world famous doctor

Chapter 3 Acute Cerebral Infarction

The old lady was already in a coma, and she couldn't quickly compare and identify it according to the "120" formula. Zhou Chen could only rely on the help of the famous doctor system.

He didn't dare to hesitate, and immediately ordered:
"System, scan the old lady's body immediately."

"Consumed 500 likes, physical examination scan in progress..."

Only then did Zhou Chen realize that the system could assist him, but actively asking the system to do things required payment.

This remuneration is the deduction of the previous compliments.

After a scan by the system, a line of words appeared in Zhou Chen's sea of ​​consciousness.

"The patient presented with acute limb paralysis, light coma, progressive aggravation of disturbance of consciousness, no movement of bilateral eyeballs, pupil equicircle of 2.1 mm, NIHSS score of 25, consideration: acute cerebral infarction."

In less than a minute, the system gave the symptoms.

"Are you sure it's a cerebral infarction?" Zhou Chen asked.

"Consume 200 likes."

"The system is further examining the patient's CT imaging report..."

"Drip drip..."

After a few seconds.

"The report suggests: the left basal ganglia and the right pontine brain tissue see patchy low-density shadows, the edges are unclear, and the brain cisterns and bilateral ventricles are severely enlarged."

"Conclusion: Ischemic pathological changes in local brain tissue."

"System prompt: The patient has been diagnosed with acute severe cerebral infarction."

what?
Acute severe cerebral infarction?
Hearing this result, Zhou Chen, who had studied medicine, naturally understood the horror of his illness.

This is not a disease that can be compared with those who have six left hands and seven right hands, and those who draw circles with their left feet and kick with their right feet.

The onset of acute severe cerebral infarction is sudden and serious, which can endanger the life of the patient in a short period of time.

Zhou Chen tried his best to recall the basic medical knowledge learned in medical university, piecemeal.

"Then what should I do now?" Zhou Chen asked.

"Consume 200 likes."

"The famous doctor system has checked the patient's body and confirmed that there is no bleeding point in the brain..."

"Hint: Patients with acute cerebral infarction need anticoagulation and intravenous thrombolysis."

Let me go. Do you have to waste likes to ask a question?

How poor is this system?

A money fan.

Zhou Chen also had a heartache.

Initially got 1000 likes, plus 1 like to comfort Liu Hai, only 101 likes left in the blink of an eye.

"Reminder of drugs used: Plavix, aspirin, urokinase, reteplase."

Zhou Chen didn't know much about the properties of these western medicines.

He then asked the system to make detailed comments on these effects.

"Consume 50 likes, Plavix, also known as clopidogrel bisulfate tablets, anti-platelet preparations to prevent thrombosis in the arterial system."

"Consumption of 50 likes, aspirin, used for antipyretic, anti-inflammatory, analgesic, anti-platelet aggregation..."

When it comes to urokinase, the system prompts that the number of "likes" is insufficient, so there is no more content.

Damn, it's a real trap to lose the chain at a critical moment.

Zhou Chen complained in his heart, and then analyzed it. The first two medicines are not suitable for the symptoms. It seems that he should choose one of the last two.

In a moment of desperation, he hastily chose the third item, urokinase.

Shen Meng raised her head and urged loudly: "Zhou Chen, why are you in a daze, help me quickly."

Zhou Chen didn't pay much attention to her. He glanced at it and saw a pharmacy not far away, so he ran to the pharmacy quickly.

People around did not understand Zhou Chen's weird behavior.

Shen Meng thought about it this time, did this "spiritual guy" fall ill again right now?

The situation was urgent, and Shen Meng had no choice but to rescue him alone.

Fortunately, the old lady's head was tilted to one side when she was unconscious.

Shen Meng didn't dare to move, and maintained the old lady's unconscious side-lying position, trying to let her breathe unobstructed to prevent suffocation.

Shen Meng turned around and greeted everyone: "Please don't get too close, give up a certain space, the patient needs ventilation."

An enthusiastic passer-by hurried to the side of the road to stop the car.

After the taxi stopped, when it heard that it was going to take the fainted old man to the hospital, they were afraid of getting into trouble, so they drove away without saying a word.

None of the private cars were willing to stop, and most of them slowed down to watch the excitement.

Through Shen Menggang's examination for the old lady, it was found that the old lady's elbow showed signs of fracture, which was a closed fracture.

The old lady must have hit her elbow when she fell.

Since I couldn't stop the car immediately, I could only wait for the ambulance to arrive.

during this time.

Shen Meng believed that the only thing that could be done immediately was to temporarily fix the old lady's hand in time.

She found a magazine at the nearby newsstand, rolled it around the old lady's arm, and tied it with a scarf.

After Zhou Chen bought the medicine, it came back again.

