When the First Affiliated Hospital of Tianyi received the notice from the emergency center and learned that the acute stroke patient sent over was a college student from Tianyang Medical College, it also attached great importance to it and immediately sent the stroke emergency team of the Department of Encephalology.

Unlike the Second People's Hospital of Tianyi, the First Affiliated Hospital of Tianyi did not set up a neurology department, but a encephalopathy department. In fact, there is not much difference between the two, and the reason for the difference in names is mainly because of the different names of Chinese and Western medicine.

When the ambulance arrived at the emergency center of the First Affiliated Hospital of Tianyi, the members of the stroke emergency team of the First Affiliated Hospital of Tianyi were already waiting there. As soon as Ma Jianhui was lifted off the ambulance, he was immediately sent to the CT room for head CT.

There is a professional stroke emergency team to deal with it, and the efficiency of the First Affiliated Hospital is not as bad as the efficiency of the Second People's Hospital last night. Not long after Ma Jianhui was sent to the CT room, the results of the head CT came out.

At this time, Lei Shiji had just rushed to the hospital with Fang Shengxue. They were joined by Yang Changwen, a counselor in charge of the 12th TCM clinical class, followed by Du Jingtao, who was full of reluctance.

I heard that Yang Changwen is Ma Jianhui's counselor, the head of the stroke emergency team, and Li Bingka, the deputy director of the Department of Encephalopathy, handed the head CT examination report in his hand to Yang Changwen, "Teacher Yang, Ma Jianhui's neck blood vessel thrombus has fallen off, blocking the cerebral blood vessels, and the brain has appeared ischemic symptoms, and intravenous thrombolysis treatment must be carried out immediately!"

Yang Changwen hesitated for a moment and asked Li Bingka, "Can you wait for his family to arrive before carrying out thrombolytic treatment?"

He is a full-time counsellor and a non-medical professional, so he doesn't know much about the time crunch in stroke treatment principles. So at this time, his first thought was to try to get rid of his responsibilities as much as possible.

Li Bingka shook his head and said, "Teacher Yang, the rescue of a stroke is a race against time, and time is the brain! If the blood supply to the brain tissue is interrupted, the electrical activity of the brain will stop within 2 minutes, and serious irreversible damage will occur after 5 minutes. Within 3 hours of the onset of the disease, thrombolysis (thrombolysis) with drugs or interventional surgery (thrombectomy) is the key to the survival of the patient. ”

"According to international standards, the time from entering the hospital gate to starting intravenous thrombolysis should be controlled within 60 minutes for stroke patients. If a patient arrives at your hospital without thrombolytic drugs for 60 minutes, the chance of dying increases by 28%. Therefore, in order to seize this 28% chance of survival, the patient must be given targeted treatment within 60 minutes. ”

"The reason why the Department of Encephalopathy of the First Affiliated Hospital of our hospital set up this stroke emergency team is to solve the problem of treatment timeliness for acute stroke patients, and for this reason, we are proud to open a green channel service for acute stroke patients!"

"Therefore, the situation in front of Ma Jianhui must be treated with intravenous thrombolysis immediately, if you really have to wait for his family to come, I'm afraid it's too late!"

"I understand!" Although Yang Changwen had the idea of wanting to clear up his responsibility, but now that he heard Li Bingka explain that this involved Ma Jianhui's life and safety, he immediately put aside the idea of his gains and losses, "Director Li, please immediately give Ma Jianhui thrombolysis treatment, if there are any procedures that need to be signed by me, take them, I will sign them immediately." ”

Yang Changwen agreed to sign, and the next treatment process was suddenly accelerated, and soon the nurse hung a hanging bottle for Ma Jianhui according to the doctor's instructions and began intravenous infusion of thrombolytic drugs.

Seeing that Ma Jianhui had started treatment, Yang Changwen made time to interrogate Du Jingtao and Ren Jiangchi with Lei Shiji.

Du Jingtao looked aggrieved, and repeatedly emphasized that he and Ma Jianhui went to find Ren Jiangchi together, and they went with the attitude of learning from Ren Jiangchi. Because he felt that Ren Jiangchi, as a freshman, could be selected for the school competition team, and he must have a particularly superb place in pulse diagnosis technology. He himself is also very interested in pulse diagnosis technology, so he thought of going to Ren Jiangchi with Ma Jianhui to communicate and learn.

But he didn't expect that Ren Jiangchi's attitude would be so rude, making Ma Jianhui so angry that he had a stroke on the spot.

After listening to Du Jingtao's story, Yang Changwen was noncommittal, and turned his face to look at Ren Jiangchi, "Ren Jiangchi, you are also one of the parties involved, what do you want to say about this matter?"

"Teacher Yang, I want you to watch a video before Jiang Chi speaks to see if the truth of the matter is really as Du Jingtao said, because Ren Jiangchi's attitude was too rough and made Ma Jianhui so angry that he had a stroke. Fang Shengxue grabbed Ren Jiangchi to speak, took out his mobile phone, and clicked on a video for Yang Changwen to watch.

It turned out that when a female classmate in the 16th Chinese and Western medicine class saw Du Jingtao and Ma Jianhui coming to challenge Ren Jiangchi, she thought it was funny, so she took out her mobile phone and recorded the whole process. When Ren Jiangchi followed the ambulance to the First Affiliated Hospital, she passed the video to Fang Shengxue.

