Chapter 618: Bilateral frontal lobe contusions

Tao Le thanked everyone one by one, briefly ate, and came to the hospital.

Here, too, she received all kinds of love.

The local residents, led by Dunzhu Jiapa, Dorjee and Chang Shengnan, all showed a jealous and hateful side, which impressed her.

It was still early before the working time, Tao Le went to the ICU to see Wen Hao's condition.

Yesterday, Ximu's new drug had an excellent effect, in addition to killing mutant bacteria, it was also converted into immunoglobulin, which greatly improved the body's immunity.

At this time, Wen Hao's health value has increased to 45 points, and all indicators have become more and more stable.

Whether it is Duan Guangsheng or the Wen couple, they are not here at the moment, thinking that they are still resting after the changes of great joy and sorrow yesterday.

David and Director Liu were also not there. They stayed up too long, and they really should go back to rest.

However, the attending doctor, Dr. Hua, had already been on leave for a round yesterday afternoon, and he was on duty again at this time.

As soon as he saw Tao Le, his face was filled with joy.

"Teacher Tao, I want to ask, can your friend have some more of this new medicine for us?" He rubbed his hands together and said, "You also know that Acinetobacter baumannii is a nightmare in the ICU, but the ICU is the hot spring where it lives, and it is difficult to eradicate it." ”

"No problem." Tao Le didn't think this was a big deal, and immediately responded cheerfully: "I'll help you contact you in a while." ”

"That's great." Dr. Hua has seen the efficacy of this new drug with his own eyes and is extremely confident in it.

"And why are you here today?"

"I want to help Wen Hao do an acupuncture, which should promote his recovery."

Tao Le did an acupuncture session to help the liver surgery wound heal, and once again increased his health value by 6 points.

After doing all this, she went downstairs with confidence and started the day's consultation with Chang Shengnan.

Most of the patients who came in the morning were local Tibetan compatriots, and the doctor-patient relationship was harmonious, and the diagnosis and treatment went very smoothly.

But around noon, an ambulance arrived with a person injured in a car accident.

This is a 25-year-old young woman who was hit by a car an hour ago, fell into a coma after hitting the back of her head on the ground, and gradually woke up about 5 minutes later, feeling dizzy, headache and vomiting.

On admission, the patient is unconscious, comatose, and unresponsive to light in both eyes.

Whole-body CT examination revealed bilateral frontal lobe contusions with hemorrhage, brainstem injury, subarachnoid hemorrhage, zygomatic fracture, rib fracture, and right distal clavicle fracture.

Bringing patients to the hospital were three of her friends, two women and one man, all of whom were her own age, with panicked expressions on their faces.

"It's serious." Wang Zhang frowned and looked at the results of various examinations: "Immediately invite the Shenwai, the chest, and the emergency anesthesiology department to come for consultation." ”

If there is a need for emergency medicine, other departments will provide support as soon as possible.

The one who came down from the chest was the attending doctor An Jun, and the one who came from the anesthesiology department was the attending doctor Le Zeng. As for the Department of Surgery, Zheng Changchun and Zhuo Shengli are both undergoing elective surgeries, and it is Li Shanyuan, the deputy chief physician, who comes down.

After learning about the situation of the injured, Li Shanyuan immediately frowned.

The patient was admitted to the hospital with bilateral frontal lobe contusions, and was already unconscious at the time of admission, and the risk of either conservative treatment or surgical removal of the hematoma is extremely high.

If no surgery is performed, non-surgical treatment is given to prevent edema, which may accelerate the progression of the disease, and once a central brain herniation occurs, the patient will die.

However, if intracerebral hematoma removal is performed, cerebral edema will continue to occur, and the peak period will also easily cause brain tissue to displace and form brain herniation.

In addition, the patient already has brainstem injury, even if the operation is successful, and the perioperative period has been successfully passed, there will be functional loss in the later stage, resulting in paralysis, aphasia, emotional apathy, memory loss, incontinence and other sequelae.

"The condition of the injured is not optimistic." Li Shanyuan said what he was thinking and thought, and finally said: "Based on the above considerations, the benefits of surgical treatment are not high, and conservative treatment is recommended." ”

"The injured are still very young." Wang Zhang thought for a moment and asked, "Is there really no other way?" ”

"It's my personal judgment." Li Shanyuan smiled bitterly: "Director Zheng is much more experienced than me, but he has just come to the stage, and it will take at least five or six hours to come down - even if he has another operation at that time, it probably won't make any sense." ”

"Otherwise, it's better to tell the family the truth about the situation and let them make a choice." Wang Zhang sighed.

When the three friends heard that this was the result, they were even stunned.

"Doctor, Wan Rong came out of an orphanage, and she has no other relatives. She came out with us to relax after a quarrel with her boyfriend this time, but she didn't expect this to happen. ”

"We also took her mobile phone just now and gave her boyfriend a phone call, but we didn't know that the other party hung up without answering, obviously not angry."

"It's not impossible for us to pool the money to help her with treatment, but if it's a decision or something, we are not suitable."

"And, according to what you just said, even if she has successfully operated on this operation, she will probably not be able to be a normal person again in the future?"

"Yes." Li Shanyuan said: "It is basically impossible to return to the previous state. ”

The three friends just look at me, I look at you, their eyes are full of hesitation.

The only man finally stood up and whispered:

In fact, her current financial conditions are not very good. This time, we also took care of her, and we helped her share a lot of expenses. She has no relatives at home, and if she can return to normal, we will help her make up the cost of the surgery no matter what. ”

"But if you can't, then it's still ...... Conservative treatment, okay? ”

Wang Zhang was a little depressed when he heard it. Although the words are like this, the truth is also the same, and even their choice is the same as what Li Shanyuan did, but why does it feel a little harsh when it sounds?

He tried to persuade something, but eventually kept his mouth shut.

In fact, he hadn't encountered such a thing before. The choice of a few young people is just human nature.

Just then, a clear voice rang out from behind them:

"You don't need to worry about the cost." Tao Le's face said calmly:

"In accordance with relevant provisions, where the opinions of patients or their close relatives cannot be obtained due to emergency situations such as rescuing patients who are dying, corresponding medical measures may be immediately implemented with the approval of the person in charge of the medical establishment or the authorized responsible person.

"That being said, my opinion is actually the same as theirs." Li Shanyuan said.

From the moment Tao Le first appeared, the eyes of the three young people kept rolling over her face, and then they all converged on her badge.

They glanced at each other, each with an indescribable expression.

"You're Tao Le? The Tao Le that was so popular on the Internet? One of the women asked, the disdain in her voice that anyone could hear.

Tao Le's eyebrows raised slightly, and he was about to answer, when An Jun and Le Zeng spoke at the same time.

"The rumors on the Internet are not credible! The level of our teacher Tao is not what you can imagine! ”

(End of chapter)