I can see the status bar

Chapter 38 Diagnostic Sessions
Liu Tangchun wanted to integrate these two people together to write a thesis - otherwise he really couldn't explain to Vice President Liu Pingchuanliu.

The transaction between Liu Tangchun and Liu Pingchuan was very simple. Liu Tangchun came forward to persuade Xu Yourong and Sun Lien to form a "scientific research team" and sign the article, while Liu Pingchuan provided them with a convenient environment, funds, and "case support".

Liu Pingchuan used his many years of experience and contacts, trying to explain to Shen Qingmei how bad Chen Wen's situation is, and at the same time exerting pressure on the group of old classmates outside the co-workers.In any case, Chen Wen must be kept in the Fourth Central Hospital first. For this reason, he can even invite old friends from the association to come to Ningyuan for consultation-flying knife is fine, but transfer is not.

In fact, there is nothing wrong with Liu Pingchuan's behavior. After all, there are sufficient medical reasons for his suggestion.Chen Wen's brain had just been pricked with a needle, and a worm cyst with a diameter of about three millimeters was sucked out of it. The structure was originally more fragile than a normal brain.It's hard to say whether the turbulence on the plane will cause Chen Wen's intracranial pressure to fluctuate.Once there is an increase in intracranial pressure, the changing pressure is likely to squeeze brain tissue into other holes in the skull, forming a brain herniation, resulting in the death of the patient during transport.

Despite some selfishness, Liu Pingchuan's behavior is still considering the patients.Staying in the well-equipped Fourth Central Hospital is obviously more beneficial to Chen Wen's treatment in the short term.

Liu Pingchuan put up his old face to ask for help, and the chief director of the co-worker was also happy to give Liu Pingchuan this face.The beds outside Tongxie Shen were already tight, and since Chen Wen's condition was not urgent, they had nothing to complain about.

Vice President Liu's face can make the association make concessions, which makes Liu Tangchun feel even more pressure on him.He didn't expect Xu Yourong to have such a big reaction to this arrangement.If the persuasion fails, he really has no face to see Lao Liu.

"This case?" Xu Yourong was obviously moved.In addition to surgery, diagnosis is also a very important part of the list of skills that neurosurgeons need to master.Surgery can be accumulated through a large number of operations, but treating cases that have already been diagnosed by others will not help to improve the doctor's diagnostic level.To improve his diagnostic skills, Xu Yourong needed some cases that had not been diagnosed by his peers to hone himself.

A group of three quickly rushed into the emergency room.Cao Yanhua is organizing the rescue of Xiao Linxun.His systolic blood pressure soared all the way to 220, and the wound in the ear canal continued to bleed out under the influence of blood pressure.

Esmolol has been injected into Kobayashi Kaoru's body through the intravenous channel.The ultra-short-term effective esmolol quickly curbed Kobayashi Kaoru's rapidly rising blood pressure.But his heartbeat was still frighteningly fast. After thinking twice, Cao Yanhua injected Xiao Linxun with two units of esmolol, a drug that controls blood pressure and can also treat arrhythmia.

"Hypertensive crisis caused by emotional agitation?" Seeing Xiao Linxun's vital signs return to normal, Cao Yanhua finally breathed a sigh of relief.But also more confusing.If it was said that Xiao Linxun's ear canal bleeding was admitted to the hospital because of delayed bleeding caused by a car accident, then the current hypertensive crisis is simply a symptom that fell from the sky.

"It doesn't look like it. How excited are ordinary people to make themselves so angry?" Sun Li'en observed Xiao Linxun's state again.The signs of amnesia and basilar skull fracture are still there.But in addition to high blood pressure, there is a new indicator. "Very Low Thyrotropin Levels".

Extremely low?Sun Lien's heart tightened, it was the first time he saw this term in the status bar.The state I saw before was "high" at most, and the corresponding state was "low".An extremely low value, which appears in human endocrine projects, is generally not a good thing.

"He was emotional and couldn't restrain himself." Sun Li'en was thoughtful. "This morning, I talked to him about Lin Lan's operation plan. He also seemed very excited, and later he also had bleeding symptoms... I thought it was delayed bleeding. .”

"Now it seems that it might not be." Xu Yourong nodded, "This symptom has already appeared in the morning. It's just that he fell asleep all the time because of the slight concussion, so he didn't continue to show it?"

"His condition has basically stabilized now." Liu Tangchun folded his hands behind his back and looked at Xiao Linxun on the bed with great interest. "You two, discuss the condition and give me a treatment plan together."

Sun Li'en didn't care, anyway, as a Gui Peisheng who didn't have the right to prescribe, it was like a dream to get this kind of case diagnosis.The four surprises at noon now bring a new situation.Sun Li'en wanted to jump up and shout "YES!"

Xu Yourong, on the other hand, was somewhat hesitant, "I have to go out to the clinic tomorrow..."

"Liu Pingchuan said that your outpatient tasks are suspended." Liu Tangchun directly made work adjustment arrangements for Vice President Liu.Anyway, as long as Xu Yourong is brought into Sun Lien's case, there is no fear that she will not sign the paper in the end.

Since when did the head of the department and even the vice president need to be careful and thoughtful when the attending doctor signed the paper?Liu Tangchun felt a little blocked in his heart.

Xu Yourong quickly nodded in agreement.Such patients are very challenging, and she really moved her mind.

"Do a thyroid five-item." Sun Lien's suggestion is very straightforward. Since the status bar indicates that the level of thyroid-stimulating hormone is low, start with the thyroid gland first.

"It can't be a thyroid problem." Xu Yourong's attitude was very straightforward, "Hyperthyroidism will not cause intermittent emotional loss. Do a cerebral angiography to rule out cerebrovascular accidents first. The car accident may have caused part of his brain tissue to swell and prevent his brain from edema." He was bleeding, his edema was subsiding over time, and the bleeding was causing his heartbeat and blood pressure to respond."

"The contrast agent that needs to be injected for cerebral angiography contains iodine. If he has thyroid problems, the contrast agent may further stimulate his thyroid disease. This may kill him." Sun Lien was taken aback by Xu Yourong's suggestion, although Car accidents and cerebrovascular accidents are often closely linked, but he prefers to trust the prompts and judgments on the status bar.If Kaoru Kobayashi has a thyroid disease that can cause hyperthyroid crisis, the risk of the contrast agent to him is simply too great.

"He looks like a hyperthyroid patient?" Xu Yourong was not used to the atmosphere of discussing his illness with others, especially not used to arguing with a regular trainee. "He has no goiter, no protruding eyes, and he is not very thin. Patients with indifferent hyperthyroidism who do not have these three manifestations at the same time are basically elderly people. He does not look like a person in his 80s or [-]s."

"You can't tell that his eyes protrude because he was in a car accident this morning!" Sun Li'en said anxiously, "Look carefully, he has hematomas all over his forehead and cheekbones. If you can see the protruding eyes like this, then He has to be a goldfish!"

　Today is Christmas Eve, Sanguan had a dinner party in the evening, and he didn't go home until after ten o'clock.Sorry for the late update of this chapter.

　　For the sake of trying to update on Christmas Eve, how many recommendation tickets will everyone give?
　　


(End of this chapter)