Mr. Zhang's expression darkened and he said: "Before I fell into coma, my wife said she didn't want him to come over. He will be promoted soon. This year is the inspection period. If you ask for leave, there will be only one spot..." at this time, Zhang Fu's phone rang. When he saw the caller, he was stunned for a moment. "Hello--" "Dad, I'm going to Linhai soon, Linhai No. 1 Hospital, right? I'm about to get off the car!" A trace of joy flashed in Zhang Fu's pupils, but he still scolded with a straight face: "What are you doing when you come back? I will take care of your mother!" "I'm a son now, look what happened to mom?" "Then your troops..."
"Whatever, nothing is as important as you and mom!" Zhang Qiulan's son seemed to have anticipated something and rushed back desperately. Mr. Zhang wiped his tears with a hint of tenderness in his heart and said, "Okay, come here and see your mother, and then go to the police station..." … The matter on Zhang Qiulan's side has been initially resolved. For septic shock, there is no permanent solution like surgery. The only way to treat septic shock is to slowly rely on antibiotics. What is being injected is the patient's immune system, and what is being injected is money. As for whether he can survive, we have to continue to wait and see. After returning to the emergency department, Xu Qiu and Yunmei also started busy again. In the office, all kinds of phone calls are like reminders. People kept coming to report the news. "The director just informed that Corey's turnover rate will be raised - everyone, please be patient, it will affect the performance of the department!" "Wang Fan, new arrivals No. 61 and No. 39, you go ask about the medical history, measure body temperature, blood pressure and electrocardiogram, then complete the medical records and arrange basic fluid replenishment." Wang Fan nodded. Turning around, he walked into the demonstration classroom, randomly picked up an unlucky student from Guipei, and repeated what he had just said. "Did you hear that? Hurry up and write the medical record. Leave it to me when you're done." Wang Fan said seriously. Gui Peisheng curled up his neck and nodded, then went to ask about the medical history while holding his notebook. "Order troops and generals..." Wang Fan picked a few more and arranged the medical records in his hands.
In the demonstration classroom, the interns and graduate students looked at the majestic Wang Fan with admiration on their faces. "When can we be like Dr. Wang?" "Yes, so handsome and domineering!" "It feels like scolding Fang Qiu!" Just then, the head nurse knocked on the door. Wang Fan looked back, the pride on his face disappeared instantly, and his body became a little weak. In the department, the head nurse has a very high status. Not to mention a small attending, even the director has been scolded by the head nurse! Something must be wrong with her! "Wang Fan, Dr. Xu has a patient who hasn't had a bowel movement in a week." When talking about Xu Qiu, the head nurse couldn't help but smile. But she quickly restrained herself and became serious and fierce again. "But...then..." Wang Fan had an ominous premonition. "You are a doctor and you are asking me?" "Pay... pay?" "Hurry up and dig out the shit! Don't leave it to the doctor. Last time, a doctor tore the patient's anus. You are handy and know how to dig out the anus. " Wang Fan:...... If you hadn't bullied me, would I have this experience? ! He lowered his head and walked towards the inpatient department. When he came out of the medical equipment room, he had already put on a three-layer mask, protective glasses on his face, and three pairs of rubber gloves on his hands... Passing by the nurse desk in the inpatient department, He also heard the little nurses talking to the doctor one by one. What kind of fruit should I give to Dr. Xu? Do you like to eat lychees? Do you want to eat fried pancakes? At this moment, Wang Fan's back looked a little more tragic. … Beep, beep, beep! !
At around four o'clock in the afternoon, the urgent sound of an ambulance rang again. Everyone in the emergency department looked at the door at the same time, with a look of helplessness on their faces and exhaustion in their eyes. The emergency department is recognized as one of the departments with the worst treatment and lowest wages. the reason is simple. The most dangerous work and the greatest risks are undertaken by the emergency department. But how much money can be spent on rescue medicines? Once the patient's life is saved, the emergency department will have to transfer to other departments. The most profitable drugs, surgical equipment, surgeries, etc. are all sent to other places in vain. "Dr. Xu is a special case. No other department dares to accept his patients, hahaha..." Everyone was joking and followed Xu Qiu to the emergency department hall to pick up patients. What came out of the ambulance was a seven or eight-year-old girl. Xu Qiu glanced at it. The head was wet with blood, and the girl's hair was sticky with blood scabs. There were no visible injuries elsewhere. "what's the situation?" Xu Qiu walked away. He made a quick judgment. The girl was in a coma, her little brows still furrowed tightly, as if she was enduring great pain. The ambulance doctor quickly reported: "Guan Chuyu, eight years old, the person who called the police was a cram school teacher. She said the patient fell down the stairs. He was unconscious for two hours!" During the transfer to the emergency room, Xu Qiu learned some information from the doctor on board. "Looking at it this way, it's most likely a subdural hemorrhage." For this comatose patient, the most important thing is to open the airway. Once she vomits unconsciously and blocks her respiratory tract, the consequences can be imagined. "Blood pressure and pulse..." "Routine acute blood, blood gas..." "Do a CT scan and an EEG later." Although the little girl had obvious injuries on her head, Xu Qiu still did a dynamic electrocardiogram to rule out cardiac diseases.
Not long after, all the test reports came out. The head CT showed: left temporal subdural hematoma, bleeding volume of about 60ml, brain herniation. In addition, physical examination: Coma, no eyes, no voice, hyperextension, GCS score of four points, bilateral pupils left: right. Light reflex (-), soft neck, immobile limbs, high muscle tone, bilateral Babinski sign (+) Seeing the test report, the faces of the doctors present were a little serious. Diagnosis: acute subdural hemorrhage! Cerebral hemorrhage is a disease that ordinary people know. Acute subdural hemorrhage, which sounds unfamiliar, is actually a type of cerebral hemorrhage. The human brain is wrapped by a layer of dura mater. It is a tough connective tissue membrane attached to the inner surface of the skull. It also has nutrient blood vessels that protect and nourish the brain. Subdural hemorrhage is naturally caused by the rupture of blood vessels on the dura mater, and blood enters the cerebral cavity, causing compression on the brain tissue. In addition, a large amount of bleeding and hematoma will also lead to increased intracranial pressure. The most dangerous one is the formation of brain herniation. The so-called hernia, in layman's terms, is that something moves to another place due to pressure differences and other reasons. For example, testicular hernia means that the pressure in the abdomen is too high, squeezing the contents of the abdominal cavity, the greater omentum or the intestines into the scrotum. The young girl who is not familiar with the world will be shocked by his size. Brain herniation is naturally caused by excessive intracranial pressure, squeezing the brain tissue to other places. This is an extremely critical condition! Once the brain herniation compresses the brain stem, such as the foramen magnum herniation, the patient's breathing and heartache will stop immediately and die on the spot! This is a time bomb that will explode within 24 hours! At present, in order to treat such a serious acute subdural hemorrhage, the only way is to use drugs to dehydrate and reduce swelling, and to perform surgery as soon as possible. After listening to Xu Qiu's explanation, the little girl's parents were frightened and pale. "Operation, do the operation quickly, I can't live without Xiaoyu!!" Guan Chuyu's mother cried at the door of the emergency room, her voice was heartbreaking. Xu Qiu remained calm. He returned to the emergency room and planned to look at the history of trauma again and further determine the indications for surgery. At this time, other doctors and nurses had shaved Guan Chuyu's hair and cleaned the wound on her head. "No, there is a problem." In front of the bed, Xu Qiu looked at the unconscious Guan Chuyu and his face sank.