"Teacher Liu, what the hell is going on here?"

Although he knew that he shouldn't ask this question, it would make patients and their families feel that their medical level was too poor, but Miao Rui still couldn't help it.

"Let me ask you, what could have caused this uncle's previous symptoms. Liu Banxia asked.

"Organic lesions of the brain, subdural hematoma and edema, hydrocephalus, infection of brain tissue, associated inflammation, and so on. Miao Rui hurriedly said.

Although he is an intern outside the general public, he also knows these basic knowledge. After all, if you work in an emergency center, you know more and can give patients more protection when they receive emergency patients.

"You're right, it's just a symptom. I think there are two fundamental reasons, one is the compression of brain tissue, and the other is inflammation of brain tissue. Liu Banxia said.

"It seems that if it is an organic lesion, a tumor or edema, it is a compression of the brain tissue, and inflammation has an impact on the brain tissue. Xu Yinuo said.

"Back to our old man. Liu Banxia said with a smile.

"The cerebrospinal fluid hasn't been tested yet, so I don't know if there's inflammation. But one thing we can be sure of is that after the cerebrospinal fluid was extracted, the old man's condition was relieved. Why is that?"

yes, why is that?

This is a question that the interns, including the patient's son, who is listening carefully, are on the mind, but why?

"I see, because the cranial pressure is lowered, right?"

Just as everyone was thinking about it, Qingkova shouted.

Liu Banxia gave a thumbs up, "That's it." Conditions such as hydrocephalus and subdural hematoma pose a threat to patients because they increase intracranial pressure. ”

"Of course, some hematomas with relatively large bleeding volume can also directly compress the brain tissue. But we watched the old man's CT film, and everything was fine. Therefore, the root cause of this phenomenon is the increase in intracranial pressure. ”

"Even if there is no organic lesion, the high intracranial pressure is causing pressure on the brain tissue. We took out some cerebrospinal fluid for laboratory testing, which temporarily lowered the intracranial pressure, so the old man returned to normal. ”

"At first, I ignored the problem of cranial pressure, and I thought it was a brain tumor. In fact, this is also a condition of hydrocephalus, except that it is cerebrospinal fluid. ”

"The official name is SNPH, hydrocephalus under normal pressure. According to the old man's condition, it should be idiopathic. Help me call the doctor who is outside the gods, and I need to set up a shunt to divert some of the cerebrospinal fluid out when the cranial pressure is high. ”

"Doctor, I didn't understand much, but my dad can cure this disease?" asked the patient's son.

Liu Banxia nodded, "The purpose of our installation of the shunt is to relieve the pressure in the skull, and if the pressure in the cranial cavity is released, it will naturally not cause pressure on the brain tissue." ”

"Doctor, how long does that drain?" asked the patient's son.

Liu Banxia frowned, "According to your father's situation, I'm afraid I have to use it all the time." However, it is also necessary to look at the examination of cerebrospinal fluid, and if it is normal, it must be used all the time. ”

"If it's caused by another condition such as inflammation, we can remove the shunt after we have treated the symptoms. But let's put it this way, the old man has been ill for such a long time, if there is other inflammation, I am afraid it is already life-threatening. ”

"That's why I just said that this could be idiopathic, idiopathic related conditions, but in fact, we don't have a clear cause yet. ”

"But this will not affect life, how can it be much better than the life in the past six months, right? ”

The patient's son nodded, if he thought so, it was really not bad.

"Dad, don't worry, it's nothing, just do a minor operation. Looking at the father lying on the bed, the patient was comforted.

"I'm not going home. The old man waved his hand.

The patient's son was stunned and looked at Liu Banxia.

"Now the intracranial pressure must be a little high again, and it just so happens that Dr. Zhang is here. Miao Rui, tell Dr. Zhang about this patient's situation. Liu Banxia said.

Miao Rui hurriedly introduced the whole situation and picked up the important parts to introduce it to Zhang Xiao.

Zhang Xiao glanced at Liu Banxia, "CT is normal, there is no ventricular enlargement?"

Liu Banxia nodded, "Wu Bo and I also pondered for a while, it should be caused by the intracranial pressure is not particularly high, and the course of the disease is slow." ”

"It's luck, let's see the results of the cerebrospinal fluid examination in a moment. Zhang Xiao said.

"If everything is normal, the shunt can be placed, and there should be no permanent damage to the brain tissue. I will be able to live a normal life in the future without any repercussions. ”

Hearing Zhang Xiao's words, the patient's son grinned, this is really happy.

"Okay, this patient is directly handed over to you, and our ordinary life is over. Liu Banxia said.

