Chapter 196: An Extremely Difficult Patient
Zhang Tianyang had just been replaced from one of the chair movers.
Didn't sweat, but there was some slight wheezing.
He glanced at Lin Ke'an, and instead of making a judgment right away, he began to state what he knew.
"The main symptom of the patient is a sudden change in consciousness. ”
"The onset was abrupt. ”
"Manifests as extreme agitation and inability to control one's words and actions. ”
"According to the description of the tablemate, the patient drank a lot of alcohol and did not drink much today. ”
"The patient usually has no bad habits. ”
"It's also normal to be mentally in the past, and it's never been like this today. ”
After speaking, he glanced up at the other party.
Lin Ke'an nodded quickly, and began to state the news he had just gotten through the group of girls who were like frightened birds, shaking out everything they knew as soon as they asked.
"The patient had a 'cold' recently. ”
"Before drinking today, the patient also used to use the inconvenience of drinking after eating cephalosporin as a reason to block alcohol. But he didn't actually take any medicine. ”
At the same time, the patient used to report headaches. ”
The two glanced at each other and nodded in tacit understanding.
Zhang Tianyang began to state the physical examination he had just done.
"The patient was pale. ”
"There are food debris left in the corners of the mouth and mouth, which looks like vomit in nature. He threw up before we passed. ”
"The limbs are clammy and cold, the forehead is hot, and the preliminary estimate is that it is now in a state of fever. ”
"There is a sense of resistance in the neck, but the patient is now conscious and is not sure if it is rigidity or intention. ”
The scattered medical history, through the mouths of different classmates, gradually pieced together.
It's like a detective, collecting all the evidence bit by bit.
Coupled with the corroboration of the patient's own physical symptoms.
An answer popped into mind.
The two looked at each other again.
Zhang Tianyang smiled.
"Let's talk about it?"
"Okay. ”
“3”
“2”
“1”
"Intracranial infection!"
"Meningitis!"
Seemingly different answers.
In fact, meningitis is a type of intracranial infection.
One is a little wider, the other is a little more precise.
So the two laughed.
Several of my male classmates were not majoring in medicine.
They struggled to carry their sick classmates.
While enduring his scattered singing voice.
Listen to the two "doctors" say things they don't understand.
Then suddenly he laughed again.
I just feel that the overpass in front of me is not an overpass, but a moat.
I just feel that the blue sky in front of me is not a blue sky, it is a mockery.
"Doctor, what's wrong with him?"
Zhang Tianyang glanced at him and sighed when he saw the sweat constantly appearing on his forehead.
"I'll do it. ”
Taking over the position of the weak male classmate, Zhang Tianyang's face was serious.
"In layman's terms, it's an infection in the brain. ”
"It's usually caused by bacteria entering the bloodstream and then infecting the skull. ”
"The preliminary diagnosis is that it is an intracranial infection, and it may be encephalitis, meningitis, brain abscess, etc., and the specific one needs to be further examined. ”
"If it's purulent meningitis, you can die. ”
"Other intracranial infections can also lead to epilepsy, paralysis of limbs, and other consequences......"
The boy was visibly frightened and took a few steps slower.
Zhang Tianyang turned his head abruptly and glanced at him faintly.
"It's too late to run now, the surveillance video is there, guess if something happens, his family finds that the other classmates are there, and you ......are not there."
The boy shuddered violently and hurriedly walked two steps faster to keep up.
Zhang Tianyang looked at him seriously.
"So, be sure to explain it to his family. We'll probably have to take part in the rescue when we're sent in, and you're going to have to appease his family, you know?"
This is a precautionary shot.
In the case of a dangerous condition, the cooperation of family members is very important.
One minute late may affect the patient's prognosis for a lifetime.
It would be nice to have someone to help persuade you.
......
When several people carried the chairs tied to the door of the emergency department, Zhang Tianyang yelled.
"Intracranial infection is suspected, and you need to go to the emergency room!"
"Here!