Yang Changwen watched the video on Fang Shengxue's mobile phone, and he couldn't wait to kick Du Jingtao to death. Ren Jiangchi scolded in the video at a good point, Du Jingtao is indeed fierce and timid, and he is indecisive and indecisive;

Putting aside the entanglement between him and Ren Jiangchi, Ma Jianhui was brought over by you to help you stand on the platform, he suddenly fell ill, no matter who the reason was, you Du Jingtao, as a classmate and class leader, can't you take a little responsibility at this time, call 120 first, and send Ma Jianhui to the hospital?

And what's even more shameless, 120 emergency personnel have arrived at the scene, you are unwilling to accompany Ma Jianhui to the hospital, but Ren Jiangchi took the initiative to stand up and take this responsibility and sent Ma Jianhui to the hospital.

"Du Jingtao, what do you have to say?" Even if Yang Changwen deliberately favored Du Jingtao, but on the premise of video evidence, he couldn't find any reason to hold Ren Jiangchi responsible.

"Teacher Yang, isn't it clear what the video evidence shows?" Du Jingtao said, "It was Ren Jiangchi who insisted that Ma Jianhui had a cerebral thrombosis, so Ma Jianhui was angry and the blood clot came out." Because Ma Jianhui just had a comprehensive physical examination yesterday, his body was all normal, and there was no cerebral thrombosis at all! And it was only after Ren Jiangchi said those words that he slapped the table angrily and roared, and his body was abnormal!"

Anyway, he made up his mind in his heart, no matter what others thought and said, he would tie up Ren Jiangchi to death, and he couldn't let Ren Jiangchi easily get rid of his responsibility.

At this moment, Li Bingka came out of the ward and said to Yang Changwen: "Teacher Yang, Ma Jianhui's mind is basically sober, he said that he has something to say to you!"

As soon as Du Jingtao heard this, he was the first to rush in, ran to the hospital bed and grabbed Ma Jianhui's hand tightly, and asked with emotion: "Jianhui, you have finally sobered up." You don't know, I was really worried just now!"

"Phew!"

Ma Jianhui sprayed Du Jingtao's face with a mouthful of saliva, and then shouted to the nurse: "Hurry up and get this dog thing out of here, I don't want to see him for a second!"

"Jianhui, what do you mean by this?" Du Jingtao looked at Ma Jianhui aggrievedly.

"You know what you mean!" Ma Jianhui said, "Lao Tzu was just speechless before, and Lao Tzu knew exactly what was going on!"

Seeing that Ma Jianhui's attitude was so excited, Li Bingka hurriedly asked people to kick Du Jingtao out, for fear that Ma Jianhui's condition would be reversed.

Yang Changwen walked up to Ma Jianhui and comforted him in a low voice: "Jianhui, I'm here, don't worry, say something slowly!"

Ma Jianhui's chest kept rising and falling, and he said a sentence: "Teacher Yang, my cerebral thrombosis has nothing to do with Ren Jiangchi, it was all caused by Du Jingtao." ”

"Ah, Jianhui, you can't just say this!" Yang Changwen couldn't help but be taken aback, and hurriedly said.

"I'm really not talking nonsense, Mr. Yang, you can ask Dr. Li specifically, and he will explain it to you clearly!" Ma Jianhui took a few breaths and said.

"Okay, okay, you take a rest first, and I'll tell your teacher for you!" Li Bingka hurriedly leaned over and patted Ma Jianhui's arm, then straightened up and said to Yang Changwen: "The situation is actually very simple. Because Ma Jianhui had a physical examination yesterday, there is no disease in his body. So the blood clot in his neck could only have formed after yesterday's medical examination. ”

"After intravenous infusion of thrombolytic drugs, I saw that Ma Jianhui was able to speak, so I asked him if he had done any neck-related activities after the physical examination. Li Bingka continued, "Ma Jianhui told me that after he returned to the dormitory for a physical examination yesterday, he felt tired. Du Jingtao practiced massage, so he took the initiative to do relaxation massage for Ma Jianhui, which focused on the cervical spine and spine to relax and tidy up. ”

Combined with the CT image of the vascular dissection on Ma Jianhui's carotid artery, it can be determined that Du Jingtao used too much force when he was doing cervical spine fixing for Ma Jianhui, and pressed Ma Jianhui's blood vessels, resulting in the formation of a thrombus on the surface of this artery. Then this afternoon, Ma Jianhui caused the blood clot to fall off from the blood vessels because of the violent movement of his neck, and then blocked the blood vessels in the brain as the blood flowed to the blood vessels in the brain!"

"Can massage push out cerebral thrombosis?" Yang Changwen was shocked, "When I am tired, I will also come to the TCM massage department of our First Affiliated Hospital for massage, and they will also give me neck relaxation." So you put it, there's a risk of stroke?"

"Yes, that's right! If you don't massage your neck properly, it will cause a stroke!" Li Bingka said with great certainty, "As far as I am concerned, I have received two cases of acute stroke due to blood vessels injured by massaging the neck. Counting Ma Jianhui today, this is the third case of massage-induced stroke I have received!"

When Lei Shiji heard this, he finally breathed a sigh of relief. He doesn't care about the safety of neck massage now, what he is most concerned about is whether Ren Jiangchi will be involved in it, which will cause him to have the counselor here to take responsibility.

Now that it's okay, Li Bingka and Ma Jianhui have both confirmed that this matter is Du Jingtao's responsibility and has nothing to do with Ren Jiangchi. Then there would be no need for them to continue to stay here.

"Teacher Yang, since the matter is clear, then you can continue to stay here and take care of Ma Jianhui, I will lead Ren Jiangchi back first!"

As soon as Lei Shiji's words came out, Ma Jianhui shouted on the bed again, "Teacher Lei, Ren Jiangchi, don't go, I still have a situation to tell you!"