Doctor Peerless
Chapter 707 The emergency department came to the right
Chapter 707 The emergency department came to the right
Bai Mingming knew that Zhou Sheng was training the two of them on purpose.
He immediately introduced the situation in detail: "The patient drank a lot of alcohol at night, and is currently in a coma, with shortness of breath, bilateral pupils that are unequal, the diameter of the left pupil is 3mm, and the diameter of the right pupil is 4mm, and the light reflex disappears. The heart rate is 58 Beats per minute, arrhythmia, uncooperative limb muscle strength test, low muscle tone, no pitting edema in both lower limbs, weak dorsalis pedis artery pulse in both sides. Positive Babinski sign in both sides. …”
After Bai Mingming said this, Zhou Yisheng intends to test Su Quan and Cao Xin.
He interrupted Bai Mingming and asked the two of them what they thought of the patient.
There is Babinski's sign, and the pupil size is different. In fact, the condition is already obvious.
Cao Xin just came to the emergency department for a few days, afraid of making a mistake, he hesitated.
Su Quan was already "well-informed", and he opened his mouth and said, "The pupils are of different sizes, and there is Babinski's sign, and intracranial hemorrhage is considered. An emergency intracranial CT should be done immediately."
After speaking, he looked around the three beds in the emergency room, but he didn't see any patients.He guessed that the patient had already been sent for CT.
Zhou Sheng was very satisfied with Su Quan's performance.
As for Cao Xin, the requirements should not be too high. He has only been in the emergency department for a few days, and he still needs time to improve and adapt.
Emergency brain CT is performed relatively quickly, and the results are already available within 10 minutes.
The nurse sent the patient back to the emergency room and also brought back the CT report.
Su Quan and Cao Xin also saw the patient.
Su Quan looked at the patient and exclaimed, "Isn't this the third child?"
Cao Xin didn't speak, he also recognized the person on the hospital bed, and he was also extremely surprised.
Bai Mingming didn't know, so he thought the patient was an acquaintance of Su Quan.
"You know him?" Bai Mingming asked.
Su Quan shook his head, and briefly explained what happened earlier.
Bai Mingming exclaimed: "I didn't even know that such a wonderful thing happened just now. You must call me next time you meet."
Zhou Sheng got the CT from the nurse and took a brief look.
He already knew the information displayed on the CT.
Next, Bai Mingming, Su Quan, and Cao Xin read the film respectively.
Wait until everyone has seen the movie.
Zhou Sheng said: "The right thalamic hemorrhage broke into the ventricle, and the amount of bleeding was about 100ml. This amount of bleeding is very large, and the patient is at risk of brain herniation. Inform the family members of the operation for treatment."
The bleeding volume of 100ml is already very much in cerebral hemorrhage.
Generally speaking, if it is higher than 40ml, the effect of conservative treatment will be very poor.
Zhou Sheng's choice was very correct.
Of course, in addition to the indicator of bleeding volume, there are many considerations in choosing surgical treatment, such as the site of bleeding, the state of the patient, the level of the doctor, and so on.
Zhou Sheng, who has performed thousands of surgical procedures, naturally knows exactly when to treat conservatively and when to treat surgically.
Bai Mingming and the others must have considerable trust in Zhou Sheng's judgment.
The family members were notified of the operation, but the neurosurgery department was not notified for consultation.
Both Bai Mingming and Su Quan knew that Zhou Sheng was going to perform the operation himself.
It was not the first time for the two of them to see Zhou Sheng undergoing intracranial surgery.
They fully believe that Zhou Sheng has this ability.
If Zhou Sheng was the chief surgeon, then he would definitely have a chance to be on stage.
This kind of intracranial surgery is not a small operation to cut the appendix.
Being able to go on stage will be of great help to the improvement of surgical experience.
Both Su Quan and Bai Mingming were eager to try.
Su Quan volunteered and said, "Leave the dealings with the family to me."
Zhou Sheng nodded.
Su Quan was quick to speak quickly, and it was most appropriate to pester him with his family members.
Bai Mingming went to contact the operating room. Once the family members agreed to the operation, the operation could be carried out immediately.
Emergency is all about speed.
Su Quan arrived at the door of the emergency room.
Meet the patient's family.
Briefly explaining the situation to the family members, Su Quan said: "Surgical treatment is the best choice, but it has certain risks. Now it is up to you to choose between surgical treatment or conservative treatment."
The family members are very tangled.
A family member asked: "Will the guaranteed treatment wake up?"
Su Quan said honestly: "It's hard to say. The amount of bleeding is about 100ml, which is a lot. Even if you wake up, the follow-up complications will be terrible."
Another family member said: "How dangerous is the surgical treatment?"
Su Quan said: "The brain is the most complicated part of the human body's nerves and blood vessels. No one can say for sure what will happen to the brain surgery. I can only say that this operation is performed by our team leader, who is an expert in this field .”
The family members discussed it and agreed to the surgical treatment.
But I made another request, can I see the doctor who performed the operation.
Su Quan thought for a while, and agreed to the request of the family members.
