Seeing that the cerebrospinal fluid was dripping out smoothly, Ye Nan breathed a sigh of relief, this time the puncture was finally successful, and there was no need to wear it a third time.

Ye Nan slowly pushed the needle back, temporarily stopped the cerebrospinal fluid from flowing out of the needle, and then reached out and took out three test tubes from the bag to be worn, preparing to leave the cerebrospinal fluid sample for testing.

Carefully arrange the test tubes in his hand in his right hand in a row and place them below the needle in the patient's spine, and then gently hold the needle with his left hand, and carefully pull it out at a slow speed, as the needle is withdrawn from the needle, the colorless and transparent cerebrospinal fluid quickly dripped from the needle into the test tube in Ye Nan's hand like a thread.

Seeing that the cerebrospinal fluid gushed out so fast, Ye Nan gently raised his delicate eyebrows, and the heart that had just been put down was raised again, and he said: "I can't imagine that the pressure in the patient's skull is so high, it seems that you have to be careful, you can't let the cerebrospinal fluid flow out too fast, in case the intracranial pressure drops too quickly, the brain herniation will be over!"

Looking at the small half-tube of colorless and transparent cerebrospinal fluid in the test tube in his hand, Ye Nan said: "Seeing that this cerebrospinal fluid is so clear, and there is no red blood mixed with it, it seems that subarachnoid hemorrhage can be completely ruled out, and the possible surname of purulent encephalitis is also very small, it should be certain that it is a virus surnamed encephalitis, as long as it is sent for the next test, it can be completely clear!"

When the three test tubes in his hand were dripping with a small half tube of cerebrospinal fluid, Ye Nan hurriedly pressed the fingers of his left hand against the needle, so that the cerebrospinal fluid would not flow out for the time being, and then handed the test tube in his hand to the nurse on the side, while explaining: "Wait and send it to the laboratory for routine cerebrospinal fluid and biochemical examination!"

When the nurse carefully reached out to catch the lower part of the test tube, without touching the sterile gloves on her hand at all, Ye Nan nodded with satisfaction, withdrew her hand, and then took out a manometer from the waist bag, carefully inserted the lower end of the manometry tube into the needle, and began to measure the intracranial pressure.

With the sleeve of the pressure tube, I saw that the cerebrospinal fluid scale in the pressure tube soared rapidly, this time Ye Nanke was much more careful, and quickly pinched the top of the pressure tube with his fingers, carefully blocking the pressure port at the top, so that the speed of cerebrospinal fluid entering the pressure tube slowed down rapidly.

Although this takes a lot of time, the safety is much improved, because if the cerebrospinal fluid flows out of the body too quickly, it will cause a sudden drop in intracranial pressure, which may also cause sudden brain herniation. Only by allowing cerebrospinal fluid to flow out slowly can the likelihood of herniation be minimized.

Watching the cerebrospinal fluid scale displayed in the manometer slowly rise, gradually exceeding the 200 mm water column, Ye Nan also began to get nervous.

After half a minute like this, as the cerebrospinal fluid scale was still slowly rising, Ye Nan's brows gradually began to wrinkle, and he said secretly: "The normal value is only 100~180 mm water column, if it continues to rise, this patient will really be in some trouble!"

But what should it rise will still rise, watching the cerebrospinal fluid scale slowly rise to more than 240 mm water column, Ye Nan's heart became more and more nervous, crying and secretly muttering: "Don't go up, it's going up...... If you want to go up again, then my blood pressure will go up too...... If you want to continue to rise, you will come if you don't have brain herniation. ”

Ye Nan was now obviously unable to stop, and secretly thought to himself: "You are the first to be banban, if you want to rise again, I won't do it, Lao Tzu, just extubate and issue a critical illness notice!"

It seems that the ancestral grave of this kid's family still has some green smoke, and the ancestors can still manage some things, under Ye Nan's prayer (of course, greeting the ancestors of others is also a prayer), the cerebrospinal fluid scale finally stayed at 250 mm water column, and it no longer rose!

Ye Nan stared at the 250 scale for half a minute, and finally made sure that it was no longer rising, so he wiped a handful of sweat with his sleeve and breathed a sigh of relief.

Carefully remove the manometer tube and insert the needle into the needle to block the cerebrospinal fluid so that it does not flow out.

Everything has been done properly, and it is estimated that the cerebrospinal fluid released just now can probably relieve the pressure in the skull a little, Ye Nan reached out and quickly pulled out the puncture needle, sealed the needle hole with a piece of gauze, and then changed the patient's position from the lateral decubitus position to lying flat, which successfully completed the lumbar puncture that made him tremble!

