After saying that, Zhao Danyan asked quickly: "Did you contact the family?"

The nanny said anxiously: "Doctor, this...Miss Mi's parents were gone three years ago, and now they are alone in the capital!"

"When contacting her boyfriend, the other party said he had broken up, so there was no need to contact him anymore!"

After saying this, Chen Cang and Zhao Danyan felt a little more distressed when they looked at the little girl.

However, this is not uncommon for emergency departments!

Medical department filing!

Emergency rescue!

At this time, Xu Ziming said: "Director Hong from the Department of Neurosurgery is here."

While talking, he walked in with a middle-aged man.

After seeing Zhao Danyan, he nodded: "Hello Director Zhao, hello Dr. Chen."

Zhao Danyan nodded: "Well, Dr. Hong! Show the patient's condition."

Hong Sheng nodded, picked up the movie and watched it, and frowned immediately!

But... the more Hong Sheng watched the movie, the more embarrassed he felt. After a while, he said.

"Surgery is definitely needed!"

"Because the patient's condition is too special."

"Generally speaking, hemostatic drugs are required for intracranial hemorrhage, but the patient also has deep venous thrombosis. At this time, the superior sagittal sinus is blocked by more than 70%. After the blockage here, a hematoma has already formed!"

"At this time, if you use hemostatic drugs, it will not only not stop the bleeding, but it will also aggravate the deep venous sinus thrombosis, aggravate the hematoma, and induce a large amount of bleeding!"

"How much intracranial pressure is now?"

Zhao Danyan said directly: "Half an hour ago, the 400 water column was measured in the car! Mannitol was used..."

After hearing Zhao Danyan's words, Hong Sheng took a deep breath and began to ponder.

Everyone fell into a nervous silence throughout the rescue room.

As an experienced senior deputy chief physician, Hong Sheng naturally has a set of methods of handling, but the patient's condition is too special.

Zhao Danyan here also felt embarrassed after hearing Hong Sheng's words:

"Indeed, once the parietal hematoma continues to increase, it will definitely lead to further aggravation of brain edema. At that time, brain hernia may be triggered at any time, and even... life-threatening!"

"Can the surgery be done? Director Hong?"

It's almost midnight, can't I just drag it like this?

Hong Sheng nodded: "Can is ok, and even surgery is the best treatment method. The patient's intracranial pressure is due to bleeding and edema at the same time. The bleeding can be pulled out after surgery. However, if this deep venous sinus thrombosis... thrombolysis will definitely induce cerebral hemorrhage. It is better to use sindou transverse sinus bypass surgery in the future!"

After saying that, Hong Sheng said in a dilemma: "But not now, let's lower the intracranial pressure first."

"Director Zhao, you still need to design a plan!"

Zhao Danyan took a deep breath: "Okay!"

At this moment, the test results came out!

However, when Chen Cang saw the test form, he was immediately confused.

The platelets are more than twice as high as normal, and the plasma viscosity is also very high, homocysteine ​​70!

This made Chen Cang frown.

How could such a 24-year-old girl reach such a high-coagulable state?

Pregnant?

But yesterday the patient said he was not pregnant!

Not only Chen Cang, but also Zhao Danyan, Hong Sheng and others thought of this possibility!

So, I quickly asked Dr. B to do a test.

The result made everyone feel relieved.

No pregnancy!

However, without genetic diseases and special diseases, what kind of state can induce such a hypercoagulable state?

Such a state, even if it is surgery, may also induce cerebral thrombosis.

At this time, Chen Cang suddenly said: "Sister Yang, let the laboratory department urgently check for progesterone and estrogen."

Hearing Chen Cang's words, Zhao Danyan and Hong Sheng became slightly curious.

What are you looking for this?

The patient is not pregnant.

With such high blood coagulation, thrombolytic drugs can be used.

However, you still need to be careful.

Zhao Danyan struggled to think for a long time and suddenly said, "Use urokinase to thrombolysis, heparin calcium anticoagulation, and improve circulation and reduce intracranial pressure!"

"Give hyperbaric oxygen to promote the recovery of nerve function and limbs."

"It's better to ensure that the surgery can be completed this morning!"

So, the few people in the emergency room began to get nervous and chaotic again.

The patient's condition must be monitored at all times throughout the entire process, and intracranial pressure was measured twice in one night.

By less than 7 o'clock, the intracranial pressure reached about 200. Most importantly, the overall condition of the patient was relieved.

If the patient has a surgery at the beginning, the heart rate and abnormal pulse and blood pressure will easily lead to problems.

In the rescue room, several people fought hard all night but couldn't get along at first sight.

Fortunately, the patient's condition is getting better.

At this time, Miti also opened her eyes and looked at the people around her, and suddenly became silent.

Chen Cang looked at Miti and couldn't help laughing.

After Zhao Danyan checked the situation, Miti made great improvements compared to last night.

At this time, Hong Sheng also breathed a sigh of relief: "Then I will go up first. If the patient's surgery is done... I suggest that Director Xue should do it. The location of the upper sagittal sinus is special. He knows very well about the intracranial anatomic position. Moreover, he is good at serodermal wounding of subarachnoid cavity, which is not easy to damage the surrounding tissues, and the sequelae are smaller."

Speaking of this, Hong Sheng couldn't help but say: "After all, I studied at Harvard Medical School for two years and my level is very high!"

At this time, the test results showed that progesterone and estrogen also came out.

When he handed it to Chen Cang, Chen Cang immediately frowned.

Why are progesterone indicators so high?

Seeing Miti silent, Chen Cang couldn't help asking: "Did you take birth control pills for a long time?"

Miti looked at Chen Cang, her eyes drooping, and tears rolled.

"Um."

The sound is very light.

When she woke up, Miti seemed to have experienced life and death, as if she was a different life, making her feel ridiculous.

I've paid so much for a man!

But what is it in the end?

Zhao Danyan, Xu Ziming and others looked at Chen Cang: "What does it mean?"

Chen Cang said: "There is a lot of progesterone in the contraceptive pill. Long-term use will lead to an increase in the coagulation component in the blood, leading to an increase in blood viscosity and slowing down the blood flow rate, which may induce thrombosis in the venous sinus!"

"Women who take oral contraceptives for a long time will have an increase of eight to ten times the incidence of deep venous sinus thrombosis than those who have not taken it!"

After all the words, Mitty kept crying.

When the people around him saw this scene, they couldn't help but sigh.

Poor girl!

The nanny Peng Zhen, who was standing beside him, hugged Mitty and cried with pain: "Poor child, why did you meet such a bastard?"

...

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Chapter completed!