"The patient suddenly fell into a coma, had a history of hypertension, and had signs of hypertension. Therefore, the first thing to do is to rule out cardiovascular and cerebrovascular diseases. ”

"Bedside ECG, head CT first. The four tests such as coagulation should also be followed immediately. Director Li patiently explained the diagnosis ideas while giving the doctor's instructions.

Diagnostic thinking is the most important professional and technical quality of physicians.

Only a comprehensive and clear diagnosis can diagnose diseases faster.

With Director Li here, the rescue and inspection work is proceeding in an orderly manner.

Zhao Lei followed behind Yun Tian in a daze, obviously completely frightened.

"I'll send my uncle to do CT, Mr. Su, please accompany Lao Zhao. Yuntian was worried that something would go wrong with Zhao Lei's trance, so he asked Su Wei to follow and pushed Zhao Lei's father to do CT.

During this period, most of the patients admitted to the TCM Department were patients with lacunar cerebral infarction, so CT imaging examinations were prescribed a lot.

Yun Tian and the teacher in the CT room are also familiar.

On duty tonight was Huan Hechang, a young doctor under the age of thirty.

He is also the most familiar doctor with Yuntian in the entire imaging department.

"Why did you come to send emergency patients today?" Dr. Huan greeted Yun Tian with some strange eyes.

Although Yuntian has not yet been formally established, in the eyes of everyone in the hospital, he has long been a person in the Chinese medicine department, and he is also a big celebrity in the Chinese medicine department.

This kind of thing like pushing patients for examination is generally not done by Yuntian himself, let alone sending patients to the emergency department for examination.

"My friend, father. Yun Tian explained while assisting Dr. Huan in carrying Zhao Lei's father to the CT examination table.

"Let's go to the operation room and watch the film. Doctor Huan invited Yuntian.

In such a critical and critical patient, the radiologist will notify the doctor of the examination results first, so that the doctor can take corresponding measures first, after all, many times, the doctor is in a race against time. And it will take a long time to wait until the film is released.

Therefore, when he heard that he was Yun Tian's friend, Dr. Huan invited Yun Tian to watch the film in the operation room.

With the humming sound of the machine, the CT scanner was put into action.

Dr. Huan operated very carefully.

Adjust the position of the layered break sweep little by little.

"There are quite a lot of lesions of lacunar cerebral infarction. Yun Tian stood behind Dr. Huan and said.

At this time, Dr. Huan had just adjusted the position of the layered scan, and the images of each layer of non-scan had just appeared, and before Dr. Huan could see the problem, Yuntian had already come to a conclusion.

Doctor Huan looked at Yuntian in surprise.

This kid has too good eyes, right?

"Posterior circulation ischemia is quite severe. Yun Tian added.

After listening to Yuntian's words, Dr. Huan also happened to notice the problem of posterior circulation ischemia.

Dr. Huan was a little unconvinced, and carefully investigated for a long time, trying to find the problem that Yun Tian did not find, but unfortunately, in addition to the two diagnoses that Yun Tian said, Dr. Huan also did not find any other problems.

"Multiple luminal infarction, posterior circulation ischemia, and no signs of cerebral edema for the time being. Dr. Huan finished reading the film frame by frame and verbally informed Yuntian of the results of the examination.

"After a while, I asked my family to come and pick up the film, and I pushed them away first. "The examination has been done, and sure enough, it was a cerebral infarction that caused a coma.

When Yuntian pushed the patient back to the emergency department, Zhao Lei had already woken up.

"How is my dad?" Zhao Lei saw Yuntian appear in the emergency hall, rushed over to hold the flat car, and asked Yuntian anxiously.

"Posterior circulation ischemia, multiple lacunar cerebral infarction. After 30 minutes, go to the CT room to get the film. Yuntian truthfully told Zhao Lei the results of the inspection.

"Then what now?" Zhao Lei was obviously concerned and confused. I have no claim at all.

"Recently, the infarction is usually treated in the Chinese medicine department, but your father is now in a state of syncope, and the Chinese medicine department does not have the corresponding nursing conditions, Director Li should arrange your father to the neurology department. ”

"Let's listen to Director Li's arrangement for hospitalization first, and I'll give Director Shi a call. Yuntian carefully analyzed the next handling situation.

Push Zhao Lei's father back to the rescue room and tell Director Li the results of the examination.

"Send it to the neurology department. Your TCM department does not have the conditions for nursing, you can call Shi Jingnian yourself and ask him to come and have a look. "Director Li Lishan's handling advice is exactly the same as what Yun Tian said.

Zhao Lei took the hospitalization form issued by Director Li and went through the hospitalization procedures.

Yun Tian and Dr. Miao from the emergency department pushed a flat cart and sent patients to the neurology department.

Before leaving, Yuntian made a phone call to Director Shi.

Director Shi happened to be in the department and hadn't gone home yet, so let Yuntian send the patient up directly.

By the time Yun Tian and Dr. Miao appeared in the god pushing the patient, Director Shi had been waiting for a long time with the doctor on duty.

"An hour ago, the patient suddenly fell into a coma, and CT examination showed multiple luminal infarction, posterior circulation ischemia, and no cerebral edema was found. Blood pressure 190/110 mmHg. Heart rate 110 beats per minute. GCS score ......."

Dr. Miao reported on the patient's condition in an orderly manner.

Yun Tian assisted the on-call doctor in Kaminai to carry the patient to the ICU bed.

"Yun Tian, what is your opinion from the emergency doctor?" After carefully understanding the patient's condition, Director Shi suddenly raised his head and asked Yun Tian.

"The patient's blood pressure is high, first use urapidil 25mg intravenous push to reduce blood pressure, glycerol fructose 250ml intravenous drip to prevent cerebral edema, and then choose safflower yellow pigment anticoagulation....... Yun Tian thought about it and said his treatment ideas.

Every time Yun Tian said a word, Director Shi nodded once.

"Okay, Xiao Fan, just follow Xiao Yun's doctor's instructions. After listening to Yuntian's words, Director Shi directly asked the doctor on duty in the god to follow Yuntian's treatment plan.

"Don't use urokinase, can you use safflower yellow pigment directly? Our department hasn't used it yet? The patient's coagulation is normal, and there are no other contraindications to the use of urokinase. Dr. Fan asked in surprise as he looked at the outpatient cases.

After all, in the eyes of Western medicine clinicians, urokinase is definitely the first choice for anticoagulation and thrombolysis, and the general Western medicine clinicians will not consider using other anticoagulants instead unless there are clear contraindications to the drug.

"Just use Xiaoyun's opinion and use safflower yellow pigment. Director Shi insisted on following Yuntian's medication method.

Dr. Fan didn't insist, quickly jotted down a few notes in his notebook, turned around and went back to the duty room to give medical advice.

"Don't worry too much, it's just posterior circulation ischemia, and you should wake up soon. Director Shi patted Yuntian on the shoulder, comforted him, and turned to leave.

Yun Tian stood quietly by the bed, watching the nurses connect various instruments and equipment such as ECG monitoring.

"How is Lao Yun?" Zhao Lei ran over panting after completing the hospitalization procedures, but was stopped at the door and couldn't come in. So he knocked on the glass window and asked word by word with his mouth wide open outside

"It's already medicated, don't be too anxious, it's just posterior circulation ischemia, and you should be able to wake up soon after taking the medication." Yuntian took off his isolation gown, walked out of the ICU and said to Zhao Lei.

"Thank you, Lao Yun, I don't know what to do without you today. Zhao Lei looked at his father in the ICU worriedly through the glass window, and thanked Yun Tian with red eyes.