Pushing open the door, the family members saw that the operation was completed, so they rushed in, Ye Nan explained to the family members on the side: "Now let the patient continue to sleep, don't touch him, remember not to put a pillow on him, just lie flat like this, let him sleep for six hours, and I will wake him up again!"

Seeing that the patient was sleeping well now, the family members did not shout as loudly as the first one, and they all quickly nodded in agreement!

Ye Nan nodded to the patient's father and motioned for him to come to the office with him, and then explained the patient's condition to him, mainly to inform him that his condition was relatively serious, and it had basically been determined that it was the virus with encephalitis, which could be confirmed by the test results.

Hearing that it was confirmed that it was the virus surnamed encephalitis, the patient's father was stunned for a moment, and asked nervously: "Doctor Ye, is it really meningitis? Then my son will not become a fool in the future!"

Hearing this, Ye Nan laughed, shook his head and said: "Generally not, as long as we lower his body temperature, there will be no problem, but the main problem now is that the pressure in your son's skull is extremely high now, if the pressure is not lowered in time, then it is easy to have a possible surname of brain herniation, once this appears, then your son is very dangerous!

"Ah......" I won't be stupid when I hear it, the patient's father was happy, but then he was frightened by Ye Nan's words, his face turned white at that time, he grabbed Ye Nan's sleeve, looked at Ye Nan with a trembling voice and said: "Doctor Ye, you must help my son reduce that pressure, my family is such a precious son, but nothing can happen!"

Seeing that the other party was so nervous, Ye Nan hurriedly comforted: "Don't worry about this, we will try our best to treat it, and besides, there will be no problems, I'm just telling you that there is this dangerous surname! Don't worry too much!"

Hearing Ye Nan's words, the poor man finally relaxed a little.

Now that the patient's diagnosis is basically confirmed, Ye Nan began to make a big adjustment to the drugs he needs to use.

First of all, Ye Nan also gave some anti-inflammatory and antiviral drugs and antipyretic analgesics, and now the diagnosis has been clarified, so what needs to be used now is to add antiviral and intracranial pressure reducing drugs, as for anti-inflammatory drugs, you can use one!

Ye Nan opened the medical record folder and looked at the first doctor's order, and now he is using two antibiotics for the patient, one is the antibiotic bacteria of the third generation of cephalosporin, and the other is ordinary penicillin.

After thinking about it, picking up the pen, Ye Nan signed his name and time in the deactivation column behind the fungus, leaving only a penicillin.

Because the virus is called encephalitis, it is mainly caused by viruses, and the requirements for antibiotics are not too high, and although penicillin is a very common drug, it has a little benefit, that is, it has a very high pass rate on the blood-brain barrier, so the effect on intracranial infection is very good.

The blood-brain barrier refers to the structure of the cerebral capillaries that prevent certain substances (most of them are harmful, including drugs, impurities, etc.) from entering the cerebral circulation.

Although the effect of other advanced antibiotics is obviously stronger than penicillin, but the passage rate of these drugs to the blood-brain barrier is extremely low, even if they are used, they cannot pass through the blood-brain barrier, then they have no effect on the intracranial infection, so it is better not to use them!

Antiviral drugs, for the virus surname meningitis, the first choice is acyclovir, but acyclovir needs to be used once every 8 hours to maintain the best effect; as for lowering intracranial pressure, the most common mannitol is used, the effect is good, the price is cheap, although using too much will have some impact on kidney function, but this patient is young, there is no need to worry at all! It's just that the patient's intracranial pressure is higher, and it may also need to be dosed once every 8 hours to achieve the best effect.

After considering it, Ye Nan wrote down on the doctor's order: 250ml of 5% glucose was added to acyclovir 0.25g intravenous infusion every 8h (once every 8 hours, three times), and 20% mannitol 125ml intravenous infusion every 8h.

In view of the fact that the patient still has a serious fever, accompanied by severe vomiting, and cannot eat, he needs to protect the stomach to stop vomiting, and supplement a large amount of fluids and nutrients, so Ye Nan continued to choose 5% glucose 20ml plus cimetidine 0.4g intravenous bolus to protect the stomach, metoclopramide 10mg intramuscular injection to stop nausea, and 5% amino acids 250ml intravenous infusion to rehydrate and supplement nutrition!

