Chapter 2297 the Test for You

Sensing Zheng Ren's sudden stop, Su Yun turned to look at him and muttered, "Let's go."

"En." Zheng Ren replied, but turned around honestly, and walked back to the emergency room.

"Is there a problem?" Su Yun caught a glimpse of Zhou Litao skillfully resuscitating, arranging for the patient to be sent to the CT room for examination, and told him to send the patient directly to the Department of Neurology if he had a cerebral infarction.

That didn't count, Zhou Litao was holding his mobile phone and dialing the head of the Department of Neurology.

It seems to be reminding that side to prepare for emergency thrombolysis.

After the diagnosis of cerebral thrombosis is confirmed, thrombolytic therapy within the treatment time window of 3 to 6 hours, reducing cerebral metabolism, controlling cerebral edema, protecting brain cells, and saving the ischemic penumbra are the best measures for patients to recover smoothly after surgery.

The earlier the time of thrombolysis, the better. For this kind of emergency rescue, every inch of time is precious. Every minute of delay may leave sequelae to the patient.

After all, he is a 27-year-old young man. If there are any sequelae, it will affect the quality of life for most of his life. How can you earn money, support your family, and feed yourself if activities are inconvenient?

Zheng Ren knew that the diagnosis he saw could be taken slowly compared with acute cerebral infarction, so he didn't say anything, just shook his head.

Accompanied by a doctor, the patient's family members and nurses quickly pushed the flat cart past Zheng Ren. The rumbling sound of the wheels of the flatbed rolling over the marble floor made Zheng Ren feel as if he had returned to the No. 1 hospital in Haicheng City.

"Boss, do you really want to go back to the emergency department to be the chief resident?" Su Yun said with a smile.

"I'm not sick." Zheng Ren said, "Don't you think this young man is too young?"

"I've seen myocardial infarction and cerebral infarction no matter how young you are." Su Yun said disdainfully, "Go back and see Dr. Mehar."

"Okay." Zheng Ren saw that Zhou Litao was indeed calling the neurology department, explaining the patient's onset time.

It has been less than 1 hour since the onset of the disease. If surgery and thrombolysis are performed, it is estimated that it can be controlled within 3 hours.

Patients have a high probability of making a full recovery.

It was just that he had to go to the neurology department to remind the doctor, and Zheng Ren remembered Yang Lixin's name in his mind.

"I'm going to Feng County the day after tomorrow. When we come back, Fuguier should go too." Su Yun said, "Time flies, and the Nobel Prize will be announced in a few months."

"Are you worried?"

"It's okay." Su Yun said with a smile: "I used to think it was impossible, but since Lao Luo cut it, I think it's impossible not to get it."

"Where does your inexplicable self-confidence come from?" Zheng Ren replied with a smile that Su Yun often said.

"Actually, when I was a graduate student, I thought, clinicians are such a bunch of idiots. The torii of the Nobel Prize has excluded clinical procedures for decades, and they can bear it! Is it true that it will not explode until a hundred years later? "

"Then what?"

"Even organ transplantation has been excluded from the Nobel Prize. How can you say it is fair? A few years ago, it was even more outrageous. Even LED lights won the Nobel Prize. Is it considered an amusement park?" Su Yun said disdainfully, " I guessed at that time that sooner or later a technique would become the fuse. I didn't expect to meet you in Haicheng."

Zheng Ren walked slowly behind Su Yun, habitually listening to his ramblings.

"I thought the nomination was the end, and I guess everyone thought so. But since I saw a lot of bats die in the Alps, I realized from then on that it's really possible that we can get it. "

"It's meaningless to say so much. Fu Guier is gone, and Lao Gao will arrive in a few days. How many sets will you come up to?" Zheng Ren asked.

"That doesn't matter." Su Yun said with a smile: "It's just a few surgeries, and it's still TIPS. It can be done in the blink of an eye, without any difficulty."

While chatting, the two went to see Dr. Mehal.

The doctor's operation has been completed, and the removed coronary stent was taken away by Dr. Mehal's assistant.

Zheng Ren estimated that a pharmaceutical company or a certain laboratory wanted to study new thrombolytic drugs based on the characteristics of thrombus. After all, judging by the progress of Dr. Mechal's coronary thrombosis, he must have taken some new drug that has not yet been released.

The doctor was sleeping, and Rudolf Wagner sat on the edge of the bed and watched over him. Seeing Zheng Ren and Su Yun coming in, the professor grinned and pointed to the ECG monitor, signaling that everything is fine.

Zheng Ren glanced at Dr. Mehal's system panel, it was still red, but the color was much lighter than before the operation. And there is no diagnosis of other complications, it can be said that the operation is quite perfect.

After all, the surgery was done with top-level interventional surgery skills, and this "conventional" surgery posed little challenge to Zheng Ren.

After a few glances, Zheng Ren signaled to the professor, and then left the ward.

Back in the doctor's office of the interventional department, Zheng Ren did not sit in the familiar seat, but came to the computer, turned on the system, and retrieved the head CT image named Yang Lixin.

There is no doubt about the diagnosis of cerebral infarction, and it is a fresh cerebral infarction. The effect of interventional thrombolytic therapy should be good. The 912 Department of Neurology has a good level of intervention, and Zheng Ren has no intention of taking a look.

"Boss, I always feel that there is something wrong with you, you are sneaky." Su Yun sat behind and asked.

Lin Yuan looked at the screen with her head, and saw that it was a CT scan of the head, she was a little puzzled.

"The patient is too young to have a cerebral infarction." Zheng Ren said, "Why is this happening?"

"Cut!" Su Yun said contemptuously: "Although there is no atherosclerosis, it is caused by thrombus. What's the point? The possibility of embolism caused by abnormal objects is too small to be considered as the main clinical consideration."

Zheng Ren was a little bit distressed, he couldn't tell Su Yun that he saw the triggering factor through the system panel or not.

"There is another kind of cerebral infarction, which is a micro-infarction caused by occlusion of deep penetrating branches of cerebral arteries caused by arteriosclerosis of high blood pressure. But this film does not look like it. Although there are not so many necrotic lesions, it is still considered a thrombosis." Lin Yuan said later.

Hearing Lin Yuan's voice, Zheng Ren's heart suddenly moved. He held the mouse in his right hand, stared at the screen, and said calmly, "Lin Yuan, do you still remember that Mr. Wang had a vitamin B12 deficiency patient a while ago?"

"Remember." Lin Yuan said, but was taken aback.

How did it get to that side.

"Su Yun told you to go back and memorize the medical certificate, did you memorize it?" Zheng Ren casually threw the blame on Su Yun.

"Boss Zheng, I recited it." Lin Yuan felt a little guilty when he said this. Memorizing what I said, and memorizing what Boss Zheng understood may be two different things.

"Okay. As a test for you, you go to the neurology department to see the patient, and have a brief communication with the patient's family." Zheng Ren said, "Finally, I want to listen to your judgment, where did the blood clot come from."

"..." Lin Yuan was a little confused.