Soul out of body?

Everyone became interested.

The patient's eyes were panicked, and she was alert to the surroundings, and lowered her voice: "Yes, when I was in the idiot, I saw your doctor rescuing me, just like a soul drifting into the air."

Xu Qiu nodded silently, and at the same time, he sniffed his nose and frowned.

Thinking of hepatic encephalopathy, isn’t this coming?

The so-called soul out of body has actually been proposed by patients, and some doctors have really tried to verify it.

Many critically ill patients in hospitals will have similar statements after being rescued.

So, doctors from the Medical College of Shixi Branch of the Berry Country conducted an experiment, putting a huge, conspicuous digital card next to the bed of every critically ill patient.

The patient cannot see it when he is lying down, but if the soul is really out of his body, he will definitely notice this bright red number.

If there are patients who say that their souls are out of body, the doctor will ask for the numbers, but no one can answer them.

Subjective feelings cannot be falsified.

However, the objective result undoubtedly slapped the saying "soul is out of body". There are four main reasons for the explanation given by the scientific community: one is mental diseases; the second is damage to the central system of the brain; the second is abnormal burst of electrical signals in the brain; and the final brain neurotransmitter disorder.ωωw..net

The so-called out-of-body out of the patient is mainly related to damage to the central system.

Xu Qiu prescribed deammonia, acidified intestinal and mannitol dehydration treatment. Like the pastor, the most important treatment method at present is to lower blood ammonia, that is, take l-ornithine l-aspartic acid.

"There may be some mild vomiting, abdominal pain, and side effects of diarrhea." Xu Qiu reminded his family.

After leaving the ward, Xu Qiu's eyes fell into the vast group of doctors.

"How many stages does this patient have hepatic encephalopathy?" Xu Qiu asked.

Everyone immediately became nervous, and a few of the sleepy ones woke up suddenly. They quickly lowered their heads and did not dare to look at Xu Qiu.

In the crowd, Mo Wan and Shi Lian both raised their faces, and their beautiful appearance was particularly pleasing to the eye among a group of doctors with worrying hair.

Xu Qiu's eyes directly passed by Mo Wan.

This person is the first person in the younger generation of hepatobiliary surgery in China. Asking her to answer this question is simply asking the academician how to solve the quadratic equation of the univariate...

"Pity." Xu Qiudian said.

Shi Lian thrust his back, and his voice was crisp and beautiful: "It should be the second period."

"Um."

Xu Qiu nodded and signaled her to continue.

Shi Lian's voice was a little louder and said: "Hepatic encephalopathy is mainly divided into five stages.

Period zero is a normal period.

The first phase is also called the prodromal phase. It has mild personality changes and behavioral disorders, and also wing-like tremors. However, it is generally normal to check the EEG. Many patients with stage one phase have hidden symptoms and are most easily overlooked in clinical practice.

The second stage is the early stage of coma, mainly caused by confusion of consciousness, drowsiness and behavioral disorders. Hallucinations are one of the manifestations, and there are fear, mania, etc., which are often mistaken for mental illness. If diagnosed, characteristic abnormalities can be caused by electroencephalogram.

In the third stage, you will be confused; in the fourth stage, you will be completely lost!”

Xu Qiu nodded: "It's almost done. There is another point in the second stage of hepatic coma, which may be difficult to notice if it is not clinically."

Shi Xie looked in love: "What is Teacher?"

The others also raised their ears.

"Liver smell."

Xu Qiu said concisely: "The second stage of hepatic encephalopathy is also the beginning of liver odor."

Liver smell is actually the smell of a patient exhaling or smelling in his urine, which is a mixture of rotten apples and rotten eggs. Some patients may also have a fishy smell.

The formation mechanism is also related to severe impairment of liver function.

After multiple effects such as digestion and bacterial decomposition, the methionine in the patient's body not only releases a large amount of ammonia, but also produces dimethyl sulfide and methyl mercaptan. The two are retention in the body, forming a complex special odor.

Just now he smelled a faint smell of liver on the patient.

Actually, if you think about it carefully, Wei Ding, who had been suffering from twists and turns, had long considered eliminating severe liver damage because of the disease caused by weight loss pills and meal replacements.

Because even with the ability to distinguish Master Xu Qiu's scent, he didn't smell any liver odor on him at the beginning.

However, everyone was deceived by thousands of aminotransferase indicators at that time. They did not expect that Wei Ding was not a liver damage in the conventional sense, but a blood stasis...

"Liver smell?"

After listening to Xu Qiu's explanation, everyone suddenly realized.

The emergency department smelled too much the liver odor of patients with liver failure, but I didn’t look at it carefully. This is actually one of the signs of stage 2 of hepatic encephalopathy!

"I've learned a lot!"

"I can't learn this in textbooks, and I may not be able to get this kind of meticulous clinical experience in the emergency department."

Mo Wan nodded.

In addition to specialists in hepatobiliary surgery, departments such as emergency departments may not necessarily know about it.

Xu Qiu's teaching rounds are very ambitious enough.

He not only wants to train a doctor who can save lives, but also hopes that everyone in the emergency department will be very meticulous and save the lives of every patient in the best condition within his medical ability.

"With a director like this, why worry about not growing stronger when he is a doctor?" Mo Wan sighed.

...

Not long after, Xu Qiu brought people to Yuan Yu's ward.

The patient was too prepared and concealed too much information. She was diagnosed with pancreatitis due to taking hydrochlorothiazide, which then quickly progressed to acute severe pancreatitis, and at the same time, the thrombosis fell and caused pulmonary embolism...

If Xu Qiu hadn't keenly noticed that her blood pressure fluctuations were too strange, and followed the clues to find out that Yuan Yu had a history of hypertension and found the antihypertensive drug hydrochlorothiazide, it might not be the cause, but the cause of death.

"Last time you learned a lesson. If you withhold information from the doctor, you are not responsible for your life!" Yunmei came over and reminded her.

Yuan Yu's condition has improved a lot compared to yesterday.

After replenishing fluids, blood transfusions, and stopping the endometrium bleeding, her condition gradually stabilized.

However, her pale face turned more and more to highlight the yellowness of her skin.

jaundice!

Compared to the rescue, Yuan Yu's jaundice seemed to be more serious, and it was at the point where Mo Wan could carefully identify it with her naked eyes.

"The patient has a history of hypertension, and long-term excessive drinking of water has caused the heart load to worsen and chronic heart failure. Will it be the same as Wei Ding, which is caused by liver congestion and hypoxia caused by heart failure?" Mo Wan guessed in his heart.

Blood-congestion can quickly lead to worsening of clinical manifestations, but as long as the venous return disorder is relieved, it can recover in a short period of time.

Since Wei Ding, this characteristic has become a knowledge point that cannot be forgotten by doctors in their lifetime...
Chapter completed!