming. I went back to the duty room and began to be on duty with the doctor on duty.

This is not the first time.

It's not an example.

So seeing that the doctor on duty didn't stay on duty, there must be a civil war.

After all, once people are free, they are easy to think, and the more they think, the more things they have in mind.

Maybe you can figure it out when you go to the hospital and take a night shift.

Zhao danyan is 50 years old, so is Xu Ziming, and Xu Ziming is at the peak. Zhao danyan naturally worries about what flowers and plants he has outside.

You know, the hospital is not a clean water Yamen.

Some unusual drugs represent many things.

You can't give money to someone, you can't give one person, two!

These things are not rare.

So after seeing this scene today, Zhao danyan is really uncomfortable.

This is the same as his husband being taken advantage of.

What's more, mity is still so young, beautiful and in good shape.

Successful people like Xu Ziming have great charm for these little girls.

In fact, Zhao danyan didn't know that Xu Ziming was on the night shift with Chen Cang in the emergency.

After I met you tonight, I was a little happy.

At least, he didn't go out fooling around!

……

……

By twelve o'clock, all the examination results of the patient will come out.

Here, Zhao danyan, holding a scale in her hand, said to Chen Cang, "the patient's condition is level I recommendation, level a evidence, and intravenous thrombolysis is the preferred method for vascular recanalization!"

Chen Cang nodded: "well, sister-in-law, you are more professional."

Chen Cang has made up his mind tonight. He can't call director Zhao, but his sister-in-law. In case he can alleviate the misunderstanding between them.

Zhao danyan turned to the old lady and said, "aunt, the old man needs thrombolytic therapy to break the vascular obstruction, but this treatment must have a certain risk and you need to sign."

After listening, the old lady was very decisive. She nodded her head and said, "doctor, I'm not afraid. I'll sign! Just let go of the treatment."

Then the old lady picked up her pen and said, "it's not the first time he's thrombolytic. I know!"

The old lady's name is very nice. Her name is Xiang Jinghe.

The font is also very beautiful, one stroke at a time.

After writing, the old lady said to Zhao danyan, "doctor, can I have a word with him?"

Zhao danyan nodded, "well, you can."

When the old lady heard that, she smiled for a moment and walked slowly over there.

In the past, he didn't speak. He held his hand first. After holding it like this, the old man opened his eyes and looked at the old lady. His eyes were much clearer.