185 Decisions about life and death

Seeing Liu Banxia sitting on the side and thinking, Qiu Mingyuan was very knowledgeable and did not disturb him, but came to Liang Xiaolin and Qingkova's side to inquire about the situation.

Even if some new patients came, Wei Yuan also directly accepted them. Knowing that Liu Banxia was thinking about the patient upstairs, his mind drifted away for the time being.

After waiting for more than half an hour, Liu Banxia's phone rang again.

"Angkor, is the film finished?" asked Liu Banxia after answering the phone.

"The X-ray and MRI were done, and only the distal left radius fracture was detected, and the reduction and fixation were almost done. There were no problems with the head and spine. Wu Bo said.

"There is no fracture in the spine?" asked Liu Banxia in surprise.

"No, both X-rays and MRIs show no. And there is a new situation, now he is also unconscious in both arms, but the blood circulation is normal. Wu Bo added.

"Okay, thank you Angkor. Liu Banxia said gratefully.

This is also a sentiment, knowing that he was in a hurry, he was notified before the film came out.

Liu Banxia pondered for a while, and directly dialed Xiao Zhaoqiu, who was outside the gods.

"Hello. After ringing a few bells, Xiao Zhaoqiu's voice came.

"Hello Director Xiao, I'm Liu Banxia from the emergency department. We have a patient here who showed symptoms of progressive paralysis after a poisoned driving accident. Liu Banxia hurriedly said.

"The X-ray and MRI that I just did are all fine except for the radius fracture of my left arm, and if you have time, I hope you can come over in person, because this patient is also related to a patient who was hit in the ICU of our hospital. ”

After finishing speaking, Liu Banxia waited pitifully, and he didn't know if Xiao Zhaoqiu had time or could come over in person.

"Okay, I'll go to the emergency department. After waiting for more than ten seconds, Xiao Zhaoqiu finally responded, and then hung up the phone.

Liu Banxia swung his fist hard, and his mood was a little relaxed.

"Shoutian, you are good enough, you can directly invite Director Xiao over. Wei Yuan gave a thumbs up.

Liu Banxia squeezed out a wry smile, "There's really no way, I'm also stubborn." I'm worried about the patient upstairs, even though we can treat him now, it's only limited. ”

Wei Yuan patted him on the shoulder, he could be regarded as empathetic to this matter, and he knew that he could not comfort him.

"Brother Liu, what's that, I'll ...... first I'm going back. Qiu Mingyuan leaned over and stammered.

Liu Banxia was stunned for a moment, and then was happy, "Just so daring, but you decide for yourself, I won't interfere." ”

"Hehe, it's useless to be bold, I'll go around from the outside. Qiu Mingyuan dropped a sentence and fled from the door of the emergency department very quickly.

"What's going on?" Wei Yuan asked curiously.

"The situation is very complicated, you better help me think about how to introduce the condition to Director Xiao for a while. If I said something was missing, you have to fill it up for me. Liu Banxia said.

"You made it clear on the phone just now, what else can you add. Wei Yuan said with a wry smile.

At this time, the nurse and the police also pushed the patient back to the emergency department, and the patient's mother was left crying on the side.

"Did you lose feeling in both arms just now?" asked one of the nurses.

"No, it was only two hands at the beginning. The nurse said.

Liu Banxia frowned, took a probe, and conducted a needle prick examination on Wang Yu's body after disinfection. Now even the acupuncture in the abdomen, Wang Yu can't feel it.

"I'll put the broken arm back in place first, and a specialist will come over later. After Liu Banxia finished speaking, he directly touched Wang Yu's left arm.

Before Wang Yu's mother could inquire about the situation, Liu Banxia directly reduced the fracture on his arm.

"Let's fix it with a splint first, and I'll see what happens. As soon as Liu Banxia finished doing it, Xiao Zhaoqiu's voice sounded behind him.

"Director Xiao, the patient's paralysis has spread to the arms and abdomen this time, and there is a tendency to gradually spread upward, and the progress is very rapid. Liu Banxia hurriedly said.

Wei Yuan, who was on the side, also turned the monitor over and asked Xiao Zhaoqiu to look at the X-ray and MRI images that had just been transmitted.

Xiao Zhaoqiu frowned, and just like Liu Banxia just now, he picked up the probe and checked it on Wang Yu's body.

"Make an appointment in the operating room and inform us that someone will be sent over. It should be a hemorrhagic embolism in the spine, which is progressing too quickly and needs to be treated immediately. Xiao Zhaoqiu said.

"Compression of the nerve is not necessarily due to trauma that has caused a fracture to compress the nerve. It may also be that there is a change in the spinal canal, and the most reasonable judgment is that the blood clot is gradually forming. Surgical exploration is required, and it is necessary to find it one by one, otherwise it may really be paraplegic. ”

Ding!Daily Mission Complete (4/20)

Complete the Paralyzed Leg quest and gain 10 XP and 100 Diagnostic Skill Proficiency

Liu Banxia was stunned for a moment, and hurriedly nodded. Then he arranged for someone to take Wang Yu to the operating room first, and carefully explained the risks of the operation to Wang Yu's mother.