He stopped sharply: "Wait a minute, don't rush to fix it."

Based on the current critical condition of the patient, dealing with minor fractures will delay the best rescue time.

The system issued an emergency alarm again.

"Dididi... The patient has a large area of ​​infarction in the blood vessels in the brain, and the brain is severely ischemic and hypoxic. Please take the medicine in time to avoid cerebral edema and brain herniation."

Shen Meng was very puzzled by Zhou Chen's unreasonable stoppage.

"Zhou Chen, what are you doing? Don't you even know the most basic medical first aid knowledge? After a patient has a fracture, they should limit their movements and temporarily immobilize them..."

Her words were filled with eagerness and her confidence in her medical expertise.

"Shen Meng, now is not the time for popular science and medical knowledge. I understand all this, but don't forget that the old lady's fainting is due to a cerebral infarction. It is not a fracture that is life-threatening. The matter is serious, and we are the first to bear the brunt right now. What I have to do is to dissolve the thrombosis for her..."

The situation was urgent, Shen Meng couldn't listen to his nagging, so she squatted down again and continued to fix and bandage the old lady's broken arm.

"Shen Meng, doing this will only delay the best treatment time."

While talking, Zhou Chen used the aspirin and liquid Plavix he just bought to serve the old lady to drink.

Unexpectedly, when the medicine was just brought to the old lady's mouth, Shen Meng knocked it over and lost her temper with Zhou Chen.

"Now is the time when human life is at stake, please stop messing around, okay?"

"I'm saving her." Zhou Chen argued with reason.

"Rescue people? Do you know that she is unconscious now, our most important thing is to prevent the patient from suffocating and coughing, but you are doing well, and give her some medicine? What if she chokes into the trachea? That will only speed up the process." The death of the patient!"

Of course, in the medical university, Zhou Chen's grades were mediocre, and he was always "mentally disturbed".

When it comes to practicing medicine to save lives, Shen Meng thinks that he is incomparable with himself, a top student in medical university.

Shen Meng had lost her patience, and directly issued orders to Zhou Chen:
"Forget it, just stand aside and don't make trouble for me."

Zhou Chen's expression was slightly taken aback.

The surrounding crowd also accused Zhou Chen one after another.

"I said you young man, this is a matter of life and death, can you stop messing around here?"

"Yeah, I think this little girl is quite professional, don't bother her to save lives."

"Young man, stay where it's cool."

Instead of helping, it became more trouble?
Zhou Chen was full of helplessness, unable to argue, but couldn't bear it.

"Shut up, all of you, I went to a medical university, and I know first aid."

As soon as this word comes out.

"Have courage, get likes +20"

The system immediately gave 20 likes.

Huh?Can hate people also get "likes"?
Zhou Chen thought to himself.

In fact, he was the only one present who knew best that if this delay continued, it would only cause irreversible damage to the patient in the end.

At this moment, the system issued another alarm.

"The patient's intracranial blood flow is weakened, and the loss of brain tissue metabolic function is accelerated. Please treat the patient with intravenous thrombolysis as soon as possible."

At this moment, Zhou Chen suddenly realized.

The "venous thrombolysis" in the big gift package distributed by the system can finally come in handy.

Although this skill is only entry-level, as long as it can save lives.

The patient's life comes first, so Zhou Chen can't care about those gossips for a while.

He said solemnly: "Shen Meng, please stop your bandaging immediately, the fracture is not in the way, it will not be life-threatening, we should immediately give this old lady intravenous thrombolysis."

"There are many reasons for fainting, how can you be so sure that she must have a cerebral infarction?" Shen Meng asked

"I don't have time to explain to you now." Zhou Chen said anxiously.

Thrombolytic therapy is divided into arterial thrombolysis and intravenous thrombolysis.

In large hospitals, no matter in any critical situation, if there are patients who need thrombolytic therapy, the treatment must be given after obtaining the consent of the patient's family members.

Medical personnel are not allowed to make private claims, otherwise they will bear their own responsibilities.

Because thrombolytic therapy has many uncertainties and risks.

Shen Meng quickly fixed and bandaged the old lady's fractured hand, and after a series of rescue measures, she stood up and prepared to make an emergency call.

"I have called the emergency number just now, and it is estimated that it will be here soon." Someone said.

What to do now is to wait quietly for the arrival of the ambulance.

Shen Meng looked sharply at Zhou Chen.

She said in an instigated and reprimanded tone:
"Zhou Chen, what did you just say? Give her intravenous thrombolysis? Even if the old lady really has a cerebral infarction, do you know that there are many contraindications to intravenous thrombolysis? And the risk of thrombolysis is also very high. Carelessness will lead to bleeding and death of the patient...Have you considered all of this?"

(End of this chapter)