Doctor Peerless

Chapter 600
Zhou Sheng said "go", but the situation is urgent, there is no need to go.

Su Quan led the way.

The two trotted to the door of the emergency room.

At this moment, many family members of the patients came to the door of the emergency room.

There are more than a dozen men and women.

They saw Zhou Sheng and Su Quan in white coats.

Immediately surrounded him.

"Doctor, how is my sister?" A young man said anxiously.

"Has my niece woke up yet?" A middle-aged uncle also asked anxiously.

"Hey, doctor, you must save my daughter!" The patient's mother said with a runny nose and tears.

……

Zhou Sheng and Su Quan were surrounded tightly.

For a while, it was impossible to enter the emergency room.

Su Quan pushed aside the crowd, and rushed into the emergency room while protecting Zhou Shengsheng, "Everyone, let us go in."

Facing emotional family members.

Zhou Sheng helped Su Quan explain: "Please be patient, as soon as there is a situation, we will notify you immediately. Please don't delay our rescue of patients."

At this time, the family members gave way to the two in a panic.

Zhou Sheng and Su Quan get rid of the entanglement of their families.

Entered the rescue room.

The patient's brother and mother also tried to enter the emergency room.

In the end, he was dissuaded by the nurse in the house.

Zhou Sheng entered the emergency room.

Came straight to bed No. 1.

On the hospital bed lay a woman in her 20s.

At the moment her condition is very bad.

The whole person is in an unconscious state.

Beside her, Liu Jing was concentrating on the rescue work, she didn't notice Zhou Sheng and Su Quan's arrival at all.

At this time, Su Quan called out: "Doctor Liu, team leader Zhou is here."

Liu Jing turned around and saw Zhou Sheng.

Her tense mood eased a little.

It was Liu Jing who asked Su Quan to go to Zhou Yisheng for help just now.

The status of Zhou Sheng in the emergency center is different now.

People in other groups may not know Zhou Shengsheng well.

But the people in the four groups all know his clinical emergency capabilities, which are definitely not inferior to Director Fang and Director Jiang.

Even Liu Zhengqing admitted in private that Zhou Sheng was better than himself in many aspects.

In front of him, he encountered a critically ill patient.

Liu Jing thought of Zhou Sheng almost immediately, so she asked Su Quan to call Zhou Sheng to help.

"What's the patient's condition now? How long has it been since the carbon monoxide poisoning?" Zhou Sheng came to Liu Jing's side and said in a deep voice.

"The patient is a 20-year-old female patient. The family members of the patient do not know the time of the poisoning. They only say that something happened to the patient, and it was only half an hour before he was sent to the hospital. Just after the examination, the patient's lips were cherry red, deep coma, shallow breathing, heart sounds Low and blunt. The pupils are equal in diameter, 0.2 cm in diameter. The light reflex is slow, the neck resists, and the muscle tone of the limbs decreases..."

Su Quan spent a short time looking for Zhou Sheng.

Liu Jing has already done a basic inspection.

While listening, Zhou Sheng turned on the A-level scanning system.

In a moment, the system has given the diagnosis result.

Except for the diagnosis result given by Liu Jing.

The system also gives two diagnostic indicators.

First, the patient's tendon reflexes disappeared.

Second, bilateral Babinski sign was positive.

Inference: carbon monoxide poisoning time, 12 hours ago, deep coma 11 hours.

Diagnosis: severe carbon monoxide, hypoxic encephalopathy.

Estimated probability of awakening: 10%.

Estimated probability of seizures: 80%.

Treatment means: Cerebral edema treatment.

Protect cranial nerve therapy.

Epilepsy treatment.

Continuous hyperbaric oxygen therapy.

Carbon monoxide poisoning, a common poisoning emergency.

Generally speaking, if found early.

Take the patient to a ventilated place, let the patient breathe fresh air, and the patient's symptoms will relieve themselves.

But often some poisoners are discovered later.

The poisoning time was relatively long, and he fell into a deep coma.

Such a situation will damage the brain due to lack of oxygen, resulting in hypoxic encephalopathy.

Some patients may be comatose for a long time, or even die.

As a great figure in neurosurgery.

Zhou Sheng naturally knew this.

The condition looks very serious!

Symptomatic treatment must be given as soon as possible to see if the patient can be revived.

Zhou Sheng said to Su Quan in a deep voice, "Babinski's inspection!"

Su Quan was stunned for a moment.

Liu Jing reminded: "The paddling test!"

Su Quan suddenly realized.

This operation Su Quan is rarely used clinically.

He didn't think of it for a moment.

Babinski sign examination is a clinical pathological reflex examination.

This is somewhat similar to the knee jerk reflex that everyone is more familiar with.

The specific operation is to use a blunt object to scratch the lateral edge of the plantar. When the patient shows the dorsiflexion of the big toe and the fanning of the other four toes, this situation indicates that the Babinski sign is positive.

Positive Babinski sign is a manifestation of upper motor neuron damage.Its presence suggests damage to the motor areas of the cerebral cortex and to the corticospinal tract.

The patient was poisoned by carbon monoxide.

If the time is longer, it will inevitably damage the brain tissue.

In the absence of brain CT and MRI, this rapid pathological reflex examination is an effective method for judging the condition.

Su Quan understood.

Do so immediately.

He quickly removed the socks from the patient's feet, then found a cotton swab, and with the end of the cotton swab, moved it from the outside of the sole to the direction of the big toe, and drew a semicircle on the sole of the patient's foot.

Normal people should have no special reaction to this test, which is called negative clinically.

But at this moment, the patient's sole showed positive reactions such as dorsiflexion of the big toe.

"Babinski's sign is positive!" Su Quan blurted out.

Liu Jing was also surprised and said, "That's a problem with the brain."

Zhou Sheng nodded, and immediately gave a judgment: "Carbon monoxide poisoning, brain nerve damage. Considering that the poisoning time of the patient should be far longer than half an hour. At this time, there should be cerebral edema, and mannitol and dexamethasone are given to treat cerebral edema. Use cell Pigment C, inosine, ATP, vitamin B, C, E nourish the nerves."

Zhou Sheng's analysis of the condition and treatment methods were done in one go without delay.

It's exactly the performance of a seasoned emergency doctor.

Su Quan and Liu Jing were very convinced and followed suit immediately.

When Zhou Yisheng issued the doctor's order, Director Jiang also came to the emergency room.

Behind Zhou Sheng, he witnessed Zhou Sheng's diagnosis and treatment process.

It can be said that Zhou Sheng's treatment process and medication are almost impeccable.

In just ten minutes.

I have seen Zhou Sheng deal with two patients.

And one of them is an emergency.

Director Jiang's mood is particularly relaxed now.

Well, this young man has grown up a lot compared to when he first saw him.

According to this speed of development, in the future... No, now he is already a general in the emergency center.

(End of this chapter)