Liu Tangchun wanted to integrate these two people together to write a paper - otherwise he really couldn't explain to Liu Pingchuan Liu, vice president of the company.

The content of Liu Tangchun and Liu Pingchuan's transaction was very simple, Liu Tangchun came forward to persuade Xu Yourong and Sun Lien to form a "scientific research team" together and sign the article, while Liu Pingchuan provided a convenient environment and funds for the two, as well as "case support".

Liu Pingchuan used his years of experience and connections to try to explain to Shen Qingmei how bad Chen Wen's situation was, while exerting pressure on the group of old classmates outside the Concord God. In any case, Chen Wen must be left in the Fourth Central Hospital first, and for this reason, he can even invite Xiehe's old friends to come to Ningyuan for a consultation - flying knives are okay, but transfer is not.

In fact, Liu Pingchuan's behavior can't be faulted, after all, his advice also has a good medical reason. Chen Wen's brain had just been pricked, and a cyst about three millimeters in diameter was sucked out of it, which was structurally more fragile than a normal brain. It is difficult to say whether the turbulence on the plane will cause Chen Wen's cranial pressure to fluctuate. Once there is an increase in intracranial pressure, the changed pressure is likely to push the brain tissue into other holes in the skull, resulting in brain herniation, which can lead to death during transport.

Although he has some selfish intentions, Liu Pingchuan's behavior is fundamentally for the sake of the patient. Staying in the well-equipped Fourth Central Hospital is obviously more beneficial to Chen Wen's treatment in the short term.

Liu Pingchuan put out his old face to beg for help, and the director of the Concord God was also happy to give Liu Pingchuan this face. The beds outside the Concord God were already tight, and since Chen Wen's condition was not urgent, they had nothing to be dissatisfied with.

Vice President Liu's face could make Concord give in, which made Liu Tangchun feel even more pressured. He didn't expect Xu Yourong to have such a big reaction to this arrangement. If the persuasion fails, he really has no face to see Lao Liu.

"This case?" Xu Yourong was obviously a little moved. In addition to surgery, diagnosis is a very important part of the list of skills that neurosurgeons need to master. Surgery can be accumulated through a large number of surgeries, but treating cases that have already been diagnosed by others will not help improve the doctor's diagnosis. To improve his diagnostic skills, Xu Yourong needs some cases that have not yet been diagnosed by peers to hone himself.

The group of three quickly rushed into the rescue room. Cao Yanhua is organizing the rescue of Xiaolin Xun. His systolic blood pressure soared all the way to 220, and the wound in his ear canal continued to bleed outward under the influence of blood pressure.

Esmolol had already been injected into Kobayashi's body through an intravenous channel. Esmolol, which took effect in the ultra-short term, quickly curbed Kobayashi's rapidly rising blood pressure. But his heartbeat was still fast and scary, Cao Yanhua thought about it again, and injected Xiao Lin Xun with two more units of esmolol, a drug that controls blood pressure, and can also play a role in arrhythmia.

"Hypertensive crisis caused by emotional agitation?" Seeing Xiao Linxun's vital signs return to normal, Cao Yanhua finally breathed a sigh of relief. But at the same time, it is even more confusing. If the previous Kobayashi ear canal bleeding was admitted to the hospital because of delayed bleeding caused by a car accident, then the current hypertensive crisis is simply a symptom of falling from the sky.

"It's not like that, how excited do ordinary people have to be to be angry like this?" Sun Lien observed Xiao Lin Xun's state again. Signs of amnesia and basilar skull fracture are still present. But in addition to high blood pressure, there is a new indicator. "Very low thyroid-stimulating hormone levels".

Extremely low? Sun Lien's heart tightened, this term was the first time he had seen it in the status bar. The state I saw before is at most "high", and I think it corresponds to "low". Extremely low values are generally not a good thing when they appear in human endocrine items.

"He was emotional and couldn't restrain himself. Sun Lien thought thoughtfully, "This morning, I talked to him about Lin Lan's surgical plan. He also appeared agitated and later had bleeding symptoms...... I thought it was delayed bleeding. ”

"Now it seems that it may not be. Xu Yourong nodded, "This symptom has already appeared in the morning. It's just that he stayed asleep because of a slight concussion, so he didn't continue to show it?"

"Now he's basically in shape. Liu Tangchun put his hands behind his back and looked at Kobayashi Kaoru on the bed with interest, "You two, discuss the condition and bring me a treatment plan together." ”

Sun Lien doesn't care, anyway, as a regular trainee who has no prescription authority, it is tantamount to a dream to get this kind of case diagnosis. The four surprises at noon now bring a new picture. Sun Lien almost wanted to jump up and shout "YES!"

And Xu Yourong was somewhat hesitant, "I have to go out of the outpatient clinic tomorrow......"

"Liu Pingchuan said, your outpatient mission is suspended. Liu Tangchun directly made arrangements for Vice President Liu to adjust his work. Anyway, as long as Xu Yourong is pulled into Sun Lien's case, he is not afraid that she will not sign the paper in the end.

Since when did the attending doctor sign the paper, and the department director and even the vice president need to be careful and thoughtful? Liu Tangchun felt that his heart was a little blocked.

Xu Yourong quickly nodded in agreement. Such a patient is challenging, and she does think about it.

"Do a thyroid quintale. Sun Lien's suggestion is very straightforward, since the status bar indicates low thyroid-stimulating hormone levels, then start with the thyroid gland first.

"It can't be a thyroid problem. Xu Yourong's attitude is very direct, "Hyperthyroidism will not cause intermittent emotional uncontrollability, do a cerebral angiography to rule out cerebrovascular accidents first." The car accident may have caused edema of part of his brain tissue and stopped the bleeding, which was subsiding over time, causing his heartbeat and blood pressure to respond. ”

"Brain angiography requires injections of contrast containing iodine, and if he has thyroid problems, the contrast may further stimulate his thyroid disease. It could have cost him his life. Sun Lien was taken aback by Xu Yourong's suggestion, although car accidents and cerebrovascular accidents are often closely linked, he prefers to believe the hints and judgments of the status bar. If Kaoru Kobayashi has a thyroid disease that can cause an hyperthyroid crisis, the risk to him is simply too great.

"Does he look like a hyperthyroid patient?" Xu Yourong was not very comfortable with the atmosphere of discussing his condition with others, especially not suitable for arguing with a regular trainee. "He didn't have a goiter, he didn't have a bulging eye, and he wasn't very thin. At the same time, apathetic hyperthyroidism without these three manifestations accounts for the majority of patients, and most of them are elderly. He didn't look like a man in his seventies or eighties. ”

"You can't see that his eyes are bulging, it's because he was in a car accident in the morning!" Sun Lien was anxious, "If you look closely, his entire forehead and cheekbones are hematomas, if you can see the protrusion in this way, then he must be a goldfish!"