Anyone who studies medicine knows that the knee jerk reflex is one of the simplest types of nerve reflexes, and its completion process consists of only two neurons, sensory neurons and motor neurons.

Bang!

After the hammer hits the irritating point of the knee, the child's left leg bounces upward.

Zhou Can's face suddenly showed joy.

The nerve center of the knee jerk reflex is a lower-level nerve center located within the gray matter of the spinal cord. However, at the same time as the knee reflex is completed, the nerves in the spinal cord that lead to the brain transmit this nerve impulse to the brain, causing the person to feel like the knee has been tapped. This allows the legs to bounce.

The child's body is high paraplegic, and it stands to reason that the nerves in the head and neck are blocked.

Zhou Can has now passed a simple test to prove that there is no interruption between the nerve center of the lower limbs and the brain, indicating that there is still hope for the child to be saved.

Even though it only stimulated the lower nerve centers, it was enough to make him feel excited.

It's like feeling that a patient has a pulse, and you can basically assume that the patient has a heart rate.

But heart rate is not the same thing as a pulse, heart rate is the number of times the heart beats in a minute. A pulse is the number of beats in an artery, also known as a pulse rate. When a large amount of blood enters the artery, the pressure in the artery increases and the diameter of the tube expands, and the expansion can be felt in the artery at a shallow part of the body, which is called a pulse.

Normally, the heart rate is the same as the pulse.

Some patients may have a heart rate higher than a pulse.

The nerve center is more complex than the pulse and heart rate, and now the child's low-level nerve center reflexes are found to be smooth, indicating that the child's nerve damage is not as serious as expected.

After testing the child's left leg, Zhou Can tested the right leg again.

The knee jump reflex is also present, but the knee jump reflex is weaker in the right leg.

After several tests, he found that the knee-jerk reflex of the child's right leg was indeed much weaker than that of the left leg, but the reflex response was still there.

At this time, he once again thought of the child's neck stiffness.

The left side of the neck is soft, and the right side is stiff.

Everything seems to be pointing to a serious problem with nerve conduction on the right side of the child's body. Or, on the contrary, the left side is badly injured, and the right side is fine?

At least give him a direction for diagnosis.

Neck stiffness indicates a painful or other reaction in the neck, with muscle tightness. For example, when a doctor examines a patient's abdomen, a soft abdomen and a hard abdomen are two completely different diagnostic concepts.

A soft and flat abdomen indicates that there is generally no major problem.

If the abdomen is hard to the touch, it means that the patient's abdomen is pressed to produce severe pain, so that the patient can't help but protect himself by tightening the abdominal muscles.

This is a normal bodyly defense response.

First of all, one thing must be clear, whether it is abdominal muscle contraction or neck stiffness, it is the effect of muscle tension and tension.

Muscle contraction is stimulated by nerve signals.

Without nerve signaling, the muscles will become a piece of flesh and will not have any mobility.

This is also the main reason why Zhou Can is not sure whether the nerve on the right side of the child's body is seriously damaged.

He even wondered if the child's right neck muscle had been tightening, which affected the nerve conduction.

There are too many diagnostic ideas that need to be sorted out, and many need to be verified one by one.

If you want to ask for a certificate, you will need to have the necessary auxiliary examinations.

Although the patient had already undergone a lot of tests in the first two hospitals, Zhou Can still felt the need to do some supplementary tests at Tuya Hospital to determine the cause. If necessary, surgical exploration is even required.

Of course, many family members are reluctant to hear about the surgical exploration, and even resist such invasive tests.

Just like when rescuing critically ill patients in clinical practice, it is often necessary to cut the trachea and use an invasive ventilator, and the family will be particularly resistant at this time. There are even many people who miss the opportunity to rescue because of this.

"Director Zhou, Director Zhou, there is a patient in the operating room who needs emergency surgery, and Dr. Xu can't pull away, so I want you to go over and preside over it."

A nurse hurriedly ran over to Zhou Can for help.

At present, only Dr. Xu and Zhou Can are the only two people in the operating room of the emergency department who have the surgical strength of level 3 or above.

To rescue critically ill patients, Zhou Can is even better than the blue, and his ability in this regard has surpassed Dr. Xu.

"Okay, I'll be right over."

The purpose of the emergency department is to save the lives of patients.

Now there are emergency surgery patients, and this high paraplegic child can only be put first.

And the child's diagnosis is not a one-and-a-half time to produce results.

