"Get out of the way, don't talk yet. Wang Ge saw that Cao Shan's face was wrong, and turned his head to look at the patient lying on the bed, and immediately understood.

This patient is not pretending, he is really in trouble. There are many causes that can cause hemiplegia, and the result must be reflected in the brain.

Cao Shan said in the car that the elderly may be cerebral hemorrhage or cerebral vascular blockage, which is the largest probability of causing the elderly to be paralyzed, and the doctor will generally ask for a cranial CT examination after seeing this symptom, but in addition, improper medication for heart disease, hemophilia, and high blood pressure may be directly fed back into the brain, resulting in hemiplegia, and the reasons are mild and severe.

However, regardless of the cause, the symptoms and characteristics of hemiplegia are obvious. As the name suggests, hemiplegia refers to the movement disorder of half of the body, which is from top to bottom, and the movement of the upper and lower limbs, facial muscles, and tongue muscles on the same side cannot be controlled.

In other words, in addition to being unable to walk and move normally, the patient also has symptoms of slurred speech, stiff facial muscles, and inability to control expressions.

It may be that the children of this old man Sun have just arrived, and when they saw their father lying on the bed, they still thought that Old Man Sun was cheating again, and without carefully observing his situation, he began to count his father with a mouth.

Seeing that their behavior was stopped by the king pigeon, the two of them were a little dissatisfied. You are an ambulance driver, you are still carrying a stretcher, and you are not a doctor, why should you meddle in our housework!

But out of respect for the medical staff, and also afraid that something would happen to his father, this pair of children still has some quality, and they didn't let the king pigeon go.

"The room is a bit small, and people outside the door don't want to be there outside the family. Don't talk yet, keep the room quiet, I'm going to check on the elderly, and I can't delay. Before the initial diagnosis, Cao Shan did not dare to judge by his own visual inspection, and said anything to scare the patient's family.

But as soon as the patient's family heard Cao Shan's words, their originally relaxed expressions instantly became serious.

Everyone is not stupid, the doctor may have seen something, the old man really has an accident?

If it is really a cerebral hemorrhage or a cerebral vascular blockage, now this old man Sun looks like he is lying down like a normal person, the situation is very dangerous, the bleeding situation worsens, the bleeding area increases, causing cerebral edema, it is really a thread of life.

"Old man, don't move, don't be nervous, it's normal to have such a thing when you're old. Don't talk unless you feel uncomfortable in something and we'll check you right away. As he spoke, Cao Shan took out a flashlight and put the stethoscope on his ear.

Tian Yuqing, who was next to her, took out the thermometer and blood pressure monitor very tacitly, and began to check it at the same time.

The king pigeon put the stretcher on the ground and looked around, and there seemed to be no sign of an angel or death.

Angels are too busy, and not everyone who is in an unstable state of soul is coming. Even if you want to come, it depends on the conditions, one is to judge whether the person is about to end his life. People who have reached the expiration date of their yang life, or people who have only been alive for a few days, the angels will not take them away.

It's useless to catch it, when Yang Shou is exhausted, the last trace of anger will leave the body, and the person will die, and the ghost is in his hand, even if he is the Jade Emperor, it is impossible to stuff it back into the body.

The second is to judge whether the patient's family will pay any price for the patient, including breaking the law. Judging by Wang Ge, although the old man and his children are a little selfish, they still think about the old man's good in their hearts, otherwise they would not have found such an expensive and difficult nursing home.

And the two of them must have a little savings, as can be seen from the private car parked downstairs, they are all five or six hundred thousand upwards, whether they have received higher education or not, he doesn't know, they must be able to make money, and they have a bit of social status. If you want them to break the law and commit crimes, the probability is still relatively small.

The angel may have given up directly based on the combination of these two points.

The Grim Reaper will not come, this person is not on the verge of death, there is no need at all. However, the king pigeon still cheered up the spirit of twelve, Yangshou has been caused by illness, this time is not an accident, can not be taken lightly.

Looking at the pupils, listening to the breathing and heartbeat, there is no big problem with the basic performance, Cao Shan checked the blood pressure data obtained by Tian Yuqing, and within an acceptable range, he turned his head and glanced at the doctor in the nursing home who was standing at the door.

