I can see the status bar

Chapter 873 Families of Martyrs
The case wasn't particularly complicated, but easy to diagnose...not so easy.

The patient is an elderly woman named Zhang Xiedi, 65 years old this year.The patient reported that he had symptoms of dizziness, nausea and retching due to catching a cold one month ago.This symptom persisted for almost a full month.It's okay to lie flat, but as long as she stands up or sits down, Zhang Xiedi will experience unbearable dizziness and nausea, and then retch without being able to vomit anything.

The feeling of being present all the time makes people feel very uncomfortable, and Zhang Xiedi's own situation is quite special - she lost her father when she was young, and lost her husband when she was middle-aged. His son Liu Banjun.Liu Banjun resolutely signed up to join the army when he was 20 years old, and was selected as an armored soldier.

The heavy snowfall two years ago caused serious snowstorm disasters in Song'an Province and several surrounding provinces.As the son of Zhang Xiedi, a soldier of the people, Liu Banjun is of course duty bound - he and his comrades walked on the Panshan Highway to help the local traffic police and sweepers clear the way.Liu Banjun and other comrades used shovels, picks, picks and even hands to dig up all the places that machines couldn't get through.

The digging lasted almost a full day, and when the road opened, even the nice guys in their 20s were exhausted.And at this moment, Liu Banjun suddenly noticed that a little soldier in his class seemed to be staggering a little.And less than one meter above his feet was a cliff.

Liu Banjun dared not speak loudly, for fear of frightening his comrades.He walked around behind his comrade without saying a word, and just as he was about to touch his comrade, the little soldier's feet softened and he fell towards the cliff.

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The little soldier didn't fall off the cliff. The one who fell off the cliff was the squad leader who rushed towards him, Zhang Xiedi's son Liu Banjun.

By the time the battalion commander, who had lost a shoe, and the regiment leader, who had lost his coat, arrived at the foot of the mountain, Liu Banjun's body was already exhausted.It took a long time for the other fighters to gather all his remains together.

The rescued little soldier cried so much that he almost fainted, while the other comrades also had red eyes and remained silent for a long time.

Two days later, the head of Liu Banjun and comrades from the local People's Armed Forces Department conveyed the sad news to Zhang Xiedi. Zhang Xiedi held back her grief and told Liu Banjun's girlfriend about the situation before passing out. .

He bravely rescued his comrades, even at the expense of his life.Liu Banjun was posthumously recorded as a second-class meritorious service, and Zhang Xiedi became a family member of a revolutionary martyr.The staff of the local Civil Affairs Bureau would visit Zhang Xiedi's home every other month or so because they knew that Zhang Xiedi's home was in a special situation.Help with housework and solve some life problems for her.

This time Zhang Xiedi was sent to the emergency room precisely because the staff of the Civil Affairs Bureau who came to visit found that something was wrong.Only then did I quickly contact the 120 ambulance.After arriving at the hospital, Zhou Jun only found out after asking that Zhang Xiedi's dizziness had lasted for almost a month.

"We have already done a head CT for her, and we also called the ENT department to come over and give her a vestibular function test." Zhou Jun saw that Sun Lien had studied for a long time, and it seemed that he hadn't figured out why, so he said Explained, "There were no abnormalities in the two tests. However, the patient still complained of dizziness and nausea."

"I'm about to ask for an otolaryngology consultation first." Sun Lien smiled at Zhou Jun, then continued to frown and read the report.Generally speaking, there is nothing particularly surprising about this set of reports—except for Zhang Xiedi's blood pressure was slightly high when she was admitted to the hospital, she did not have any abnormalities.

But the problem lies in this "no exception".If the patient is abnormal everywhere, why is she still sick?Sun Lien looked at the case several times, and it seemed that, except for the patient's blood potassium level being slightly low, and the report of a hyponatremia and a hypochloremia, there was almost nothing worth noting.

Zhang Xiedi's blood potassium level is actually not very low, at least not to the point where a downward arrow needs to be marked on the test report - 3.6mmol/L. Although this level is relatively low, it is definitely not abnormal.

However, her blood sodium level was lower than the theoretical reference value - the detection value of 123.8mmol/L was lower than the normal minimum level of 135mmol/L, and the blood chlorine was also lower than the reference value of 95mmol/L. Her examination The result was 92.9 mmol/L.

In Sun Lien's view, these data are certainly not normal, but it seems that they can all be explained by dizziness, nausea and retching - if the patient has dizziness and nausea, her usual diet and drinking water will definitely be affected.Potassium, sodium, and chlorine are important substances to maintain the balance of electrolytes in the body, which are supplemented through diet and excreted from the body through metabolism.When a patient is unable to eat normally for an extended period of time, the patient's levels of these electrolytes are bound to drop.

That is, changes in these indicators appear to be a consequence of the disease rather than a cause.The real cause of the martyr's mother's distress is still hidden in the fog.

"This patient is a family member of a martyr, so the treatment fee can be paid from the Civil Affairs Bureau." Zhou Jun explained the reason why he planned to transfer the patient to Sun Li'en at the right time, "But it's not a problem for him to live in the emergency department now." My son—I have broken arms or broken legs all day long. The old lady is not in a good mood every day when she sees these patients. It is a helpless move to stay for a day or two. I have lived for three days, and I will stay again Go down, I'm afraid that the old lady will cause problems."

The emergency department is a place close to death, especially in the emergency room-it is a battlefield almost every day.As Zhou Jun said, broken arms and legs are common.In one day, at least three or five people died after rescue failed.Although the emergency room is large, it is really not suitable to put an old man here.

"Why didn't you transfer it to Shennei?" Sun Lien frowned and asked, "Isn't the symptom of dizziness just suitable for Shennei?"

"Shennei thinks that the patient's electrolytes are not right, and should be handed over to endocrinology first." Zhou Jun rolled his eyes and complained, "endocrinology is willing to accept the patient, but the patient is determined not to go. She said that the endocrinology department Nothing but drawing blood."

Sun Lien blinked, and then asked, "Is the patient's compliance not good?"

"No." Zhou Jun shook his head and said, "The patient's own compliance is very good, but she just refuses to go to the endocrinology department. No matter how much you persuade her, it's useless—we drew her blood in the emergency department, and she has no complaints at all."

This is strange, Sun Li'en thought for a while, and then asked, "I have no objection to the transfer to our department. If the patient agrees, then I will go back to receive it now."

"As long as it's not an endocrinology department, she seems to be fine." Zhou Jun was also a little unclear why the martyr's family had such a big opinion on the endocrinology department.However, as long as the patient can be transferred to other departments, Zhou Jun will be content—continuing to put her in the emergency department, delaying the turnover rate of the hospital bed is a trivial matter, what if someone is frightened into something bad?
After speaking a few more words with Zhou Jun, Sun Lien turned around and entered the emergency room.According to Zhou Jun's guidance, he found the hospital bed closest to the wall.Then I saw this patient who had great opinions on the Department of Endocrinology.

"Zhang Xiedi, female, 65 years old. Syndrome of abnormal secretion of antidiuretic hormone (738.32.54)"

(End of this chapter)