After that, plus the drugs prescribed first, the total liquid is 2500ml, and the liquid volume is basically about the same. As long as this is maintained, the intracranial pressure is well controlled, and if nothing else, hang a handful of water for a week, this patient should be fine!

Throw the prescribed medical order to the nurse, and then find a few pieces of medical record paper and start writing medical records, medical records can not be delayed, delayed, maybe you will be busy in the future and have no time to write, this is Ye Nan's experience.

"Rustle...... Sha ......" The pen in Ye Nan's hand was drawing happily on the medical record paper, and when he saw that he was about to finish writing, his mobile phone suddenly rang.

Ye Nan frowned, and said, "Whoever is okay to find me at this time, I'm almost done writing, and I can't wait until I can!"

But I had no choice, so I had to take it and call while writing: "Hey...... Hello, I'm Ye Nan!"

"Ye Nan...... I'm Director Wu!"

"Director Wu, Director Wu of the Medical Department?" Ye Nan was a little confused, what was he looking for me? But people are in charge of themselves, Ye Nan hurriedly smiled and said, "Director Wu, hello, is there anything to find me?"

"Hmm...... Ye Nan, there's something I need to tell you!" Director Wu said helplessly.

Ye Nan could hear that Director Wu's voice was not quite right, and he had some bad premonitions in his heart, but he still asked with a smile: "Director Wu, what did you say, I listened!"

Director Wu sighed: "Ye Nan, don't be excited when you hear it, there is a notice that the hospital committee will criticize you and suspend you!"

"What?, suspension?" Ye Nan was startled, and the pen in his hand then drew a long mess on the paper.

"That's the case, the hospital committee is not at ease with your work during this time, but has frequent contact with all kinds of social media, appeared in all kinds of media for a long time, and made a large number of unrelated people stay near the hospital for a long time, which has led to chaos in the hospital and caused great obstacles to the smooth development of the hospital's medical work.

Director Wu finished reading this handling notice, sighed, and continued: "Ye Nan, your recent incident has made a lot of trouble, and the hospital committee is very annoyed by this, so I made this decision." So Ye Nan, don't take it too seriously, go home and rest for a while, and when there is more limelight this time, you will come back to work!"

At this time, Ye Nan was still in a daze, confused by this incident, and it took a while for him to come back to his senses, and he asked Director Wu angrily: "The hospital suspended me because of this? I didn't make any mistakes!"

Director Wu said helplessly: "Ye Nan, I know you are wronged, but this matter was raised by Vice President Xu, and the hospital committee has also passed it, there is no way to change it, you should take a holiday, rest in peace for a while, and you will be fine in a month!"

Ye Nan hung up the phone in a daze, looked at the medical records in his hand, and said secretly annoyed: "I didn't recruit anyone to provoke anyone, this Vice President Xu took the mouse medicine, damn it......"

Seeing Ye Nan's dejected look after answering the phone, his colleagues hurriedly gathered around and asked, "Ye Nan, what's the matter?"

Ye Nan said this with a wry smile, and his colleagues were indignant one by one, scolding Vice President Xu for not being a thing, and he was really lenient.

But there was no way, the hospital committee issued a notice, which could not be changed, so he had to comfort Ye Nan and let him rest assured for a while, and then come back to work after a month!

Since the matter has come to this, Ye Nan has no choice but to hand over all the patients in his hands to his colleagues, and then say hello to Wu Yuqin, the director of the department, and leave the hospital.

Ye Nan drove the car and drove directly home, sighed with a wry smile, and said, "It's okay, anyway, I haven't taken a long vacation for a long time, so it's good to rest for a while and relax!"

When he got home, he pushed open the door and shouted Fang Wei a few times, wanting him to accompany him to drink some wine and relax, but found that Fang Wei didn't know where to run. The phone was turned off again, but I was afraid that I was hiding somewhere to run the cuties.

Ye Nan, who was really bored, found it really boring after being on the Internet at home for a while, so he decided to go to a military club that he hadn't been to for a long time to play, and by the way, he would dispel this sulk.

Driving the car, racing all the way, watching the surrounding scenery whistling away like a shadow, overtaking I don't know how many cars, causing a lot of scolding from the people behind, Ye Nan slowed down his speed, let out a long breath, and slightly eliminated some of the depression in his heart.

Turning into the road on the outskirts of the city, I walked for about ten minutes before I arrived at the Zhongnan Military Club, took out the membership card given by Manager Wang last time, and entered it smoothly.

