Liu Pingchuan took his students and doctors outside the gods to fill the CT room. Together with Chen Tianyang, the two second-level professors frowned together, making the atmosphere in the monitoring room so severe that the residents felt a little breathless.

"Hemorrhage at the base of the skull, about 20 milliliters. Director Zhao Hua sighed, "There is nothing worth further studying, and the impact is obvious." ”

Chen Tianyang didn't speak for a long time, although he was not a neurosurgeon, but any doctor knew how dangerous it was to hemorrhage at the base of the skull. Even worse than skull base hemorrhage may be brainstem hemorrhage - skull base hemorrhage, at least there is a chance to go to the operating table, and brain stem hemorrhage will basically not have the doctor's consent to surgery. Even if the patient survives the operation, the chance of waking up after surgery is no higher than the chance of throwing a coin 100 times in a row, each time standing on the ground.

"There's nothing to say, let's get ready for surgery. Liu Pingchuan moved his legs and feet, and he said to Zhou Jun, "Have you notified your family?"

"Haven't been contacted yet. Zhou Jun sighed, the trouble is here. "The plane was urgently diverted to Ningyuan, and the patient's family is now in the capital, even if they take the fastest flight to catch it, it may take more than three hours. ”

"Do you need authorization from the medical office?" "There are many cases where the emergency center needs to perform surgery immediately, but the family members are not around. Everyone knew what to do, and Liu Pingchuan immediately asked, "Do you still have to contact the airline?"

"Authorized...... This one is very troublesome. Zhou Jun sighed, "The airline just called and said that the patient's family did not agree to our craniotomy and asked for conservative treatment. ”

"Conservative treatment?" Liu Pingchuan's brows furrowed several times, "This can't be done, this is not good, there is brain herniation, and it will kill someone." ”

Zhou Jun shook his head, "Even if there is no brain herniation, if the cerebral hemorrhage is not resolved, the acute pulmonary edema caused by the nervous system will kill him." ”

The patient's condition was exactly in line with the direction that Zhou Jun was most worried about, which was a case of neurogenic pulmonary edema (NPE). The patient did not have underlying diseases such as heart, lungs, kidneys, etc., and spontaneous acute pulmonary edema developed when the nervous system was affected.

Although the exact mechanism of NPE is still not fully understood, emergency craniotomy, hematoma removal, and removal of bone flap decompression are the most effective treatment in this case.

"The patient's family expressed clear opposition and could not help it. Zhou Jun sighed again, "Transfer to the ICU, since it can't be surgically treated, then we can only hope that the dehydration treatment can lower his intracranial pressure first." ”

The vast majority of patients' family members will choose to save their loved ones at all costs when their loved ones suffer an accident. For example, Yang Jianqiang's wife, Yang Jianqiang has been in the ICU for more than 20 days, and Mrs. Yang still keeps watch in the family rest area outside the ICU for a whole day every day. Except for about half an hour every day when she went home to wash and change clothes, the rest of the time, Mrs. Yang almost always stood at the door of the ICU, never leaving. Many nurses and doctors in the intensive care department are persuading her not to drag her body down, at least not to drag her body down. But she still insisted on guarding the door every day, as if this would make Yang Jianqiang better faster.

However, there are also some family members who will choose a very different direction.

Economic reasons are the main reasons why the vast majority of family members refuse medical treatment. Even with health insurance coverage, for extremely poor families, even if the cost of treatment is acceptable, families still cannot afford a member who may be left with severe disabilities.

If a person dies, the family will suffer for a few days, and there will be no other additional expenses after taking care of the aftermath. For family members who are severely disabled, not only do they have to continue to spend money, but they also have to be taken care of by other family members. For these families, the inability of one member to work deprives them of a very important source of income. Under the influence of one or the other, the already poor life may not be able to continue at all. Returning to poverty due to illness does objectively exist.

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Chen Tianyang frowned, always feeling that something was wrong. He has also seen family members who have given up treatment because of poverty, and this is not surprising. But the injured person was a passenger in business class. A business class ticket is a few thousand dollars larger, to say the least. The family members of passengers who can choose business class during the journey do not look like they are in financial difficulty. What's more, under such conditions, it must be the airline that pays for the treatment of passengers first. The underwriting insurer then intervenes, and the airline in turn claims the insurance company for the costs it has already paid.

In such cases, the family should not refuse treatment because of the cost.

Could there be other reasons?

"You're Professor Chen, right?" When Chen Tianyang was still pondering the joints, Liu Pingchuan leaned over and stretched out his right hand to him, "I'm Liu Pingchuan, the director of the Fourth Academy. I've heard Liu Tangchun talk about you. ”

"Professor Liu. Chen Tianyang shook hands with Liu Pingchuan, and then smiled bitterly, "I hope he didn't say anything bad about me." Chen Tianyang paused and said in a low voice, "The patient's family refuses treatment, I think there may be a problem." ”

Liu Pingchuan didn't take it to heart, just sighed and said, "Happy families are always similar, and the unfortunate ones have their own misfortunes." "After practicing medicine for decades, Liu Pingchuan can be regarded as having seen all kinds of human feelings. "Maybe it's something that has to go?"

Chen Tianyang voiced his doubts, emphatically emphasizing, "In the absence of financial pressure, the family directly refused treatment. This doesn't make sense. ”

Liu Pingchuan pondered for a while, and was also a little confused, "Maybe it's because of other reasons?"

"I think it's still necessary to talk to the police. Chen Tianyang frowned and said, "Business class passengers usually buy an accident insurance easily, could it be that the family members deliberately made such a show in order to cheat the insurance?"

Zhou Jun rushed back to the emergency room with other emergency doctors, and although the number of injured this time was less than 50, it still exceeded the capacity of the airport hospital. About twenty patients with more serious injuries were taken by ambulance to Central Hospital No. 4. As the head of the emergency department, Zhou Jun must return to his post and coordinate and direct other doctors to carry out treatment activities for patients. As for this anonymous person, he was handed over to the intensive care medicine department to take over.

"The dislocation of the right shoulder, this is handed over to the orthopedic department, and it should be solved by manual reduction. Zhou Jun was busy with his feet not touching the ground, and under his command, the emergency room, which seemed a little flustered at first, gradually stabilized. Seriously ill patients were treated immediately, while patients with no imminent danger were placed in the observation area and debrided by three attending physicians and two nurses.

When Zhou Jun was busy, Chen Tianyang and Liu Pingchuan, who had been discussing for a long time and felt that there might be something wrong with the matter, came over.

"It's useless to tell me about this kind of thing. Zhou Jun took off his gloves, washed his hands under the gaze of the big man in the courtyard, and then took out two tissues from the table and wiped his forehead. "Dean Liu, why don't you talk to Song Yuan?"

"Then I'll have to take you with me. Liu Pingchuan smiled and said, "After all, it is the patient you brought back, and you know a little more than me how urgent the patient's situation is." ”