Chapter 1150: Jiazi couple
After Chen Cang hurriedly asked the nurse to request an emergency consultation, he hurried to the door of the emergency room.
Xu Ziming followed Chen Cang. As the chief director of cardiac surgery, he naturally had sufficient emergency experience.
The key is that he actually learned neurology well!
After all, my wife at home is the chief physician of the Department of Neurology and the deputy director of the Department of Neurosurgery at the Emergency Center. She can learn a lot by hearing and hearing.
Not to mention that in order to pursue Zhao Danyan, Xu Ziming prepared lessons a lot and pretended to be a top student, and he also had some understanding of neurological diseases.
Later, after getting married, family disputes were unusual. Every time Zhao Danyan got angry, she would try every means to write some neurological papers. Not to mention, Xu Ziming really learned a lot after all this.
Otherwise, I would have thought of diseases such as delusion syndrome and nervous system damage just now.
Here, the ambulance stopped and the doctor followed the car to help the patient land safely.
Nurse Yang Jie quickly pushed the bed and transferred the patient to the bed, preparing for rescue.
The old man was not in a coma at this time, just closed his eyes, obviously a little irritable and restless, yelling something in his mouth, and his hands were also swaying around.
When one of them was pushed down from the bed, an old man carefully got out of the ambulance. She was in her eighties with wrinkles on her face.
Seeing this, Xu Ziming hurriedly helped the old man and walked down carefully.
The doctor who was in charge of the car said to Chen Cang: "The patient fell to the ground three hours ago, with unclear speech, numbness and weakness on his right limb, and tilted corners of his mouth..."
Chen Cang's face suddenly changed: "Did he fall first and then appear? Or did he appear first and then fall?"
He followed the doctor and shook his head: "The old lady herself is not sure."
One sentence increases the risk factor of patients a lot again.
The old lady walked over and said with a worried look on her face: "It should be because she had lost her legs first, but then she fell down."
Seeing this, Chen Cang said to Yang Jie: "Take the patient to take a photo to reveal the CT first to see if there is any cerebral hemorrhage?"
For nervous system examinations, if you want to determine whether the patient has cerebral hemorrhage within a certain time window, you must have a craniocerebral CT, because for a period of time, CT will look at bleeding more accurately than magnetically.
So now many patients are hospitalized, and many doctors always ask them to do CT first, eliminate cerebral hemorrhage and then do MI, because MI is more accurate in cerebral infarction.
Cerebral hemorrhage and cerebral infarction are all called stroke, but there are essential differences in pathogenesis and treatment methods.
One is that cerebral blood vessels are ruptured and bleeding needs to stop bleeding, and the other is that cerebral infarction needs to be thrombolysis and blood circulation.
If this treatment is reversed and the bleeding is used to promote blood circulation, this will be a big deal.
Although the mortality rate of stroke is not high, if you have the treatment plan backward, you will have paralysis if you don’t die.
Therefore, patients with suspected stroke should be diagnosed quickly, and basic evaluations such as brain CT should be completed within 60 minutes after arriving in the emergency room and treatment decisions should be made.
Chen Cang called the radiology department and urged him, and told him to improve the magnetic examination if there is no bleeding.
Although the old lady looked worried, she slowly opened a cloth bag and slowly took out piles of hospitalization records.
"Doctor, this is his hospitalization record in 2015, which is 18 years, 19 years..."
After Chen Cang opened the case, he immediately breathed a sigh of relief when he saw the information inside was well organized.
Having these things really saves a lot of trouble.
The admission record is actually the most comprehensive, and with these several cases, you can also make a relatively comprehensive judgment on the patient's disease development.
The old lady stood aside and did not bother Chen Cang, but the sadness on her face could not dissipate.
My wife's cerebral infarction has been around for a day or two. Every time she goes to the hospital, it is a severe test for the 82-year-old.
What's more, this time it's an emergency room.
Chen Cang couldn't help asking, "Auntie, how long has it been since the onset of the disease?"
The old lady thought about it, looked at the watch with a clear sense of history on her wrist, and said confidently: "It's been 50 minutes to be precise."
When Chen Cang heard this, his eyes lit up. If it was a cerebral infarction, the shorter the time, the better the treatment effect.
When Chen Cang collected the cases, the old lady could basically tell anything and knew the old man's situation well.
What medicine should I take every day, how much should I take, how much blood pressure in the morning and noon, and how to control my blood sugar recently...
This made Xu Ziming, who was standing by, unable to help but say, "Auntie, you really understand it. It is more rigorous than the nurses in the custody room."
The old lady smiled and sighed: "At our age, we have become one person. Taking care of him is just taking care of myself. When we are old, we are afraid of being alone. Even if we are with him, I feel at ease even if we are lying there without talking!"
"We got married at the age of 16. Now we are 82 years old. We will have to be too many. If we really don't have him, I guess I won't live long."
When the old lady spoke, there was a very cultural feeling between the lines.
His eyes were cool and firm.
Xu Ziming was stunned by this sentence for no reason.
The old lady looked at the two of them and said slowly: "Doctor, let me say something from my heart. It is best to make him feel more comfortable. If it really doesn't work, I feel uncomfortable when I see him, and I feel distressed. It's better to leave peacefully."
"He is a capable person. He has been walking around with great vitality throughout his life. His self-esteem is too strong. He told me before that if he lives too old and is disliked, it is better to leave peacefully."
"Don't worry, old man, we will do our best!"
Hearing this sentence, Chen Cang and Xu Ziming were stunned. When he turned around, he found that it was Zhao Danyan, who was Xu Ziming's wife.
I don’t know when she has come down!
And I don't know how long I stayed behind me.
The key is that Xu Ziming looked at his wife curiously. He didn't expect that Zhao Danyan was in the hospital.
Chen Cang turned around and smiled: "Sister-in-law, you are here."
Xu Ziming wanted to say something, but Zhao Danyan didn't give him a good look.
Zhao Danyan nodded: "Well, show me the patient's medical record."
Chen Cang nodded quickly.
Compared to Zhao Danyan, she has gained a lot of spare time. After all, it is a neurology disease, so Zhao Danyan can handle it better.
Chen Cang nodded and quickly handed over the information he had collected and the patient's medical record.
Xu Ziming wanted to say something, but could only sigh.
He really doesn't know how to explain this.
Just stand aside.
When Chen Cang saw Zhao Danyan ignore Xu Ziming, Xu Ziming didn't take the initiative to speak. He stood aside and couldn't help but smile bitterly.
This misunderstanding is really troublesome.
Chapter completed!