0146 Focal plexus palsy degenerative syndrome
Seeing that it was almost noon, Chang Yue insisted on inviting the patient's son to a noodle restaurant opposite the hospital for a meal.
The patient's son hurriedly excused himself, but Chang Yue was resolute and could not refuse.
Yang Lei went with Chang Yue, Zheng Ren couldn't leave, chatted a few words, sent Chang Yue and the patient's son away, and prepared to go to the cafeteria.
As an experienced clinician, what you will be doing will take more than ten minutes, so you must prepare for it in the early stage - ward rounds.
Only when the patient is stable can he not be disturbed. Otherwise, you have to wait for the phone to ring in fear, and you really can't even eat a meal.
Jung In starts the second round of the day.
The patients in the emergency ward were all stable, including two patients who were transferred out of the ICU.
Tang Xiu also knew that she was a little embarrassed when she was in the doctor's office just now, but Zheng Ren thought it had never happened.
After entering the house, the physical examination is the same as that of other patients.
The patient's vital signs were stable, and because it was an interventional operation, the postoperative pain was not severe, but the stomach was slightly swollen.
Zheng Ren judged that the blood accumulated in the abdominal cavity was caused by the irritation of the peritoneum, and reassured the patient a few words, and dispelled the patient's desire to go home at night.
What are you kidding, when I came yesterday afternoon, one foot had already stepped into the ghost gate. Want to go home today?
Although the conditions of the hospital are much worse than those at home, after all, there is a doctor on duty, and once there is any dangerous situation, it is better to go directly to the stage for laparotomy than to wait for 120 emergency delays at home.
For the patient's request, Zheng Ren refused very resolutely.
Tang Xiu's father didn't insist too much, and when Zheng Ren told him that he would be able to go down to the ground for another day, the old man finally had a smile on his face.
Patients with ruptured spleens lie in a hospital bed and need to wait for gas to pass before they can eat because of the open surgery. The two didn't know what to say, but they laughed while talking, looking warm and harmonious.
Who knows, yesterday my wife just stabbed my husband into hemorrhagic shock?
Therefore, impulsiveness is the devil, you can be noisy, try not to do it.
Zheng Ren went in and chatted with the patient's family, and saw that the patient with a ruptured spleen recovered quickly, and also told the patient and the patient's family that the patient could move on the ground after exhausting gas and eating today.
The ward is stable, but it's still not enough. Zheng Ren, as the general hospitalist, also has to take a look at the emergency department.
Su Yun didn't have a place to eat, he didn't follow Chang Yue to eat, I don't know if it was the shadow left by the eleven boxes of big green sticks or if he was particularly reluctant to communicate with the patient's family.
The two went to the emergency department and, accompanied by the doctor on duty, took a look around the emergency ward. It is still a small injury and a small illness, and a little anti-inflammatory drugs and dehydration drugs can be used, and there is no misdiagnosis and latent acute and critical illness.
Fortunately, seeing that the patients were stable, Zheng Ren's heartbeat was 80 beats per minute, which was extremely comfortable.
Eating, sleeping, waiting for the emergency that will come at an unknown time, Zheng Ren has already calculated his work plan for today.
Transferred out of the emergency observation room, explained a few words to the doctor on duty, and was just about to leave, Zheng Ren turned around and saw two patients' family members pushing a small flat car into the emergency building.
On the flat car lay a thin and withered old lady, who looked to be in her seventies.
"What's wrong with the patient?" asked Zheng Ren, who took two quick steps.
"My grandmother fell a few days ago when she was passing by, and now both legs are not good and I can't walk. A sturdy young man in his twenties said.
"Push a wheelchair. Zheng Ren greeted behind.
As for whether Su Yun pushed the wheelchair or the doctor on duty pushed the wheelchair, it has nothing to do with Zheng Ren.
The system panel in the upper right corner of the field of vision is a peaceful and quiet green, and there is nothing wrong with it. Zheng Ren was puzzled, and carefully looked at the old lady lying on the car.
The old lady's face was wrinkled, and her eyes narrowed into slits, and she could faintly see the traces of crying not long ago. Because of his age, it is estimated that his teeth are not good, and his cheeks are a little sunken deeply, and he has no energy when he looks at the whole person.
There were several layers of mattresses on the cart, and she lay on it with a thick quilt on her body.
The breath of wind and dust is coming.
Could it be that it was pushed over? This is simply terrible, Zheng Ren thought to himself.
"Why did you push it?" asked Zheng Ren tentatively.
Another family member of an older patient said with a sad face: "My mother can't stand up, if she takes a car, she can carry it on her back, but she is afraid that she will not feel comfortable in the car, so she pushes it over." ”
The family is good, Zheng Ren thought to himself.
The surgeon on duty pushed a wheelchair over, and several people helped the old lady into the wheelchair.
Zheng Ren had doubts in his heart, and when he was supporting, he suddenly let go of his hand intentionally, and then grabbed it.
The moment she let go, the old lady planted herself on his side.
Because of his body, Zheng Ren is not afraid of the old lady falling.
But he noticed that the patient's right leg suddenly strained to support his body.
In an instant, many years of heads appeared in Zheng Ren's mind. With all sorts of different arguments, ideas, and finally combined with the information from the system panel, he came up with his own diagnosis.
"What was the injury when I fell?Where have you seen it?" Zheng Ren pushed the wheelchair behind him and walked all the way to the emergency room. As you walk, you ask.
"It's fine, I got a touch on the head. At that time, I went to see our clinic in the countryside, and the doctor said that there was nothing wrong, but we should be careful of delayed intracranial hemorrhage, once it happens, if it happens, it will be paralyzed if it does not die. After two or three days, I gradually couldn't go. I took it to the hospital in the town for an examination, and there was a B-ultrasound, CT or something, but no problems were found. ”
When he came to the emergency department, Zheng Ren read the reports of various laboratory examinations and CT films brought by his family in detail.
It's okay, everything is fine.
There was no intracranial hemorrhage, no fractures, no bleeding from the abdominal organs, but why was she paralyzed?
Zheng Ren stood in front of the reader and pondered, and the families of the two patients became more and more worried.
I wanted to ask, but I was still a little restrained and timid, and I didn't dare to disturb Zheng Ren's thoughts.
But if you don't ask...... Haicheng First Hospital is the largest hospital they can think of, and if they can't understand it here, the old man will probably not be able to stand up for the rest of his life.
"It's pretending to be sick. Su Yun stood behind Zheng Ren's side and whispered.
Zheng Ren didn't speak, just shook his head.
"This is a rare syndrome of focal plexus palsy degeneration. Zheng Ren came to the patient and the patient's family and said seriously.
“……”
“……”
Su Yun and the surgeon on duty looked confused.
What kind of diagnosis is this? Why haven't you heard of it?
But looking at Zheng Ren's serious and serious expression, his tone was full of authority, and he was even more puzzled.
"Huh?" the patient's family members were stunned.
Sounds serious.
The old lady was not deaf and could hear clearly, and two lines of turbid tears flowed down the corners of her eyes.
"You're in luck, though. Zheng Ren then said indifferently.
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