(Thanks to my friends for the reward of 10,000 coins, and thanks to my friends for the encouragement of Moxi, likeicewolf, and aggressive Xiaoku)

"Partial liquid ventilation to support breathing is mostly used in newborns and has a slow onset of action. Chen Hongyang said.

"Do you really think this method will work on him? It won't delay the best time to save him? It's good in theory, but it's also risking the child's life. ”

Liu Banxia nodded, "I think you are also right, but if my judgment is correct, as long as the membrane lung machine is on, the child will be finished." ”

"I'm taking a risk with this method, but it can buy us some time. A sample can be taken for a rapid biopsy. Whether it is the results of a biopsy or the use of PLV to maintain blood oxygen, I think it is possible to try. ”

He also had his own insistence, and he was very sure of his judgment now. The diagnosis is based on a macules in your child, which are similar to hives.

The reason why children have a lot of allergens is also because there is too much histamine in the body. If there is a lot of histamine, even ordinary things can cause allergies.

"Okay, take a sample for a quick blood test, try it with PLV. After thinking for a few seconds, Chen Hongyang said.

Liu Banxia nodded at him and left the rescue room.

The next thing can no longer be involved, even if this time he will be responsible, but he is still quite easy.

In fact, if he quarrels with Chen Hongyang, Chen Hongyang may not agree with his judgment. He has been very calm in the process of communication, and he really focuses on the discussion of the patient's condition.

This also calmed Chen Hongyang's anxious mood, and he also felt that Liu Banxia's words were still reasonable. So he gave this doctor's order and was willing to share the responsibility with Liu Banxia.

After all, he is the attending physician of this child, and he is mainly responsible for the situation.

"Nothing?" Wang Huan asked worriedly.

"It's fine, it's just normal communication at the diagnostic level of the patient. Liu Banxia said with a smile.

"We're all adults, so what's the point of arguing like children? Anyway, we're all people with status, and we won't have a bad impact. ”

Wang Huan glanced at him, what he said was a relief. I don't know who did that in the first place, isn't it a child?

Liu Banxia was a little embarrassed, of course she knew what Wang Huan's subtext was. Now that I think about it, it's really a bit embarrassing to be like the shrew who scolded the street.

"The situation is not good, and the pelvic examination is normal. After a while, the patient will push back, how to communicate with the family?"

Liu Banxia and Wang Huan have both turned into bitter gourd faces, they are really afraid of something. The next instrument diagnosis must be more powerful. Otherwise, it is inevitable that the patient's family will be emotional.

"After pushing it back for a while, I'll take a closer look. Don't worry about it, I just want to see if there are any small details that I have overlooked. Liu Banxia said.

"Are you here with confidence? Are we all looking forward to missing the symptoms now? Otherwise, it will be really difficult to do the next thing. Wei Yuan said.

Xu Yinuo, who was following on the side, stuck out his tongue and forced the three of them in the emergency center to be like this? It's also rare.

Waited a little longer? The patient was pushed back. Liu Banxia did not delay at all, and carefully examined the patient.

Finished auscultation? When he examined the patient's arm, he was stunned, "Does this patient smoke a lot?"

The patient's mother was stunned for a moment? "Do you smoke some once in a while? but not very often. ”

"Is the patient's husband here?" asked Liu Banxia again.

"Went on a business trip yesterday? Then we contacted her mother. Said a friend who was sent by the patient.

Liu Banxia frowned, "You go out first, and I'll communicate with the patient's mother alone." You are a colleague and not an immediate family member of the patient. ”

The patient's colleague nodded? Withdrew.

"Doctor? What's wrong?" asked the patient's mother worriedly.

"Do you know what kind of contraception your daughter uses?" asked Liu Banxia.

Although it is between mother and daughter, it is a little embarrassing to ask such a question.

The patient's mother shook her head, how do you know about this? This is a very private matter, and it is not easy for the mother to interfere and understand.

"Let's send it for a head CT scan first, and prepare for thrombolysis at the same time. Do you want to shout Shennei, there is no delay, right?" Wang Huan spoke.

"Doctor? What kind of illness is it?" the patient's mother was even more anxious.

"Now I suspect it could be a deep vein thrombosis in the brain. Liu Banxia thought for a while and said.

"The patient has a habit of smoking, if the contraceptive pill is used for contraception? It is likely to cause blood clots, leading to stroke. ”

"Stroke? You can't stay in a coma like this after a stroke. The patient's mother said.

"Dr. Wang? Take the patient with me, and I communicate with the family. Liu Banxia said.

Wang Huan nodded? Led someone to push the patient directly and rushed to the CT room.

