Chapter 117

When people are excited, a large amount of blood will flow to the brain and heart, causing congestion in these two parts. That's why many people will blush when they are excited. If their body is poor or they have heart disease, high blood pressure and other diseases, fainting is just a small matter. If it's serious, it may endanger their lives.

When these two parts are congested, the rest of the body organs will be temporarily ischemic, and due to the lack of blood supply, nutrients can not be supplied in time, it will cause four straight shivering, which is why many people will twitch when they are excited and in a coma.

However, after general coma or shock, they can recover quickly after taking measures, especially for this kind of young people, they should not be in shock for such a long time.

Yang Xiaotian observed the patient's decent characteristics, and continued to ask: "how much blood pressure?"

Yi Jiaxin looked at the eye instrument and quickly reported: "80110, normal!"

Yang Xiaotian asks again: "heartbeat?"

"Normal, too!"

"Breathe?"

"A little weak!"

Yang Xiaotian decisively ordered: "on the ventilator, pay attention to observe the temperature!"

The catheter of the ventilator is quickly connected to the nasal cavity of the patient to help the patient breathe.

"Steady breathing, steady heartbeat!" Yi Jiaxin said.

At this time, even she was a little puzzled. What she should do was almost done, and there was no obvious bleeding point. How could she not wake up?

"A small dose of sedative can prevent respiratory and circulatory depression," Yang said

"Yes, sedative preparation to prevent respiratory and circulatory depression!"

After all this, Yang Xiaotian frowned and thought about it carefully, saying: "can I find the witness at the scene of the incident, I need to know all the details of the incident!"

Yi Jiaxin curiously asked: "does the process of the matter have anything to do with the patient's current situation?"

"I'm not sure, but it's possible to have a try at the moment!" With that, Yang Xiaotian pointed to the patient and said, "you see, from the physical indicators, the patient can't be in a coma, but he is in a coma. I think the problem is not physical, but psychological!"

"Psychologically?" Yi Jiaxin asked.

"Yes, but it's just my guess at the moment. I'll have to try it out." Speaking of this, Yang Xiaotian smiles, "but the treatment of any disease is not exclusion, a variety of methods to try..."

To some extent, medicine is also an empirical subject.

Soon the parking fee collector at the gate of the hospital was invited. He looked confused and didn't know what the doctor was looking for.

Waiting for Yang Xiaotian to tell the situation, the toll collector was excited. He didn't expect that he didn't know a big word and could even help the doctor.

So he began to talk.

For fear of missing something, let the doctor's treatment become bad, he said in great detail.

"When I saw that car parked there, I knew something was going to happen! You don't know. The drivers are too arrogant these days. By the way, the license plate number of that car is very good, but there is some rust on the license plate. I remember it very clearly. In the upper left corner, tut, such a good car doesn't pay attention to the license plate. It's really confusing... "

Yang Xiaotian had no choice but to interrupt him and said, "uncle, shall we say what happened? Don't describe your inner world any more! "

The toll collector scratched his head awkwardly: "let's say what happened. Here comes the owner of Audi, here comes the owner of BMW. Here is the one lying here. You say it's really a sin. A good person is beaten like this..."

"Cough..." Yang Xiaotian coughed a few times.

Suddenly, the toll collector apologized: "sorry, it's off topic again!"

"It's OK, it's OK, you go on!" Yang Xiaotian can't say anything.

The toll collector went on to say that it was much better this time. Although he still had to express his own opinions, it was much better. It was not so unrestrained as before.

After hearing this, Yang Xiaotian frowned and said: "so, you mean, he..." Yang Xiaotian pointed to the comatose BMW man, "after gaining the upper hand, he was in a coma?"

"Yes, yes!" The toll collector nodded.

Yang Xiaotian nodded slowly while thinking, and then said to the toll collector, "OK, thank you!"

The toll collector quickly said, "you're welcome, you're welcome! It's my honor to contribute to the medical cause! So what, I don't have to say anything? "

He also had a feeling that he didn't have enough.

Yang Xiaotian said with a smile: "no, but I will praise you to your leaders!"

Hearing this, the toll collector left happily.

Yang Xiaotian said to Yi Jiaxin, "help me remember. I have to talk to their leaders in the future."

Yi Jiaxin nods with a smile.

Yang Xiaotian began to think again. After thinking for a while, he said: "Jiaxin, come on, let's play. The script is that I hit your car, you don't stick to it, and then beat me up... Don't do anything, but the more exaggerated the voice is, the better the performance is!"

"Yes, I'll try!" Yi Jiaxin said.

Yang Xiaotian brewed the next mood, shouting: "how do you drive?"

Yi Jiaxin was startled, immediately pointed to Yang Xiaotian and yelled: "mother, this is how I drive, what's the matter with you?"

So the two men quarreled.

The nurse next to him was stunned.