Looking for the quiet beauty last time, Ye Nan was not in the mood to talk too much with her now, and after a few perfunctory words, he received a 92-type pistol and a hundred rounds of ammunition, adjusted the target to the farthest twenty-five meters, and held the gun at the target is a random bombardment.

In the first dozen or so shots, Ye Nan was purely out of anger and shot indiscriminately, although he did not miss the target, but he was all the appearance of the second and third rings, the third and fourth rings, but later, with a period of habitual aiming and shooting, Ye Nan's eyes gradually dilated, and the target in the field of vision also slowly increased.

The target twenty-five meters away originally looked like the size of a volleyball, but gradually it became as big as a wheel in Ye Nan's eyes, and the slightest aim was the nine rings and ten rings. Moreover, the twelve bullets in one magazine were all hit in the same bullet hole.

Only after the magazine is changed, a new bullet hole will be opened, and then all the bullets in the magazine will be shot into this one bullet hole!

Ye Nan is not surprised by his ability now, but he makes others stunned.

In that hidden basement, the same cold and glamorous beauty from the special three places looked at Ye Nan in the monitor blankly, watching him shoot all the bullets behind the same bullet hole!

After Ye Nan finished ejaculating, the beauty came back to her senses in a daze, turned her head to Manager Wang behind her and asked, "Have you found any special circumstances for this Ye Nan recently?"

Manager Wang said respectfully: "Dong Li, this is the first time Ye Nan has come to the club since the last time, I just found some interesting news about him in the newspaper!"

The cold beauty was stunned: "Are you saying that after I came that time, he also came here for the first time to play?"

"Yes, it's a coincidence, it's indeed the first time he's here during this time!" Manager Wang replied with a smile on the side!

Hearing this, a faint smile bloomed on Li Dong's cold face, which was just fleeting: "It seems that I am really quite close to him! Tell me, what news about him is in the newspaper?"

"A few days ago, there was a hijacking case at Central South Normal University, where two armed robbers kidnapped a group of students and confronted the police. And it just so happened that there were two girls in this group of students who were Ye Nan and the girlfriends of our club guide, and the two of them single-handedly, in full view of everyone, climbed from the sixth floor to the fifth floor, and then entered the room where the robbers were, successfully subdued the robbers, and rescued everyone!"

Manager Wang said this, and said with a light smile: "So, this Ye Nan has been quite famous recently, and all the media in Zhongnan can find his news! I also have video materials of him saving people here, you can watch it if you need it!"

The cold beauty nodded in surprise, and a strange light flashed in her eyes: "Oh...... Is there such a thing? Let's take a look!"

Manager Wang stepped forward and clicked twice on the computer on the table with his mouse, and soon the rescue video of Ye Nan and Fang Wei filmed by Zhongnan TV appeared on the curtain wall opposite!

"Are you quite bold!" Leng Yanmei watched the thrilling action of the two of them from the sixth floor to the fifth floor, and couldn't help but sigh lightly, and said: "The two of them didn't carry any weapons, they dared to rush in like this to save people, and they didn't successfully rescue people, and in the end, there was no news that they had used special abilities, it seems that this Ye Nan really has two brushes!"

Now, this cold and glamorous beauty became more and more interested in Ye Nan, and commanded: "Look at what this kid is doing now?"

Manager Wang took the remote control to switch back to the monitor, but found that Ye Nan had already left.

Manager Wang was stunned for a moment, pressed the headset on his ear, and asked in a low voice, "Ye Nan, who just went to the underground shooting range, where is he now?"

After waiting for more than ten seconds, a message came from the monitoring center: "Ye Nan has entered the boxing ring on the second floor and is now in the locker room! Do you need to switch scenes?"

"No, wait for him to enter the boxing ring, and then switch!" Manager Wang hurriedly replied, if he really switched to the locker room, Li Dong was afraid that he would go crazy on the spot!

And Ye Nangang was in the shooting range, after firing a hundred bullets, he felt that his anger was still not very smooth, and he remembered that there seemed to be a boxing ring on the second floor, so he planned to go to the boxing ring, get together one or two people, and vent his anger!

Only then did I go up to the second floor, go to the locker room and change into a pair of big shorts for boxing, and walked out slowly!

Before getting closer, there were more than a dozen people standing scattered in the field, among which there were a few familiar beauties, all staring at the stage excitedly, and from time to time they shouted: "Come on!"

And now the two people fighting each other on the stage are coming and going, and they are fighting very fiercely.

Seeing the scene that made his blood boil, Ye Nanqing's beautiful and handsome face showed a smile of extreme excitement

(To be continued)