Su Quan returned to the emergency room and told Zhou Sheng the family's request.
Zhou Sheng agreed without thinking about it.
He asked Su Quan to stay and take care of the patient, and went to the door of the emergency room himself.
Zhou Sheng in a white coat appeared at the door.
Immediately surprised the family members.
The doctor who performed the operation looked younger than the doctor who came out to explain the situation just now.
In fact, Zhou Sheng was about the same age as Su Quan, but Zhou Sheng was born with thin skin and tender flesh, which made him feel a bit disadvantaged at this time.
The family members murmured in their hearts.
Can such a young doctor really do it?
……
Zhou Sheng was outside the door to deal with the family members.
Bai Mingming was busy contacting the operating room.
in the emergency room.
Now only Su Quan and Cao Xin are left to take care of the patients.
The patient remained in a coma.
Now during the symptomatic infusion, Su Quan and Cao Xin had nothing to do for a while.
Cao Xin, who had been silent all this time, suddenly spoke up: "Doctor Su, Team Leader Zhou didn't call anyone from the neurosurgery department for consultation."
Su Quan wondered, "Why did you call the neurosurgery?"
Cao Xin said, "Isn't there going to be a craniotomy soon?"
Su Quan understood immediately.
It's only been a few days since Cao Xin came to the emergency department, and he hasn't encountered a supernatural craniotomy recently.He didn't know that one of Zhou Sheng's skills was supernatural.
Su Quan smiled slightly, patted Cao Xin on the shoulder, and said, "This kind of surgery does not require the help of someone supernatural. Let me tell you, Team Leader Zhou can perform the surgery, and we can follow Zhanguang to the operating table in a while."
When Cao Xin heard this, he was quite shocked.
This week's life is too good, not only the heart surgery is very powerful.
Even craniotomy.
Just this point, he is better than his uncle and Director Tian and the others!
Seeing Cao Xin's surprised expression, Su Quan said, "Tell you, apart from heart and spirit, Team Leader Zhou is also good at kidney surgery. These are the things I know so far. I don't know how much I don't know, and I can't say no." Accurate. I feel that he can go from the top of the head to the toes after the operation. In the future, you can follow him and learn slowly."
Cao Xin could hear his heart pounding.
Surgery can be done from the top of the head to the toes.
This week's team leader is too strong!
At this time, he looked at Su Quan again. He was also an intern. Su Quan was now more aura than those out-of-heart residents.
Sure enough, a strong general has no weak soldiers.
At the same time, he secretly rejoiced that he really came to the right emergency room!
……
(End of this chapter)
Bai Mingming knew that Zhou Sheng was training the two of them on purpose.
He immediately introduced the situation in detail: "The patient drank a lot of alcohol at night, and is currently in a coma, with shortness of breath, bilateral pupils that are unequal, the diameter of the left pupil is 3mm, and the diameter of the right pupil is 4mm, and the light reflex disappears. The heart rate is 58 Beats per minute, arrhythmia, uncooperative limb muscle strength test, low muscle tone, no pitting edema in both lower limbs, weak dorsalis pedis artery pulse in both sides. Positive Babinski sign in both sides. …”
After Bai Mingming said this, Zhou Yisheng intends to test Su Quan and Cao Xin.
He interrupted Bai Mingming and asked the two of them what they thought of the patient.
There is Babinski's sign, and the pupil size is different. In fact, the condition is already obvious.
Cao Xin just came to the emergency department for a few days, afraid of making a mistake, he hesitated.
Su Quan was already "well-informed", and he opened his mouth and said, "The pupils are of different sizes, and there is Babinski's sign, and intracranial hemorrhage is considered. An emergency intracranial CT should be done immediately."
After speaking, he looked around the three beds in the emergency room, but he didn't see any patients.He guessed that the patient had already been sent for CT.
Zhou Sheng was very satisfied with Su Quan's performance.
As for Cao Xin, the requirements should not be too high. He has only been in the emergency department for a few days, and he still needs time to improve and adapt.
Emergency brain CT is performed relatively quickly, and the results are already available within 10 minutes.
The nurse sent the patient back to the emergency room and also brought back the CT report.
Su Quan and Cao Xin also saw the patient.
Su Quan looked at the patient and exclaimed, "Isn't this the third child?"
Cao Xin didn't speak, he also recognized the person on the hospital bed, and he was also extremely surprised.
Bai Mingming didn't know, so he thought the patient was an acquaintance of Su Quan.
"You know him?" Bai Mingming asked.
Su Quan shook his head, and briefly explained what happened earlier.
Bai Mingming exclaimed: "I didn't even know that such a wonderful thing happened just now. You must call me next time you meet."
Zhou Sheng got the CT from the nurse and took a brief look.
He already knew the information displayed on the CT.
Next, Bai Mingming, Su Quan, and Cao Xin read the film respectively.
Wait until everyone has seen the movie.
Zhou Sheng said: "The right thalamic hemorrhage broke into the ventricle, and the amount of bleeding was about 100ml. This amount of bleeding is very large, and the patient is at risk of brain herniation. Inform the family members of the operation for treatment."
