Start From Emergency Doctor

Chapter 286

Zhou Yuan was curious about what would happen if the two women met together.

Soon, Qian Haobo’s head CT and cerebrovascular examination reports came out.

Head CT scan is mainly to exclude cerebral hemorrhage. After the onset of a stroke, the infarct area will show obvious low-density changes from 24 hours to 28 hours after the onset of the disease.

The head CT results are more optimistic, not cerebral hemorrhage.

Cerebrovascular examination showed that the blood flow of the large arteries in the patient’s brain was significantly reduced, and some blood vessels were twisted.

This is a very obvious clinical manifestation of ischemic stroke.

Ischemic stroke is a disease in which the blood supply arteries of the brain, such as carotid arteries, vertebral arteries, etc., are stenosis or occlusion, and the blood supply to the brain is insufficient, which leads to brain tissue necrosis.

In general, cerebral ischemia is divided into four categories.

Transient ischemic attack, reversible neurological dysfunction, progressive stroke, and complete stroke.

Transient ischemia usually lasts no more than 24 hours, and will relieve itself without leaving positive signs of the nervous system, that is, it cannot be detected after the attack.

Reversible neurological dysfunction is similar to transient ischemia, but the onset takes more than 24 hours, and it takes about 26 weeks to recover.

As for progressive stroke and complete stroke, it is already a very serious cerebral ischemic phenomenon. Progressive ones are mainly stenosis and occlusion of the internal carotid artery and middle cerebral artery.

After the onset of complete stroke, there will be more than moderate localized neurological dysfunction, and the neurological dysfunction will exist for a long time in the future, and it is almost impossible to recover. The main manifestation is Qian Haobo’s current hemiplegia.

In some more serious cases, hemianopia, aphasia, sensory disturbances, consciousness disturbances, etc. occur at the same time.

Zhou Yuan looked at Qian Haobo on the bed with a serious face, and said: “You still need to do some tests to confirm your severity. If it is too serious, surgery must be performed to dredge the blood vessels.”

Qian Haobo’s mouth was crooked at the moment, and he was speechless. His wife was worried and said, “Doctor, do it! Money is not a problem!”

Zhou Yuan nodded, glanced at Qian Haobo, and then said: “Our director will come to help you deal with the following problems in a while.”

Qian Haobo’s wife opened her mouth.

Obviously, she wanted to know what happened.

But seeing her husband’s face in pain at the moment, she could only hold back her curiosity.

After more than half an hour, Zhou Yuan returned to the ward.

Qian Haobo has softened, and the result of ischemic stroke has come out.

“The situation is still relatively optimistic, and drugs can be taken to relieve and control.” Zhou Yuan said.

Qian Haobo’s wife frowned and said, “Are you going to prescribe a thrombolytic medicine?”(Read more @ wuxiax.com)

Zhou Yuan was slightly stunned.

Indeed, to deal with this ischemic stroke, the use of thrombolytic drugs to control is the best way.

Thrombolytic drugs themselves promote fibrinolysis and can increase the opening rate of blood vessels. In addition to ischemic stroke, they also have a good therapeutic effect on deep vein blockage.

“I prescribe some thrombolytic drugs for him and take them on time.”

Qian Haobo’s wife hesitated and said, “Doctor, what kind of medicine do you prescribe?”

“It’s ordinary thrombolytic drugs, aspirin, clopidogrel and the like.” Zhou Yuan said.

“Aspirin again? How come you can take aspirin for any disease?” Qian Haobo’s wife was a little surprised.

Zhou Yuan nodded: “Thrombus can be prevented.”

Qian Haobo’s wife is right. Aspirin is indeed used in a wide range of applications, including small fevers, colds, arthralgias, rheumatism, large ones that inhibit platelet aggregation, prevent thrombosis, relieve cataracts, prevent cancer, and prevent diabetes. Some applications.

Therefore, aspirin is also known as the magic drug.

“These are very cheap, right?” Qian Haobo’s wife asked nonchalantly.

“It’s quite cheap, aspirin costs tens of dollars, and clopidogrel is about the same.”

Qian Haobo’s wife hesitated for a while, and said, “Is there any problem with such cheap medicine…”

“For many years of clinical drugs, most people have no problems taking them.” Zhou Yuan explained patiently.

“I don’t feel relieved… I heard that there is a new thrombolytic drug recently. It seems to be very expensive. It costs more than a few thousand boxes. Should I prescribe that drug?”

Zhou Yuan was stunned for a moment.

A new thrombolytic drug?

It won’t be the new thrombolytic drug of Huiwei Pharmaceutical Group…

Zhou Yuan shook his head: “In medicine, there is no saying that the more expensive the better, there are only the most suitable drugs. There is no need to waste money on new drugs.”

Qian Haobo’s wife wanted to say something more, but finally nodded and said, “This is the first time I have seen a doctor like you…Don’t you get a commission for prescribing expensive medicine?”

Zhou Yuan did not answer. He left the ward and hurried to He Jianyi’s office.

“Teacher, is the medicine of Huiwei Pharmaceutical Group listed?” Zhou Yuan asked directly.

He Jianyi stood up, his face was a bit heavy, and said, “The Drug Administration has approved the listing…”

Zhou Yuan said with some worry: “The hospital…”

He Jianyi sighed: “Many hospitals have already purchased this medicine. The previous hospitals of the expert group are the fastest, and they have already used patients…”

“Does our hospital also have it?”

He Jian nodded: “New drugs are on the market. It is impossible not to buy them because of the wishes of President Fang or the two of us. We are a hospital and many thrombosis patients. The existing thrombolytic drugs are no longer useful for them. They want Try new thrombolytic drugs, we have to have…”

After all, it is a drug that has passed the review of the Food and Drug Administration, and hospitals cannot lack any medicine.

Zhou Yuan was a little worried, “I took a patient today, and the patient’s family members requested the use of a new type of thrombolytic drug.”

“Qian Haobo?” He Jianyi asked.

“Teacher, do you know?” Zhou Yuan asked rhetorically.

“His wife talked to me, and I told her briefly and told her that the new drug might be risky… Of course I couldn’t tell her the truth, and that I would cause trouble to the upper body. It implies that her new drug is still in clinical use. There are many unknown risks, so she should not use it, but she doesn’t seem to care and strongly urges the use of this medicine.”

Zhou Yuan shook his head helplessly: “The quirks of the rich?”

“Don’t worry about so much, I will prescribe basic thrombolytic drugs for him, and then consider other things after recurrence.” He Jianyi is still quite worried about something wrong.

“it is good.”

Zhou Yuan left He Jianyi’s office and returned to the clinic.

After a while, another man came in with a gorgeous woman.

“Why is a male doctor…husband, I want to change doctor…” The woman was reluctant.

The man chuckled and said, “This is Doctor Zhou! I finally met him when he was free. This is the best doctor in the hospital. Show him, he will be fine soon!”.