"The child needs to be hospitalized and the cause of the disease will be identified before treatment. Are families willing to have their children hospitalized here? First of all, we can only do our best in Tuya Hospital, and we will never dare to pack a ticket to be cured. ”

Zhou Can's eyes looked at the family members and the owner of the bouncy castle.

"Yes, yes! Dr. Zhou's intervention is extraordinary, and the knee reflex for my grandson has made progress, and we are very willing to be hospitalized here. I also asked Dr. Zhou to take my grandson's condition to heart and help him treat him when he is not so busy. ”

The child's grandfather is quite knowledgeable.

didn't despise Zhou Can because he was very young.

Just now he saw Zhou Can's unique diagnosis and treatment methods, and he has more confidence in Zhou Can.

The name of a man, the shadow of a tree.

This young Doctor Zhou can have a great reputation, and even have a certain reputation in the imperial capital, there must be something outstanding.

There is no suspicion in employing people, and there is no need for suspicious people.

He chose to trust Zhou Can.

"Please ask Dr. Zhou to bother more."

The child's mother was also teary-eyed, praying to Zhou Canlian.

The child's grandmother was a little embarrassed, because not long ago she showed off her son's official authority in front of Zhou Can, which caused Zhou Can's displeasure.

"Don't worry, I will pay attention to every patient. Since you agreed, I will have the other doctors take care of the child's hospitalization. I guess the child may need surgery, so let's be admitted to the surgical inpatient ward first! ”

After Zhou Can finished speaking, he looked at the owner of the bouncy castle.

This person is also unlucky, and he is in such a big event, and his situation is probably similar to that of Dr. Xu back then.

Because the father of this child has a very special identity.

His only child had an accident while spending in the bouncy castle, and as the boss and the main person responsible, he would definitely not be able to escape.

Do your best to make up for and save it, this is the only means of survival.

Otherwise, it is likely that it would have been controlled and locked up long ago.

"Judging from the knee test that the child just did and the results of some of the tests he did at the first two hospitals, it is not particularly bad, at least I think there is a slight chance of recovery. However, this chance may only be 10% or less. If you have medical insurance, try to find a way to reimburse the cost of treatment, and when you are hospitalized, please ask Dr. Xie to teach you to transfer to other medical insurance. ”

Zhou Can had seen Dr. Xu's bleak situation after the accident, so he was very sympathetic to this unlucky boss.

Try to reduce some losses for the other party.

The vast majority of residents in the imperial capital have formal medical insurance, and the reimbursement ratio is higher than that of NCMS and urban and rural medical insurance.

Of course, if the child does not have formal health insurance, there is no way.

"Thank you, thank you! My friend said that you are benevolent and benevolent, and I have seen it with my own eyes today. I came from the imperial capital to find you, and I really didn't come wrong. ”

The boss's eyes were a little moist.

At this moment of distress, Dr. Zhou was able to consider him as the culprit, which really touched him.

"My son has bought medical insurance, and he has been worried that he will not be reimbursed in other places. It's great to be able to go to a different place for medical treatment. The fact that the child's mother can say this is enough to see that she is a kind and wise woman.

Really put all the burden on the bouncy castle owner, and the people were crushed, which was not good for anyone.

"Don't worry, you can generally transfer to other places for medical insurance, at most, the reimbursement ratio has been reduced."

Zhou Can has been a doctor for so long and knows that the biggest factor hindering the treatment of patients is money.

The meaning of medical insurance is that after the people get sick, they dare to be hospitalized and treated.

In particular, some treatment options as high as hundreds of thousands, millions of them, dare to choose, and can be used.

The bouncy castle project itself has commercial insurance, and with the child's formal medical insurance, the cost of treatment should not have to pay too much in the end.

The main cost is other expenses for medical treatment in other places, as well as the treatment cost of the child's subsequent rehabilitation.

Many rehabilitation treatments are not reimbursable.

"Doctor Xie, then please help them get it, and I'll come back to make a diagnosis plan after the operation." Additional tests may be needed. ”

After Zhou Can settled the child who had traveled all the way to see him, he hurried to the operating room.

"Director Zhou, the patient is in operating room No. 3."

The emergency department now has three operating rooms, one hundred-level operating room, one 10,000-level operating room, and one of the oldest general operating rooms.

Zhou Can and Dr. Xu performed the operation in the 100-level operating room, also known as the No. 2 operating room.

The last 10,000-level operating room to be built is the No. 3 operating room.

Generally, other attending doctors take people to perform the surgery inside.