The man was in his forties, and although he worked in a nursing home, there were still a few hairs left like Cao Shan, his identity was very easy to identify, and he was still wearing a white coat.

"Brother, does this old man have high blood pressure?" Cao Shan asked, with his age, he should be about the same age as that person, but that person may have stayed up too much when he worked in the hospital before, and he looks older.

The doctor shook his head, "No, there are no blood pressure medication for him in the morning." The old man weighs a lot, and his blood lipids are not low. In the morning, I was fine, I didn't have this symptom, I ate at noon, and when I woke up from a nap, I felt that something was wrong. I showed it ......."

In fact, the doctor already had a conclusion in his heart, but he didn't dare to say it in front of his family, and if he wanted to say it, it was not him who said it, but Cao Shan. In this dialogue, he has reminded Cao Shan as much as possible.

Blood lipids can cause many diseases. The doctor in the nursing home did not break it, but Cao Shan nodded, indicating that he already understood. In traditional Chinese medicine, cerebral vascular blockage, that is, cerebral thrombosis and cerebral hemorrhage, is called stroke, and the general manifestations are hemiplegia, commonly known as hemiplegia, and it is also accompanied by language dysfunction.

However, the causes and treatments of these two diseases are very different, and they are fatal.

Cerebral thrombosis usually occurs during sleep or quiet rest, and there is no warning before the onset of the disease, and the blood clot may form in the brain or may form elsewhere and flow into the brain with blood. When people are resting, blood pressure is low and blood flow slows down, and blood clots are easy to form. Due to the decline of heart function in the elderly, it may cause sudden atrial fibrillation, the atria loses its normal systolic function, blood stasis is easy to form thrombosis, and the thrombus will flow with the blood to all parts of the body, and the brain is the easiest place for blood clots to reach. Therefore, some elderly people find that they suddenly can't move and can't talk when they get up from sleep, which is a manifestation of cerebral thrombosis.

Cerebral thrombosis is the blockage of cerebral blood vessels, ischemia and hypoxia of brain tissue, resulting in necrosis of brain cells. Cerebral thrombosis generally has a slow onset and can take up to a few hours to a few days from onset to its peak.

Cerebral hemorrhage is different, this thing has a rapid onset, directly causing intracranial edema and high pressure, compressing nerves and brain tissue, which is dangerous and has a very high mortality rate. The cause of cerebral hemorrhage is generally cerebral atherosclerosis, and the most common is hypertension. When people are emotionally stressed, stressed, and very excited, their blood pressure rises, and the cerebral blood vessels are fragile, which will naturally cause rupture. Sometimes a sneeze or a cough can trigger it. Of course, it is possible to develop the disease when you stay quiet, but the probability is relatively small. Unlike cerebral thrombosis, the clinical symptoms of cerebral hemorrhage are more severe, and even include gibberish, confusion, nausea and vomiting, and incontinence.

Wang Ge once took an emergency department, an elderly person was constipated, and opened a tuba alone in the bathroom, but he held his breath and worked hard, but he got up in the morning to relieve his hands, and he didn't have time to take blood pressure medicine, and his blood pressure was high, which caused a large area of cerebral hemorrhage, and when the family found out in the morning, the person was already dead, and the doctor who went at that time just went through the motions, and the people were not brought back to the hospital, and directly let the funeral home people pull it away.

Since the doctor in this nursing home said that this old man Sun is fat, but he has no high blood pressure and high blood lipids...... And the clinical symptoms are relatively mild, and he is conscious and can even say something, so basically Cao Shan can basically rule out cerebral hemorrhage.

Now Cao Shan has no way to determine the location and size of the blood clot, I am afraid that this thing will have to go back to take a film, check an MRI, or even do a cerebral angiogram to be concretely determined, and there is no available medicine in the car. The old man's current state is a mild disease, and it can't be lighter, but the treatment can't be delayed because of the mild disease.