Dr. Chan is on the day shift today, and now he is actually off work at this point.
But Zhang Tianyang made a phone call, and he waited at the door with the classmates who were now on duty in the rescue room, and at this time he rushed over directly with a flat car.
But the moment he rushed to see the patient, Dr. Chen was still stunned.
"Why am I tied like this?"
He did a lot of calculations, even if Zhang Tianyang told him on the phone that this patient was extremely excited and difficult to subdue, he didn't expect that he could be tied to a chair and brought over!
"Just send it in!"
Zhang Tianyang directly ignored the flat car next to him.
"You can't let go! You can't hold him down! Go calm first!"
"Huh
Dr. Chan reacted for a second and made a quick decision.
"Listen to him!"
His interns were sent out by him to take over the work of carrying chairs.
Dr. Chan turned around and began to push the flat cart in front of him.
Along the way, crowded patients and family members avoided it.
Then he looked at a white coat and a plainclothes man in a daze, carrying a man who was tied to a chair and did not forget to sing, and sparked all the way into the door of the rescue room.
When the door was closed, it was as if you could still hear the loud singing voice of the man inside.
"I'm Cao, it's too noisy!"
Dr. Chen had just completed the task of opening the road and opening the door when he was sent out by Zhang Tianyang.
"Senior Brother Chen, the patient's classmates are outside, holding the patient's ID card, you take them to register!"
"Nurse, let's get a vein!"
"It is suspected to be an intracranial infection, it may be an acute onset of meningitis, but the patient has just drunk alcohol, remember not to get cephalosporin!"
"Nezha, Nezha, you're amazing! Oooh! You're my dream of gains and losses! I'm your dispensable person! Woo woo woo ......"
The man who was tied to the chair was still singing loudly, and for a while, the heart rate and blood pressure of several old men and women in the emergency room increased to varying degrees.
The doctor on duty dealt with it helplessly, and by the way, he wanted to drive Zhang Tianyang, who was wearing civilian clothes, out.
The little nurse who had eaten the snacks distributed by Zhang Tianyang stopped him.
"This is a doctor, too!
"Didi!"
The door of the rescue room opened, and Lin Ke'an, who had just disappeared for half a minute, reappeared.
not only put on a white coat that was obviously a little too big, but also gave Zhang Tianyang a set.
"Whose is this?"
"Whoever it is, you wear it first!"
Over there, the nurse's sister had just set up an intravenous access to a patient who was singing at the top of her voice.
His singing voice was so miserable that her hands trembled twice before she could penetrate the veins.
"The patient needs sedation!"
Zhang Tianyang ran to the computer to give a doctor's order.
While opening, it was also reported.
"I'm afraid I won't be able to stop him with a group of diazepam! Do you want to add promethazine and chlorpromazine?"
The head doctor was a little surprised.
"Let's take a look at the group first!"
The doctor's order was quickly opened, and Dr. Chen led the patient's classmates outside the door to quickly pay for the medicine.
The drug travels down the intravenous passage into the patient's body.
After five minutes, the patient appears to have quieted down.
At least, stop singing.
didn't struggle, just stared at the white coats around him and tilted his head.
"Can I turn the bed?"
The head doctor didn't know why he was asking Zhang Tianyang's opinion.
The white coat that this boy wore was borrowed and I don't know whose it was, so the badge was not his.
The head doctor didn't know what the other party's job title was.
Looking at the appearance, he is very young, like an intern.
But judging by the performance, he is very calm and experienced, at least at the level of an indicator?
Coupled with Dr. Chen's trust in Zhang Tianyang, and Zhang Tianyang's confident and affirmative tone.
The doctor in charge subconsciously regarded him as his peer or even superior.
"Let's go around. ”
Zhang Tianyang frowned.
I still feel a little inappropriate, but it's not a problem to always tie the patient to a chair.
If nothing else, at least all kinds of guardianship can't be on.
"Then loosen the tie?"
But just at the moment when he was untied, the patient jumped up all of a sudden!
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Stealing incense