Chapter 231 Bystanders

Zhou Huaifang did not know when he slipped over. "Huang Jingyang, how do you stay in the department at this time?"

What’s the matter? The department came to the adult patient. Cao Teacher didn't dare to go. I naturally couldn't walk. ”I thought Zhou Huaifang said I didn't go back.

"I'm not saying this. I mean that medical science has come to such an important patient. How do you stay in the department? How can you not attend expert consultation? Expert consultation is a very rare learning opportunity. Go, let's go in and watch. ”Zhou Huaifang said.

"Cao Teacher didn't have a chance to go in. How did I get in?"I shook my head.

"What are you afraid of? We are different from their formal doctors. We are internships anyway. Even if we offend people, they have no way to deal with us. Again, we just listened in the past. As long as you don’t talk, it’s definitely not a thing. By the way, Dong Fu Chengdu has already mixed in. Just now he sent a text message to me. Go, we are together. ”Zhou Huaifang said.

I could not but Zhou Huaifang strongly invited, followed him to the consultation room.

The patient complained of coughing, belching with dizziness, chest pain for nine days, and had a syncope.

Li Ke, an expert in internal medicine, looks serious. The patient's identity is special. He naturally dared not neglect. "From the results of the current examination, the pharynx was slightly congested, the breath sounds of the lungs were rough, and there was no abnormality in the X-ray. The electrocardiogram was also generally normal. After the patient has taken the compound antihypertensive tablets and other drugs, no symptoms are relieved. This morning the patient suddenly fainted when urinating, turned upside down, awake after a minute, dizziness, chest tightness, and only hospital treatment. In addition, patients suffer from high blood pressure six years ago. According to the results of the current test, the cause of cough and fainting cannot be diagnosed. ”

"It's not that you want to talk about illness. It is to determine what the patient is suffering from. If the reasons are not identified, a thorough examination will be conducted immediately and the true cause of the patient must be ascertained as soon as possible. Do you have anything to add? ”Zhang Zhenyuan is very annoying. Checked for so long, did not find out the cause. It was very annoying Fire's looking at Li Yan. Li Wei is an expert in internal medicine, but at this critical time, he cannot show the value of an expert, but can he be considered as an expert?

Zhang Zhenyuan quickly turned to Lu Maozhu. “Director Lv, when Ms. Thunder entered the hospital, I applied for expert assistance from Yanjing Xiehe Hospital. Now experts are on the way to the East China Sea. It is estimated that it will arrive soon. The expert I requested was Shi Weiming, an authoritative expert in internal medicine at Xiehe Hospital. ”

Lu Maozhu is a senior official of the health system and naturally heard the name of authoritative expert Shi Weiming. However, it is because of concerns about his wife. Some annoyed Fire, "You talk about Ruihua Hospital, and you have a reputation in the East China Sea. I often say good things about your Ruihua Hospital outside. What are the financial requirements, I also try to tilt to you. How do you drop the chain when it is critical? I told you that the East China Sea is an international-level city and it must have international-level hospitals to match. Various departments need to find ways to equip heavyweight experts. You don't need money. How can we not have a group of high Water level medical experts if we are not bad? ”

Lu Maozhu's remarks are obviously very dissatisfied with Zhang Zhenyuan, the dean.

Zhang Zhenyuan looked at Earth Green looked at a group of experts in the conference room, see these experts are silent. The interns who stood around were also stunned by this atmosphere. There is a feeling of trembling.

The secretary of the dean rushed in and whispered something in Zhang Zhenyuan’s ear. Zhang Zhenyuan immediately looked startled. They said to Lv Maozhu quickly. "The chief Lui and Shi Weiming came over. I went out to meet. ”

"I am going with you."Lu Maozhu heard that Shi Weiming had come and was overjoyed.

Zhou Huaifang gently pulled me. "Heaven can be an eye-opener today. This Shi Weiming is the real authority. Internal medicine is very powerful, a lot of internal medicine materials, which can see his name. ”

"Where is the patient?"I said.

"This time, it must be in the care unit. Ask Dong Fucheng, he must know. ”Zhou Huaifang said.

