Come on, Dr. Wu

Chapter 87 Intraventricular hemorrhage
  fall down!

Experience tells Wu Xiaofu that he is in trouble.

A drunken fall is different from a normal person's fall. A normal person will make a subconscious protective action when they fall. For example, at the moment of falling, they will subconsciously grab something with their hands, or mop the floor with their hands. The body will also subconsciously protect important parts and curl up, and the head will generally not be knocked straight to the ground.

But things are different after being drunk. In a drunken state, a person's nerve transmission slows down or even stops, and the body's defensive protection is missing. After a fall, it is easy to bump important parts. In the emergency room, Wu Xiaofu has seen too many A patient fell down drunk and hit the back of his head. Because the protection was not in place, it directly resulted in cerebral hemorrhage.

Moreover, when a person is drunk, a person's blood pressure will continue to rise, and the blood vessels will be in a tight state. If you fall in this state, the cerebral blood vessels will be more likely to be injured.

In the same way, it is not recommended to take a hot bath after being drunk. Thermal expansion and contraction, and cerebral hemorrhage caused by taking a bath are shocking, but it is not uncommon.

"Quick, get to custody."

Wu Xiaofu arranged for nurses to rush to the emergency room for monitoring, oxygen administration, opening of channels, rehydration, etc., all were arranged directly.

After the electrocardiogram was pulled out, Wu Xiaofu felt even more chilled.

The T wave is deeply inverted, already showing a large inverted T wave, the heart rate is slow, less than 50, and the ST segment has also changed, which is something to pay attention to. The occurrence of this situation means that the patient is myocardial ischemia, and may occur at any time. Myocardial infarction will occur, and at that time, rescue is really necessary.

"Has the patient had heart disease or high blood pressure before?"

"Yes, yes. Brother Zhang's blood pressure has always been high. When he was drinking, he boasted to us that the highest blood pressure was over 200. He also said that he didn't feel anything at all. He continued to drink slowly without delay. I’ve never heard of heart disease. I’ve already called his wife and will come over right away. His wife must know.”

Really seeking death.

Hearing this, Wu Xiaofu couldn't help but sigh. His blood pressure was over 200, but he continued to drink slowly. His blood pressure really needed to be lowered, so he could smoke and drink without delay.

The symptoms of high blood pressure actually vary from person to person.

Some people have high blood pressure of more than 200 years old and don't feel anything. Wu Xiaofu was born in a pastoral area and has seen too many such things. People in pastoral areas drink heavily. After being drunk, the blood vessels expand and contract to the extreme, and the blood pressure fluctuates. Obviously, after a long time, blood pressure will become unstable. It is not an exaggeration to say that seven or eight out of ten people will have high blood pressure.

But they have become accustomed to this rhythm. Every big fat man's blood pressure is basically upwards of 167 when measured. It can be as serious as 220, but there is no feeling at all. In their opinion, If you don't feel it, then it's okay. Wu Xiaofu has even heard some people say that he has extraordinary talents. Others' standards are 80/120, but he is different, he is 111/222.

Wu Xiaofu was also helpless about this and could only try his best to persuade them to drink less.

No matter how much medicine you take for high blood pressure, it won't be as effective as quitting drinking. If you are over 200 years old and still rush to drink, you are really risking your life and not taking it seriously.

Not to mention the fall, even if he didn't fall, his blood pressure would be so high that he could burst his cerebral blood vessels at any time.

"Sister Hong, follow me to send the patient for CT scan."

Wu Xiaofu opened the order, called out to the busy nurse beside him, and rushed to the CT room. Sure enough, after the results came out, Wu Xiaofu was already feeling cold. He was bleeding in the basal ganglia of his ventricle. The amount of bleeding was not small. It was more than 30 milliliters. This was a massive bleeding and an absolute indication for surgery. Medication was no longer effective.

"Neurosurgery? In my emergency department, there is a patient here. He is forty-six years old. He fell down for an hour after being drunk and the bleeding in the ventricular base area exceeded 30 milliliters. Come and take a look."

Back in the emergency room, Wu Xiaofu hurriedly prescribed medicine. At this time, the patient's blood pressure was still over 200, and the intracranial pressure was unknown at this time. He had to take medicine to lower the intracranial pressure and blood pressure, including mannitol and diuretics. Wait, they are all for urgent needs. The person on duty in the emergency pharmacy today is Jiang Zijin, the pharmacist in charge. This is also an old partner. Wu Xiaofu and Liu Wenyin have worked with him for several shifts.

"Teacher Jiang, for patients with cerebral hemorrhage, mannitol... please help prepare the medicine. I'll ask the nurse to get it." The pharmacist in the emergency pharmacy also needs to sleep. If he doesn't say hello in advance, time will definitely be wasted, for patients like this. , it is necessary to say hello.

"it is good."

Outside the rescue room, Wu Xiaofu looked at the patient's friends, "Where are the patient's family members? They haven't arrived yet?"

It has been a while. Just now, the patient's friend said that the patient's wife will be here soon. She hasn't come yet, but there is no other situation. In the patient's current situation, if there are no family members, it will be very troublesome. The operation must be carried out as soon as possible, but For this kind of surgery, no one would dare to open the skull without the patient’s family members.

After all, there is so much bleeding, even after the operation, the patient is in a dilemma as to whether he will wake up or not.

"Doctor, Brother Zhang's wife said she was on her way over at that time, and she should be here soon."

While he was talking, the patient's family members finally arrived. The anxious-looking woman's eyes were blurred by tears. She rushed to the emergency room and looked at the patient's condition. It was even more difficult to suppress her emotions.

"I told you not to drink. Don't drink. You insist on drinking. You must drink yourself to death and leave us behind."

Listening to the cry of the patient's wife, several friends who had been drinking together were full of shame at this time. To be honest, they didn't take it too seriously before drinking. Who would have known that such a drink could actually bring someone to the hospital? Oh, it's so serious. You have to know that there are usually a lot of patients, but today it's not enough, so they haven't stopped trying to persuade them to drink. Now that this kind of thing happens, they feel very guilty.

They couldn't imagine how the patient's family would survive in the future if they drank the patient to death or turned him into a vegetative state.

The neurosurgery doctor arrived soon. By coincidence, Wang Junsheng was also working the night shift and was following the attending surgeon.

"Brother Fu."

"Xiao Fu."

Several teachers at Shenwai now know Wu Xiaofu, and after saying hello, they came to see the patient's condition. After looking at the blood tests, brain films, etc., Chief Wang of Shenwai said directly to the patient's family. .

"The patient has massive intraventricular bleeding and must undergo surgery as soon as possible. There is still some chance for surgery now. If it is delayed any longer, I'm afraid it will be too late."

When the patient's wife heard what Chief Wang said, she felt dizzy and almost fell backwards. In fact, Chief Wang also wanted to take care of the patient's wife's emotions as much as possible, but the situation is so critical now, so she should be gentle about it. If something happens later, Things cannot come true.

"Do it, doctor, you must save him."

Upon hearing the patient's wife's agreement, Chief Wang nodded to Wu Xiaofu, "Xiaofu, make arrangements as soon as possible. I'll ask the operating room to prepare. Director Xiong will be here soon."

Xiaolong's parents next to him, as well as the two classmates who were guarding Xiaolong with Xiaolong's parents, were all a little stunned when they saw this situation.

He was drinking, and he was in the hospital. In comparison, Xiaolong was much luckier than the one in front of him.

Quit drinking!

At this time, Xiaolong’s only thought was to quit drinking.

(End of this chapter)