Monday said "go", but the situation is urgent, where is the use of walking.

Su Quan led the way in front.

The two trotted to the door of the rescue room.

At this moment, many family members of patients came to the door of the emergency room.

There were more than a dozen men and women.

They saw Zhou Yi and Su Quan in white coats.

Immediately surrounded it.

"Doctor, how is my sister doing?" said a young man anxiously.

"Has my niece woken up?" asked a middle-aged uncle, also anxiously.

"Woo, doctor, you must save my daughter!" said the patient's mother, snot and tears.

……

Zhou Zhou and Su Quan were tightly surrounded.

For a moment, it was impossible to enter the rescue room at all.

Su Quan pushed away the crowd while escorting Zhou Yi to rush to the rescue room, "Everyone, let us in." ”

Facing the emotional family members.

Zhou Zhou helped Su Quan explain: "Please be patient, we will notify you as soon as there is a situation." Please don't delay us in rescuing patients. ”

At this time, the family members made way for the two in a panic.

Zhou Ming and Su Quan got rid of the entanglement of their families.

Entered the rescue room.

The patient's brother and mother also tried to get into the emergency room.

As a result, he was dissuaded by the nurse in the house.

Monday went to the emergency room.

I went straight to bed No. 1.

On the hospital bed, a woman in her twenties was lying.

She is in a very bad condition at the moment.

The whole person is in a state of unconsciousness.

By her side, Liu Jing was engrossed in the rescue work, and she didn't notice the arrival of Zhou Zhou and Su Quan at all.

At this time, Su Quan shouted: "Doctor Liu, Team Leader Zhou is here." ”

Liu Jing turned around and saw Zhou Yisheng.

Her already tense mood eased slightly.

It was Liu Jing who asked Su Quan to go to Zhou Shengsheng to help just now.

Today, Monday is not the same as it used to be in the emergency center.

People in other groups may not know anything about Monday.

But the people in the four groups all know his clinical emergency strength, so he must not be under Director Fang and Director Jiang.

Even Liu Zhengqing admitted privately that Zhou Yi was more skilled than himself in many aspects.

In front of me, I encountered a critically ill patient.

Liu Jing thought of Zhou Yisheng almost immediately, so she asked Su Quan to call Zhou Yisheng to support.

"What's the patient's condition now, how long has the carbon monoxide poisoning been? Zhou Zhou came to Liu Jing's side and said in a deep voice.

"The patient is a female, 20 years old, and the patient's family does not know the time of poisoning, only saying that they found that something happened to the patient, and it was only half an hour before they were sent to the hospital. The pupil is equal in size, 0.2 cm in diameter. Sluggish light reflex, neck resistance, decreased muscle tone in the limbs......"

Su Quan looked for this short moment of Zhou Sheng's work.

Liu Jing has already done a basic examination.

As Monday listened, he turned on the A-level scanning system.

In a matter of moments, the system has already given the results of the diagnosis.

In addition to the diagnosis given by Liu Jing.

The system gives two more diagnostic indicators.

First, the patient's tendon reflexes are absent.

Second, Babinski's sign is positive bilaterally.

Inference: time of carbon monoxide poisoning, 12 hours ago, deep coma for 11 hours.

Diagnosis: severe carbon monoxide, hypoxic encephalopathy.

Estimated Awakening Chance: 10%.

Estimated seizure probability: 80%.

Treatment: cerebral edema treatment.

Cranial nerve protection therapy.

Antiepileptic therapy.

Continuous hyperbaric oxygen therapy.

Carbon monoxide poisoning, a common poisoning emergency.

In general, if it is detected early.

Bring the patient to a ventilated place and let the patient breathe fresh air, and the patient's symptoms will resolve on their own.

But often some poisoned people are found relatively late.

The poisoning lasted for a long time and fell into a deep coma.

This condition can damage the brain due to lack of oxygen, resulting in hypoxic encephalopathy.

Some patients may be in a coma for a long time, or even die.

As a god who is already a neurosurgery.

Naturally, Monday knows this.

The condition looks very serious!

Symptomatic treatment must be given as soon as possible to see if the patient can be revived.

Monday said to Su Quan in a deep voice: "Babinsky is inspected!"

Su Quan was stunned for a moment.

Liu Jing reminded on the side: "Plantar test!"

Su Quan suddenly realized.

This operation is rarely used clinically.

He didn't think about it for a moment.

Babinski's sign is a clinical pathological reflex test.

This is somewhat similar to the more familiar knee reflex.

Specifically, the lateral border of the plantar is drawn with a blunt object, and when the patient has dorsiflexion of the big toe and the other four toes are fan-out, this condition suggests a positive Babinski sign.

A positive Babinski sign is a manifestation of upper motor neuron injury. Its presence suggests damage to motor areas of the cerebral cortex and to the corticospinal tract.

The patient was poisoned with carbon monoxide.

If it takes a long time, it will inevitably damage the brain tissue.

In the absence of brain CT and MRI, this rapid pathological reflex examination is an effective way to judge the condition.

Su Quan understood.

Do it immediately.

He quickly removed the sock from the patient's foot, then found a cotton swab and used the tail end of the swab to run a semicircle across the bottom of the patient's foot from the outside of the sole of the foot to the direction of the hallux.

Normal people should have no special reaction to this examination, and it is clinically called negative.

But at this moment, the patient's sole of the foot showed positive reactions such as dorsiflexion of the big toe.

"Babinsky's sign is positive!" Su Quan blurted out.

Liu Jing was also surprised: "That's a problem with the cranial nerves." ”

Zhou Yi nodded and immediately gave a judgment: "Carbon monoxide poisoning, cranial nerve damage." Consider that the patient should be poisoned for much longer than half an hour. At this time, cerebral edema should be present, and mannitol and flumethasone should be given to treat cerebral edema. Nerves are nourished with cytochrome C, inosine, ATP, vitamins B, C, and E. ”

Zhou Zhou analyzed the condition and treatment methods, all in one go, without dragging the mud and water.

It's all the performance of a seasoned emergency doctor.

Su Quan and Liu Jing were very convinced, and immediately complied.

When Monday gave the doctor's order, Director Jiang also came to the emergency room.

He was behind him and witnessed the process of Zhou Sheng's diagnosis and treatment.

It can be said that the process of disposal and medication of Zhou Sheng, almost impeccable.

In just ten minutes.

Have seen Monday to deal with two patients.

And one of them is still acutely ill.

Director Jiang is now in a particularly relaxed mood.

Well, this young man has grown up a lot more than when he first met him.

At this rate, the future will ...... No, now he's a general in the emergency center.