1738 The one who fell and went into shock
“What is it?” Zheng Ren asked.
“There’s a female student who fell down the stairs,” Su Yun’s expression was a little strange, but she spoke very quickly.”I came to the hospital for a check – up. I found pneumonia in the right lower lung accompanied by a large amount of effusion in the right chest.”
“Is he with Fang Lin?” Zheng Ren asked.
Su Yun rolled the car as she glanced at Zheng Ren and asked,””Did I tell you that you fell down the stairs?”
“……”
“Brain injury, left temporal bone fracture, air retention, traumatic shock, and the pillow … These are not important.” Su Yun replied,”Fang Lin went for a consultation. He felt that something was amiss, so he gave me a call to ask about it.”
“What do you think?”
“A 19 – year – old girl with a lot of hydriasis. What would you consider?” Su Yun asked.
“It’s tuberculosis. This is my first impression. ” “But if we consider the fact that she fell, which caused a fracture of the left temporal bone and traumatic shock, we can’t rule out the possibility that she fell because of shock,” Zheng Ren said.
“He’s in shock, and there’ll be a lot of hydromosis. That’s what I thought as well. ” Su Yun said.
“Let’s take a look first. ” Zheng Ren pondered about the patient’s condition, and his hand unconsciously returned to the state it was in when he was looking at the x – ray.
“Boss, if you maintain this state on the road, you’ll look very handsome, silly handsome.” Su Yun said.
“Shock and hydrosis … What if there’s no relationship between them? It’s just thoracic effusion?” Zheng Ren didn’t pay attention to what he said and muttered to himself.
“If that’s the case, it’ll be easy.”
“By the way, what’s the patient’s consideration after Fang Lin saw him?”
“The patient’s left temporal bone is fractured, and there is gas accumulation, but the patient’s right calf has a large bruise. He thinks it’s a vascular embolism.” Su Yun said.
“Hmm, Fang Lin’s not bad.” Zheng Ren said,”it’s not common for the cardiothoracic Department to be able to consider thrombosis at a glance.” The patient might have pulmonary embolism … It might … No, it should be pulmonary embolism!”
“Boss, pulmonary embolism, it’s very common, okay!” “It’s just that the patient’s condition is rather special,” Su Yun said disdainfully.”That’s why Fang Lin called me for an ultrasound while he called me to ask about it.”
“I think Fang Lin’s diagnosis is well – founded.” Zheng Ren outlined the patient’s condition in his mind and said,””The strangest thing is that young students will have a lot of hydriasis, which is very rare. Falling down and fainting are very common. “
“Hmm, in addition to the bruises on his legs, I think Fang Lin’s logical process is the same.”
“Yes,” “I’m fine,” Zheng Ren said.”After the examination, we’ll probably have a definite diagnosis before we even return to the hospital.” Maybe they’ve even used the thrombosis drug …”
As he said that, Zheng Ren was stunned.
The treatment for cerebral hemorrhages was completely different from the one used for earlier ones.
If low – molecular heparin sodium was used in combination with huafarlin for broolomolding treatment, would there be massive bleeding in the left temporal bone fracture? Finally leading to a cerebral herniation?
However, if it was not treated, just the thrombosis was enough to be fatal!
“When will the car arrive?” Zheng Ren asked.
“Three minutes.”
“Tell little Feng to go to the hospital.” Zheng Ren’s tone immediately became anxious.
Su Yun was stunned.
Fang Lin, are you with the patient?”
“Call them! I’ll do an ultrasound immediately!” Zheng Ren’s voice was very loud.”If you discover any problems, immediately consult the entire hospital. The vascular Department and the cardiology department will come together.”
“I think it might be a pulmonary embolism, accompanied by fainting. The situation is very urgent. We can’t use a large amount of anti – coagulation drugs, and we need to remove the plug in an emergency room. ” Zheng Ren said.
Having said everything he needed to, Zheng Ren hung up the phone.
Su Yun had also finished her call. He saw Zheng Ren’s anxious expression and asked,””Boss, aren’t you overreacting?”
“Fang Lin’s intuition is right!” “It’s very difficult for a fracture of the left temporal bone to cause a large bruise on the right calf,” Zheng Ren said firmly.”It’s caused by vascular embolism in the lower limb.”
“He’s so young …”
“Contraceptives. It may cause thrombosis in the veins of the lower limbs.” “Make the best use of your time and return. Keep in touch with Fang Lin,” Zheng Ren said.
As she said that, a car with two flashing lights stopped not far away from the road. At the same time, Su Yun’s phone rang.
Su Yun glanced at the license plate number and walked over.
After getting into the car, Zheng Ren heard the mission notification sound.
[Urgent mission: misdiagnosis
[Mission details: most of the time, people will focus on the ‘main’ symptoms, especially bleeding.] However, the internal disease was more serious and could even be fatal. Please save a patient with pulmonary embolism in time.
[Mission time: 3 hours]
[Mission reward: 10000 experience points, 1000 skill points.]
Er … Zheng Ren had not seen a mission with such a low reward in a long time.
However, the appearance of this mission had the biggest significance of confirming his previous guess. Zheng Ren, Su Yun, and Fang Lin’s guesses were all correct.
It was pulmonary embolism! It was not a temporal bone fracture with gas accumulation.
The so – called traumatic shock was also a wrong diagnosis. The symptoms of shock were due to pulmonary embolism. The trauma was a matter for the future.
A clinical, pathological, and physiological syndrome caused by the loss of various thrombosis in the circulatory system, blocking the pulmonary artery and its branches, and causing pulmonary circulation disorders.
The most common form of pulmonary embolism was thrombosis, and pulmonary embolism caused by thrombosis was also known as pulmonary thrombosis.
The patient would suddenly have inexplicable exhaustion, pale face, cold sweat, breathing difficulties, chest pain, cough, and other symptoms such as extreme anxiety, fatigue, nausea, convulsions, and coma.
Falling down would only happen when she was in a coma due to temporary brain hypoxia.
A large amount of effusion on the right side of the thoracic cavity indicated that the right pulmonary artery was dry blocked, which was acute pulmonary embolism.
“The patient’s blood oxygen saturation level …”
As Zheng Ren thought about this, he entered the system space and clicked to purchase surgery training time.
The system’s operating theater was set up, and Zheng Ren went in directly.
The experimentals obediently lay on the operating table and were diagnosed with pulmonary embolism, deep vein thrombosis in both lower limbs, and so on.
Compared to pulmonary embolism, other diagnoses were really not worth mentioning.
Zheng Ren took a look at the electrocardiogram of the test subject. Blood oxygen saturation level was 85%, which was a very dangerous number.
“Let’s start the surgery. There’s no other way.” Zheng Ren took a deep breath and began the surgery.
In general, after deep vein thrombosis fell off, it would flow with the blood to the right atrium, then to the right ventricle, and then to the pulmonary artery. This would block the branches of the pulmonary artery or a larger pulmonary artery.
This was a form.
In addition, the small thrombosis in the lower limbs kept falling off, leading to constant embolism in the small pulmonary arteries, which finally led to a large embolism.
Another reason was that the thrombosis formed in the right heart system had fallen off and flowed to the pulmonary artery, leading to pulmonary thrombosis. For example, congenital heart disease caused the right atrium to expand and form a blood clot, which would fall off.
The patient in front of him was caused by deep vein thrombosis in the lower limb.
Zheng Ren was quite confident in removing the plug.
However … When he removed the untragged catheter and went through the inferior vena cava to the right atrium and right ventricle, he was stunned.