Chapter 41 An Accident Happened!(1/2)
On the side of the CT film, Xu Qiu relaxed and frowned at the same time.
I was relaxed because the brain CT showed that the patient had no signs of cerebral hemorrhage or cerebral infarction.
Among emergency patients, cerebral hemorrhage is the one that needs to be ruled out first——
This is a serious illness that can lead to death in a short period of time!
If not treated in time, it can range from disability to death.
Frowning means,
The most likely cause of cerebral hemorrhage has been completely ruled out. Next, it will take a lot of effort to confirm the real cause.
He looked at other movies.
CT scan of the lungs showed a slight infection.
Worthless.
Immediately afterwards, Xu Qiu discovered something was wrong on the abdominal CT scan.
The size of normal human kidneys is between 8 and 14 cm, but Shen Baocai’s kidneys are only about 5 cm!
A bit smaller than the average adult.
Xu Qiu quickly found the blood routine report.
It shows: Serum creatinine 365μmol/l!
Serum creatinine is a product of human muscle metabolism, and the normal value is between 30 and 110.
Most of these metabolites pass through the kidneys and are excreted in the urine.
Once it increases abnormally, there is a high probability that there is a problem with the kidneys!
"Hypertensive nephropathy?"
Xu Qiu was confused.
However, hypertensive nephropathy alone is not enough to explain the coma.
Unless the real cause is found, there will always be a time bomb hidden in the patient's body!
At this time, the old lady also found the office.
Seeing Xu Qiu, she started crying again and asked, "Doctor, please save my son. What happened to him?"
Xu Qiu was not sure and could only say: "Waiting for the results of further inspections."
The old lady didn't bother, she found a seat and sat down, wiping her tears from time to time, but she stayed quiet the whole time, waiting for the result.
When everyone saw this, they didn't say much.
This kind of family members are already a very qualified group.
More than ten minutes later.
The results from the electrocardiogram laboratory were also fed back.
Also released are cardiac enzymes.
"Sinus tachycardia".
No big problem.
Xu Qiu frowned and murmured: "It's not myocardial infarction."
He picked up the brain CT scan again, and after examining it carefully, he focused his main attention on cerebral infarction.
"Cerebral infarction cannot be ruled out."
Acute cerebral infarction may not show signs in the early stage.
Seeing that there was still no result, the old lady was afraid that she would lose her only remaining son, so she cried and begged: "Doctor, we can do whatever examination you want, no matter how much it costs!"
Xu Qiu felt a little soft-hearted and comforted: "If it is completely ruled out, either wait 24 hours and do another head CT. Or... do a magnetic resonance imaging."
"Do, do an MRI!"
Xu Qiu shook his head, "There's no way. Magnetic resonance imaging takes half an hour, and most people will be tortured when they go in. In the patient's current condition, the risk of undergoing magnetic resonance imaging is extremely high!"
"Then what should we do..." The old lady looked pale.
He Hai also came to the office and said, "I'll go take a look again."
Xu Qiu stood up and said, "Director He, I'm coming with you."
…
In the ward.
He Hai examined the patient again.
There is still no indication of nerve localization.
It is still not consistent with the symptoms of cerebral hemorrhage or cerebral infarction.
"It's not cerebral hemorrhage." He Hai shook his head.
He was also in a bit of trouble.
If it is really an acute cerebral hemorrhage, then some response should be given.
At that moment, he completely ruled out cerebral hemorrhage in his mind.
"Go back first and collect detailed medical records."
He Hai put his hands behind his back and prepared to leave.
The cause of this patient's illness is indeed complex.
There are twists and turns, and it seems that the whole body is covered with diseases that can cause coma.
But after actual examination, we found that every disease is just a cover, not the ultimate cause.
Not long after the two left, the old lady's screams came from the ward.
Xu Qiu and He Hai looked at each other and ran back quickly.
Push open the ward door.
I saw the old lady holding a handful of tissues in her hand, and the tissues were soaked with blood.
Looking again, blood is gushing out from the patient's nasal cavity!
"quick!"
He Hai's expression immediately changed.
The patient's blood volume was already relatively low, and he had experienced shock.
The overall condition is not optimistic!
Such massive bleeding occurs again at this moment...
One is to block the respiratory tract and suffocate, but to lose a lot of blood volume, which will further worsen the patient's condition and make the condition more critical!
"Clean the respiratory tract and stop the bleeding!"
Both are experienced doctors.
Rescue work was immediately divided and the nosebleed stopped quickly.
He Haigang was about to breathe a sigh of relief and looked aside inadvertently.
His face changed again.
"The stomach tube also has blood."
I saw that dark red bloody liquid began to pour out of the patient's stomach tube.
"Hypertension, renal dysfunction, shock, pneumonia..."
He Hai recalled the abnormal items on the blood routine: "There were also increased white blood cells, mild anemia, and decreased platelet count..."
"What kind of disease is it?" He Hai kept asking himself.
There are so many problems, but there is no real cause!
If not treated in time, the patient will bleed frequently for no reason and have problems with blood coagulation...
Even if there is no cerebral hemorrhage now, the attack will occur at any time~!
It will really be over by then!
"Ask an ICU consultation. If it doesn't work, go there!" He Hai thought for a long time and made this decision.
The ICU is equipped with all kinds of life support equipment.
As long as you have money, even if your heart is gone or your lungs are damaged, you can still survive for weeks or even months relying on ecmo and other equipment.
…
Shortly after.
To be continued...