But fortunately, Ren Jiangchi stepped forward to help him, although he didn't hold Boss Yang, but when Boss Yang fell to the ground, his head was held by Ren Jiangchi's calf and did not hit the ground directly.

Fan Yanjiao didn't understand what was going on, and said with a smile: "Ouch, Boss Yang, what's the matter? Why is the amount of alcohol suddenly so bad? Last time we came over, you even did two of them, without ambiguity." ”

"I, I, I don't, no, I know, what's going on. Boss Yang tried to open his eyes and stand up, but his mind was dizzy, not only his eyelids weighed a thousand pounds, but even his hands and feet were soft, and he didn't listen to his own call at all, "It's just the head, the dizziness is terrible......"

Ren Jiangchi stretched out his hands under the armpits of the sheep boss, picked him up and put him on the stool, and saw that his body was crooked and unstable, and he knew that things were not good.

"Sister Jiao, Boss Yang doesn't look like he's drunk!" As he spoke, he asked Xiong Haowen to come over to help Boss Yang, while he reached out on Boss Yang's wrist and took his pulse.

Ren Jiangchi only felt that Boss Yang's pulse was slow and weak, and the feeling of touching his fingers on it was as difficult as scraping a knife on a bamboo piece. Blood stasis, poor qi, and obstruction of blood flow are astringent veins.

Combined with the fact that Boss Sheep said that he was dizzy, and his hands and feet were soft and uncontrollable, Boss Sheep was probably suffering from a stroke!

However, cerebral stroke is also divided into hemorrhagic stroke and ischemic stroke, which is what Western medicine calls cerebral hemorrhage and cerebral obstruction. With Ren Jiangchi's current entry-level pulse diagnosis, it is impossible to judge.

Thinking in his heart, Ren Jiangchi turned on the flashlight APP in his mind, and looked at Boss Yang's head layer by layer. Then it was found that the sheep boss did not have bleeding in his brain, but there was an early infarction.

"Sister Jiao, Boss Yang has a cerebral infarction, I'm afraid he will be sent to the hospital immediately!" As soon as Ren Jiangchi's words came out, I only heard a ding dong in my head, and then my point balance changed from the original 1 point to 3 points.

Although it consumes 1% of the electricity, it also earns 2 points, so if you calculate it according to this situation, you may not have to suffer from free treatment!

"What?Cerebral infarction?" Fan Yanjiao was startled, "Big man, are you sure you didn't diagnose it wrong?

"I can't go wrong with my diagnosis. Ren Jiangchi said as he looked at Xiao Qi, who was standing next to him at a loss, "Xiao Qi, where is Boss Yang's family? Hurry up and call them over." ”

Xiao Qi cried out at this time, "It's just me and grandpa, there is no one else!" She originally thought that grandpa was drunk, so she knew it would be so scary!

"Just the two of them?" Ren Jiangchi turned his face to look at Fan Yanjiao.

"That's right!" Fan Yanjiao is more familiar with Boss Yang's situation, "Xiao Qi's parents have passed away, leaving her and Boss Yang to rely on each other." ”

I see!

"Boss, second, you help me support the sheep boss!"

Ren Jiangchi explained Xiong Haowen and Cao Jianhua, and then dialed Shi Zhongxiang's phone with his mobile phone to tell the situation at the scene here.

"Are you sure it's a cerebral infarction?" Shi Zhongxiang asked.

"Sure. Ren Jiangchi replied.

"If it's a cerebral infarction, I'm afraid it's too late to send an ambulance from Tianyang City now. Shi Zhongxiang said, "According to the original statement, the golden standard for treatment of cerebral infarction is less than six hours. However, the latest research results show that the standard of treatment for cerebral infarction is within three hours. The sooner the patient is treated with thrombolytic drugs, the better the recovery appointment, or even complete recovery. However, if it is more than three hours, there is no point in using thrombolytic drugs. ”

"So you must now find a way to get the patient to our emergency department by car, and I'll be waiting for you in person at the emergency department!"

After Shi Zhongxiang hung up the phone, Ren Jiangchi's face became more serious, and he turned his head to Fan Yanjiao and said: "I just consulted President Shi of the Second People's Hospital, and he told me that cerebral infarction is basically a race against time, and the golden treatment period is three hours within the onset of the disease, and the sooner it is sent to the hospital, the better." At this time, if you call 120 ambulance from Tianyang City, it will be delayed for at least an hour. So we're going to take Boss Sheep to the hospital immediately!"

Fan Yanjiao immediately made a decision when she heard this, and while throwing the key to Fang Shengxue and letting her be in charge of driving, she pulled Xiao Qi and said to her seriously: "Xiao Qi, you know my sister, grandpa can't speak now, and he needs to be sent to the hospital immediately." Can you go to the hospital with your sister now?"

"But, sister, I don't have no money!" Xiao Qi cried and said, "The money is all in Grandpa's card." “

"You don't have to worry about the money, I have it here!"

Seeing that Fan Yanjiao pulled Xiao Qi into the co-pilot's seat, Ren Jiangchi asked Xiong Haowen and Cao Jianhua to help lift Boss Yang to the back seat, and sat in it himself, let Boss Yang's head lay flat on his legs, and told Xiong Haowen and Cao Jianhua to find a way to take a taxi back, and then let Fang Shengxue drive and drive down the mountain.

Although it was not as good as Fan Yanjiao's driving skills, Fang Shengxue still drove the car to the Second People's Hospital of Tianyang City within fifty minutes.

Shi Zhongxiang was already waiting at the door of the emergency room, and when he saw Ren Jiangchi coming, he hurriedly instructed the nurse to move the sheep boss from the car to the mobile bed, and then asked the nurse to immediately send it to the CT room for examination.

"Dean Shi," Fang Shengxue asked, "I read in the book that the diagnosis of cerebral infarction requires an MRI of the head. Jiang Chi diagnosed Boss Yang with cerebral infarction, shouldn't he be sent for an MRI first?"

"The MRI examination has to be booked in advance, and after the examination, the results will not be available until the next day, because the examination images need to be uploaded, and multiple experts need to discuss and read the films, and finally the results can be given. Shi Zhongxiang patiently explained, "But if Boss Yang really has a cerebral infarction, how can he wait for a day? If he really waits for a day, then what's the point of using thrombolytic drugs again? The infarction cannot be reversed, and he may be paralyzed for life and cannot go to the ground." As for CT, from the examination to the film, 20 minutes is enough!"

"However, doesn't it mean that CT examination in the acute stage of cerebral infarction cannot be visualized?" Fang Shengxue asked.

"The purpose of our CT scan is not to check for cerebral infarction, but to check for cerebral hemorrhage. You must know that although CT examination cannot detect early cerebral infarction, it can check whether there is bleeding in the brain of the sheep boss. Because there are only two aspects of cerebrovascular disease, either cerebral hemorrhage or cerebral infarction. If we do a CT scan and rule out a cerebral hemorrhage, then there is only one possibility left, which is cerebral infarction. If there are no other contraindications to thrombolysis, then after the cerebral hemorrhage is ruled out, the thrombolytic drugs can be given to the sheep boss immediately. ”

Therefore, when you become doctors in the future, you should not just pick out books, but learn to use what you have learned flexibly. Shi Zhongxiang said, "This is called empirical healing!"