"Does the patient have high blood pressure, heart disease, high blood sugar, and high blood lipids?" Zhao Heng asked while opening the patient's eyelids.

Tao Le had already activated the mobile phone, and at this time, she called up the flashlight function, and with his eyelid rolling, it shone on the patient's pupil.

Zhao Heng glanced up at Tao Le and affirmed her quick response.

"My dad had high blood pressure at the age of 50 and has been around for 20 years now. The heart and blood sugar are fine, and the blood lipids are a bit high. I have taken my daily blood pressure medication this morning, but after the plane was turbulent just now, I suddenly ......"

High blood pressure can cause a cerebral hemorrhage. Hyperlipidemia may lead to the formation of blood clots, leading to cerebral obstruction. Neither of these diseases, either way, is a good thing. Zhao Heng sighed.

For this acute condition, it is necessary to do cranial imaging examination, that is, brain CT or MRI, and at the same time test a number of indicators such as complete blood count, creatinine and other indicators to determine the cause, and according to the results, intravenous antihypertensive or thrombolysis and other treatments must be given, and craniotomy may be done depending on the situation.

But on this plane, no examination or treatment can be done.

"The patient's left eye has a constricted pupil and a weakened light reflex, while the right eye is normal." Tao Le said about the results of the reflection of light.

This result is neither too good nor too bad.

"Have you got the blood pressure monitor?" Zhao Heng asked.

"Blood pressure is about 180/130, heart rate is 110, blood oxygen saturation is poor, and immediate oxygen infusion is recommended to improve oxygenation." Tao Le couldn't help but interject.

She reads out the data directly on the cheat interface, just to save time.

However, no one at the scene paid attention to her.

The flight attendant handed the blood pressure monitor to Zhao Heng, who measured it carefully.

The results came out quickly. 180/130, heart rate 112. There is almost no difference from what she just said.

Seeing this result, everyone turned their attention to Tao Le.

Tao Le didn't explain anything. Her face was as usual, neither resentful of being ignored just now, nor complacent because the result was the same.

Zhao Heng's eyes brought a hint of appreciation.

"I agree with your suggestion, let's get oxygen." He said.

People with a rapid heartbeat are often due to low levels of oxygen in the blood, and the heart needs to beat harder to increase oxygen access. Oxygen can improve this symptom quickly.

Truth be told, that's the only medical support a patient can get on a plane now.

Tao Le snapped the oxygen mask onto the patient's face and adjusted the flow rate. Zhao Heng took a look and found that Tao Le was set at 3L per minute, which was just right.

The higher the oxygen concentration, the better. If the concentration is low, the effect cannot be achieved; If it is high, without any monitoring equipment, it may cause metabolic acidosis, which is counterproductive.

This female student must have performed very well during the internship. Quick response, quick hands and feet, solid basic skills, and even surprise yourself.

The patient's breathing becomes calmer. On the interface in front of Tao Le's eyes, the patient's blood oxygen saturation has increased to 92%, and the heart rate has also dropped to 95.

Zhao Heng got up and explained the patient's condition to the patient's son.

"Combined with various symptoms, there is now a high suspicion that your father has a cerebral hemorrhage, or an acute cerebral obstruction."

The meaning of these two medical terms is understood by most people.

Although there was some speculation, the patient's son panicked when he heard that it was indeed such a serious illness.

"Director, can you save him? My father's safety is very important, he came to Yunshi to talk about a project with an amount of more than 2 billion yuan, and there must be no trouble!"

Zhao Heng sighed: "Doctors are not omnipotent, they can only do their best." But if your father is still awake by the time he arrives at the hospital, there is no doubt that there is hope for recovery later. ”

He turned to the flight attendant: "Report to the air traffic control that there is a critically ill patient here, suspected of cerebral hemorrhage or cerebral infarction, request all convenience and support, and prepare an ambulance." ”

The flight attendant hurried to report to the captain and contact the regional air traffic control.

Now that the plane has been flying for nearly an hour, there are rolling mountains below, and the nearest airport that can land is Yunshi, which is also the original destination of the flight.

After a while, the flight attendant came back with good news: "The air traffic control has opened a green channel for us, commanding the surrounding aircraft to avoid and allowing us to land first." ”

"Now the plane is picking up speed, but it will take at least another forty minutes. The airport emergency center is ready, and the ambulance will be there as soon as possible. ”

Zhao Heng and Tao Le glanced at each other. Forty minutes, although it is not long, it is not short!

The positive factor is that the patient has not vomited or fallen into a coma so far, and the situation is quite manageable.

However, there is no reason to talk about cerebral hemorrhage.

In Zhao Heng's opinion, there is nothing left to do except wait.

"Xiao Tao, what do you think of this patient?" He asked Tao Le gently.

"I judged that it was a thalamic hemorrhage on one side, and the amount of bleeding was not large for the time being, but if it was not treated in time, it was difficult to say." Tao Le replied.

"Oh?" Zhao Heng became interested: "How can you tell that it is the thalamus, not the brainstem and other parts?" ”

"The director will test me." "Only a thalamic hemorrhage can cause a crooked angle, numbness or hemiplegia. ”

"Don't forget the cerebral obstruction." Zhao Heng reminded. Unless he had a CT, he couldn't tell exactly which one it was.

Cerebral hemorrhage can be clearly seen on CT, but cerebral obstruction is not visible at the time, and low-density images can not be detected on CT until 24 to 48 hours later.

"It's not a cerebral obstruction." Tao Le's voice was not high, but it carried unmistakable affirmation.

"I don't want a cerebral obstruction either. But the truth is, we can't distinguish between the two situations right now. ”

Tao Le's heart moved. She found a reason to convince the other party: "I took the patient's pulse. It is a flood vein, which is slightly slippery in number, and the cerebral hemorrhage caused by high blood pressure is like this. ”

"Cerebral obstruction is because the blood clot blocks the blood vessels in the brain, resulting in poor blood flow, and the pulse image should be thin and stringy, numerous, or astringent."

Zhao Heng was moved by these words: "You didn't graduate from clinical medicine?" How do you know Chinese medicine? ”

As the director of the Department of Cardiovascular Surgery, he agrees with the efficacy of Chinese medicine in cardiovascular and cerebrovascular diseases. Even, he usually prescribes Chinese patent medicine to patients to dredge the blood veins and regulate the body.

Zhao Heng knows several well-known Chinese medicine practitioners in the industry, and they can indeed see the difference between cerebral hemorrhage and cerebral infarction by taking the pulse, but they are all old doctors who have practiced medicine for many years, and they are so experienced.

The little girl in front of her, even if she learned Chinese medicine from her mother's womb, may not be able to distinguish such a subtle pulse.

"Although I majored in Western medicine, I also had a Chinese medicine heritage." Tao Le said. She was a little depressed in her heart, because her mentor still didn't know her at all, and it really couldn't be said that her medical skills were passed on from the other party.

Fortunately, Zhao Heng did not ask any further. He was inclined to trust her, a thought that was rare in his many years of medical practice.

Soon they stopped chatting as the patient tilted his head to one side and fell unconscious without warning.