Now Wang Yu's mother has other ideas, all she thinks about is to cure her son.

"Hey, I took it, I really took it, it is worthy of Director Xiao, why didn't you think of it just now?" After signing it, Liu Banxia said with emotion.

"We, we have too little experience to compare with Director Xiao. However, surgery is also very risky, which is equivalent to rushing for time. Wei Yuan said.

Liu Banxia nodded, this is indeed the case. If the blood clot is too large, the nerve may be permanently damaged due to the pressure of the blood clot.

He is really convinced now, and it can be seen from the reward given by the task just now. When did you get 10 points of experience for such an open task?Diagnostics skill points, it is estimated that Xiao Zhaoqiu introduced the reason and let me learn knowledge.

Spinal injuries may not have external fractures, but may also have internal blood clots. It's just that because of the car accident, I took it for granted that it was caused by external fractures.

Huh?

Thinking of this, Liu Banxia, who was still sitting, stood up violently.

Mission: Patient with respiratory distress

Open-ended task: due to the host's concern for the patient with respiratory distress, it is thought that other factors may be responsible. Task rewards are awarded based on the diagnosis results

"What's wrong?" Liang Xiaolin was startled.

She felt that today's day was too thrilling.

"Doctor Liang, did you say that the patient in the ICU had atrophy in the upper left lobe, could it be that it was not caused by trauma, but because he had such an underlying disease in his body?" asked Liu Banxia with shining eyes.

"Uh...... This one...... This one...... , Doctor Wei, do you think it's possible?" Liang Xiaolin ran out of ideas and asked Wei Yuan, who was not far away.

After listening to this, Wei Yuan also frowned, "Although it is possible that this is the reason, but the probability is too low, right? After all, on the X-ray, we also saw the lung contusion." ”

"There are always some opportunities, Brother Wei, please keep an eye on it, and I'll take a look at his relevant diagnosis records. After Liu Banxia finished speaking, he ran to the computer.

"Have you Doctor Liu always been like this?" Wei Yuan asked curiously.

"Hmm...... Pretty much. Liang Xiaolin thought for a while and said.

"The last time the aneurysm patient, he just babbled in the ward for a long time, and then he came out. ”

"Dr. Wei, do you think it could really be caused by the patient's own disease, and if so, can we still be saved?"

"It's hard to say, even if it's really the same as he guessed, it depends on what it is. Now the patient's blood oxygen is too low, if you can restore some respiratory function and let the blood oxygen go up, there is really a possibility that nothing will happen. Wei Yuan thought for a moment and said.

"But this is just an ideal assumption for us, and I can't say for sure. And now the patient's blood oxygen should have dropped a lot, which is dangerous. ”

Liang Xiaolin's face fell suddenly, and this is indeed the case. Liu Banxia is not a doctor in internal medicine, even if he is smart, he may not be able to figure it out, what is lacking now is time.

But what she didn't expect was that Liu Banxia sat in front of the computer and didn't seem to have even arrived for 5 minutes, and then jumped up and ran directly to the green channel, which was really fast.

"Ah...... , why did he run away?" Liang Xiaolin shouted in surprise.

"I guess I thought of something, I'm staring here, you and Qingkova chase over to have a look. Wei Yuan said with a smile.

Liang Xiaolin and Qingkova can also be regarded as the level of long legs, but they really can't catch up with Liu Banxia, Liu Banxia has already run desperately.

Even if Liu Banxia's physical strength has been strengthened, such a sprint is very taxing on the body. When I ran to the door of the ICU, I was only holding on to the wall and panting.

"Dr. Liu, I was about to call you, we are going to treat it with antibiotics. Now that the blood oxygen has dropped to 80, if it continues to go down, it will definitely cause a lack of oxygen to the brain, which is irreversible. Xu Guosheng, who saw him, walked out of the ICU.

"Dr. Xu, Doctor Xu, wait a minute, don't use antibiotics yet. Call...... Call...... ...... "Liu Banxia waved his hand effortlessly and took a few deep breaths.

"Just now, I just looked at the bronchoscopy. The patient is now in a coma and we are intubated to breathe. In a coma, the chest wall should be relaxed, but just now I noticed that his airways have been in a state of constriction. ”

"This is wrong, so wrong. I don't think it's because he's having trouble breathing now, it's because he has a condition that makes him breathless. For example, asthma, breath distress disease, what do you think? ”

Listening to Liu Banxia's words, Xu Guosheng was stunned, and his brows furrowed tightly.

What Liu Banxia said is very possible, but it is not such a good choice for now. Asthma relievers are steroids, and if it's caused by asthma, it's very good and works directly.

But what if the bet is wrong? Steroids instead of antibiotics are likely to accelerate the spread of infection, muscle lesions, and the direct result is to hasten the death of the patient.

This decision is not so easy to make.