"Doctor, thank you, if it weren't for you, we would still be confused with Alzheimer's. The patient's son said.

"This is a coincidence, and I have to thank this comrade policeman. If he hadn't been brought directly to the hospital, it would have been difficult for us to find out. Liu Banxia said with a smile.

"Don't thank me, don't thank me, that's what we do, how can we watch my uncle walk down the street. Comrade police hurriedly said.

"Thank you, thank you, this is a good person. I won't sue that nanny, if she weren't such a bastard, my dad's illness would not be punished. The patient's son said.

Liu Banxia is happy, this matter is really a little unclear.

It stands to reason that the nanny's responsibility is not small. But it was precisely because of her dereliction of duty that the old man's illness was diagnosed, so he really couldn't figure it out.

"Dr. Liu, why don't you reward me with chicken legs?" asked Qingkova as she walked back.

"Reward, reward, must be rewarded, and if you answer the question correctly, you must be rewarded. Liu Banxia said.

Qingkova is happy, and she often eats chicken thighs, but the rewarded chicken thighs taste different.

Liu Banxia's mood is also very good, although the old man's illness is not an incurable disease, but it is not so easy to diagnose.

In particular, the old man was also diagnosed with Alzheimer's disease in other hospitals, in fact, it is really easy to get confused without the indication of ventricular enlargement.

If it weren't for the fact that he was a little more serious, why did he want to find out what the old man was, I am afraid that he would not have done a lumbar puncture, and directly let the patient's son take it home.

"What's going on?"

As soon as he came back, Liu Banxia saw two groups of people in the waiting hall, and the police were also maintaining order.

"It's the emergency patients who were treated last night, aren't they making a fuss now? It's a mess, but fortunately there are police, otherwise I would have to call you. Zhou Li said.

"What's there to make trouble, it's already very serious, why do you want to go in again. Liu Banxia shook his head.

"I listened to it, and now they seem to be looking for people to share the responsibility with them. Anyway, it's complicated, but fortunately I'm not a judge, otherwise I wouldn't be able to figure out these relationships. Zhou Li said.

"Fortunately, I'm not either, and I'm done curing the patients. Although it is a headache sometimes, as long as you touch the right way, you can touch the melon along the vine. Liu Banxia said.

"Don't touch the melon yet, the director went to the meeting in advance today, so I'll leave it to you at the emergency center. Shi Lei walked over.

"Ah, I thought I'd take a day off tomorrow. Doesn't this have to go up until the end of the year?" Liu Banxia was dumbfounded.

"What's the solution, it seems that there is a patient over there who needs to be consulted, so I went there in advance anyway. Leave two half-liver resections, one for each of us?" Shi Lei asked with a smile.

Liu Banxia nodded, "When the time is staggered, I can also bring them all." I have to talk to Qiaoqiao for a while, and I'm looking forward to going to Jinshui District to eat iron plate food together when I rest. ”

"Then don't worry about it, if I can still work for you in the past, at the end of the year, there will be a big situation. Shi Lei said.

"Yes, just like last night, who thought that they would come in like dumplings. At the end of the year, the big guys are working hard, and the dishes they like to eat are reported, so I'll have a chance to touch with our manager Zhou. Liu Banxia said.

Hearing him mention this again, the big guy's spirit was a little fuller.

This is happiness in suffering, in fact, who needs to eat that bite? Eating less can be exchanged for half a day off, and they have to rush to change it.

The interns were excited to have a liver surgery on their heels. And according to the personalities of Mr. Liu and Mr. Shi, the participation in the operation process will be very high.

"Teacher Liu, Teacher Zhang Xiao from the outside of the gods asked me to tell you that the old man has been diagnosed, and as you judged, he will arrange for surgery in the afternoon. At this time, a nurse came running.

Ding! Patient reception is done

Gain 200 XP, 200 Diagnostics Skill Mastery, and 1 Glory

Liu Banxia was stunned for a moment, why did he give such a reward for his performance so well?

It's relieved to think about it, I just thought about it, although the old man's illness is somewhat confusing, but it can be diagnosed through systematic examination.

This is the system, it will not give you the slightest affection, no matter what you do, you will stick to your own standards.

"You have used as much of your rest as possible during the night shift these days, and don't expect to take a break in a few days. Even if you are off, you have to stay in the lounge. Liu Banxia looked at the interns again.

The six little ones nodded in unison, and they also knew that Liu Banxia would be under a lot of pressure now.

What may have been a small mistake may be infinitely magnified due to the Chinese New Year. Not only in terms of receiving patients, but also in the care of these patients in the hospital.