Innumerable things appeared like tidal waves in a flash, and the situation changed dramatically. Su Yun, Zhou Litao and the family members of the patients were stunned.
The family members of the patients who were dissatisfied and ill-conceived were suddenly scared.
The person who left was comatose after leaving the hospital!
This message turned into fear, and all the dissatisfaction vanished.
Su Yun saw the patient and the patient's family did not respond, immediately ran to the treatment room, took the blood-sucking syringe and biochemical tube, and quickly collected blood from the elderly.
The old patient is obviously unable to contain his temper, but what he just wanted to say, Su Yun said: "If you don't want to die, shut up!"
Just at that moment, Su Yun knew what the problem his boss had been looking for.
Thyroid dysfunction, followed by a thyroid crisis!
Not long ago, the consultation case sent by the Massachusetts General Hospital was a thyroid crisis caused by a large amount of iodine in patients with thyroid dysfunction after CT enhancement.
This is definitely a terrible disease that is enough to kill.
"Zhou Zong, does Corey have his bazo?" Zheng Ren asked immediately.
"No." Zhou Litao replied directly.
"Call people to the pharmacy to borrow!" Zheng Ren shouted: "He is a carbazole or propyl thiouracil, a large number, at least twenty boxes."
"..." Zhou Litao stunned and immediately went to find someone to say this.
"Call the emergency room B and immediately push the machine."
"The heart is safe, prepare for intravenous infusion, proton pump inhibitor, methylprednisolone, ECG monitoring!"
"Call the patients who are leaving, take the time to come back!"
"Check the rescue medication!"
With the order issued, Zheng Ren stood in the corridor of the emergency department and ruled everything with confidence.
The medical staff in the emergency department were completely overwhelmed. Some people confidently gave orders, and the memory in their bodies played a role. They started to operate quickly according to the instructions of Zheng Ren.
“Zheng Boss!” Director Cheng heard outside Zheng Ren’s command and rescue. He walked out with anger. “You found the problem?!”
"The thyroid function is hyperthyroidism, considering the food intake." Zheng Ren quickly said, "The time delay is a bit long, and the comatose patient has developed a thyroid crisis."
Upon hearing the danger of thyroid, Cheng Director stunned.
This is a terrible disease with a mortality rate of more than 20%.
"How is it diagnosed?" Director Cheng asked.
"Sorry, Director Cheng, I have no time to explain to you." Zheng Rendao: "Nurse, did you call the departing patient? The coma does not need to."
"I am playing."
"Zhou, are you going to take the medicine? Call and ask if there is any medicine."
This drug is too cheap and the dosage is small, so many pharmaceutical companies have not produced such lost money.
This is a very sad thing to say.
"I just asked, there is no carbazole, there is propyl thiouracil." Zhou Litao said.
Zheng Ren took a deep breath.
It is estimated that there are more patients with 912 thyroid surgery, and they often have to face thyroid crisis patients, so propylthiouracil has medicine.
Being busy, the voice of the 120 ambulance came. Zheng Renlai and Zhang explained that it was all right and went to the door of the emergency room.
The door opens and the patient pushes it down.
The system panel is red, and the diagnosis above 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 gland, so the amount of freeness in the body is rapidly increasing.
Under normal circumstances, there will be symptoms within 5-20 hours, peaking within 2-7 days, causing thyroid crisis.
The big pig's hooves are not diagnosed because it is not a toxin. Although it is a food poisoning, it is not the same as food poisoning in the conventional sense. Without toxins, the amount of certain substances that the body needs is suddenly rising.
This is the most reasonable explanation.
Seeing the moment the system panel gave a thyroid crisis, Zheng Ren affirmed his own guess.
The patient was pushed to the emergency room and the nurse began to indwell the venous access, sucking, lowering the stomach tube and the urinary tube.
The doctor in the B-room was pushing the B-ultrasound.
“What patient?” she asked. “Where to check?”
Zheng Ren did not have time to explain, squeeze her directly to the side, and pick up the couplant to the patient's neck.
The probe fell, and a clear fire sign appeared on the screen.
Repeatedly confirmed twice, Zheng Ren shouted: "The propyl thiouracil was taken back!"
"Come back, come back." Zhou Litao ran to the door, the nurse taking the medicine holding propyl thiouracil, panting back.
"600mg, infused through the stomach tube!" Zheng Rendao, "record the time, prepare potassium iodide solution, monitor the work of A, 1-2 hours of static potassium iodide."
"Electrocardiogram monitoring, pay attention to heart function, prepare propranolol."
Until this time, Zheng Rencai took a deep breath.
Looking at 600mg propyl thiouracil into the stomach of the patient through the stomach tube, Zheng Ren knows that this person has a high probability of not being able to die.
It can only be a big probability, and there is still no way to say it.
Director Cheng was silent when he saw the fire of the B-ultrasound.
Is this what Zheng boss has been searching for? There was no sign before, just an ordinary gastrointestinal cold. How did it suddenly become a thyroid crisis?
No way to understand.
But it turns out that Zheng Bo is right.
The fire of the sea, only such a clinical evidence is enough.
A few minutes later, Su Yun ran back with an urgent test.
T3 and T4 were significantly elevated, TSH was significantly inhibited, and there is a piece of evidence that hyperthyroidism is but the old man has not had a thyroid crisis, and his luck seems to be good.
After confirming this point again, Zhou Litao did not wait for Zheng Ren to speak, and the nurses gave blood tests to the patients who could.
Propyl thiouracil is ready, as long as the test results are returned, everything is not a problem.
Treatment is not at all hindered by certain things, Zhou Litao knows that there is only one reason - because Zheng boss is!
If Zheng Boss is out of the mission for a day, he must be dewy. The patient is sent back, and then various examinations and consultations are held in the hospital.
If the diagnosis is clear, the patient may have died. And not a patient, but a group of patients.
Director Cheng stood by and watched the machine in the emergency department roaring and expelling the disease.
What came to his attention was the picture that Zheng boss had just yelled at himself.
He is somewhat lost.
After more than ten minutes, the patients in the rescue room were fed with propylthiouracil through the gastric tube, and the heart rate was gradually decreasing. Zheng Rencai came out.
Director Cheng saw the honest and simple face. I really didn't know what to say.
"Zhou, I don't care about the rest." Zheng Ren and Zhou Litao greeted each other and immediately saw Director Cheng.
Four eyes are opposite.
"Zheng boss, amazing!" Director Cheng sighed.
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