Zhou Huaifang stomped and walked next to Dong Fucheng and gently pushed Dong Fucheng.

"What are you doing? Don't mess around here. Otherwise, I can't eat it. ”Dong Fucheng was shocked.

Zhou Huai took a wink at Dong Fucheng and the two went out together.

WhatDong Fucheng asked.

“Huang Jingyang asks where is this patient?”Zhou Huaifang asked.

"What do you want to do? This patient is not the average person. Don't mess up. ”Dong Fucheng said nervously, Earth said.

“We don’t know anything here. What’s the use of hearing from these experts? It's better to look at the patient's condition. ”I said.

"In the intensive care unit. It was useless for us to go. There was a guardian who was there and could not get in at all. ”Dong Fucheng shook his head.

"Go and see."I took Zhou Huaifang to the intensive care unit.

"You two really passed? Don't mess up, you have to do something big. ”Dong Fucheng quickly reminded again.

"Do not worry. We are not stupid, how could we get out of Wind head? It's just a look at the past. ”I laughed.

When Zhou Huai-fang and I came to the intensive care unit, it seemed that the atmosphere on the intensive care unit seemed to be a lot heavier than usual. There is a hospital security guard at the gate. Through the glass, you can see there are doctors on duty, especially one of the beds, followed by two or three doctors, and you don't want to think about it. The adults you come up with today are definitely lying in this bed.

"Hey, you two interns, don't come here to add chaos."The hospital security guard smiled at us.

"What chaos do we add? Just take a look outside here. ”I said with a smile. Through the glass you can see the patient lying in bed. I actually saw that even though she had a black Qi that was hard to detect, she began to disperse outside her body. It seems that her situation is very bad. If you can not get effective treatment, I'm afraid it will not be too long. However, looking at the situation of the consultation, Ruihua Hospital has not yet found the true cause of the patient. Now the treatment of the patient is not symptomatic. If this continues, the consequences will be very serious. Do not know after the experts came. Will there be any improvement?

I stood with Zhou Huaifang for a while and saw a large group of people walking to the intensive care unit.

The security elder brother quickly said to us: "Bring forward, the leader has come. Let them see, and I'm unlucky. ”

I quickly got to one side with Zhou Huaifang.

"Stone old, here please. When Ms. Thunder entered Ruihua Hospital, she was placed in the intensive care unit. The hospital arranged several experienced doctors to monitor at any time. Always be aware of Ms. Thunder’s condition changes. ”Zhang Zhenyuan's attitude at this time is very low.

Shi Weiming was surrounded by people and walked alongside the patient's inspection report. With his brow furrowed, he could not confirm the patient’s condition from these inspection reports.

"Is there a possibility of cerebral thrombosis? Brain CT did not? Chest did not? Is the heart normal? ”Shi Weiming asked a lot of questions along the way.

"CT has already been done, there is no bleeding in the brain, and there is no problem in the lungs responding to both lungs. Two lungs percussion voiceless, no abnormal X-ray X-ray. Aspartate aminotransferase and alanine aminotransferase indicators were normal. The possibility of myocardial infarction can be ruled out. The X-ray at the bedside showed no abnormalities in heart, lung and diaphragm. ”Li Hao said quickly.

Shi Weiming's brow wrinkled. From these inspection results, he could not determine the cause. However, the patient's cough, dizziness, dizziness, and chest pain are definitely related to the cause of the disease. However, some of the conditions he thought were eliminated.

It was when Shi Weiming entered the intensive care unit. The patient lying in bed suddenly vomited. Breathing becomes rapid and there is symptom of convulsions.

"Quick, give low-molecular dextran, 5% glucose solution."Shi Weiming said.

However, the patient’s condition has not improved but has been worsening. The patient's condition did not improve, but the ends of the extremities began to become cold. Purple reticular patterns appeared on the skin of the feet, and consciousness became blurred. The heart circle expands slightly to the left. At the end of both lungs, fine wet voices were heard.

I see the patient's black Qi escape seems to be accelerating. The situation has become more and more critical.

Zhang Zhenyuan naturally knew that the situation was not good. The sweat on his forehead fell down like rain.

