Start From Emergency Doctor

Chapter 189

The point is…the place where strawberries are planted is the place where these important blood vessels are dense.

In the absence of combined arterial dissection, planting strawberries is likely to cause damage to the intima of the internal carotid artery, resulting in the formation of internal carotid artery thrombus.

Severe blood clots will travel to the brain along with the blood vessels, and eventually form a stroke, commonly known as apoplexy.

Just now Zhou Yuan assessed Li Mei for the Glasgow coma to determine whether Li Mei’s brain blood vessels were affected by thrombosis.

Judging from the current situation, Li Mei’s mind should be fine.

After a while, Li Mei came back.

In addition to the carotid artery Doppler ultrasound, Zhou Yuan also asked her to do a CT angiogram of the neck.

Ultrasound can check whether the intima-media of the blood vessel is thickened, whether there is plaque formation, whether the blood vessel is narrow, whether there is occlusion, etc.

CT angiography is more complicated. After intravenous injection of iodine-containing contrast agent, the image can be processed by a computer to display the vascular system of the neck in three dimensions.

This detection method is more intuitive and can provide an important diagnostic basis for occlusive vascular disease. The most important point is that the diagnosis of ischemic vascular disease can be advanced to 2 hours after the onset.

Zhou Yuan carefully checked the results of Li Mei’s examination.

Doppler ultrasound of the neck showed that there was a thrombus echo in the carotid artery on Li Mei’s right side, and there was 50% to 70% of the carotid artery lumen stenosis.

CT angiography of the neck showed that there was no arterial dissection in the right internal carotid artery, multiple thrombi formed in the proximal internal carotid artery, and partial embolism in the lumen already existed.

“Left upper limb weakness and dysfunction.” Zhou Yuan made the diagnosis.

Li Mei became nervous again, “Doctor, what should I do? Do I have an operation?”

Zhou Yuan shook his head: “No, I’ll prescribe some medicine for you to see if I can reduce the blood clot…”

His plan is to give the patient seven days of intravenous heparin treatment. Under normal circumstances, after a course of treatment, the thrombus will be significantly reduced and the patient’s neurological symptoms will also be relieved.

“His grandmother, a few mouthfuls of my old mother, almost paralyzed me…” Li Mei cursed lowly.

After sending off Li Mei, Zhou Yuan sighed.

Fortunately, he is still single and there are no such risks.

“How about…open a tutorial on the safety of neck anatomy for couples growing strawberries?” Zhou Yuan suddenly thought of it.

The next patient came soon, shrinking his neck: “Doctor, the woman just now… is it a strawberry plant?”

Zhou Yuan ignored him.

The patient’s privacy question cannot be answered by the doctor.

“Called Shen Feiyu?”

“Yes, my name is Shen Feiyu.”

“What’s wrong?”

“Feel uncomfortable.”

Zhou Yuan:?

“The one who just left is my goddess, so heartbroken!” Shen Feiyu covered her fierce mouth in pain.

Zhou Yuan reluctantly said, “It’s okay, don’t register, other people are still waiting for the doctor.”

Shen Feiyu stood up and muttered: “I want the whole strawberry print too, but I’m single…”(Read more @ wuxiax.com)

Zhou Yuan laughed: “It’s simple. Take a soft straw with one end facing your mouth and one end on your neck. You can suck it hard. It’s still there.”

Hearing these words, Shen Feiyu’s eyes lit up and he ran out of the clinic.

Zhou Yuan: “…”

Soon, it’s time to get off work.

As soon as a patient walked in the consulting room, an old doctor in a white coat walked in.

“Zhou Yuan?”

Zhou Yuan looked at the past suspiciously. He was the director of the anorectal department.

“You are…” Zhou Yuan was taken aback for a moment.

Why did the director of the anorectal department come to see himself?

The director of the anorectal department looked back and confirmed that there was no one outside and said embarrassedly: “I haven’t been in the clinic all this time. The weather is too hot, so I have hemorrhoids…”

Zhou Yuan was silent.

“I have already vacated the operating room in the anorectal department, and it just so happens that I am about to get off work. You will do an operation for me. After half an hour, I will have a meal after the hemorrhoids are cut! I invite you!”

Zhou Yuan nodded silently.

It just so happened that Zhou Yuan’s off-duty time came, and went directly to the anorectal department with the director of the anorectal department.

The director of the anorectal department reported the results of his own examinations himself if he had undergone many hemorrhoids.

“There are several small internal hemorrhoids, mainly external hemorrhoids. The external hemorrhoids are painful every time I defecate. I have performed anal inspection myself, and the degree of prolapse is not very serious when I squat down. It should be a second-degree hemorrhoid. I have also done colonoscopy. There are no other lesions in the rectum. The anoscope has also done…”

Zhou Yuan didn’t even have the opportunity to inquire. The director of the anorectal department did all the examinations. Judging from his eagerness, he would definitely not come to Zhou Yuan if he could not cut himself.

After the anesthesia, the director of the anorectal department chatted with Zhou Yuan.

·········Ask for flowers···········

“What do you want to eat later?”

Zhou Yuan was silent.

Are you sure you are having hemorrhoid surgery. Can I tell what I want to eat for a while?

The director of the anorectal department was cheerful, and said, “Otherwise, go to eat fat and make fat intestines?”

Zhou Yuan shook his hand, “Director, don’t say anything, I’m afraid that you will have your rectum pierced by the knife in a while.”

“…”

The operating room finally calmed down.

The director of the anorectal department’s hemorrhoids is not serious, Zhou Yuan completed it in only 20 minutes.

Soon, the anesthetic effect of the director of the anorectal department passed, and it started to hurt.

Finally, the director of the anorectal department was pushed to the ward, while Zhou Yuan was washing his hands and preparing to go home.

However, this time hemorrhoid removal surgery gave Zhou Yuan a surprise.

……… .. 0

The director of the anorectal department directly triggered the approval of the superior and gave an intermediate treasure box.

Ten cases of hemorrhoid surgery have been completed 9/10.

One more hemorrhoid surgery will get a random reward.

The last time the random reward was an intermediate treasure box, this time it shouldn’t be bad.

Zhou Yuan strolled around in the anorectal department, but didn’t find any chance, so he could only return home.

As soon as I arrived at the door, I found the landlady Lin Meixin wandering in the corridor on the seventh floor.

Zhou Yuan frowned, stared at Lin Meixin for several times, and walked to his door.

Speaking of which, the landlady is indeed in good shape…

36d, long legs, these two advantages have been able to explain everything.

When Lin Meixin saw Zhou Yuan coming, she smiled charmingly, and said, “Have you come back?”

Zhou Yuan didn’t know how to answer, and opened the door: “Well…I’m back.”

Lin Meixin touched her chin, “I plan to live in 706 in the future, but it’s a bit small inside. Do you want to penetrate 706 and 705…”

Zhou Yuan was taken aback and checked his neighbor’s number.

706.

Zhou Yuan: “You are the landlord, you have the final say. Just don’t open up my wall.”

Lin Meixin was taken aback for a moment, and suddenly smiled: “I understand…”

After Zhou Yuan entered the door, Lin Meixin entered 706 again, carefully checked the geographic location, and then made a few marks with a marker on the wall close to…

——

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