The bleeding volume of 100ml is already very much in cerebral hemorrhage.
Generally speaking, if it is higher than 40ml, the effect of conservative treatment will be very poor.
Zhou Sheng's choice was very correct.
Of course, in addition to the indicator of bleeding volume, there are many considerations in choosing surgical treatment, such as the site of bleeding, the state of the patient, the level of the doctor, and so on.
Zhou Sheng, who has performed thousands of surgical procedures, naturally knows exactly when to treat conservatively and when to treat surgically.
Bai Mingming and the others must have considerable trust in Zhou Sheng's judgment.
The family members were notified of the operation, but the neurosurgery department was not notified for consultation.
Both Bai Mingming and Su Quan knew that Zhou Sheng was going to perform the operation himself.
It was not the first time for the two of them to see Zhou Sheng undergoing intracranial surgery.
They fully believe that Zhou Sheng has this ability.
If Zhou Sheng was the chief surgeon, then he would definitely have a chance to be on stage.
This kind of intracranial surgery is not a small operation to cut the appendix.
Being able to go on stage will be of great help to the improvement of surgical experience.
Both Su Quan and Bai Mingming were eager to try.
Su Quan volunteered and said, "Leave the dealings with the family to me."
Zhou Sheng nodded.
Su Quan was quick to speak quickly, and it was most appropriate to pester him with his family members.
Bai Mingming went to contact the operating room. Once the family members agreed to the operation, the operation could be carried out immediately.
Emergency is all about speed.
Su Quan arrived at the door of the emergency room.
Meet the patient's family.
Briefly explaining the situation to the family members, Su Quan said: "Surgical treatment is the best choice, but it has certain risks. Now it is up to you to choose between surgical treatment or conservative treatment."
The family members are very tangled.
A family member asked: "Will the guaranteed treatment wake up?"
Su Quan said honestly: "It's hard to say. The amount of bleeding is about 100ml, which is a lot. Even if you wake up, the follow-up complications will be terrible."
Another family member said: "How dangerous is the surgical treatment?"
Su Quan said: "The brain is the most complicated part of the human body's nerves and blood vessels. No one can say for sure what will happen to the brain surgery. I can only say that this operation is performed by our team leader, who is an expert in this field .”
The family members discussed it and agreed to the surgical treatment.
But I made another request, can I see the doctor who performed the operation.
Su Quan thought for a while, and agreed to the request of the family members.
Su Quan returned to the emergency room and told Zhou Sheng the family's request.
Zhou Sheng agreed without thinking about it.
He asked Su Quan to stay and take care of the patient, and went to the door of the emergency room himself.
Zhou Sheng in a white coat appeared at the door.
Immediately surprised the family members.
The doctor who performed the operation looked younger than the doctor who came out to explain the situation just now.
In fact, Zhou Sheng was about the same age as Su Quan, but Zhou Sheng was born with thin skin and tender flesh, which made him feel a bit disadvantaged at this time.
The family members murmured in their hearts.
Can such a young doctor really do it?
……
Zhou Sheng was outside the door to deal with the family members.
Bai Mingming was busy contacting the operating room.
in the emergency room.
Now only Su Quan and Cao Xin are left to take care of the patients.
The patient remained in a coma.
Now during the symptomatic infusion, Su Quan and Cao Xin had nothing to do for a while.
Cao Xin, who had been silent all this time, suddenly spoke up: "Doctor Su, Team Leader Zhou didn't call anyone from the neurosurgery department for consultation."
Su Quan wondered, "Why did you call the neurosurgery?"
Cao Xin said, "Isn't there going to be a craniotomy soon?"
Su Quan understood immediately.
It's only been a few days since Cao Xin came to the emergency department, and he hasn't encountered a supernatural craniotomy recently.He didn't know that one of Zhou Sheng's skills was supernatural.
Su Quan smiled slightly, patted Cao Xin on the shoulder, and said, "This kind of surgery does not require the help of someone supernatural. Let me tell you, Team Leader Zhou can perform the surgery, and we can follow Zhanguang to the operating table in a while."
When Cao Xin heard this, he was quite shocked.
This week's life is too good, not only the heart surgery is very powerful.
Even craniotomy.
Just this point, he is better than his uncle and Director Tian and the others!
Seeing Cao Xin's surprised expression, Su Quan said, "Tell you, apart from heart and spirit, Team Leader Zhou is also good at kidney surgery. These are the things I know so far. I don't know how much I don't know, and I can't say no." Accurate. I feel that he can go from the top of the head to the toes after the operation. In the future, you can follow him and learn slowly."
Cao Xin could hear his heart pounding.
Surgery can be done from the top of the head to the toes.
This week's team leader is too strong!
At this time, he looked at Su Quan again. He was also an intern. Su Quan was now more aura than those out-of-heart residents.
Sure enough, a strong general has no weak soldiers.
At the same time, he secretly rejoiced that he really came to the right emergency room!
……
(End of this chapter)
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