The patients on other emergency tables blocked by the curtain were also startled.

From time to time, medical staff came to see.

They were explained by the nurses nearby, but they still looked at them with a puzzled face.

At this time, Huang Pengyu, who had been keeping a low profile for a long time, also came over and looked at them strangely, with a sarcastic smile on his face. He said to a nurse beside him, "our emergency department is modern medicine. What are they doing? Witch doctor or dancing God? What a shame

At this time Fu Lin came over and said discontentedly, "Dr. Huang, I don't like what you said!"

"Yo, head nurse?" Huang Pengyu turned his mouth and looked at Yang Xiaotian and Yi Jiaxin with his eyes. "Do you think it's a cure?"

Fu Lin turns to look at Yang Xiaotian and Yi Jiaxin. They are now "fighting" to the climax. No matter how others watch, they are enjoying themselves.

"You want to die! Look, I won't fan you to death! "

"You're looking for death. I'll run over you with my car."

With Fu Lin's 15 years of experience as a professional nurse, this is absolutely nonsense. But at this time, it's obvious that she's not helping her parents. She tells a lie with her eyes open: "Why are you not treating a disease? Don't you see how hard Dr. Yang and Xiaoyi work? "

"Poof!" Huang Pengyu laughed directly, "head nurse, you are so humorous! If they are also treating diseases, I... "He looked around and pointed to the couplant used for B-ultrasound (that is, the sticky thing that will be smeared on the body during B-ultrasound) and said," I will eat this bottle of couplant! "

As soon as his voice fell, Yang Xiaotian asked: "doctor Huang, you have a good appetite. Are you going to make soup? Or in the fridge? "

As he spoke, the comatose BMW driver's fingers moved, then his eyelashes, then his eyes opened.

Then he said in a vague accent, "here... Where is it? Why am I here? "

"OK, you go back and think about how to eat. It's not the first time you've broken your promise. You don't feel ashamed. I don't care!" Yang Xiaotian said to take out a medical flashlight, the other hand to open the BMW man's eyelids, irradiation, check each other's pupil reflex.

Then he said, "this is a hospital. I'm a doctor. How do you feel now? Do you have feelings of rapid heartbeat, nausea, vomiting, fatigue, etc

Over there, Huang Pengyu has slipped away quietly, and he is very depressed. He thinks that Yang Xiaotian must be lucky, and the patient just wakes up. Otherwise, he can wake up the shock patient by jumping?

BMW man shook his head in confusion.

Yang Xiaotian looked at it and said, "first observe it here. I'll come back later. If there is anything, please contact me at any time!"

The work of the emergency department is very busy. There is no time to delay on a patient for too long. The patient is out of danger. If there is no problem, he will be sent to another clinic.

Following Yang Xiaotian out of the emergency room, Yi Jiaxin asked, "master, this... Is amazing. What's the reason?"

Yang Xiaotian smiles and says, "do you know Fan Jin's Zhongju

"I know! He said that Fan Jin was so happy after the mid-term examination that he lost his heart. Does this matter have anything to do with our medical record? " Yi Jiaxin asked.

"Of course, there is a connection. Since being too happy will affect the mind, like this patient, first he was beaten, very angry, and then he won the ecstasy. Under this strong stimulation, he will naturally lead to changes in his body and coma! Let's start from this aspect, maybe it will have an effect! " Yang Xiaotian said.

Yi Jiaxin nodded her head and said, "but there is no such case in the medical books."

Yang Xiaotian smiles: "it's better to believe in books than to have no books! The book just teaches you all kinds of theories. When it comes to medical records, you should learn and use them flexibly. In fact, I always think that clinicians should learn some psychological knowledge! "

Yi Jiaxin is confused again: "if you have mental illness, isn't there a special psychologist?"

Since he became a master, he naturally had to do his duty. Yang Xiaotian said, "do you know?"

Yi Jiaxin nodded: "placebo is a kind of" simulated drug ". Its physical characteristics such as appearance, size, color, dosage form, weight, taste and smell should be the same as the test drug as far as possible, but it should not contain the active ingredients of the test drug (such as tablets containing lactose or starch or normal saline injection).

According to the literature, the short-term efficacy of placebo in the treatment of gastroduodenal ulcer can reach about 70% by the highly trusted physician. For patients with malignant tumor, placebo has a "placebo effect" on relieving some symptoms

"Very good, the basic knowledge is very solid!" Yang Xiaotian said with a smile, "since I'm your master, I'll leave you a homework today. You can analyze why it's not a placebo, but it can play a positive role in patients! If you have any spare power, you can analyze the role of psychology in clinical medicine that I just said! "

With that, Yang Xiaotian went out, leaving Yi Jiaxin thinking.

A moment later, Yi Jiaxin clenched her fist, cheered herself up, and said to herself, "master, you can watch it!"