Chapter 8: The Patient Wakes Up
Chen Tianming said: "I'm afraid it's too late to decoction medicine now. β
Yang Tianbao glanced at her and said slowly: "Don't you know that the current traditional Chinese medicine hospitals have ready-made Chinese medicine powders?" It can be drunk directly with water, and the medicinal effect is also significant. β
Chen Tianming was stunned for a moment and said, "That's it!" I really don't know. I'm sorry, but I just returned to China, and I haven't paid much attention to the part of traditional Chinese medicine preparations. β
"Your father is a famous old Chinese medicine doctor in the country, you are so unfamiliar with Chinese medicine, you can be regarded as a deviant person, just like my bastard apprentice!"
Zuo Li and Chen Tianming glanced at each other, and somehow, they suddenly had a kind of sympathy.
Chen Tianming said: "Uncle, why don't you do it separately, at the same time as taking traditional Chinese medicine methods, send someone to a nearby clinic or pharmacy to see if there is any first-aid Western medicine that can be used, but whether the patient's cerebrovascular disease is cerebral hemorrhage or cerebral thrombosis, before this is determined, the medication should be cautious, it is best to find a place to do CT first, and figure out the ......."
Yang Tianbao didn't wait for her to finish, and directly turned back to Yang Qiong and said, "Take ginseng and soup, flush with water, and nasal feeding." I took the silver needle again, and I did the acupuncture for him. β
Yang Qiong agreed, and hurriedly ran with the nurse to get the ginseng soup powder, and washed it with water. A nurse has already inserted a gastric tube into the patient, and then used a large syringe to give the patient a nasogastric bolus.
Yang Tianbao did not reject the method of taking medicine with gastric tube nasogastric feeding, because traditional Chinese medicine used to use duck beak pots to administer medicine to unconscious patients, and this method of nasal feeding is similar to that of duck bills, and it is more convenient and fast, and it does not violate the idea of pure Chinese medicine, which he can accept.
At the same time, Yang Tianbao began to give patients acupuncture with silver needles. However, for a while, the patient showed no signs of awakening.
Yang Tianbao was also a little puzzled, and couldn't help muttering in a low voice: "What's the matter?" It stands to reason that it should have woken up, but it doesn't make sense. β
At the same time as they were rescuing, Chen Tianming had already called the emergency center of the city's No. 3 Hospital, notified the emergency doctor of the patient's condition, and asked them to immediately contact the traffic police team and ask the traffic police to help clear the road so that the ambulance could rush over for treatment.
When she came back after calling, she saw that the patient had not yet woken up, and frowned: "It must be the wrong medicine, the patient is not a chest paralysis syndrome, but a cerebrovascular disease......
Zuo Li was also puzzled why the patient did not wake up, he took the patient's wrist again and prepared to check the pulse, suddenly, he sighed, grabbed the patient's finger and observed it carefully, and then asked the patient's son: "Do you know what your father uses to warm up at home?" Is it a coal stove? β
In the city, many old buildings have not been equipped with heating equipment, and many residents still use coal stoves for heating. Many people are reluctant to use electricity for heating or air conditioning, feeling that it is too much electricity. Coal stoves can be used for heating and boiling water, especially popular with middle-aged and elderly people who are used to frugality.
Sure enough, the patient's son said, "Yes, my dad has always liked to burn coal stoves, and I told him many times, but he didn't do it with the air conditioner, saying that the air conditioner was too dry, and the air conditioner blew up and his head hurt." The side of the electric stove is warm, and the side facing away is still cold, not as good as the coal stove, and the whole house is warm when it is lit. I said that it was easy to be dangerous, and he said don't worry, the windows are always open. - My dad can't be gas poisoned, right? β
"That's right!"
