Chapter 572: Acute subdural hemorrhage
Yu Jian separated the crowd and ran in, and he didn't have the heart to look at Su Hongwen next to his mother, so he rushed over and hugged the old lady and said, "Mom, what's wrong with you?" Although Yu Jian was panicked at this time, he didn't shake the old lady like his younger brother Yu Li, he was a doctor in the end, even if he was panicking, he knew that he couldn't shake the patient at this time, and shaking the patient would only aggravate the condition.
Yu Li is the man who was beaten, the two are brothers, Yu Jian is better mixed and became a doctor in the provincial hospital, but Yu Li has not been very happy, people in their forties have been doing nothing, and now they can only rent the garage of a family in their parents' community and turn it into a supermarket, relying on this for a living.
Su Hongwen raised his head to see that he still didn't see the shadow of the ambulance, now Yu Jian's mother was beaten into an intracranial hemorrhage, this disease must be sent to the hospital immediately, the sooner the better, the longer the delay, the more intracranial hemorrhage, once these blood congestion compresses the brain for too long, it may cause necrosis of the oppressed part of the brain tissue, at least lose the ability to take care of itself, or become a vegetative person, or even lose his life.
Thinking of this, Su Hongwen said: "Director Yu hurry up and find a car to send the old lady to the hospital first, it may be an intracranial hemorrhage." In fact, Su Hongwen had already used see-through glasses to confirm that the old lady was indeed an intracranial hemorrhage, but he couldn't say it with great certainty, the see-through glasses couldn't see the light, and it was really certain that it was an intracranial hemorrhage, and he couldn't explain it, so he could only say the old lady's injury in an inferential tone.
As soon as Yu Jian heard Su Hongwen's words, he was a doctor, no one knew better than him the dangers of intracranial hemorrhage, and at this time, Yu Jian had the heart to talk to Su Hongwen. Now it is important to send his mother to the hospital for treatment, Yu Jian quickly stood up and found a neighbor he knew and asked him to drive his mother to the hospital.
Seeing Yu Jian's family get in the car and walk away, Su Hongwen also hurriedly drove to follow, this would be the rush hour after work, the road was very congested, and it took nearly an hour for Yu Jian to take his mother to the provincial hospital.
The driver who drove wanted to take Yu Jian to another hospital, but Yu Jian didn't let him, the reputation of the provincial hospital was stinky, but the shelf was still there, and there was no hospital in the province whose technology was better than that of the provincial hospital. The same is true outside the brain. So the provincial hospital is the best choice.
Su Hongwen arrived a little later than Yu Jian, and when he rushed over, he saw Zhu Hongwei checking on Yu Jian's mother, and as soon as the examination was completed, the nurse pushed Yu Jian's mother Zheng Xiuping to the CT room, and Yu Jian next to him was on the phone. He was called to Lu Yadong, the director of the Department of Brain Surgery. Zhu Hongwei is too young in the end. Yu Jian couldn't believe him.
Zhu Hongwei saw Su Hongwen coming, walked over a few steps and wondered, "Why are you here?" ”
Su Hongwen smiled bitterly and said what happened just now, and finally said, "How is the old lady?" ”
Zhu Hongwei frowned, and first pulled Su Hongwen aside. Then he said: "Intracranial hemorrhage can't run, now I don't know how much bleeding there is, if it's more, it's troublesome, and I don't know the specific location of the bleeding, in an old lady is also old, the body is not very good, this operation is not easy to say." ”
Su Hongwen understood what Zhu Hongwei meant, he was worried that the old lady was too old and couldn't tolerate the craniotomy, but now that the matter has come to this point, it is almost impossible not to have a craniotomy, even Su Hongwen has no good way, he can only resign himself to fate, sometimes the doctor is so helpless.
As soon as Zhu Hongwei's voice fell, the police arrived, this matter is not small, the gang obviously wanted to crash to death, fortunately he reacted quickly, otherwise it would be enough to choke, this can be regarded as a murder case, or in the provincial capital, the police must pay attention to it.
As soon as the police came, they directly found Yu Jian, Yu Jian didn't know what was going on, he wasn't there at all, and finally followed the driver to tell what happened, and the police didn't ask more, waiting for Yu Li's treatment to ask him, he was one of the parties.
On the other side, Su Hongwen whispered: "Hurry up and prepare for surgery, I estimate that it is an acute subdural hemorrhage, which has been delayed for more than an hour, and it will not be saved if it is delayed." ”
Hearing Su Hongwen's words, Ha Zhu Hongwei's face changed instantly, he didn't have fluoroscopic glasses, and the patient didn't have a head CT just after he was sent, so he didn't know that Zheng Xiuping had acute subdural hemorrhage, and could only infer that it was acute traumatic intracranial hemorrhage.
There is an evaluation index for traumatic intracranial hemorrhage, which is the coma index, and the coma index has a calculation method, which is divided into three ways, one is the eye opening response, the second is the verbal response, and the third is the motor response.
Zhu Hongwei did these examinations for Zheng Xiuping just now, first of all, the eyes are opened, Zheng Xiuping will only open her eyes when stimulated by pain, this is 2 points, the language reflects that she can only make indistinguishable sounds, this is still two points, the motor response is contractile movement under the stimulation of pain, this is 4 points, and it is a total of 8 points.
