When a doctor opened a plug-in

After speaking, Zhao Danyan asked quickly: "Have you contacted your family?"

The babysitter said anxiously, "Doctor, this...Miss Mi's parents were absent three years ago, and now she is in the capital alone!"

"When I contacted her boyfriend, they said they had broken up, so I don't need to contact him again!"

Some words made Chen Cang and Zhao Danyan look at this little girl, feeling a little more distressed.

However, this situation is not uncommon in emergency department!

Medical Affairs Division for the record!

Emergency rescue!

At this time, Xu Ziming said, "Director Hong of Neurosurgery is here."

While speaking, a middle-aged man came in with him.

After seeing Zhao Danyan, he nodded: "Good Director Zhao, Good Doctor Chen."

Zhao Danyan nodded: "Well, Doctor Hong! You can show the patient's condition."

Hong Sheng nodded, picked up the film and watched it, frowning!

It's just... the more Hong Sheng watched the film, the more embarrassed he was. After a while, he said.

"It must be surgery!"

"Because the patient's situation is so special."

"Generally speaking, intracranial hemorrhage requires hemostatic drugs, but the patient also has deep vein thrombosis. At this time, the superior sagittal sinus is blocked by more than 70%. After the blockage, hematoma has formed!"

"At this time, if hemostatic drugs are used, not only will it not stop the bleeding, but it will also aggravate deep venous sinus thrombosis, aggravate hematoma, and induce massive bleeding!"

"What is the intracranial pressure now?"

Zhao Danyan said directly: "Half an hour ago, what was measured in the car was 400 water columns! Mannitol was used..."

After hearing what Zhao Danyan said, Hong Sheng here took a deep breath and started to ponder.

In the entire rescue room, everyone fell into a tense silence.

As an experienced senior deputy chief physician, Hong Sheng naturally has a set of treatment methods, but the patient's situation is too special.

After hearing what Hong Sheng said, Zhao Danyan here was also embarrassed:

"Indeed, once the parietal lobe hematoma continues to increase, it will definitely lead to further aggravation of brain edema. At that time, brain herniation may be induced at any time, and even...life-threatening!"

"Can surgery? Director Hong?"

It's midnight, can't you just drag it like this?

Hong Sheng nodded: "It can be, and even surgery is the best treatment. The patient's intracranial pressure exists because of bleeding and edema. The bleeding can be removed during surgery. However, if this deep venous sinus thrombosis... Inducing cerebral hemorrhage, it is better to use Sindou Transverse Sinus Bypass in the subsequent use!

After speaking, Hong Sheng said with some embarrassment: "But not now. Let's lower the intracranial pressure first."

"Director Zhao, you still need to design a plan!"

Zhao Danyan took a deep breath: "Okay!"

At this moment, the test results came out!

However, after Chen Cang saw the test sheet, he was immediately confused.

Platelets are more than twice as high as normal, plasma viscosity is also very high, homocysteine ​​70!

This suddenly made Chen Cang frown.

How can such a 24-year-old girl reach such a high concentration state?

pregnancy?

But yesterday the patient said he was not pregnant!

Not only Chen Cang, but Zhao Danyan, Hong Sheng and others thought of this possibility!

So, quickly let the B-ultrasound doctor do a check.

As a result, everyone was relieved.

Not pregnant!

However, there is no genetic disease, no special disease, what kind of state can induce such a hypercoagulable state?

Such a state, even after surgery, may still induce cerebral thrombosis.

At this time, Chen Cang suddenly said, "Sister Yang, ask the laboratory to check progesterone and estrogen."

Hearing Chen Cang's words, Zhao Danyan and Hong Sheng became slightly curious.

Why do you check this?

The patient is not pregnant.

With such high coagulation, thrombolytic drugs can be used.

However, we still need to be cautious.

Zhao Danyan was struggling, thinking for a long time, and suddenly said: "Use urokinase to dissolve thrombosis, heparin calcium calcium anticoagulation, while improving circulation and reducing intracranial pressure!"

"Give hyperbaric oxygen to promote the recovery of nerve function and limbs."

"It's best to ensure that the operation can be completed this morning!"

As a result, several people in the emergency room began to be nervous again.

During the whole process, the patient's condition must be monitored at all times. The intracranial pressure was measured twice in one night.

When it was less than 7 o'clock, the intracranial pressure reached about 200. Most importantly, the patient's overall condition was relieved.

If the patient is undergoing surgery at the beginning, the inherent heart rate is lowered, and the pulse and blood pressure are abnormal, which is prone to problems.

In the rescue room, a few people struggled for the whole night, and they didn't catch a glance.

Fortunately, the patient's condition is getting better.

Mitty opened his eyes at this time, looked at the people around, and suddenly became silent.

Chen Cang looked at Mitty and couldn't help laughing.

After Zhao Danyan checked the situation, Mitty has improved a lot from last night.

At this time, Hong Sheng also breathed a sigh of relief: "Then I will go up first. If the patient has surgery... I suggest that you still invite Director Xue to do it. The location of the upper sagittal sinus blockage is quite special. I understand, and his subarachnoid space is better at serum wounds, it is not easy to damage the surrounding tissues, and the sequelae are less."

Speaking of this, Hong Sheng couldn't help but said: "After all, I studied at Harvard Medical School for two years, and the level is very high!"

At this time, the test results of progesterone and estrogen also came out.

When handing it to Chen Cang's hand, Chen Cang suddenly frowned.

Why is the progesterone index so high?

Seeing Mitty's silence, Chen Cang couldn't help asking: "Are you taking contraceptives for a long time?"

Mitty looked at Chen Cang with pity and tears.

"Ok."

The sound is very soft.

When Mitty woke up, it seemed that she had experienced life and death, like a world away, making her feel ridiculous.

Give so much for a man!

But what is it in the end?

Zhao Danyan, Xu Ziming and others looked at Chen Cang: "What do you mean?"

Chen Cang said: "Contraceptives contain a large amount of progesterone. Long-term use will increase the coagulation components in the blood, resulting in increased blood viscosity and slowing of blood flow, which may induce thrombosis in the venous sinuses!"

"Women who take long-term oral contraceptives will have eight to ten times higher incidence of deep vein sinus thrombosis than those who have not taken them!"

Some words made Mitty cry.

When the people around saw this scene, they couldn't help sighing.

Poor girl!

Peng Zhen, the nanny on the side, cried distressedly while holding Mitty: "Poor child, how come you meet such a bastard!"

...

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