I can see the status bar

Chapter 535 Differences (May 5th 7th for subscription)

In the emergency room of the emergency department in summer, the composition of patients has changed significantly and dramatically compared with that in winter.Patients in winter mainly suffer from cardiovascular and cerebrovascular accidents, fractures and other injuries caused by accidental falls.When the time gradually came to summer, the number of patients with infection and poisoning increased significantly.

In the emergency room of the Fourth Hospital, three patients infected with dengue fever have been admitted today.In order to prevent the mosquitoes from biting the three people and causing further transmission, the Fourth Hospital specially gathered them together and provided them with mosquito nets.Dengue is a disease with a low mortality rate for initial infection.But if the patient is reinfected in the hospital, it is very dangerous-dengue virus is divided into four types, and if the virus type of the first infection and the second infection are different, the patient will often have more severe symptoms.

Because there were three patients with dengue fever, the fourth hospital had to separate the rescue room, and set up a separate treatment area for these three people—it was the isolation room where three plague patients were treated before.

Although this time it is only to prevent mosquitoes from entering, and there is no need to set up an airtight door, after all, it will involve a lot of human resources.As a result, the operating efficiency of the emergency room of the Fourth Hospital dropped a lot.According to Zhou Jun's estimation, these three patients reduced the operating capacity of the entire emergency room by at least 20%.

But you can't just transfer people to the infectious disease department upstairs.The Department of Infectious Diseases is currently full of beds, and Director Huang Hua of the Department of Infectious Diseases is asking the hospital office to help temporarily increase the number of beds, but it will take time to transform the previous reserve ward into a ward that can be used directly.

On the other hand, today's Fourth Court seems to have provoked some inexplicable existence in charge of food safety.Since five o'clock in the afternoon, the emergency room has sent six patients with severe diarrhea and abdominal pain.Four of them were seriously ill—the most serious middle-aged man's skin appeared to be in a relatively dry state.If it weren't for the rapid testing methods in place, Zhou Jun would even suspect that the patient had cholera.

For diarrhea and abdominal pain caused by food poisoning, doctors' treatment methods are actually more inclined to support vital signs rather than forceful antidiarrheal.After the antibiotics kill the bacteria in the intestine, the patient should return to normal state naturally, instead of having diarrhea all the time.Before antibiotics take effect, the main content of treatment is to replenish patients with water and electrolytes so that they will not really "pull" themselves to death.

When Sun Li'en rushed to the hospital, he took over the treatment, but it was a patient who was pale, reeked of alcohol and somewhat delirious.

"This was sent by 120." Zhou Jun briefly explained the situation to Sun Li'en, "It is said that he suddenly passed out while drinking and eating supper with his family at night. After being sent to the hospital, he woke up, but with impaired consciousness .”

"Li Jianguo, male, 61 years old. Stage III hypertension (87693.33.25), hyperlipidemia (65846.45.37), mild acute alcoholism (02.11.51) increased D-2 polymer (01.28.48), hypotension (01.22.38)" Sun Lien looked at the string of status bars, and unconsciously showed a confused expression on his face.

There is no need to repeat the correctness of the status bar. So far, all prompts are [-]% correct.But it was the first time he had seen such a direct and inconsistent prompt.

Why does a patient with stage III hypertension experience hypotension?Sun Li'en frowned and was confused for a few seconds. Could it be that the Jianguo uncle drank too much and forgot whether he had taken medicine, and then took too much blood pressure medicine?
"The patient's family has arrived. If necessary, you can go out and talk to them." Zhou Jun handed the patient's case folder to Sun Lien, "After this patient is finished, you can take care of the three patients with dengue fever. "

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Entrusted by others, it is a matter of loyalty.Sun Li'en thought about it, and decided to talk to the patient's family first to understand the situation.During the time interval between understanding the situation, he asked the nurses to take an electrocardiogram for Li Jianguo and measure his blood pressure again.Anyway, there is no need to issue a report, and Sun Lien will have to look at the pictures later, so it is not a problem to leave this work to the nurses.

"My dad definitely hasn't taken antihypertensive drugs anymore. There is no problem of repeated medication." Li Jianguo's son is in his 30s and seems to be engaged in manual labor. "He usually takes medicine very regularly, and he also has regular review, and I have specially prepared a medicine box for him to take medicine every morning. There will never be a situation where he takes medicine again at night."

"In order to clarify his problem, we need to conduct more examinations. After all, he has stage III hypertension and is relatively old." Sun Lien tried to put the difficulties first and said, "We will worry about this kind of patient first. The most important thing is his cardiovascular and cerebrovascular problems. If a person faints suddenly, it may be a cerebral infarction, or insufficient blood supply caused by a myocardial infarction. These two reasons are the most dangerous, so they must be ruled out first. "

Li Jianguo's son nodded, "You are doctors, I will definitely trust you." He thought for a while and asked, "How much will these tests... cost?"

"I'll choose the quickest and least expensive examination first." Sun Lien thought for a while and suggested, "Check the electrocardiogram first, and if necessary, do a cardiovascular enhanced CT scan. This part will cost about 2000 yuan—— After the examination here, if it is determined that there is no problem with the cardiovascular part, then you have to go for an MRI to check the brain condition, and for this scan... it will cost about 1000 yuan, but it will take a long time."

The examination costs at least 2000 yuan, and the follow-up treatment costs may be even more than [-] to [-] yuan.But Li Jianguo just hesitated a little, and nodded in agreement with Sun Lien's opinion. "No problem, should I pay now?"

"I'll go back and make a payment slip. Just take the bill and go to the rescue hall to pay." Sun Li'en nodded, and asked a few more questions about Li Jianguo's usual medication and physical condition, then got up and said, "Wait a minute When you hear someone calling you, go into the emergency room to get the order." After speaking, he hurried back to the emergency room and began to check the results of the nurses' work.

"The electrocardiogram is normal, and the blood pressure is 55/85..." Sun Lien frowned. The low blood pressure status in the status bar is indeed correct. It appears at the same time as the high blood pressure prompt. Does this mean that the patient's blood pressure was high before, but But now suddenly fell into a state of hypotension for some reason?
Hypotension may indeed cause fainting and confusion in patients, which can also be explained.In the absence of traumatic bleeding, the patient reduced from stage III hypertension to the point of hypotension, which is not even explained by general cerebral infarction.

Although Sun Li'en really couldn't think of how low the probability of the nurses in the emergency room making mistakes would be, this possibility still exists.He sighed and asked for a blood pressure monitor to measure his blood pressure again.But the right arm that is usually measured is now drawing blood-this is also the inspection item Sun Lien requested to confirm the increase in D-2 polymers.So he walked around the bed and put the blood pressure monitor on Li Jianguo's left arm.

The sphygmomanometer in the emergency room is electronic. Although the accuracy is slightly lower than that of the traditional mercury sphygmomanometer, the advantage is that the inspection speed is fast enough.After pressing the measurement switch, Sun Lien looked at the numbers displayed on the screen, so surprised that he even forgot to shut his mouth.

Blood pressure 90/155.

(End of this chapter)