Chapter 118 Misdiagnosis of Doubts
Later, when a nurse was cleaning the female patient's hair, she found a dry bruise on her scalp. She was not careless www.biquge.info she immediately told Director Zhang.
Director Zhang came over for an examination and found that the female patient's skull had a contusion caused by a blunt object. It's just that the bleeding is not very much, and after experiencing a fire, not only the ends of the long hair are somewhat scorched, but even the entire face is smoked into black charcoal. Even if there is blood on the face, it is ignored when the face is washed later.
Director Zhang immediately became nervous and immediately pushed the female patient to the CT room of the hospital for a head scan. Because the female patient's daughter Li Jing had already come to accompany her, but she was a very introverted and simple girl, and she couldn't stand anything at all, so only the man who was rescued by the female patient ran around on behalf of the family and pushed the female patient lying on the stretcher.
As soon as the CT film came out, Director Zhang immediately realized that something was wrong and immediately asked the doctor from the brain department of the hospital to come for a consultation.
Diagnostic results - the patient has a fractured skull and residual blood in the cranial cavity, but after several days, the blood has coagulated and can no longer be absorbed.
Director Zhang immediately questioned the brain expert: "Is the patient's inability to wake up so far related to cerebral congestion?"
After some hesitation, the brain expert, surnamed Liu, gave a vague conclusion: "The patient's intracranial congestion is relatively small, and it will not affect her consciousness." Her coma was caused by the death of cells in her cerebral cortex, presumably due to severe hypoxia in brain cells when the patient was suffocating. ”
Although Director Zhang is an expert in the burn department, he knows very little about the brain department, so he can't help asking: "Since she has bruises in her cranial cavity, she should take it out." ”
Expert Liu smiled bitterly: "I'm afraid it's impossible." Because the blood had been completely coagulated after several days, not only could it not be absorbed, but it could not even be absorbed. ”
"Can't I have a craniotomy?"
Expert Liu shook his head: "The patient's cranial cavity has relatively little bruising, and it will not affect her recovery." If a craniotomy is done, it is not only risky, but also can lead to unexpected situations. Therefore, it is necessary to rely on conservative treatment. ”
After dealing with Director Zhang hastily, this expert Liu left under the pretext of excuse.
Director Zhang wanted to discuss with the female patient's family at this time, so he found the patient's daughter Li Jing, but Li Jing had to pull the man to face her.
At this time, Director Zhang had already learned that the name of the man, who had been busy for female patients, was Lu Haoyu, an unemployed college student, and now he not only took care of female patients on behalf of the female patient's daughter, but also helped manage a company run by the female patient.
She then said to the two of them: "Wang Yaqin's burns are fine, but according to the MRI of her brain, we found that she not only has blood in her brain, but also her brain cells are not active. However, I don't think the situation is certain, so I suggest that you transfer the patient to the brain department of the First People's Hospital of the city. ”
Li Jing obviously didn't have any opinions, and couldn't help but stare at Lu Haoyu's face for help.
Lu Haoyu blinked: "Why do you want to transfer to the hospital?"
Director Zhang immediately explained: "Because our hospital is known for burns, and Wang Yaqin's current burn wounds are no longer in trouble, we should be transferred to the brain department to treat her coma." ”
"Doesn't your hospital also have a brain department?"
"However, the level of brain medicine in our hospital cannot be compared with that of the first hospital in the city. They are known for their brain science, and there is also a doctor Qin Songmu. He has had surgical cases to revive vegetative people. ”
"Could it be that Director Liu of your hospital is not as good as that Doctor Qin?"
Director Zhang was stunned for a moment before shaking his head blankly: "I have only heard of that Dr. Qin, and I don't even know about the medical skills of Director Liu in our hospital. So, no comparison can be made. ”
Lu Haoyu thought for a moment, and then said, "I will take the time to go to the First People's Hospital to inquire." However, we should respect the opinion of Director Liu of your hospital and take conservative treatment first. ”
When Director Zhang saw Lu Haoyu's attitude, he couldn't help but turn his gaze to the girl.
Li Jing completely looked at Lu Haoyu and immediately nodded in agreement.
Director Zhang finally had no choice but to carry out the so-called conservative treatment of Wang Yaqin. As a result, by the time the burn wounds on her body healed, the patient was still asleep.
During this period, Director Zhang took countless CT films for Wang Yaqin, and invited Director Liu over several times. As a result, he diagnosed that the cells of the patient's cerebral cortex could not recover and eventually died completely.
His diagnosis is tantamount to declaring Wang Yaqin brain dead, and it no longer makes sense to stay in the burn department.
In the end, Director Zhang could only persuade Lu Haoyu and Li Jing to take the patient home and wait for the end of her life.
Li Jing, who has always been looking forward to Lu Haoyu, finally became the master at this time, and did not take her mother home, because it was too inconvenient to take care of her, but arranged for her to go to a nursing home to spend the rest of her life. As a result, they finally chose the rehabilitation ward of the tumor center, known as the death ward.
