"Xiao Li, you came just in time, this is the medical records and examination documents of two patients with cerebral hemorrhage, you can take a look first. ”

Professor Tang handed over the materials to Li Quan, which just alleviated the embarrassment of Vice Dean Min.

Li Quan flipped through the information and read it carefully.

The first patient had a brainstem hemorrhage and is currently unconscious. Sino-Ocean Hospital was not sure of surgery and chose conservative treatment. He has been in the ICU of Ocean Hospital for three days.

The patient's family chose to transfer to the hospital, on the one hand, because they read the news reports about the major breakthrough made by Whale Hospital in the field of brain medicine, and believed that Whale Hospital's medical skills were more intelligent. On the other hand, the cost of ICU is extremely high, at least 10,000 yuan a day, even if there is a mine at home, it may not be able to afford to live.

Relying on various high-tech equipment in the ICU, he is hanging on for his life, but the patient is like a living dead, and the family will give up sooner or later.

There may be a glimmer of hope when you get to Whale Hospital.

The second patient had a cerebral hemorrhage, and after surgery to save his life, he was temporarily saved.

But so far, he is still unconscious, and he is no different from the living dead. The opinion given by Sino-Ocean Hospital is that the risk of a second operation is extremely high, and conservative treatment is recommended.

There are many vegetative people who are awakened by family affection or love.

Overall, the second patient's condition was relatively stable.

"Doctor Li Quan, are these two patients sure?" Vice President Min could no longer pretend to be dead.

Because he is the leader here, he can only ask Li Quan's opinion with a black face.

This scene is really funny.

A large group of chief physicians are waiting for an opinion from a regular training physician.

"I want to check the patient's pulse first, and then make a decision, is that okay?" Li Quan also accepted it when he saw it, knowing that Vice President Min couldn't hold his face at the moment, so he tried not to stimulate him.

Try to be respectful of Vice President Min.

"Absolutely. ”

Vice President Min nodded in agreement.

Li Quan walked out of the emergency room and walked straight to the two patients.

"Doctor, whether it can be cured or not, you have been consulting for so long, but I have a word. When the patient's family saw Li Quan coming over, they immediately surrounded Li Quan to ask for results.

"Don't be in a hurry. As you know, Ocean Hospital is also a top tertiary hospital, and the patients it can't treat must be very complicated. Our doctors at Whale Hospital consult with each other, not only for the patient's responsibility, but also for the sake of your family. You think, if we at Whale Hospital are not sure about the admission of patients, won't it hurt you?"

Vice President Min personally came forward to explain to the patient's family.

He spoke with an art that the patient's family was temporarily reassured.

Li Quan began to take the pulse of the first patient.

The medical examination technique is also performed.

The patient had a brain stem hemorrhage, judging by the pulse.

The pulse string is like crying, and the pulse is astringent like ash.

This is a very bad pulse.

The so-called pulse Xuan refers to pressing down, like a string, straight and long, and the finger is straight. But the pulse is like a weeping, which means that the pulse is like a poignant sound when the strings are played, intermittent.

This is an extremely rare bad pulse.

Generally speaking, the pulse string, or if the pulse string is thin and wet, it can be broken as the beginning of dampness and temperature, and the evil obstructs the qi. Or the pulse is counted, mostly the heat and depression and the lack of yang, and the image of the gall is blazing......

In short, this kind of pulse is like weeping, like a dying man crying.

But it's a little better than the Absolute Pulse.

The desperate pulse is that the king of Hades has taken the bait and is no longer saved.

If this person is able to govern the law, he may be able to fight for his life with the king of Hades and save people.

Astringent pulse refers to the small shape of the vein, and the communication is not smooth.

Generally, this kind of pulse indicates that the patient's qi is stagnant and blood stasis, and there is little blood in the sperm.

If the pulse is like crying and it is just snowing, then with the pulse like ash, it is equivalent to making the snow worse.

That is, the patient is in a very serious condition.

You can die at any time.

It is no wonder that Ocean Hospital would rather transfer patients to hospitals than do this surgery.

Li Quan's mind came up with the CT film of the brain taken by the patient just now.

It stands to reason that more than three days have passed since the onset of the patient's illness, and this is the fourth day. If he hadn't died, the bleeding would have been controlled.

As long as the bleeding is really under control, Li Quan can try a set of acupuncture methods.

It may or may not be possible to wake the patient up directly.

"Dean Min, I suggest that this patient be given another head CT in this hospital to determine whether the bleeding has stopped. It is then advisable to do another angiogram of the head to see if there are any serious deformities or lesions. ”

Li Quan gave his opinion.

"Open an inspection application form and test it immediately. ”

Vice President Min found that there were more and more onlookers. As time passed, the emergency department began to enter the peak of the day.

The scene was very messy.

It is necessary to make up our minds as soon as possible, and these two patients with cerebral hemorrhage must not be allowed to remain here all the time.

Li Quan finished checking the pulse of the first patient, and then checked the pulse of the second patient.

The family also seemed to see that this young doctor seemed to have a lot of weight. The chief physicians also showed the two patients, but none of them asked for an examination.

Li Quan found that the second patient's head was still bandaged.

However, no blood was seen, and it is estimated that the wound has initially healed.

Specific wounds are not visible.

Craniotomy has always been brutal and involves cutting open the skull. As you can imagine, the wound will certainly not be small.

Li Quan carefully felt the patient's pulse.

"Hey, it's weird. Li Quan felt it carefully, his eyes narrowed slightly, and the three fingers that cut the pulse began to rise and fall rhythmically like playing a piano.

The patient had a cerebral hemorrhage that left him unconscious.

After being sent to the hospital, the craniotomy and drainage were carried out in time to drain the blood. Then the broken blood vessel was repaired.

It stands to reason that after this series of treatments at Ocean Hospital, the patient should wake up.

But he was unconscious.

Due to the fact that the site of cerebral hemorrhage is very close to the central nervous system.

Therefore, Xu Tiangao of Ocean Hospital, and even the professor of brain department of the Beijing Grade 3A Hospital, who was invited, believed that the central nervous system had suffered some damage.

This is often referred to as irreversible damage.

In this case, there is really no certainty about the second craniotomy.

Because you can't be sure if it's caused by damage to the central nervous system. It is not certain whether it can be repaired successfully.

"The lesion is still in the head. ”

After diagnosis, Li Quan also came to this seemingly useless conclusion.

The patient was in a cerebral hemorrhage coma, and the lesion was of course in the head.

"In terms of subtle pulses, the lesion should be located a little higher at the tip of the ear. This area is the brain. However, judging from the CT images of the brain, there seems to be no problem. ”

Li Quan's brow furrowed even tighter.

"Let me think about it, where is the abnormal position of the pulse I sensed just now?"

"Hmm...... It seems to be a brain sickle. Could it be that the lesion is in the sickle of the brain?"

[You have successfully performed the pulse diagnosis technique, skill points +10]

[You have successfully performed the Observation Technique, Skill Points +10]

It seems that this is the right diagnosis.

Li Quan couldn't help but feel more confident, this patient may be cured without surgery.