Chapter 94
The patient's life is above everything else!
"What's going on? I'm still thinking about eating pancakes!" Zhou Yewu muttered to his crime in his heart.
The ambulance was driving rapidly, and the people in the car were as nervous as this car.
The follower doctor never noticed Xu Lu and Zhou Ling, and all the attention was placed on the patient's vital signs and electrocardiogram monitoring.
Until the car drove out almost a thousand meters, he turned around and saw Zhou Ling and Xu Lu, and was stunned: "Aren't these two beautiful doctors in the respiratory department?"
The 120-year-old Dr. Che's surname is Xu, and he is also an "old" doctor in front of the emergency rescue area. He is considered a familiar face in the emergency department.
Xu Lu had a faint smile on her lips: "Thank you for your hard work, Brother Xu, I will come out to take the patient so late."
Zhou Ling also smiled politely.
120 The doctor Xu Xiangqian, who was following the car, heard the alarm sound of the ECG monitoring, and immediately gathered all his attention to paying attention to the heart rate and blood pressure on the ECG monitoring.
Fortunately, a young nurse accidentally touched the tube that measured blood pressure, causing the blood pressure tape to fall off, and then the alarm sounded.
"I'm starving to death." Seeing that the patient was fine, Xu Xiangqian took out a mysterious box from the chair beneath him.
Just when Zhou Yewu thought Xu Xiangqian was doing some operations and examinations on the patient, he actually took out a pile of bananas and milk from the mysterious box.
He distributed it to the nurse and Zhou Yewu one by one.
"I laughed at you. I ran away for a whole day and had dinner in the car. I really didn't have time to get out of the car. I knew I could not bear it if I didn't eat it." Xu Xiangqian explained a little aggrievedly.
This emergency room is really tiring.
Not human!
They often have to work three shifts. Although they are for food, the hospital canteen does not seem to be set up for their emergency staff at all.
The emergency department has a small population, and basically doctors have to be on duty in 3-4 days. There are even fewer doctors following the car in front of the emergency room. Three doctors take turns to change shifts, which is simply tortured to death.
If you are so busy, if your salary is high.
...
"I'm starving to death." Seeing that the patient was fine, Xu Xiangqian took out a mysterious box from the chair beneath him.
Just when Zhou Yewu thought Xu Xiangqian was doing some operations and examinations on the patient, he actually took out a pile of bananas and milk from the mysterious box.
He distributed it to the nurse and Zhou Yewu one by one.
"I laughed at you. I ran away for a whole day and had dinner in the car. I really didn't have time to get out of the car. I knew I could not bear it if I didn't eat it." Xu Xiangqian explained a little aggrievedly.
This emergency room is really tiring.
Not human!
They often have to work three shifts. Although they are for food, the hospital canteen does not seem to be set up for their emergency staff at all.
The emergency department has a small population, and basically doctors have to be on duty in 3-4 days. There are even fewer doctors following the car in front of the emergency room. Three doctors take turns to change shifts, which is simply tortured to death.
If you are so busy, if your salary is high.
... "I'm starving to death." Seeing that the patient was fine, Xu Xiangqian took out a mysterious box from the chair beneath him.
Just when Zhou Yewu thought Xu Xiangqian was doing some operations and examinations on the patient, he actually took out a pile of bananas and milk from the mysterious box.
He distributed it to the nurse and Zhou Yewu one by one.
"I laughed at you. I ran away for a whole day and had dinner in the car. I really didn't have time to get out of the car. I knew I could not bear it if I didn't eat it." Xu Xiangqian explained a little aggrievedly.
This emergency room is really tiring.
Not human!
They often have to work three shifts. Although they are for food, the hospital canteen does not seem to be set up for their emergency staff at all.
The emergency department has a small population? Basically, doctors have to be on duty in 3-4 days, and even fewer doctors in front of the emergency room? Three doctors take turns to change shifts? They were simply tortured to death.
If you are so busy, if your salary is high.
...
Not human!
Do you often have to work in three shifts? Although it is a food supply, the hospital canteen does not seem to be set up for their emergency staff at all.
The emergency department has a small population? Basically, doctors have to be on duty in 3-4 days? There are even fewer doctors following the car in front of the emergency room? Three doctors took turns to change shifts, and they were simply tortured to death.
If you are so busy, if your salary is high.
...
The patient had a headache in the past week. The patient suddenly became unconscious 2 hours ago? The CT after admission is shown in the figure? The liquid level and uneven density zones appeared. Think about the reason?
If a patient's head CT shows a fluid plane forming in the cavity of the hematoma, the following situations should be considered:
1. Cranial trauma, chronic subdural hematoma and rebleed? At this time, CT can see the formation of fluid plane in the hematoma, and it is very rare for acute cerebral trauma to see the formation of fluid plane in the hematoma. In this case, CT can see the left scalp hematoma? It is speculated that the patient may have a subdural hematoma due to head trauma a week ago, and hemorrhage again 2 hours ago and suddenly became unconscious. The formation of fluid plane in the hematoma due to rebleeding subdural hematoma caused by rebleeding subdural hematoma.
2. Clotting dysfunctional cerebral hemorrhage, there is a fluid plane in the hematoma, indicating that there is uncoagulated blood, which is highly suggestive of coagulation dysfunctional cerebral hemorrhage. In this case, the coagulation function should be routinely checked to determine whether there are any diseases related to coagulation dysfunction.
3. Anticoagulant-related cerebral hemorrhage. Anticoagulants such as warfarin and heparin can cause cerebral hemorrhage during anticoagulation treatment, and fluid plane signs can be seen in the hematoma.
4. Tumor cerebral hemorrhage, especially cystic tumor hemorrhage, can see the formation of fluid plane in the hematoma. According to the characteristics of this example, while considering craniocerebral trauma and chronic subdural hematoma rebleed, you should be wary of tumor cerebral hemorrhage.
Review relevant literature, the difference between tumor cerebral hemorrhage and simple cerebral hemorrhage is that: tumor hemorrhage is mostly located in the cerebral lobe, while hypertensive hemorrhage is mostly in the basal ganglia area; there are obvious edema at the edge of tumor hemorrhage and the placeholding effect is obvious, and the hematoma is mixed density, accompanied by obvious flaky acupressure edema, while hypertensive hemorrhage is mostly mild or edema in the early stages of hypertensive hemorrhage; the morphology of tumor hemorrhage is irregular or uneven, and sometimes high-density fluid-like high-density shadows can be seen in the tumor; brain tumor stroke enhancement scan is often strengthened, and there is enhanced nodules around it, while cerebral hemorrhage is often not strengthened; after the treatment of brain tumor stroke, the symptoms are reduced due to cerebral edema, the symptoms are transiently improved and then aggravated, and the condition gradually improves after the symptoms of hypertensive cerebral hemorrhage are stable.
Chapter completed!