socalfunplaces Chapter 530
Chapter 530
Other than that
"Wernicke encephalopathy" also has a feature:
In patients with Wernicke encephalopathy, both pupils are symptomatic of loss of light reflexes.
So
More certainly, it is "Wernicke encephalopathy".
However, it is not yet 100% certain.
Next
Do other tests to confirm "Wernicke encephalopathy", it is late at night, and it is not very convenient.
So Lin Feng prescribed a drug to the patient: intravenous infusion of vitamin B1.
Why?
Because of long-term alcoholism, the gastrointestinal tract is deficient in vitamin B1 absorption, which can lead to neurological dysfunction for a long time.
Vitamin B1 is a relatively important neuronutrient, if severely deficient, it will cause the patient to coma.
(ps: As mentioned earlier, this disease is an emergency of thiamine deficiency, thiamine generally refers to vitamin B1.) Vitamin B1, also known as thiamine. ）
Prescribe vitamin B1...
Intravenous injection......
Next, wait for the patient to wake up.
If the patient does not wake up, it may not be "Wernicke encephalopathy" and other investigations are needed, such as cerebral infarction.
......
Leave the rescue room,
At this time, the shift has been completed, and Lin Feng officially began the night shift work...
God of the night shift, bless!
A group of nurses knew that Lin Feng worked the night shift and was happy, because Lin Feng's night shift was generally not very busy.
It didn't take long for the results...
A taxi stopped —————— the door of the emergency department.
"Doctor, doctor, come and save people!!"
The taxi driver shouted.
Then the emergency department was a hectic meal.
"What's going on?"
"Dr. Lin, this patient had a car accident, I sent it over out of kindness..."
The taxi driver dropped off the patient and ran away in the taxi.
Lin Feng: ".................."
That is, this patient is not accompanied by family members or friends?
What is the patient's identification information?
None of this is known.
Glanced at the patient.
Male, about 30 years old.
The head is bleeding and has been unconscious.
There is a scraping wound on the abdomen, oozing blood, but it is not very serious.
Lin Feng ordered unhurriedly:
"Send to the rescue room... In addition, call the CT side, and I will do the CT later..."
"Also, look for his phone, his belongings, see if there's anything that is identifiable... Let's see if we can find the family..."
A call came down,
The emergency department is in order...
Busy for more than 40 minutes,
Finally completed the most important CT, B ultrasound...
Ultrasound: There is no problem with the abdomen, and the possibility of bleeding from the impact is ruled out.
· CT: subdural hematoma, already with cerebral herniation.
cerebral herniation,
This is a more dangerous situation.
At present, the patient has internal hemorrhage in the brain due to head impact.
If the bleeding is less, the condition is not so urgent.
However, this patient has more bleeding, which has caused the pressure in this part of the area to rise, and then begin to displace the tissue, crowding out other brain regions - that is, brain herniation.
Cerebral herniation: high-pressure area - > displacement - > squeeze low-pressure area - > compress part of the brain tissue, nerves and blood vessels in the low-pressure area, cerebrospinal fluid circulation disorders and produce corresponding symptom groups, called cerebral herniation.
now
The patient's brain herniation developed and he would die quickly if he did not undergo surgery immediately.
Therefore, Lin Feng needs to open his head immediately!
For surgery, it is natural to contact the family to sign.
Lin Feng: "Give the patient mannitol first, dehydration, reduce intracranial pressure... Haven't been reached yet? "
Xiao Ai: "Found it... The patient's phone does not have a lock screen function, we found his wife's phone..."
"When will his wife arrive?"
"His wife said that we were liars, we made more than a dozen phone calls, she didn't believe it, every time she called, she called us liars, and the whole family was like that..."
“......"
"That is, his wife, we haven't communicated well?"
"Yes..."
Lin Feng was speechless.
"I'll give it a try..."
Make a call.
Hello, this is the emergency department of the Imperial Capital Harmony Hospital, your husband... Well, Chen Jifeng was injured in a car accident and needs surgery immediately..."
Not finished yet...
Liars, you liars, don't call me, I don't believe it! "
Then hang up.
Lin Feng: ".................."
Lin Feng thought for a while, and used the patient's mobile phone to call his wife's phone: "Hello, take a look, this is your husband's phone number, you should always believe it..."
Now the phone number shows that it can be fake, do you think I don't know? The anti-fraud propaganda at the entrance and exit of our community is pasted, when I don't understand anything! You liar! "
"Wait... I am Lin Feng... That very famous Doctor Lin Feng..."
Lin Feng made a killer move!
I thought, how can I say that I am also a well-known doctor in the country, with 780 million fans, this family should give face, right?
outcome
"Lin Feng... Who is it? I don't know! Liar, you go to death..."
Then hang up...
Lin Feng felt that his brain was pumping...
It's so bad for this family!
I called again, but I couldn't get through, and the other side blacked out the patient's husband's mobile phone.
Lin Feng: ".................."
Ten thousand grass and mud horses galloped past.
The anti-fraud publicity is too good, but I didn't expect to have side effects.
"Wait..."
Lin Feng slapped his thigh
"You can let the police call Shu Huang..."
Lin Feng quickly ordered Xiao Ai to go to the police...
Soon, the police found the identity information and began to call the patient's wife.
At this time, the patient's wife finally knew that she was not a liar.
It didn't take long to call.
The patient's wife's tone was anxious, obviously a little panicked.
"Is my husband really in Harmony Hospital?"
"Yes."
"I'll rush over right now, half an hour... Sorry, Dr. Lin, I thought it was a liar..."
"As soon as possible!"
Put the phone down.
Lin Feng began to instruct others to start preparing for surgery, cleaning, shaving the head, allergy tests, inserting urinary catheters, shaving, indwelling intravenous needles, drawing blood...
Half an hour later,
The patient's wife rushed to the hospital, signed, paid the money...
The patient was pushed into the operating room...
......
operating room
Lin Feng took 1 and a half hours,
Open the patient's skull, decompress, and then clean up the hematoma...
.