Doctor Started a Plug-in

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After finishing speaking, Zhao Danyan quickly asked: “Is there any family contact?”

The babysitter said anxiously: “Doctor, this… Mi Young Lady, her parents passed away as early as 3 years ago, and now she is alone in Beijing!”

“And when contacting her boyfriend, the other party said that they had broken up, no more contact!”

A few words, let Chen Cang and Zhao Danyan look at this little girl, a little bit more distressed.

However, this situation is not unprecedented in the emergency department!

The medical department records!

Emergency rescue!

At this time, Xu Ziming said: “Director Hong of Neurosurgery is here.”

While speaking, came in with a middle-aged man.

After seeing Zhao Danyan, nodded: “Director Zhao is good, Doctor Chen is good.”

Zhao Danyan nodded: “Well, Dr. Hong! You can see the situation of Patient.”

Hong Sheng was nodded, and after taking a look at the film, he immediately frowned!

It’s just… Hong Sheng watched film more, the more embarrassing, after a while, this said.

“It definitely needs surgery!”

“Because the Patient situation is so special.”

“Generally speaking, hemorrhage is needed for intracranial hemorrhage, but the patient also has deep vein thrombosis. At this time, the upper sagittal sinus is blocked by more than 70%. After this blockage, hematoma has formed!”

“At this time, if hemostasis medicine is used, it will not only stop bleeding, but will also aggravate the deep venous sinus thrombosis, aggravate the hematoma, and induce a lot of bleeding!”

“What is the intracranial pressure now?”

Zhao Danyan said directly: “Half an hour ago, 400 water columns were measured in the car! Mannitol was used…”

After hearing Zhao Danyan’s words, Hong Sheng took a deep breath and pondered.

Throughout the rescue room, everyone fell into a tense silence.

As an experienced and senior Assistant Director, Hong Sheng naturally has a set of treatment methods, but the situation of Patient is really too special.

Zhao Danyan here is also embarrassed after listening to Hong Sheng:

“It is true that once the parietal hematoma continues to increase, it will definitely lead to further aggravation of brain edema. When the time comes, it may induce cerebral hernia at any time, and even…life-threatening!”

“Can it be operated? Director Hong?”

It can’t be dragged like this in the middle of the night?

Hong Sheng nodded: “Yes, yes, even surgery is the best treatment method. Patient’s intracranial pressure is due to both bleeding and edema. The bleeding can be extracted during surgery. However, if this deep venous sinus thrombosis…thrombolysis will definitely Inducing cerebral hemorrhage, it is better to use Sindou transverse sinus bypass surgery afterwards!”

After talking, Hong Sheng was a bit embarrassed and said: “But now it can’t. Let’s talk about reducing intracranial pressure first.”

“Director Zhao, I still need you to design a plan!”

Zhao Danyan takes a deep breath: “Okay!”

At this time, the test results came out!

However, after seeing the test sheet, Chen Cang was immediately blinded.

Platelets are more than double the normal level, and plasma viscosity is also very high, homocysteine ​​70!

This made Chen Cang frown.

How can such a 24-year-old little girl reach such a high-coagulation state?

pregnancy?

But yesterday the Patient said she was not pregnant!

Not only Chen Cang, even Zhao Danyan and Hong Sheng and the others thought of this possibility!

So, quickly asked Dr. B to do an examination.

The result is that everyone is relaxed.

Not pregnant!

However, without genetic disease or special disease, what kind of state can induce such hypercoagulable state?

Such a state, even if it is surgery, may still induce cerebral thrombosis.

At this time, Chen Cang suddenly said: “Sister Yang, let the laboratory urgently check the progesterone and estrogen.”

Hearing Chen Cang’s words, Zhao Danyan and Hong Sheng were slightly curious.

What is this doing?

Patient is not pregnant again.

With such high blood coagulation, thrombolytic drugs can be used.

However, we still need to be cautious.

Zhao Danyan thought hard for a long time, and suddenly said: “Thrombolysis with urokinase, heparin calcium calcium anticoagulation, while improving circulation and reducing intracranial pressure!”

“Give hyperbaric oxygen to promote nerve function and limb recovery.”

“It is best to guarantee that the operation can be completed this morning!”

As a result, several people in the emergency room began to be nervous and busy again.

The patient must be monitored throughout the whole process. The intracranial pressure was measured twice a night.

When it was less than 7 o’clock, the intracranial pressure reached about 200, and most importantly, the overall state of the Patient was relieved.

If the Patient at first is operated, the heart rate itself will be reduced, and the abnormality of pulse and blood pressure will easily cause problems.

In the rescue room, several people struggled hard for a whole night, without a single glance.

Fortunately, the situation of Patient is getting better.

Mitty also opened his eyes at this time, looking at the people around him, suddenly silent.

Chen Cang looked at Mitty, unable to bear laughed.

After Zhao Danyan checked the situation, Mitty made a big improvement compared to last night.

Hong Sheng was also relaxed at this time: “Then I will go up first, for Patient surgery… I suggest to invite Director Xue to do it. The location of the upper sagittal sinus occlusion is special. He knows the location of intracranial anatomy. Moreover, his subarachnoid space is more good at sera wounds, and it is not easy to damage the surrounding tissues, and the repercussions are smaller.”

Speaking of which, Hong Sheng unable to bear said: “After all, I studied at Harvard Medical College for 2 years, and the level is very high!”

At this time, the test results of progesterone and estrogen also came out.

Chen Cang frowned suddenly when he handed it into Chen Cang’s hand.

Why is the progesterone index so high?

Seeing Mitty silent, Chen Cang unable to bear asked: “Are you taking birth control pills for a long time?”

Mitty looked at Chen Cang, his eyes pitying, and tears were flowing.

“En.”

The sound is very light.

Waking up, Mitty seems to have experienced a life and death, just like the feeling of the next world, making her feel ridiculous.

Pay that many for a man!

But what is the end?

Zhao Danyan and Xu Ziming and the others looked at Chen Cang: “What do you mean?”

Chen Cang said: “There are a lot of progesterone in the contraceptive pills. Long-term use will increase the blood clotting components, resulting in increased blood viscosity and slow blood flow, which may cause venous sinus thrombosis!”

“For women who have long-term oral contraceptives, the incidence of deep vein sinus thrombosis will increase by 8 to 1 times than those who do not take it!”

Some words made Mitty cry.

A few people around saw this scene and suddenly became unable to bear sighed.

Poor girl!

The nanny, Peng Zhen, cried distressedly holding Mitty: “Poor child, why did you encounter such an asshole!”

……

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