After listening to Director Zhang's introduction, Qin Songmu couldn't help frowning: "I didn't receive this patient's family for consultation, and I have been wondering before, since she has been unconscious, why not transfer to the brain department for treatment?"
Director Zhang shook his head inexplicably: "I don't know about this." ”
Qin Songmu pondered for a moment before he said softly: "I have studied the CT films taken by patient Wang Yaqin in your hospital this morning, and have come to a conclusion - her coma may be due to the blood clot of congestion that compresses the nerve endings in her cerebral cortex, not the death of brain cells. ”
Director Zhang's mouth suddenly opened wide: "How is this possible, Director Liu won't make such a mistake, right?"
Qin Songmu showed a solemn expression: "Did Wang Yaqin's brain examination be done by this Director Liu?"
Director Zhang nodded: "The brain department of our hospital is actually just a decoration. Patients know that the brain department of the First People's Hospital has a high level, and who would come to this hospital more than ten miles away for medical treatment? ”
Qin Songmu was puzzled: "Even if Director Liu has misdiagnosis, after so many inspections, it won't be such a big mistake." ”
Director Zhang turned his suspicious eyes: "Are you really sure that Wang Yaqin's lethargy is caused by a blood clot in the cranial cavity?"
Qin Songmu shook his head: "I don't dare to make up my mind about this. But by looking at the patient's body and combining the films, I have a hunch that she may have been misdiagnosed. ”
"What then, is there a remedy?"
"Now that she's been transferred to the ward I'm responsible for. I will do my best. ”
Director Zhang's eyes suddenly moistened: "She is a good woman, and she deserves our admiration for her self-sacrificing spirit." If you can really wake her up, that's a great merit. ”
Qin Songmu's expression was not relaxed, but continued to question: "But what is the matter with the contusion of her brain?"
Director Zhang pondered: "We also felt strange at the beginning. Since the wound was on the scalp and completely covered by hair, it took several days to find out. But we can't think of any reason. Mr. Lu, who she later rescued, said that because the bus was very unstable, the passenger could not stand firmly, and it was estimated that her head hit the seat. ”
Qin Songmu couldn't help frowning when he heard this.
When Qin Songmu returned to the rehabilitation ward from the Second Municipal Hospital, it was already more than four o'clock in the afternoon. He thought that he had to pick up Li Dongdong and Chen Lijuan successively, so he felt that time was more urgent, so he immediately rushed to the fifth ward on the third floor.
The purpose of his coming to the Fifth Ward was nothing more than to find Qin Yingying, but he first met Wei Qingxia.
"Song Mu, are you here to find me?"
As soon as Wei Qingxia saw him, her beautiful eyes suddenly lit up.
Qin Songmu was so busy that she almost forgot that she lived in the fifth ward, and at this time, she had already changed out of the cheongsam that could fully highlight her sexy figure, but it was not a patient suit, but a professional suit, as if she had become a white-collar beauty of a company.
Qin Songmu secretly sighed, this woman is not good, and she can show herself at the end of her life, which is really something that ordinary women can't do.
He hurriedly lowered his voice and said, "I'll go out to run errands right away, and I want to give Nurse Qin here a little bit of trivial." ”
"Oh, Nurse Qin is at the nursing station. I just passed through there. ”
Qin Songmu nodded, and then told her: "Your health is not good, don't always walk around outside, pay more attention to rest." ”
Wei Qingxia smiled: "I'm really tired, I just went out for a while." Since you're busy tonight, I won't pester you, and I'll go back to my room and rest now. ”
After Qin Songmu saw her walk into the 3022 ward, she ran to the nursing station.
Qin Yingying was checking the cost schedule of admitted patients through the computer at the nursing station, and when she saw Qin Songmu walking in, her eyes suddenly showed excitement, and she quickly stood up: "Brother?"
The nurses under her were stunned when they heard her call the new director brother.
Director Qin couldn't explain anything to Qin Yingying in front of those nurses, so he beckoned to her: "Yingying, let's go out and talk." ”
"Hmm. ”
Qin Yingying immediately closed the page of the computer and walked out after Qin Songmu.
Qin Songmu didn't take her out of the fifth ward, but told her in the corridor: "You don't want to accompany Fang Xiaowan to live in the dormitory above tonight, or take her back to your home to live?"
Unexpectedly, Qin Yingying thought a little: "She is in a bad mood, can she be willing to go?"
Qin Songmu was stunned: "How could she be in a bad mood?"
"This afternoon, a patient walked through the three wards she was in charge of. She almost fainted because of her grief. I'm currently resting in the dormitory upstairs. ”
Qin Songmu listened to Qin Yingying's introduction, and was suddenly shocked, and he couldn't care about what to explain to Qin Yingying, so he immediately turned around and walked out of the fifth ward.
Qin Yingying knew that he had gone to visit Fang Xiaowan, and wanted to follow along, but she stopped again and bit her lip lightly. Obviously, she was a little jealous of Qin Songmu for caring so much about Fang Xiaowan.