Chapter 1412 【1412】Be Fair
"Dr. Cao said, don't consider the patient's brain problem for the time being, and ask your general surgery department to correct the patient's existing infection and possible blood loss as soon as possible. If surgery is needed, do it as soon as possible." Huang Zhilei informed Li Guoxin of Cao Yong's words.
As expected of Cao Yong, his words were simple and clear, if he needed surgery, he would do it, and he didn't care about whether he would die on the operating table. Anyway, if you don't send him to the operating table, you will die.
All doctors in the hospital know Cao Yong's style. A group of doctors outside the general public could only sigh in their hearts. Does Cao Yong think that everyone is Cao Yong?
"How? Do you need me, the inpatient, to help you contact the anesthesiology department?" Huang Zhilei raised his mobile phone again as if making a call, ready to help the hesitant group of them contact the operating room at any time. What Senior Brother Cao said on the phone is right, this group of people may only need a whip in the back.
Li Guoxin winked and stared at Huang Zhilei: "The patient's blood pressure has gone up."
He asked Huang Zhilei to ask Cao Yong whether Cao Yong was here to urge them to perform the operation.
"Could it be lactic acidosis?"
Clinically, there are many reasons for sudden changes in the patient's state of consciousness, and it is certainly not necessarily caused by diseases in the brain. Like metabolic acidosis, it can cause lethargy and coma. The most common cause is lactic acidosis. Normal human lactic acid is very low, 1 to 2 mmol per liter, and it is lactic acidosis if it reaches 4 or more. Under what circumstances will lead to excessive lactic acid production, common causes include seizures, convulsions, anemia, shock, asthma and so on.
"Epilepsy is impossible. He has no history of epilepsy. His convulsions are only temporary. Isn't he high temperature and fever? Isn't anemic shock his most typical symptom at present? Don't say that blood pressure has risen, and the cause of the disease has not been corrected. The patient's blood pressure The promotion is only temporary." Huang Zhilei said right after what others said.
After all, don't throw the blame to the nerves. It's okay to ask for a consultation if you have something to do, but please analyze the problem scientifically. It is not a neurological disease, and there is no cure for neurological diseases. He honestly cured the general surgery disease.
Judging from the patient's condition from the onset to the present, it really has nothing to do with the disease outside the nerves. The patient's metabolic acidosis is probably gone. The attending doctor is not ignorant of this, and has done blood gas analysis and blood lactic acid test. I just wish that if there is a neurosurgery problem, maybe it can be transferred to a neurosurgeon.
Seeing that the other party was a little more honest and did not speak, Huang Zhilei raised his glasses and turned his head to see who just said that lactic acidosis was helping them with neurosurgery.
Very unexpected and pleasantly surprised.
Xie Wanying is not speaking specifically for neurosurgery, but thinks that it is really necessary to seek truth from facts. Now is not the time to complain about who takes patients, maybe it's her fault, but now is the time to rescue her.
She didn't let go of her clenched eyebrows.
Huang Zhilei remembered and asked her: "Aren't you free from work tonight? Why are you here?"
Upon receiving Senior Brother Huang's question, Xie Wanying was stunned for a moment, she did not expect Senior Brother to know her duty schedule very well.
Of course I understand, Senior Brother Cao knows the little junior sister's every move very well. Huang Zhilei said in his heart.
Xie Wanying thought of tonight's interventional surgery, and suddenly felt a little guilty to Senior Brother Huang: "Yes."
"What are you?" Sensing that something was wrong with her, Huang Zhilei walked up to her and said to her, "Senior brother told you, don't talk nonsense, senior brother studies the human brain. Senior brother knows everything you want."