I Can See Health
Chapter 108: Pushed to the emergency department!
Endocrinology Area 2, doctor's office.
Min Ling was shocked when she received Lu Chen's WeChat message.
To be honest, she just guessed that the patient might have acute cerebral infarction, but the real chance was not high.
I went out to do a brain DWI just to rule out acute cerebral infarction as usual.
Unexpectedly, by doing this, I actually won!
Hypoglycemia combined with cerebral infarction is very rare.
It’s like winning the lottery!
She actually encountered it today.
Min Ling immediately took out her mobile phone and called Lu Chen.
"Lu Chen, is the infarct area large? Which parts are it mainly?"
After Lu Chen received the call, he asked the technician who performed the examination.
"Teacher Min, the teacher in the magnetic resonance room said there is a large area of cerebral infarction, and there is also a cerebellar infarction!"
When Min Ling heard this, her heart sank to the bottom.
The most severe parts of cerebral infarction are in the brainstem and cerebellum.
After brainstem and cerebellum infarction, the brain tissue becomes edematous due to ischemia and hypoxia, and the physical strength expands, causing increased intracranial pressure. The brain tissue will be squeezed downward and easily squeezed into the foramen magnum, forming a foramen magnum hernia.
It can also affect breathing and heartbeat, causing death.
"Lu Chen, thank you for your hard work. After the examination, push the patient back as soon as possible. I have already requested an emergency consultation from the neurology department."
"OK."
Several family members carried the patient out of the MRI room.
"Slow down, don't be anxious." Lu Chen assisted from the side.
Carrying the patient back to the hospital bed, Lu Chen immediately attached the electrodes of the ECG monitor to the patient's body.
"Dr. Lu, what are the test results?"
Several family members looked at Lu Chen nervously.
"The specific and detailed results have to wait for the report from the magnetic resonance room." Lu Chen said, "But the doctor in the magnetic resonance room just took a brief look at it and considered that there is indeed a large area of cerebral infarction!"
As soon as Lu Chen finished speaking, the expressions of several family members around him suddenly became extremely ugly.
Especially the middle-aged man, the patient's only son, his brows furrowed into the character "Chuan".
"Doctor, can my dad be cured?" the middle-aged man asked in a low voice.
Lu Chen paused and said, "I can only tell you that the patient's current condition is very dangerous, and he may suffer respiratory and cardiac arrest at any time!"
The middle-aged man's brows knit together.
He looked at the patient on the bed and swallowed.
"Now is not the time to talk about the condition. We need to send the patient back to the ward quickly." Lu Chen said.
He didn't do this aimlessly.
Because just after the cranial DWI, Lu Chen suddenly noticed that the patient's vitality had changed.
Suddenly, it dropped by 4 points!
This is not a good sign and the patient must be sent back to the ward quickly.
"Okay." The middle-aged man nodded.
Several family members pushed the bed together and prepared to return to the second endocrinology area.
…
The MRI room is in the outpatient building.
Everyone just pushed the bed out of the door of the magnetic resonance room.
Lu Chen noticed that something was wrong with the patient on the hospital bed!
Although the patient has always been in a coma and has hemiplegia on the left side of his limbs, his right limbs are very restless and even wave his right hand involuntarily during DWI.
However, after completing the DWI examination, Lu Chen found that the patient's agitation had disappeared!
This is not a good thing!
"Beep...beep...beep..."
Suddenly, an alarm sounded from the ECG monitor on the hospital bed.
Lu Chen quickly looked at the ECG monitor.
The patient's blood oxygen saturation suddenly dropped from 96% to 88%!
Lu Chen thought that the fingertip blood oxygen clip was not accurate, so he immediately changed the patient's finger to measure the blood oxygen.
Still 88%!
And it continued to drop, reaching 85%!
The health value on his head also changed from 50 to 42!
"Oops! I can't breathe!"
Lu Chen's heart tightened.
"Doctor, what's wrong with my dad?" The middle-aged man on the side also noticed something strange.