When Chen Tianming heard this, he hurriedly asked Zuo Li: "On what basis do you judge that the patient has carbon monoxide poisoning?" I didn't see the color of my skin change. β
"Patient Nail has a slight cherry color!" Zuo Li pointed to the patient's nails, then opened the patient's lips to look at them, nodded and continued, "The oral mucosa also has a very pale cherry red color. But the change in skin color is not noticeable, which is why we didn't notice his carbon monoxide poisoning in the first place. The patient's family said that the patient's home is used to opening the windows, so it should be chronic poisoning, and the degree is not too deep. The reason for the coma is mainly due to the addition of acute myocardial infarction, and the two are superimposed. Although we have taken medication for myocardial infarction, there is no specific medication for carbon monoxide poisoning, so the coma has not been able to wake up. β
At the same time as Zuo Li explained, Chen Tianming had already stepped forward to take a closer look, and sure enough, she was more cautious and felt that it was still necessary to do a blood test, so she said to Yang Tianbao: "Uncle Yang, can your hospital do a carboxyhemoglobin test?" β
"What red eggs, white eggs, can't be done!" Yang Tianbao muttered angrily, "Our ancestors don't have these testing methods, so this disease can't be cured?" I'll cure! Traditional Chinese medicine pays attention to syndrome differentiation and treatment, and what kind of evidence he has, we will use whatever medicine to deal with, whether he is gas poisoning or poisoning. ββAccording to the patient's tongue coating and pulse, the syndrome can be differentiated as heart and spleen deficiency, avoid filth and expectoration, and use Gui Spleen Decoction to add or subtract! β
Zuo Li hurriedly said: "Master, in addition to Gui Spleen Soup, carbon monoxide poisoning needs to be immediately treated with hyperbaric oxygen to reduce and prevent delayed encephalopathy. Our hospital doesn't seem to have oxygen equipment. β
Chen Tianming immediately made another phone call and told the emergency center of the third hospital about the situation to prepare hyperbaric oxygen.
Yang Qiong's face was a little unbearable, her father's pure Chinese medicine hospital didn't even have basic injections and infusion conditions, and there were no pure Chinese medicine hospitals that small clinics like oxygen inhalation. In case of first aid, except for ginseng decoction and acupuncture, there is basically no other trick. So he cautiously said to Yang Tianbao: "Dad, why don't we prepare some Western medical first-aid equipment and oxygen inhalation equipment in the future?" β
"Do you want to be kicked out of the school too?"
Yang Qiong stuck out her tongue and stopped talking.
At this time, the nurse had already taken the Gui Spleen Decoction and gave it to the patient for nasal feeding.
All that's left is to wait.
Finally, the old patient woke up, opened his eyes, and made a few painful ** sounds.
"Wake up! The patient has woken up! Yang Qiong shouted excitedly.
Yang Tianbao stroked his beard a little proudly and squinted at Chen Tianming.
Chen Tianming bit his lip and wanted to say that if he really had a cerebral hemorrhage, even if he woke up temporarily, he would be in danger again. Why hasn't this ambulance come yet, it's really urgent!
Yang Tianbao then instructed Yang Qiong to take the four reverse ginseng decoction, give it to the patient, and start the treatment of chest paralysis.
Tianbao Hospital has a special decoction machine, and the decoction is quickly boiled and delivered, and the patient is paid.
After taking the decoction, the patient's face improved significantly, and his speech became clearer, and he thanked the dean for seeing him personally.
At this time, the sound of ambulances honking and the whining sirens of police cars were heard in the distance. The ambulance finally arrived.
The 120 ambulance drove into the courtyard of Tianbao Hospital under the opening of two police motorcycles. After the car stopped, the doctors and nurses got out of the car, pulled the cart and ran in, immediately lifted the patient into the ambulance, and took corresponding first aid measures such as oxygen inhalation and infusion in an orderly and rapid manner. Because Chen Tianming had already made the patient's condition very clear before.
An ambulance took the patient and his son to the city hospital under the clear path of the police car.
The excitement in the hospital lobby gradually dispersed.