CT with contrast?

Nuclear magnetic resonance?

Monday when I vomited out these two test items.

Liu Jing and Su Quan on the side were stunned.

In general, ordinary CT and X-ray examinations are usually done in the emergency department.

X-rays and CT work similarly.

All of them are the ability to take advantage of the high penetration of X-rays.

The inventor is the famous Roentgenium, also known as the Roentgen ray.

This thing is simply a landmark invention of modern Western medicine, which has since allowed human beings to see the "essence" through the physical body.

Roentgen may have won the Nobel Prize in Physics for this discovery.

You can see its importance.

The difference between CT and X-ray is that CT is a product of recent decades.

The principle is the same, but the function is more powerful, assisted by computer imaging, which can scan a certain thickness of the human body.

But that's not to say that X-rays are outdated.

X-ray examination has advantages in terms of bone examination, and the price is also cheap.

CT is stronger for visceral and intracranial organs. The price is a bit more expensive.

Contrast-enhanced CT is based on CT, which injects a contrast agent, usually containing iodine, into the veins of the examinee's body, which can better imprint blood vessels.

MRI is the latest imaging equipment, which has better imaging results for soft tissues. Even the smallest blood vessels can be seen clearly.

Of course, the cost of these four types of tests is also different.

X-rays are cheapest at about 100 yuan, and CT scans are hundreds of dollars.

CT with contrast is, of course, more expensive.

The most expensive is MRI, which is almost twice as much as CT, nearly a thousand yuan per scan.

CT scan, also known as ordinary non-contrast scan, can already show symptoms such as intracranial hemorrhage.

Therefore, this test is generally prescribed in the emergency department.

Contrast-enhanced CT and MRI are expensive and are not usually chosen by the emergency department.

It is considered only in some specialties when a more detailed examination is required, or if the CT scan does not achieve the desired results.

Liu Jing and Su Quan didn't understand why Zhou Zhou would directly give these two examinations to the patient.

The middle-aged man lying on the hospital bed was conscious at the moment.

He heard everything that was said on Monday.

He didn't know what contrast-enhanced CT was, but anyone with a little bit of common sense about MRI did.

The thing, a circular cabin, with a person lying on a platform, is sent into the cabin, just like the shot in a science fiction movie.

This stuff doesn't come cheap.

And for ordinary diseases, it is rarely necessary to do that.

In his mind, an Internet joke that he had read before immediately came to mind, saying that a person with a cold went to the hospital for a check-up of thousands of dollars. At that time, only a few dozen yuan of medicine was prescribed.

People who see a doctor, in addition to holding the first purpose, to see a good disease.

The second concern is the price.

This middle-aged man though has a headache.

But I feel okay about myself.

It costs thousands of dollars to check all at once, and he has some flesh pain.

Without hesitation, he said to Zhou Sheng: "What MRI, enhanced CT, headache, isn't it okay to do an ordinary CT?"

Patients, sometimes, like to be their own doctors.

However, today's situation is a bit special, and even Liu Jing and Su Quan think that it is enough to do an ordinary plain CT scan.

Zhou Zhou is certainly not one of the few doctors who like to prescribe random examinations in the paragraph.

He has his own reasons.

Sudden headache and drooping eyelids.

These symptoms are most likely the first symptoms of bleeding from a cerebral aneurysm.

A cerebral aneurysm is a cerebrovascular disease.

Ordinary non-contrast CT is very bad for vascular imaging.

If you want to know the location and status of the lesion of the blood vessels, it is better to contrast CT and MRI.

Facing the patient's questions.

Monday, of course, to answer.

As soon as Monday answered the question, Liu Jing and Su Quan also understood.

Liu Jing also found that the patient also had a stiff neck and uncomfortable movement.

Consistent with symptoms of subarachnoid hemorrhage.

Subarachnoid hemorrhage, on the other hand, is most likely to be cerebral aneurysm hemorrhage.

It is very difficult to judge without contrast-enhanced CT.

Su Quan does not have a lot of clinical experience.

It's hard to judge.

It's just that he believes in his brother very much.

When the patient heard this, he did not believe it.

Do I have a bleeding in my head? Or is it a good chance that it is a brain aneurysm?

How serious the cerebral hemorrhage is, I just have a little headache, maybe I just haven't rested well.

It's good enough to get a CT scan.

Do contrast-enhanced CT MRI?

Then I'm not wronged.

He yelled that he didn't need to.

Liu Jing and Su Quan are of course standing by Zhou Sheng's side.

They persuaded the patient to follow the tests that were told on Monday.

The patient resolutely refused.

Monday was also quite helpless.

Forget it, let's give him an A-level auxiliary scan first.

Based on experience, Zhou Zhou has already judged that this middle-aged man is most likely suffering from cerebral aneurysm hemorrhage.

However, he can't judge the future development.

Class A auxiliary scan, which will also give a judgment on subsequent changes in the condition.

If the condition is not serious, according to this guy's wishes, let's do a non-contrast CT scan first.

He has to do other tests later.

No way.

In order to avoid unnecessary disputes, doctors can only give opinions.

Su Quan and Liu Jing are still persuading.

Monday was silent and turned on the secondary scan.

A few minutes later.

The results of the scan are out.

Patient's condition: cerebral aneurysm hemorrhage, current condition grade II.

A second hemorrhage is expected after ten minutes, and the disease progresses to grade III.

A third hemorrhage is expected after four hours, and the disease progresses to grade IV.

Twenty hours later, a fourth hemorrhage is expected, and the disease progresses to grade V.

See the results on Monday.

Frowns.

The Roman numerals and V in the system are the internationally accepted classification methods for primary subarachnoid hemorrhage.

As long as the doctor sees the numbers, he knows the patient's current condition.

This rating is five.

Grade I, asymptomatic or mild headache and mild neck rigidity.

Grade II, moderate to severe headache. Neck stiffness, oculomotor nerve and other cranial nerve palsies.

The patient is now in grade II status.

Grade III, confusion, restlessness and mild cerebral symptoms.

Grade IV, stupor, semi-comatose, hemiplegia, early decebrateral rigidity, and autonomic dysfunction.

Class V., deep coma, decerebrated rigidity, near-death state

In general, cerebral aneurysm hemorrhage if there is no secondary bleeding.

If the symptoms are not particularly severe, they can be treated conservatively.

However, if the second bleeding progresses, then it is best to treat it with surgery.

It is better to perform the surgery within 4 hours after the bleeding.

If it occurs three times, it will bleed everywhere and enter a grade IV or V disease state.

Even if the operation was successful.

If you save your life, there is a high probability that there will be sequelae.

The bleeding is so ferocious.

There will be 3 bleeding episodes within 3 hours.

It seems that it will not work without surgery.

Su Quan and Liu Jing's persuasion.

attracted Liu Zhengqing, who happened to pass by the observation room.

Liu Zhengqing saw that there were actually three doctors gathered around a patient.

Not sure what happened.

He served as the temporary acting team leader, although he was too lazy to take care of things.

But since I'm the team leader, sometimes I still have to come forward.

Otherwise, if something happens, he won't be able to deal with it.

He walked towards the three of them on Monday......