"What are you doing in a daze? Dong Xin, the deputy chief physician of neurosurgery who came to the consultation, looked at the CTA film of this high school student and scratched a piece of dandruff from his head. He tapped on the video film in his hand, and cracked a huge CTA film. "Obvious left anterior communicating aneurysm, fortunately not ruptured. It should be just spontaneous bleeding, and the bleeding is not too large. ”

"What about the surgical plan?" Zhou Jun asked with his hands on his chest, "The family is on their way here, but it is estimated that they will have to wait for a while." ”

"Thanks to the narrow neck aneurysm. Dong Xin put the CTA light on his face and looked at it again, "Do intervention." Through the opening of the femoral artery, a catheter is inserted. Extend to the left anterior communicating artery and place a platinum spring ring into it. ”

Zhou Jun looked at the high school student who was still in a coma, "You are going to do it?"

"Cerebrovascular intervention is a tertiary operation, and the only person who can do it in the hospital now is Dean Liu. Dong Xin didn't mind Zhou Jun's straightforward inquiry. "I'll call the dean to do this surgery, and I'm afraid that he will deduct my performance when I turn back. ”

"How much does this surgery cost?" Zhou Jun looked at the high school student's dress. High school students who need to ride an electric car to school every day generally do not have very good conditions at home. And the most expensive part of this kind of cerebral aneurysm interventional surgery is always the coil sold by the pharmaceutical company. Hospitals can pay a considerable part of the drug costs and surgery fees in advance, but it is impossible for hospitals to pay for such medical devices outside of social insurance from pharmaceutical companies.

If the patient's home conditions are not good and they can't afford to pay for the coil, even if the hospital wants to lose money to perform the operation, the pharmaceutical company will definitely not agree.

"At least 100,000. Dong Xin sighed, "100,000 yuan is the base, and there is no cap." Without practical operation, I have no idea how many coils this child needs. I can't scrape together 100,000 yuan...... He didn't even qualify for power. ”

"The price is too high. Zhou Jun frowned and said, "Isn't it okay to have a traditional craniotomy?"

"The surgery is long, the risk is high, and the prognosis is poor. Dong Xin put forward three reasons in a row, and then said helplessly, "You can do it if you can't do it, mainly for patients, the prognosis is really not good." He looked at the unconscious high school student lying on the bed, shook his head and said, "How old is this, after the craniotomy, there is a missing piece of the head, and I can't find a girlfriend when I am older." ”

"Actually......" Sun Lien couldn't help but interject, "Even if there is no shortage, it is not easy to find a girlfriend......

Dong Xin and Zhou Jun looked back at Sun Lien, who interjected, for a long time. It wasn't until they stared at him that they began to sweat behind their backs, and then they looked at each other incomprehensibly.

"I heard that there is a head nurse surnamed Hu in your department, right?" Dong Xin raised his voice slightly, deliberately so that Sun Lien could hear it clearly. "Her niece works as an instrument nurse in the operating room, and she looks beautiful. ”

Zhou Jun continued with a somewhat distorted expression, "Yes, the little girl's name is Hu Jia." He may be two years younger than his grandson. He paused and emphasized, "The little girl's cooking is very delicious. When I first joined the company last year, I also sent us a few braised vegetables, but they were snatched up in less than two minutes. ”

The two paused together, and then sighed in a very stiff tone, "What a good girl! It's a pity that I don't have a boyfriend yet." ”

You guys...... Sun Lien felt his face jump for a while. How much benefit did you receive from Aunt Hu?

The door of the rescue room was pushed open, and Chen Wen, who came by helicopter to seek medical treatment, was pushed back. Dr. Cao Yanhua was wearing a mask, and his face was slightly nervous.

"Is the operation done?" Zhou Jun walked over to help, directing the nurses to start connecting the monitoring instruments.

"The blood clot on the coronary artery was knocked out. Cao Yanhua reported the situation to the senior doctor. "But the situation is a bit troublesome. ”

Zhou Junqi said, "What's wrong?" He looked around and asked in a low voice after making sure there were no outsiders, "Is there a coronary injury?"

Cao Yanhua shook his head into a rattle, "No." He looked at Chen Wen, who was asleep on the hospital bed, shook his head and said, "She suddenly woke up during the operation." ”

Coronary intervention does not require general anesthesia, and it is not a big problem for the patient to be awake during the procedure. Sun Lien raised his ears and listened curiously to what was going on. What must have happened during the operation allowed Cao Yanhua to send the little girl back to the emergency room, not the PICU of the pediatric intensive care unit in the Fourth Central Hospital.

"She was furious, manic, and even tried to bite the nurse's hand. Cao Yanhua's face was serious, "It took 10 ml of haloperidol to calm her down again." I was worried that she had a brain hemorrhage and gave her a CTA by the way. ”

"What is the result?" Zhou Jun also began to frown, "Something?"

"The problem is that there is. But not in the brain. Cao Yanhua pointed to Chen Wen's lower abdomen, "She has deep vein thrombosis in her lower limbs." It's about four centimeters in length and has moved up to the renal veins. ”

Deep vein thrombosis of the lower extremities, another disease that is unlikely to occur in children of this age.

Zhou Jun pondered for a long time and asked Sun Lien, "What do you think of this patient?"

"She is too young to have high blood lipids that will not lead to coronary heart disease and deep vein thrombosis. Sun Lien tapped his notebook with a pen, "The mania that occurred during the operation may be a new symptom of an unknown disease...... he turned his head and looked at Chen Wen, who was still in a calm state. "Chen Wen, female, 10 years old, hypercalcemia state" However, this observation has made new progress, the five words of hypercalcemia status are still shining, and there are five new words at the back, "hypercoagulable state." ”

"Maybe we should think about it in terms of blood. Sun Lien began to shift the conversation, "Although it will not be hyperlipidemia, if she is in a hypercoagulable state, it may indeed cause her to have multiple blood clots." A portion of the blood clot was present in her coronary arteries, resulting in ST-elevation myocardial infarction. Part of it appeared in the deep veins of her lower limbs, leaving an additional embolus in the wall of her blood vessels, which fell off with the vibrations of the helicopter and re-stuck in the renal vein along the bloodstream. As for the mental state......"

"Micro blood clots appear in the brain and then flow into the amygdala. Dong Xin raised his eyebrows, "It sounds reasonable, the micro-thrombus of the almond body does have the potential to cause uncontrollable anger, and the CT machine in the compound operating room is not accurate enough, so there is no trace of the miniature thrombus." ”

Cao Yanhua objected to this bold speculation, "There is no disease that can cause a ten-year-old child to have multiple systemic blood clots, and she has not had liposuction surgery in a small clinic, let alone a fat plug." ”

"Regardless, the blood clot in her inferior vena cava never goes away on its own. Zhou Jun made a decision, "Give her low-molecular-weight heparin and warfarin anticoagulant therapy, at least to ensure that the venous thrombosis will not kill her." ”

"I went to ask Professor Li and Director Qian to have another consultation to make sure that there were no problems with the medication. Cao Yanhua nodded, turned around and left the rescue room.