Chapter 352： Athlete's foot is not sick

"Vitamin, have you checked?" Zheng Ren asked.

"Vitamin?" Su Yun stunned.

ICU, the habit of emergency rescue, there is no vitamin test at all, except for a special disease.

Trauma is not a special disease.

"The lack of vitamin B1, I will consider this now." Zheng Rendao: "Stop the patient's tranquilizer."

"..." Su Yun slightly stunned.

"I want to see if the patient is having symptoms of numbness and numbness when he is inciting."

Extraocular muscle paralysis, which is dominated by oculomotor nerves, can cause symptoms such as abnormal eye position and dilated pupils.

Su Yungang wanted to refute, but suddenly recalled when Yang Lili was awake, her eyes kept shaking.

He sank for a few minutes and suddenly looked up and his eyes lit up. "Boss, I think you are right."

The director of money and the director of other consultations are stunned.

Are these two young people joking?

The city is still waiting for today's illness report, they...

If Su Yun had already demonstrated the level of emergency first aid beyond everyone in the ICU, wouldn't it be that Zheng Ren showed a high level of surgery in previous emergency operations, fearing that it was already sprayed.

Vitamin B1 deficiency?

Just kidding.

"Xiao Zheng, Xiao Su, don't make a joke." The voice of the director was deep and expressed his dissatisfaction.

"Chairman, no kidding." Su Yun smiled.

Zheng Ren’s words set aside the fog in front of him, a clear sky.

Sometimes, the difference is a little bit. Once the window paper is smashed, there is nothing to look back.

"The patient's symptoms have anything to do with vitamin B1 deficiency!" The director of the medical department angered: "Is the beriberi disease?! Nonsense!"

"Pathological physiology, have learned it." Su Yun looked around, his mouth screaming and screaming and laughing. "This vitamin B1 deficiency is commonly known as beriberi, which is true."

As he said, the smile on his lips became more and more intense. The stars in the eyes of many ICUs in the ICU were flashing.

"Vitamin B1 is also known as thiamine, and thiamine is phosphorylated by the action of enzymes in the intestinal tract to form thiamine pyrophosphate.

Thiamine pyrophosphate is an important coenzyme for the decarboxylation of pyruvic acid and a ketoglutarate in the Krebs cycle, and is also a coenzyme of erythrocyte keto alcohol transferase. ”

A series of professional terms, like the thunder of the sky, emerged from the void and landed on the head of someone at the place.

The director of the money Shen Shen, Xiao Su said it seems to be a train of thought.

The head of the Medical Service is ugly because he can't understand it.

His position is very important. He is responsible for the integration of various rescue links, handling medical disputes, and controlling the quality of medical care.

But the time away from the clinic is too long, and things like pathophysiology have long been forgotten.

Su Yun did not pay attention to the thoughts of the big people present, and continued: "In the brain metabolism and myocardial tissue of the group, the glucose and pyruvate metabolism must have enough vitamin B1 to participate, otherwise it will be caused by the lack of thiamine pyrophosphate. Pyruvic acid is difficult to enter the tricarboxylic acid cycle.

A large amount of pyruvic acid is retained in the blood, causing the surrounding small arteries to expand, the peripheral resistance to decrease, the venous flow to increase, and the cardiac output and cardiac workload to increase. ”

Huh? Finally, the right heart discharge and heart load?

The head of the medical department pretends to be thinking, and at this time, it cannot be seen that he does not understand.

But... this abominable guy can't be said to be simpler?

"So, I..." Su Yun has been stagnant in a smooth tone. "My boss said that considering Yang Lili's instigation and psychological symptoms should be a complication caused by vitamin B1 deficiency."

After that, Su Yun glanced at Zheng Ren.

"I am right, boss."

"Basic is this." Zheng Ren is not polite, then said, "It is recommended that 100mg of vitamin B1 intramuscular injection, but the body absorption of intramuscular drugs is relatively slow, you can try intravenous injection of 20ml saline + 50mg vitamin B1 intravenously. ""

"The first dose on the first day is a little bigger, no problem." Zheng Rendao.

The directors and the director of the medical department were confronted with each other, but in the eyes of the other party, they saw the stunned.

Although not everyone agrees with Zheng Ren and Su Yun, but if you want to spray, you have to have a reason.

People's one-two-three-four-five talks clearly about things and judgments, and they are very clear from the perspective of biochemistry.

Although I don't understand it, I feel very good.

What should I do?

What else can I do?

"Try it, there is no other good way." Qian said.

He and Su Yun have the longest contact time and understand Su Yun. In general, Su Yun’s expression on his face means that he is right.

At this time, don't refute, even the chief director, in the face of a well-founded illness, must be beaten.

Besides, the intake of tens of milligrams of vitamin B1 will definitely not have a negative impact on Yang Lili's condition.

"After half an hour, stop the calming agent." Zheng Ren got up and explained the last sentence.

"Okay, boss." Su Yun went to the doctor.

Looking at the back of Zheng Ren’s departure, the money director vaguely felt a little emotion.

This is a little tiger that has grown up.

As far as this momentum is concerned, there will be no such thing as the director of the Year.

Medical, there is no absolute grasp, who dares to say so certain? Just talk about it, you will soon be beaten, or left slap, right slap, a few times to be the kind of pig head.

The director of money only saw this temperament in the professors of a few emperors and demons, and the city's first hospital...has never had such a person.

Su Yun got a doctor's advice, and a small nurse was busy doing it, then intravenously injecting vitamin B1 and hitting a muscle needle.

Looking at the time, Su Yun sat down in the chair by the bed, watching Yang Lili half an hour, the boss said the time should be no problem. At that time, the amount of tranquilizer is reduced, and the metabolism of the tranquilizer in Yang Lili's body is almost the same. It should be 2 hours later.

If it is really the symptoms of ocular nerves caused by vitamin B1 deficiency, as well as cardiovascular symptoms, it will definitely improve.

This diagnosis is really interesting.

......

At the same time, surgery in the orthopedic surgery room to remove the vertebral body is underway.

"Small week, is the exact embolism yesterday?" Professor Teshitian of the Imperial Capital asked while opening the skin.

Dr. Zhou said: "The time of embolization is relatively long, because we only have a doctor in the intervention department. I can't see the success of the success. But the patient who used to embolize the peritoneal hematoma after the pelvic fracture has done a good job."

"Well, there are fewer interventional doctors, and it is not bad to have one." Professor Tian began to bluntly separate muscle tissue, carefully avoiding a densely packed capillary.