Chapter 1151: The old and the young
Not long after, Yang Jie brought the patient back.
The ct result also came out.
Zhao Danyan took the CT film and was sure at first glance: "It's not bleeding, it's ischemic stroke."
Then take the nuclear magnetic results.
"There are many old cerebral infarction points, and there are new infarction lesions at the left basal ganglia area and the temporal occipital junction!"
After saying that, Zhao Danyan hurriedly said to Chen Cang: "Xiao Chen, send it to the rescue room to inhale oxygen continuously at low flow."
"Improve the electrocardiogram and perform 24-hour electrocardiogram monitoring. I will conduct a test on the patient."
Chen Cang nodded quickly.
He and Yang Jie pushed the patient towards the rescue room.
Xu Ziming followed behind him without saying anything.
Zhao Danyan didn't look back, and she didn't even look at her.
After coming in, Chen Cang helped the patient inhaling oxygen, while Yang Jie made an electrocardiogram.
The electrocardiogram has myocardial ischemia, but it does not affect it.
After Zhao Danyan finished reading it, she immediately began to conduct a nervous system assessment, including awareness level, stroke severity, etc.
This is the process of the neurology system, and the evaluation level is directly related to the treatment plan.
The old man's consciousness was better than before, but his eyes were chaotic, partial motor aphasia, short-term memory decline, and his computing power also decreased significantly.
The eyes reflect light normally, the tongue is stretched to the left, the face has obvious crooked mouth and eyes, and the right muscle strength is level 3+.
Meningeal irritation, Kerry's symptoms... are also normal.
Overall, the patient's situation is not serious or serious, but considering this age, no one dares to relax.
After the monitor was on, the alarm sounded immediately.
"Blood pressure 190/120mmhg!"
After seeing his blood pressure, Zhao Danyan's face changed immediately.
Patients with increased blood pressure within 24 hours after ischemic stroke should be treated with caution.
Tense, anxiety, pain, nausea and vomiting, and increased intracranial pressure should be treated first.
However, at this time, the patient's blood pressure continues to rise, and many complications are prone to occur.
For example, hypertensive encephalopathy, etc.
Zhao Danyan pondered for a moment: "Labelor is given intravenously!"
The patient here has also completed blood draw and is waiting for further treatment.
The old lady stood at the door, paced uneasy.
There are actually risks in thrombolysis treatment at the age of 82. Although Zhao Danyan doesn’t say it, she is already collecting evidence.
After an hour, the patient's anxiety still did not relieve it.
This made the three of them a little anxious.
I saw that even though the old man closed his eyes, he was humming and talking in his mouth. No one could understand his voice, and his hands were looking for clothes and touching the bed to squeeze the air and waving it randomly.
This made Yang Jie, who was given venous replacement, unable to help but worry.
Don't let the patient cause problems!
At this moment, the security guard ran in: "Doctor Chen, Director Xu, the old lady said that the old man could be more stable when she was around her."
As soon as these words were said, the three of them were stunned for a moment.
Zhao Danyan nodded: "Well, go and let the old lady come in."
The security guard nodded and walked out.
There are security guards outside the rescue room to prevent patients or others from breaking in.
Qi Ping is not very old, only 22 years old, but he is already an old security guard here and has been working for three and a half years.
After the old lady came in with a cane, she saw the old man like this and couldn't help but blame him: "Tell me, you can't calm down when you get into the hospital."
Hearing the old lady's words, the old man who reached out suddenly put his hand down.
I pouted Nunu and said a few words. No one understood anyway, but... I stopped making trouble and the corners of my mouth began to rise slightly.
It seems...is a smile.
The old lady quickly said, "Doctor, you treat me, I'm here, I won't bother you. This old man is like a child now. He is young and I'm not by my side, so I'm nervous."
Hearing the old lady's words, Chen Cang found that the old man actually laughed.
Seeing this scene, Zhao Danyan and Xu Ziming were silent, then looked at each other and opened their eyes again.
Zhao Danyan was not on duty today.
But after returning home, after a fight with Xu Ziming, he couldn't sleep, so he returned to the duty room and started working with the doctor on duty.
This is not the first time this kind of thing has happened.
Not an isolated case either.
So seeing that the doctor on duty was not left on duty, there must be a civil war breaking out.
After all, once a person is idle, he is prone to random thoughts, and the more he thinks, the more he is, the more trouble he is in his heart.
When I went to the hospital and worked for a night shift, I might be able to figure it out.
Zhao Danyan is 50 years old, Xu Ziming is also 50, and Xu Ziming is at its peak, so Zhao Danyan is naturally worried that he has any flowers and plants outside.
You should know that the hospital is not a clear yamen.
There are many things that some drug representatives who are uncommon to put themselves in their arms.
If you don’t give money, you can give someone, if you don’t give one person, you can do two!
These things are not rare either.
So after seeing this scene today, Zhao Danyan really felt uncomfortable.
This is the same as having your husband taken advantage of.
What's more, Mitty is so young and beautiful.
Successful people like Xu Ziming are very charming to these little girls.
In fact, Zhao Danyan didn't know that Xu Ziming was on night shift with Chen Cang in the emergency room.
After meeting tonight, I was a little happy inside.
At least it means that he didn't go out to fool!
...
...
By twelve o'clock, all the patient's examination results came out.
On this side, Zhao Danyan held a scale in her hand and said to Chen Cang: "The patient's condition is now recommended by level i, level a evidence, and intravenous thrombolysis is the first choice for vascular re-enrollment!"
Chen Cang nodded: "Well, sister-in-law, you are more professional."
Chen Cang made up his mind tonight and couldn't call him Director Zhao, but he had to call him sister-in-law. It would be nice if he could alleviate the misunderstanding between the two.
Zhao Danyan turned to the old lady and said, "Auntie, the old man needs thrombolysis treatment to break through this vascular obstruction, but this treatment must have certain risks and you need to sign it."
After hearing this, the old lady was very decisive and nodded directly to agree, saying, "Doctor, don't be afraid, I'll sign it! Just let go of the treatment."
After saying that, the old lady picked up the pen: "It's not the first time he has thrombolysis, I know!"
The old lady's name is very nice, and it is called Xiang Jinghe.
The font is also very beautiful, with strokes and strokes, neither too fast nor too slow.
After writing, the old lady said to Zhao Danyan: "Doctor, can I say something to him in the past?"
Zhao Danyan nodded: "Yes, yes."
When the old lady heard that, she smiled for a moment and walked slowly towards the other side.
Chapter completed!