After raising a cat, the goddess doctor became popular in the interstellar

Chapter 5 I Still Have Traditional Chinese Medicine Inheritance

"Does the patient have high blood pressure, heart disease, high blood sugar, and high blood fat?" Zhao Heng asked while opening the patient's eyelids.

Tao Le had already turned on the phone, and at this moment she called up the flashlight function, and coordinated with his movement of rolling the eyelids, she shone the light on the patient's pupils.

Zhao Heng looked up at Tao Le, affirming her quick reaction.

"My dad suffered from high blood pressure at the age of 50, and it has been 20 years now. The heart and blood sugar are fine, but the blood lipids are a bit high. I have already taken daily antihypertensive drugs this morning, and it was just after the plane was turbulent, suddenly."

High blood pressure may cause cerebral hemorrhage.Hyperlipidemia may lead to the formation of thrombus, causing cerebral infarction.These two diseases, no matter which one they are, are not good things.Zhao Heng sighed.

For such an acute disease, brain imaging examinations must be done, that is, brain CT or MRI, which is often referred to as brain CT or MRI. At the same time, multiple indicators such as complete blood count and creatinine must be tested to determine the cause, and intravenous antihypertensive or thrombolytic therapy should be given according to the results. Depending on the situation, craniotomy may also be performed.

But on this plane, no examination and treatment can be done.

"The pupil of the patient's left eye is constricted, and the light reflex is weakened, while the right eye is normal." Tao Le said the result of the light reflex.

This result is neither too good nor too bad.

"Did you get the blood pressure monitor?" Zhao Heng asked.

"The blood pressure is about 180/130, the heart rate is 110, and the blood oxygen saturation is poor. It is recommended to infuse oxygen immediately to improve oxygenation." Tao Le couldn't help but interjected.

She directly read out the data on the golden finger interface, just to save time.

However, no one at the scene paid attention to her.

The flight attendant handed the blood pressure monitor to Zhao Heng, who took the measurement seriously.

The results came out quickly. 180/130, heart rate 112.There is almost no difference from what she just said.

Seeing this result, everyone turned their attention to Tao Le.

Tao Le didn't explain anything.Her complexion was as usual, neither resentful because of being ignored just now, nor complacent because of the same result.

There was a trace of appreciation in Zhao Heng's eyes.

"I agree with your suggestion, give oxygen," he said.

The patient's heart beats fast, often because the oxygen content in the blood is not high, and the heart needs to beat harder to increase the intake of oxygen.Oxygen infusion can quickly improve this symptom.

To be honest, this is the only medical support that patients can get on the plane now.

Tao Le buckled the oxygen mask on the patient's face and adjusted the flow.Zhao Heng glanced at it and found that Tao Le had set it at 3L per minute, which was just right.

Oxygen concentration is not as high as possible.If the concentration is low, the effect will not be achieved; if it is high, without any monitoring equipment, it may cause metabolic acidosis, which is counterproductive.

This female student must have performed very well during the internship.Quick response, quick hands and feet, solid basic skills, and even surprise yourself once.

The patient's breathing becomes even.On the interface in front of Tao Le, the patient's blood oxygen saturation has increased to 92%, and the heart rate has also dropped to 95.

Zhao Heng stood up and explained the condition to the patient's son.

"Combined with various symptoms, it is now highly suspected that your father has a cerebral hemorrhage or acute cerebral infarction."

Most people understand what these two medical terms mean.

Although there were speculations, the patient's son panicked when he heard that it was indeed such a serious illness.

"Director, can you save him? My father's safety is very important. He came to Yunshi to discuss a project worth more than 20 billion yuan. Nothing will happen!"

Zhao Heng sighed: "Doctors are not omnipotent, they can only do their best. But if your father can still remain awake when he arrives at the hospital, there is no doubt that there is hope for recovery later."

He turned to the flight attendant: "Report to the air traffic control that there are critically ill patients here, suspected to be cerebral hemorrhage or cerebral infarction, please provide all convenience and support, and prepare an ambulance at the same time."

The flight attendant hurried to report to the captain to contact the regional air traffic control.

The plane has been flying for nearly an hour now, and there are continuous mountainous areas below. The nearest airport to land is Yunshi, which is also the original destination of the flight.

The flight attendant came back after a while and brought back good news: "The air traffic control has opened up a green channel for us, directing the surrounding aircraft to avoid and allow us to land first."

"The plane is speeding up now, but it will take at least four or 10 minutes. The airport emergency center is ready, and the ambulance will be there as soon as possible."

Zhao Heng and Tao Le looked at each other.Four 10 minutes, although it is not long to say long, it is not short to say short!
The positive factor is that the patient has not vomited or passed out so far, and the situation is still under control.

But cerebral hemorrhage has never been justified.

In Zhao Heng's view, there was nothing left to do but wait.

"Little Tao, what do you think of this patient?" He asked Tao Le gently.

"I judged that it was a hemorrhage in one side of the thalamus. The amount of bleeding is not large for the time being, but if it is not treated in time, it is hard to say." Tao Le replied.

"Oh?" Zhao Heng became interested: "How do you judge that it is the thalamus, not the brainstem and other parts?"

"The director is examining me." Tao Le said: "Only a thalamic hemorrhage can cause the patient's mouth to be skewed, numb or hemiplegic."

"Don't forget the brain blockage." Zhao Heng reminded.Unless CT is done, he can't accurately judge which type it belongs to.

Cerebral hemorrhage can be seen clearly on CT, but cerebral infarction cannot be seen at that time, and the low-density image can only be detected on CT after 24 to 48 hours.

"It's not cerebral infarction." Tao Le's voice was not high, but with unquestionable affirmation.

"I don't want it to be a cerebral infarction either. But the fact is, we can't tell the difference now."

Tao Le's heart skipped a beat.She found a reason to persuade the other party: "I took the patient's pulse. It is a flood pulse, which is slightly slippery when counted. It is a cerebral hemorrhage caused by high blood pressure. The pulse looks like this."

"Cerebral obstruction is due to thrombus blocking the blood vessels in the brain, resulting in poor blood flow. The pulse should be thin and stringy, few, or astringent."

These words moved Zhao Heng: "You didn't graduate from clinical medicine? How do you know Chinese medicine?"

As the director of cardiovascular surgery, he agrees with the curative effect of traditional Chinese medicine on cardiovascular and cerebrovascular diseases.Even, usually, Chinese patent medicines are prescribed to patients to dredge the blood vessels and regulate the body.

Zhao Heng knew several well-known Chinese medicine practitioners in the industry. They could indeed tell the difference between a cerebral hemorrhage and a cerebral infarction just by feeling the pulse, but they were all old doctors who had been practicing medicine for many years, and they had so much experience.

The little girl in front of me, even if she learned Chinese medicine from her mother's womb, she may not be able to distinguish such subtle pulse patterns.

"Although my major is Western medicine, I also have traditional Chinese medicine." Tao Le said.She was a little depressed, because her mentor didn't know her at all, and it really couldn't be justified to say that her medical skills were passed on from him.

Fortunately, Zhao Heng didn't ask any further questions.He was inclined to trust her, an idea that hadn't been seen often in his many years of medical practice.

Soon they stopped chatting as the patient turned his head to one side and fell unconscious without warning.

(End of this chapter)