Chapter 1777

In an instant, countless things appeared like a tide. The situation changed dramatically. Su Yun, Zhou Litao and the patient's family members were stunned.

The family members of the patients who had been dissatisfied and had abdominal Fei were suddenly scared silly.

The person who left the hospital was unconscious!

The news turned into fear and all discontent dissipated.

Seeing that neither the patient nor his family members reacted, Su Yun immediately ran to the treatment room, took the blood drawing syringe and biochemical tube, and quickly collected blood for the old man.

The old patient obviously couldn't contain his temper, but as soon as he wanted to say something, Su Yun shouted, "shut up if you don't want to die!"

Just at that moment, Su Yun knew what the problem his boss had been looking for.

Thyroid dysfunction, followed by thyroid crisis!

Not long ago, the consultation case from Massachusetts General Hospital was a thyroid crisis caused by ingesting a large amount of iodine after CT enhancement.

This is definitely a terrible and fatal disease.

"President Zhou, does Corey have tabazole?" Zheng Ren asked immediately.

"No." Zhou Litao replied directly.

"Ask someone to borrow it from the pharmacy!" Zheng Ren shouted, "tabazol or propylthiouracil will do. It's a large quantity. It needs at least 20 boxes."

"..." Zhou Litao was stunned and immediately went to someone to tell him about it.

"Call the emergency B-ultrasound room and push the machine right away."

"Propranolol, prepare intravenous infusion, proton pump inhibitor, methylprednisolone, ECG monitoring!"

"Call the patients who left the observation and hurry back!"

"Count and rescue drugs!"

After orders, Zheng Ren stood in the corridor of the emergency department and ruled everything with confidence.

The medical staff in the emergency department were at a loss. Some people gave instructions with full confidence. Their memory in the body played a role and began to operate quickly according to Zheng Ren's command.

"Boss Zheng!" Director Cheng heard Zheng Ren directing the rescue outside. He came out angrily, "have you found the problem?!"

"Hyperthyroidism, consider eating." Zheng Ren quickly said, "the time delay is a little long. Comatose patients have thyroid crisis."

Hearing the danger of thyroid, director Cheng was stunned.

This is a fatal disease with a mortality rate of more than 20%.

"How was it diagnosed?" Director Cheng asked in amazement.

"Sorry, director Cheng, I don't have time to explain to you." Zheng Ren said, "nurse, did you call the patient? The one in coma doesn't need to."

"Calling."

"President Zhou, have you gone to get the medicine? Call and ask if there is any medicine."

Tabazole is too cheap and the dosage is small, so many pharmaceutical companies do not produce this kind of money losing drug.

This is a sad thing to say.

"Just asked, there is no tabazole, there is propylthiouracil." Zhou Litao said.

Zheng Renchang sighed.

It is estimated that there are more patients undergoing thyroid surgery in 912. They often have to face patients with thyroid crisis, so propylthiouracil is available.

In a hurry, the sound of 120 ambulance came. Zheng Ren had no time to explain all this to director Cheng and ran to the door of the emergency channel.

The door opens and the patient pushes down.

System panel blood red, the above diagnosis is very clear, thyroid crisis!

Zheng Ren wanted to understand everything at the last moment.

This group of patients should have eaten the animal's thyroid by mistake, so the amount of free T3 and T4 in the body increased rapidly.

Generally speaking, it will have symptoms within 5-20 hours and reach the peak value within 2-7 days, resulting in thyroid crisis.

The big pig hoof was not diagnosed because it was not a toxin. Although it was food poisoning, it was different from food poisoning in the conventional sense. There is no toxin, but a sudden increase in the content of a substance needed by the human body.

This is the most reasonable explanation.

Seeing the moment when the system panel gave a thyroid crisis, Zheng Ren affirmed his guess.

The patient was pushed to the emergency room, and the nurse began to detain the venous channel, suck sputum, lower gastric tube and urinary tube.

The doctor in the B-ultrasound room rushed over with the B-ultrasound.

"What patient?" She asked, "where do you want to check?"

Zheng Ren didn't have time to explain. He pushed her aside and applied the coupling agent to the patient's neck.

The probe fell and a clear sea of fire appeared on the screen.

After repeated confirmation twice, Zheng Ren shouted, "has propylthiouracil been taken back?"

"Back, back." Zhou Litao ran to the door and saw the nurse taking the medicine come back panting with propylthiouracil.

"600mg, injected through gastric tube!" Zheng Rendao, "record the time, prepare potassium iodide solution, monitor nail work, and static point potassium iodide for 1-2 hours."

"ECG monitoring, pay attention to heart function and prepare propranolol."

Only then did Zheng Ren breathe a sigh.

Watching 600mg propylthiouracil enter the patient's stomach through the gastric tube, Zheng Ren knew that it was impossible to die.

It can only be a high probability. There's no way to fill it up yet.

Director Cheng was silent when he saw the fire sign on B-ultrasound.

Is this what boss Zheng has been looking for? There was no sign before. It was just a common gastrointestinal cold. How did it suddenly become a thyroid crisis?

I can't understand.

But facts have proved that boss Zheng is right.

Fire Sea sign, only such a clinical evidence is enough.

A few minutes later, Su Yun ran back with the anxious test sheet.

T3 and T4 were significantly increased and TSH was significantly inhibited. There is an evidence that it is hyperthyroidism.

But the old man hasn't had a thyroid crisis yet. It seems that he has good luck.

After confirming this again, Zhou Litao asked the nurse to take blood tests for all patients who could without waiting for Zheng Ren to speak.

Propylthiouracil is ready. As long as the test results are returned, everything is not a problem.

The treatment will not be hindered by some things. Zhou Litao knows that there is only one reason - because boss Zheng is here!

If boss Zheng had left the task one day earlier, he would have been covered with dew. The patient is sent back for various examinations and hospital consultation.

When the diagnosis is clear, the patient may be dead. And it is not a patient, but a group of patients.

Director Cheng stood aside and watched the machines in the emergency department roar and expel the disease. He had mixed feelings in his heart.

What appeared in front of him was the picture of boss Zheng bowing to himself just now.

He is a little absent-minded.

More than ten minutes later, the propylthiouracil fed through the gastric tube in the rescue room took effect, the heart rate was gradually decreasing, and Zheng Rencai came out.

When director Cheng saw that simple and honest face, he really didn't know what to say.

"President Zhou, I don't care about the rest." Zheng Renhe greeted Zhou Litao and immediately saw director Cheng.

Four eyes are opposite.

"Boss Zheng, awesome!" Director Cheng sighed.