"Our brains are complex? There is a very special set of blood vessels in the back of the head. What if blood clots develop in these blood vessels? It will lead to a serious lack of blood supply, do you understand?" Liu Banxia said.

The patient's mother nodded.

"Normal strokes, you know. But the situation of deep vein thrombosis is a little different, and deep vein thrombosis affects the central nervous system, so your daughter is not having the usual stroke symptoms now, but has been in a comatose state. Liu Banxia continued.

"Wait a minute, Dr. Wang will definitely expedite the processing, and you will have a general understanding after the first set of pictures is scanned. If it weren't for the metal that was transplanted into your daughter's head, we could have done an MRI a little faster. ”

"But judging from the current situation, this blood clot could be very long. You need to be mentally prepared in advance, and if you don't get it right, you will have to perform surgical intervention. ”

"Doctor, can you cure it?" asked the patient's mother.

Liu Banxia frowned, "Now I can't give you an accurate answer, I need to see how the results of the examination are, and I also have to refer to the opinions of the doctor inside the god or the doctor outside the god." ”

"You can rest assured that we will definitely do our best to make your daughter recover. Such a condition is rare, but it is not impossible to treat it. ”

He can only say that, according to his understanding, causing the current phenomenon, I am afraid that this blood clot will be very terrifying. In that case, the chance of the patient coming back is too low, and if it is easy to deal with it in the legs, it is in the brain.

The rest of the day was an anxious wait, not just for the patient's test results, but also for the child's blood oxygen.

The PLV method is very slow to work, so this is also a gamble, otherwise Chen Hongyang would not be so careful.

"Mr. Liu, beautiful, thrombolysis has begun. Wang said happily, the first to produce results was the female patient just now.

Ding! Patient reception is done

Gain 500 XP, 500 Diagnostics Skill Mastery, and 5 Glory

"Thrombolysis?Can such a long blood clot really be dissolved?" Liu Banxia was a little surprised.

"Haha, you also have a time to look away, right?" Wang Huan was a little proud.

"The patient's situation is a bit peculiar, there is only one Percheron artery. So even a small blood clot can have an impact. ”

"Fortunately, there is not a lot of time delayed, and thrombolysis will still be effective. It's too dangerous, and if you do a CT scan of the rest of the area, or another instrument, it's really hard to say. ”

Liu Banxia grinned, it was indeed too dangerous. Normally, there are two blood vessels supplying blood, but now there is only one, isn't it easy to have problems?

"Teacher Liu, how did you find out that it might be a blood clot? No, how did you find out that the patient was smoking and taking birth control pills?" asked Xu Yinuo.

"The patient's fingers are slightly yellowish, and I guess the rest. You may understand this matter after you get married, just understand it now. Liu Banxia said.

Even if they are all doctors, there are some things that can't be discussed randomly. It's okay for him to study this matter with Qiaoqiao, but he can't discuss it with his interns.

And what the patient's family situation is, he can't say. Isn't this the case in today's society, so chaotic and casual, anything is possible.

Xu Yinuo frowned, he still didn't understand, but he also knew that Liu Banxia didn't want to say more.

The patient's condition was solved, and he also went to Liu Banxia for a heart disease. Even if it was dinner time, he didn't go to the cafeteria.

And this child, just wait for the biopsy results, and when it comes out, you can know if his judgment is right.

"Mr. Liu, I was diagnosed with mastocytosis. After waiting for a while, Liu Man ran back.

Ding! Patient reception is done

Gain 500 XP, 500 Diagnostics Skill Mastery, and 5 Glory

Liu Banxia smiled and nodded, "It's good, I can go to eat with peace of mind." ”

"I know, you only pay attention to your arm when you examined the female patient just now because you observed your arm when you diagnosed the child, right?" Wang Huan on the side said coldly.

Liu Banxia nodded, "That's it." You must have been very careful in your examination, and the only thing that could be missed was the rash. However, I didn't get a rash, but I found a habit of smoking. ”

"Hey...... I've always thought you're pretty good, and there's always some inexplicable new ideas to help diagnose patients. Wang Huan sighed.

"Actually, it's your careful observation that allows you to notice what we've overlooked. This is the gap, and it is not something that can be noticed just by thinking about it. ”

"Make a promise, you have to try to learn this skill from him. This is real kung fu, everything else can be trained, but this can only be accumulated little by little. ”

"You're praising me, you're useful, you've got to add food to dinner." Liu Banxia said seriously.

"Cut, who promised to add vegetables to you? You completed the double kill today and saved the lives of two patients, so you can't add it?" Wang Huan asked rhetorically.

"I can't refute what you said, let's avoid disaster. My life, why is it so bitter. Liu Banxia shook his head helplessly.

It was very amusing to Xu Yinuo, and the teachers when they were relaxing were actually quite fun.