The golden time for cerebral thrombolysis is less than three hours, and the complete removal of the blockage within this time period can reduce the death of brain cells and restore body functions as quickly and well as possible. Some patients who are late in detection and treatment, even if their lives are not in danger, can only limp in the next few years or even decades.

Wang Ge had a neighbor when he was a child, and he had a cerebral thrombosis in his thirties, which delayed the treatment time, and until now he has nothing to do with his speech and expressions, but he walks differently from ordinary people.

For the sake of the patient's prognosis, Cao Shan still asked Wang Ge to quickly carry the person on the stretcher, and then called a few staff members to carry the person down together, and did not communicate with their children throughout the process, and it seemed that he did not like to see the children leave the elderly in the nursing home. "After getting in the car, I took oxygen and gave ECG monitoring. ”

But Cao Shan still has the old concept, cerebral thrombosis is not something that can be completely prevented by paying more attention to it. If the blood lipids are high, the nursing home can also make targeted dietary adjustments, and the children are unprofessional and may do bad things with good intentions.

People always have shortcomings, and the king pigeon didn't say much, shouting the trumpet and lifting the person up together, and went down. When I walked to the door, the staff of the nursing home did not forget to hold up an umbrella for the patient.

Old Man Sun's children are really anxious this time, in the past, the doctor's face was not so ugly, and there was no need to carry people away, the father himself walked to the car and lay down.

And usually my father talks a lot, but just now he didn't say a word, yes!

"Doctor, my dad...... What kind of illness is it?" the man didn't look at his phone to reply to WeChat, and he was sweating in the cold and wiping his forehead.

The woman also frowned, "Is my dad okay?

Cao Shan got into the car expressionlessly, "The patient has hemiplegia, motor dysfunction, language dysfunction, heartbeat and breathing, and slightly high blood pressure. Specifically, we have to wait until I go to the hospital to see the results of the examination. You're family members, right? If you have someone to have my car, it's better to go to the hospital and go through the formalities or something. Once the diagnosis is confirmed, we start thrombolytic therapy. ”

Old Man Sun's daughter cried outside the carriage as soon as she wowed, "Isn't it okay, what's going on?"

The man next to him was stunned for a moment, and he didn't know what to say for a while.

The king pigeon in the carriage has completed the fixation of the patient, and after jumping off the car, he couldn't cry or laugh, "The doctor is talking about going through the procedures, what is the aftermath!"

What kind of daughter is this, she doesn't even have an auspicious word in her mouth.

"If it is detected and treated in time, the problem is not big, and the prognosis is still very good. You have to keep a good attitude and don't irritate the old man. Tian Yuqing also frowned, "Don't delay, which of you gets in the car?"

The man hesitated, "I'll get in the car." With that, he took out his mobile phone and called his wife, asking her to come to the hospital immediately. He also knows that his sister's psychological quality is not very good, and crying in front of the old man is likely to affect the old man.

The king pigeon didn't say much wordy, closed the door of the carriage directly after everyone got on the bus, and sat on the car himself. In fact, this matter has little to do with the nursing home, and it is enough for the two family members to follow to the hospital, so they did not send someone to follow the car.

"Old man, this time out of the hospital, we really don't live in that nursing home. When I go home, I drink tea with you every day. The man's heart was also uncomfortable, and his face was a little choked.

How did the iron-clad and omnipotent father in the past become so weak lying in bed?

When the old man Sun heard this, he smiled, but because his facial muscles could not be completely controlled, he looked a little oozing as if he was not smiling.

There is a saying that the tree wants to be quiet and the wind does not stop, and the son wants to raise but does not wait, and now this is the son's recollection, not so selfish, not to treat the old man as a burden, it seems that it is not too late.

"Doctor, thank you really, we thought at first that this old man was still pretending to be sick, if it weren't for you......" The man knew that his attitude towards the king pigeon was not very good at the beginning, although this was said to Cao Shan, in fact, it was also for the king pigeon, and he was soft.

Cao Shan just smiled and didn't speak, after doing it for so many years, whether this person is sick or not is actually written on his face, and this kind of emergency can't be seen at a glance, so he won't do this emergency doctor, it's too embarrassing.

。 m.