"We can't go back to the department yet!" Lu Chen shouted, and then looked towards the lobby on the first floor, where the emergency department is next to.
"quick!"
"Push the hospital bed to the emergency department!"
Several family members reacted immediately.
Fortunately, the hospital bed had not yet left the outpatient clinic building, and everyone pushed the hospital bed towards the emergency department.
…
Jinghua Second Hospital, Emergency Department.
After Wang Xiaodong graduated this year, he stayed in the emergency department.
Today is the first day of work.
As soon as I arrived at the emergency department ward in the morning, I met a comatose patient in the emergency room.
After being busy for most of the day, fortunately, I was finally sent to the endocrine department safely.
"Xiaodong, did you just send the patient to endocrinology?" A colleague on the side smiled cheerfully, "This is a good start for you!"
Wang Xiaodong looked sad.
"I don't want this to be a good start."
If the positions in other departments in the hospital were not full, Wang Xiaodong would not want to come to the emergency department!
But there is no way!
His tutor didn't have much influence in the hospital, but he finally managed to establish a relationship so that he could stay in school.
But it is not up to him to decide which department he can stay in!
In the end, only the emergency department was left.
“Let’s take the Ph.D. exam while working.”
Wang Xiaodong now has an idea. While working in the emergency department, he will try to take the Ph.D.
If he wants to stay in Jinghua Second Hospital and go to other departments to advance to a higher level, then only by getting a doctorate can he have a chance to turn around.
Just when Wang Xiaodong was thinking about his future plans.
Suddenly there was a burst of shouting outside the emergency ward.
"A patient is here! We need to rescue him!"
Wang Xiaodong immediately jumped up from his chair. He was the doctor on duty today.
All the rescue work was done by him.
However, when he ran to the emergency room, he found that the patient on the bed looked so familiar.
Isn't this the patient he just sent to the endocrinology department this morning? !
Why was he sent to their emergency department again in the blink of an eye?
"Xiaodong, don't be stunned. The patient's blood oxygen saturation continues to drop. Prepare for tracheal intubation!" Dai Bin, Wang Xiaodong's superior doctor, shouted to Wang Xiaodong at the door.
"coming!"
Wang Xiaodong immediately ran to the patient's bedside and assisted Dai Bin in tracheal intubation.
"What's the condition of the patient?" Dai Bing asked a doctor next to him while intubating.
At this time, Wang Xiaodong discovered a young doctor standing next to the bed.
"The emergency department just sent the patient to the endocrinology department in the morning. We suspected that he had another acute cerebral infarction, so we pushed him out and performed a DWI."
"As soon as I finished the examination and walked out of the door of the MRI room, the patient's blood oxygen dropped. It was definitely too late to send him back to the department. This is the closest to the emergency department, so I pushed him directly to the emergency department."
Lu Chen began to briefly describe the patient's medical history.
"What are the results of the DWI?" Dai Bin continued to ask.
"Large-area cerebral infarction, and cerebellar infarction!" Lu Chen said slowly, looking at the patient on the bed.
After hearing what Lu Chen said, Wang Xiaodong was shocked, and a layer of sweat immediately covered his forehead.
This patient was his first patient in the morning.
When the patient came to the emergency department, he was in a coma and his blood sugar was very low.
Considering hypoglycemia and coma, he was sent to endocrinology.
Now he actually has acute cerebral infarction?
Dai Bin's face darkened and he shouted to the nurse on the side: "Call immediately and ask for emergency consultation from neurology, neurosurgery and ICU!"
At the same time, Dai Bin moved very quickly.
Endotracheal intubation was successfully performed and the patient was connected to a ventilator.
Seeing that the patient's blood oxygen saturation gradually increased and his health no longer dropped, Lu Chen finally breathed a sigh of relief.
…
At this time, in the second area of the Endocrinology Department, the doctor's office.
Min Ling's right eyelid twitched.
Lu Chen has been out for so long, why hasn't he come back yet?
Is something going to happen?
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