This chapter is a student of Qi Teacher, plus I can come here to practice. It is thanks to him. He also counted on me, so this time. I cannot stand by.

“Dr. Zhang, why do patients not consider pulmonary thrombosis since they have symptoms such as cough, sputum, dizziness, and chest pain? The bedside minimally invasive hemodynamic monitor can monitor pulmonary blood pressure. I know that our hospital has a minimally invasive hemodynamic monitor. ”I walked around to Zhang Zhenyuan and quickly said Earth.

Originally, Zhang Zhenyuan just came out of the intensive care unit and was blocked by an intern. It was very angry, but after listening to me, it was also a look.

"Time is running out. If the best treatment time is delayed, it will be impossible for the gods to save!"I quickly warned.

Zhang Zhenyuan quickly returned to the intensive care unit. This type of instrument intensive care unit was originally there, but because of the possibility of the exclusion of the MI, he did not have such equipment at all.

Hurry! On the minimally invasive hemodynamic monitor! Focus on pulmonary thrombosis! ”Zhang Zhenyuan shouted to the doctor in the intensive care unit.

Misdiagnosis is often misleading and misleading. In fact, all the doctors were misled by some of the results of the inspection. Because the lung thrombi had been directly excluded before, there were electrocardiograms, fluoroscopy results, and percussion results, as if all could exclude pulmonary thrombi. Everyone began to ignore this and to think about more complicated symptoms. Shi Weiming was also misled. He did not consider pulmonary thrombosis at the beginning. But now, Zhang Zhenyuan has taken the lead and drank. Everyone is stunned by Earth.

In fact, it is very simple. The normal electrocardiogram does not rule out pulmonary thrombosis. The fluoroscopy results do not completely tell people the true condition of the lungs.

Although there are common symptoms of pulmonary thrombosis such as cough, chest pain, fainting, etc., no one has ever suspected lung thrombosis. If it weren’t for me to have special abilities, I’m afraid no one would want to think about the condition of the patient from the beginning, and perhaps it will wait until the autopsy.

The results of the minimally invasive hemodynamic monitor really show pulmonary hypertension and normal or low pulmonary capillary pressure. This is clearly the most powerful proof of pulmonary thrombosis.

Hurry! Intubation Urokinase 264000IU plus NS100ml infusion or intravenous injection for 10 minutes followed by 132,000IU/h for 12h. ”Shi Weiming said quickly. After the symptomatic treatment, the patient's condition quickly turns to safety.

"Stone old, thanks to you this time."At this time Lv Maozhu's face was better. Obviously he has already seen that his wife's illness has been diagnosed and improved.

Shi Weiming was not greedy. After all, all the people on the scene saw it. The turning point in the treatment was because Zhang Zhenyuan suddenly advocated focusing on checking pulmonary thrombosis. “This time thanks to Dean Zhang’s thought of pulmonary thrombosis. Originally many signs ruled out pulmonary thrombosis. But it is the lung thrombosis that has been ruled out that causes the patient’s condition to become more and more serious.

"In fact, it is not what I think of. My Teacher Teacher Qi Binhua recommended a clinical intern to me. He just reminded me to consider the patient's pulmonary thrombosis. ”Zhang Zhenyuan actually wanted to erode this credit, but the scene at the front door was also seen by many people. He was simply a bit of an aglet and he didn't covet Huang Jingyang.

"Oh, where is this classmate? It seems that the spectators are really clear. At one point, we will be deceived by the instrument. So be careful for the healer. The patient entrusts us with life. We must be careful, such as walking on thin ice. ”Shi Weiming sighed.

"I'll call him in."Zhang Zhenyuan had forgotten my name for a long time. For him, how could a person like me be able to get into his eyes?

Zhang Zhenyuan strode out of the intensive care unit and stopped me who was about to leave. “Hey, wait.”

"I know I can't escape. Had to turn God. Dean Zhang, did you call me? ”I can't help Earth.

"Yes, just thanks to your reminder. Yan Jinglai's expert wants to see you. There is also a director of Lv who also wants to see you. ”Zhang Zhenyuan thought I should be flattered. However, my performance was very calm and made him very surprised. (To be continued ~^~)