Secondary surgery is the majority.

"Why don't you just send the patient to operating room 2?"

Zhou Can asked with some confusion.

Since it was an emergency operation, and it was necessary to ask him, the deputy head of the operating room, to personally intervene, it meant that the patient's condition was very serious.

There must still be some differences between the 10,000-level operating room and the 100-level operating room.

The most well-equipped is also a 100-level operating room.

When hospitals purchase some more expensive equipment, it is really all used on the cutting edge.

It is impossible to have a complete operating room.

In the entire emergency department, there is only one set of surgical equipment, which is basically placed in the No. 2 operating room. Of course, the current endoscopy room in the emergency department is also quite well built. Endoscopic surgeries or examinations have been carried out one after another.

This in itself is a big development.

However, it is basically impossible for endoscopic surgery to replace traditional surgery.

For many serious diseases or complex major surgeries, it is more advantageous to use traditional laparotomy, thoracotomy, and craniotomy.

In addition to the harm caused to the patient, the success rate and efficacy of the operation must also be considered.

For example, cardiac surgery, even if it is just a simple right ventricular hypertrophy, many times thoracotomy will be more secure.

After all, endoscopic operation has certain limitations, it will limit the doctor's medical skills, and will cause constraints for many surgical procedures.

Therefore, it is basically impossible for endoscopic surgery to completely replace traditional surgery.

"The patient was originally undergoing subcutaneous mass excision, but she suddenly suffered heavy bleeding from her lower body during the operation, and she is currently being rescued."

The nurse didn't know much.

Because she doesn't work in the operating room, she is just outside managing surgical patients.

"Let's get busy!"

Zhou Can's heart sank slightly, and his face became solemn.

As the deputy director of the department, he is also the deputy head of the operating room. The occurrence of this kind of medical accident inevitably made his nerves tense.

If something happens, it is certain that the doctor will be punished.

However, the person in charge of the operating room and the department will also be affected, and it will have a negative impact on the reputation and image of the department.

After pressing the door of the operating room with your foot, change into a sterile surgical gown and walk directly into the operating room inside.

When he entered, he felt a solemn atmosphere.

There are medical staff who are constantly running, looking nervous.

"What's going on with the patient?"

Zhou Can asked expressionlessly.

"Originally, it was just a subcutaneous mass excision, which was a simple secondary operation, and who would have thought that during the operation, the patient would suddenly bleed heavily. My blood pressure dropped vigorously, and my breathing became rapid and heavy...... Director Zhou, what do you think is going to do now? ”

Tang Wangnian is the attending doctor, and there is such an incident at the juncture of the deputy high title, he is afraid that he wants to die.

In the past, there were seven dissatisfaction with Zhou Can, and eight were not angry.

Something happened at this moment, and seeing Zhou Can arrive was like seeing an ancestor.

He just didn't kneel on the ground and begged Zhou Can to help him.

"How else can I get it? Definitely try to save the patient's life first. ”

Zhou Can glared at him angrily and walked directly to the operating table.

The patient is a young woman, in her twenties. There was a subcutaneous tumor on the inner thigh on her left side, which had been growing recently, and she was afraid that it was cancerous, so she came to Tuya Hospital for treatment.

Because of the good reputation of the emergency department, she chose to have this subcutaneous mass removal surgery in the emergency department.

Originally, general surgery could also be done.

The gynaecology side is also capable of handling it.

Subcutaneous lumps, as long as they are not too complex and the surgical risk factor is not particularly high, basically most surgeons are competent.

It stands to reason that cutting the lump in the thigh area is unlikely to cause the patient to bleed heavily in the lower body.

There were many doctors and nurses at the scene, and the possibility of Tang Wangnian taking advantage of the patient's anesthesia to do something extraordinary was almost zero.

So what is the cause of bleeding?

At this moment, the patient's breathing is very frightening, short, heavy, and the chest rises and falls violently.

It means that she needs to work hard to get a breath of fresh air.

In addition, her blood pressure is frighteningly low and still dropping.

The patient's abdomen is fairly flat.

Zhou Can pressed her abdomen slightly with his hand, and suddenly a large amount of blood gushed out from her lower body. The color is bright red.

Bleeding is still occurring and there is a large amount of blood in the abdominal cavity.

"Did the patient take a pregnancy test before the operation?"

Zhou Can stared at the patient's body and face for a while, and then asked Dr. Tang Wangnian.

Her physical appearance is quite similar to that of a pregnant woman.

(End of chapter)