Patients with a coma index between 9 and 15 have a better recovery, while patients with a coma index between 3 and 8 will develop severe functional impairments such as vegetative state, limb paralysis, and impaired mental function even if they survive.
Among the different types of traumatic intracranial hemorrhage, the most severe is acute subdural hemorrhage, which has a mortality rate of up to 50-90% and 90-100% if the patient is taking anticoagulants for other diseases.
Now Zheng Xiuping's coma index is 8, but if she has acute subdural hemorrhage, the mortality rate is at least 50%, because there was a delay of more than an hour on the way to send her, her mortality rate increased to 80%, and the survival rate was only 20%, which is too low, no wonder Zhu Hongwei's face changed immediately.
Zhu Hongwei frowned and glared at him, "Are you sure?" ”
Su Hongwen said: "I am eighty percent sure that it is acute subdural hemorrhage, this CT should have been filmed, although the film cannot be printed yet, but there must be on the computer, let's go over and take a look." ”
Zhu Hongwei nodded and ran to the CT room, Zheng Cuiping was sent directly to the emergency department, on the way Yu Jian contacted the emergency department, and the emergency department hit the brain, Zhu Hongwei went down directly after receiving the call and waited in the emergency room, so that he and Su Hongwen were on the first floor, and the CT room was also on the first floor, which saved a lot of time for the two of them.
As soon as the two of them entered the CT room, Zhou Jun, the doctor on duty at the CT, said: "I was just about to call you, acute subdural hemorrhage, hurry up and prepare for surgery, it's too late to delay." ”
Zhu Hongwei's brows furrowed even tighter, and he walked out, he couldn't do this operation, he had to call their director Lu Yadong or other experienced doctors.
Zhu Hongwei called Lu Yadong first, but Lu Yadong was still stuck in traffic, and it would take at least 20 minutes to get to the hospital, and the same was true for others.
Twenty minutes is not long for ordinary people, but it is too fatal for Zheng Xiuping, if she delays for one more minute, she may die, Zhu Hongwei is so anxious that her head is sweating, what can I do?
Su Hongwen also knew about this situation, and he suddenly said to Zhu Hongwei: "I will do this surgery with viagra, you immediately let people send the patient to the operating room and tell them to have an emergency craniotomy, and there is no time to delay." ”
Zhu Hongwei was stunned, stared at his big eyes and said, "Lao Su, what nonsense are you talking about, this is an extracerebral operation, can you do it?" ”
Su Hongwen slapped Zhu Hongwei's head and said, "I said I can do it if I can do it, if you don't believe me, then I'll turn around and leave." After Su Hongwen finished speaking, he really wanted to turn around and leave.
Zhu Hongwei grabbed him and said: "Lao Su is not the time to joke and be a hero, this is human life, can you really do surgery outside of our brain?" Obviously, Zhu Hongwei still doesn't believe it, after all, Su Hongwen has never done brain surgery, he wants to say that he can do obstetric, general surgery and even tumor surgery Zhu Hongwei still believes it, but he said that he will do brain surgery Zhu Hongwei doesn't believe it.
Su Hongwen frowned and said, "When the hell is it?" Can I joke with you? I said that if I can do it, I can do it, if you believe me, I will prepare for the operation, if you don't believe me, I will pull it down, as long as you can bear to watch the patient die in front of you. ”
Zhu Hongwei was hesitant, and when he saw the unconscious Zheng Cuiping being pushed out, he suddenly gritted his teeth and said, "Uncle Cao, Lao Tzu believes in you." After speaking, he shouted to the nurses: "Send people to the operating room immediately, and tell them to have an emergency craniotomy, quickly." ”
Several nurses didn't dare to delay and directly pushed Zheng Xiuping to the operating room, and at this time, Yu Jian also ran over to see that his mother was pushed away, and immediately said urgently: "Xiao Zhu, are you going to push my mother there?" ”
Zhu Hongwei said hurriedly: "Director Yu, your mother has an acute subdural hemorrhage, and she must be operated on immediately, otherwise it will be too late." ”
As soon as Yu Jian heard this, his brain was blank, his ears were buzzing, and he felt that he almost didn't faint when he was black, although he was engaged in tumors, but when he went to school, he had to learn all the internal and external children's and women, so he also knew about several strict emergency surgeries in brain surgery, and now when he heard that his mother was suffering from acute subdural hemorrhage, he was so anxious that his blood pressure went up.
Zhu Hongwei held Yu Jian and said, "Director Yu, are you okay?" ”
Yu Jian shook his head and grabbed Zhu Hongwei and said, "Who will do Xiao Zhu's surgery?" Director Yu, they are still stuck in traffic there. ”
Zhu Hongwei was embarrassed when he heard this, and finally gritted his teeth and pointed at Su Hongwen and said, "He does." ”
Yu Jian's eyes widened in an instant, his eyes were so hung that he couldn't believe it: "He did it?" What are you kidding, will he? ”
Su Hongwen exhaled and said, "Director Yu, if I don't know how to do this operation, do you think I dare to say that I will do it?" Now Director Lu and others outside the brain are blocked on the road, and they won't be able to come for a while, and your mother has been delayed for more than an hour, and she is delaying ......" (to be continued......