Dr. Huan was stunned.

Chronic subdural hematoma is a chronic, delayed hemorrhage of the head that is more common in older people.

Elderly people have a bad memory, and they fall retrograde amnesia, and they don't remember the fall at all.

Coupled with the reduced elasticity of blood vessels in the elderly, even minor falls can occur.

On the radiograph taken by the old man five days ago, the subdural trace effusion was almost invisible, and even if it did, no radiologist dared to diagnose it, but if chronic subdural hematoma was really suspected, it was indeed necessary to perform another cranial imaging examination at this time.

Doctor Huan was stunned, and could only change his words to the patient:

"In the patient's condition, it is still necessary to do a new MRI. Chronic subdural hemorrhage needs to be ruled out in older people. Dr. Huan was a little embarrassed, after all, he had told the patient a few minutes earlier that there was no need for another examination.

Fortunately, he didn't finish his words, but Dr. Huan's voice was still very clear.

Fortunately, the patient heard clearly.

Since both doctors advocate that the test be done, let's do it.

Under the guidance of Dr. Huan, the two family members carried the patient to the examination table, and Dr. Huan adjusted the position and returned to the operation room.

Yun Tian waited quietly behind the operation position, without saying a word.

It may not be a chronic epidural hematoma, after all, it was almost impossible to see on the previous films.

The possibility of hysteria is still very high.

Dr. Huan cheered himself up.

The device was activated, and the machine made a heavy roar.

This is Siemens' latest model of MRI machine, which was newly added to the hospital and only a few months ago.

Soon, a picture of the patient's head appeared on the display.

Dr. Huan glanced at it, only to feel a loud slap in the face.

A distinct epidural hematoma on the left, just where Yun Tian was suspected before the clouds.

"Sure enough, it's a chronic subdural hematoma. Yun Tian said lightly behind him.

"Hmm. Doctor Huan was like a stalk in his throat, and he muttered a difficult word, and then he couldn't make a sound anymore, and began to set the layering line silently.

"Chronic subparafilm effusion in the left frontotemporoparietal region, the left cerebral hemisphere is compressed and shifted to the right, the groove disappears, the ventricles move to the left and flattened, and the left basal ganglia region is softened. Brain herniation formation. Moments later, Dr. Huan reported a series of imaging diagnoses.

Sweaty clothes!

The patient's subdural hematoma was bleeding severely, and had gone from being almost apparent five days ago to compressing the entire left cerebral hemisphere. And brain herniation has been formed.

The brain tissue is soft, but the skull is hard to protect the soft brain tissue.

In order to protect in place, there is no space in the protective cavity formed by the skull, and if there is bleeding, blood clots, and edema in the gallbladder, it will cause intracranial hypertension, squeeze the brain tissue out along the spinal lumen, and in severe cases, form brain damage that is difficult to recover.

The patient has a subdural hematoma that squeezes the brain tissue and has formed a brain herniation.

Immediate action must be taken.

Although Dr. Huan is not a clinical professional, he still has a certain level of understanding of the dangers of brain injury.

If he had succeeded in stopping Dr. Xiaoyun today, and the patient had not undergone an MRI examination in time, Dr. Huan would not have dared to imagine what serious consequences would have been caused.

It is not necessary that the patient will end up losing their lives because they miss the best period of treatment.

"Director Shi, the outpatient clinic mistakenly admitted a patient with chronic subdural hematoma to the TCM department, I am in the imaging room, and it has been diagnosed. Yuntian took out the phone and dialed it directly to Director Shi.

Chronic subdural hematoma requires immediate drilling and drainage, which is beyond the treatment methods of TCM or neurology. Referral to neurosurgery is required.

Therefore, Yun Tian called Director Shi as soon as possible.

After a while, Director Shi appeared in the operation room of the imaging room with two doctors.

"The patient suddenly developed left limb movement disorder for five days, and multiple lacunar cerebral infarction was found in the CT scan of the county hospital, and was transferred to our hospital after anticoagulation treatment according to the luminal infarction for five days. Denial of a history of trauma. Yuntian briefly introduced the patient's situation.

There was no time to produce the film, so Director Shi and two doctors carefully checked the patient's image on the display screen in the operation room.

"You need to drill and drain immediately, Director Shi, I'll push people up." A doctor who came with Director Shi said to Director Shi after watching the film.

Director Shi nodded.

The latter nodded to Yun Tian again, then opened the lead door of the examination room, and beckoned the family members to push the patient directly to the neurosurgery department.

"Not bad. Director Shi patted Yuntian approvingly.

"I remember to come over once every two hours at night to check on the condition of the 3rd bed in the intensive care. I have explained to them, if you have any medical advice, you can call the doctor on duty to give you any advice, and call me at any time if there is anything. Director Shi confessed to Yuntian when he left.

Zhao Lei's father lives in Shennei with 3 beds.

Director Shi meant to let Yuntian follow up on Zhao Lei's father's treatment, which was an absolute support and help.

There is no intensive care unit in the TCM department, and Yuntian has not been in contact with critically ill patients with cerebral infarction.

Although the treatment of cavity infarction in the Chinese medicine department has achieved some results, in the eyes of the real Shennai doctors, it is just a child's play. That's why so many people looked down on Director Lin at that academic meeting.

Director Shi obviously had the intention of letting Yuntian further accept the severe cerebral infarction, so today he asked all the doctors on duty to give medical orders to Zhao Lei's father according to Yuntian's intentions.

But after all, Yuntian is a person from the Department of Traditional Chinese Medicine, and it is somewhat inappropriate to manage patients in the Department of Neurology across departments, but there is no problem with Director Shi's arrangement first.

To put it bluntly, the director of the department of the hospital is the emperor of the soil who paints the land as the king, and he has absolute authority in the department.

Not to mention someone with technical expertise like Director Shi.

Seeing that Director Shi attached great importance to Yuntian, Dr. Huan deeply realized that the various rumors about Yuntian in the hospital were not hot enough.

I thought it was an exaggeration before, after all, Yuntian was just an intern, Shi Jingnian and Li Lishan were two big bulls, how could they snatch people for a small internship.

At this time, I saw it with my own eyes, and I realized that the rumors were not hot enough.

Who has ever seen an intern in the Department of Chinese Medicine who has crossed departments to manage serious patients in Shenne?

A department head said to an intern, "Call me at any time if there is anything, who has seen it?"

I think that when I first worked the night shift with the teacher, even if I asked a few more words, I would be disliked by the teacher. And the teacher during his internship period is just an old master.

There is no comparison with the authority of God Shi Jingnian at all!

"Doctor Xiaoyun is thanks to your sharp eyes today. "If Dr. Huan was not convinced that he was half a step behind Yuntian in his diagnosis when he examined Zhao Lei's father before, the patient with chronic subdural hematoma just now made Dr. Huan convinced.

If it weren't for Yun Tian's fiery eyes, Dr. Huan himself might have killed himself!

In the hospital, although there are some scheming people, in the end, technology is respected.

His skills are not as good as others, and he is convinced by Dr. Yun Tianhuan, who is famous in the hospital.