Chapter 4032 [121] Try

See, even if the doctor is familiar with the patient's medical history, it is easy for the doctor to forget it at critical moments.

The importance of doing your work step by step is that it allows you to maintain a clear mind and avoid making stupid mistakes.

As Dr. Tse Wanying emphasized, waiting is actually a step-by-step professional habit of doctors for two generations. The so-called strong aura of the boss is all created in this way.

Dr. Zhang Desheng, who was re-examining the patient, was confused again.

The reason was that he remembered that before performing cardiopulmonary resuscitation on a patient, he was accustomed to check the patient's pupils first.

There are no obvious signs of the patient's pupils being larger than smaller. This can only confirm that there may be no cerebral hemorrhage or cerebral infarction, but it does not mean that there is no brain tumor.

The sudden arrest of the patient's heart and breathing is in a state of shock.

It is simply too difficult to rescue patients without machine-assisted examination.

The confused Dr. Zhang Desheng looked at Dr. Xie Wanying.

Based on Dr. Xie's previous performance, we can determine the patient's most likely problem.

The point that Dr. Xie struggles with is what she mentioned before: the use of rescue medication.

It does not mean that you can survive the crisis safely if you know the cause of the disease and know how to take medication. The most difficult thing is taking medication.

Many medicines in Western medicine are highly targeted. However, being too specific makes doctors do not know how to use them on patients with complex conditions.

For example, in the current patient's eyes, Dr. Xie's preliminary judgment is that the patient has a recurrent brain tumor and should be cautious when taking vasopressor medication.

The patient had gastrointestinal bleeding, which was one of the causes of shock.

Gastrointestinal bleeding may be caused by gastroduodenal stress ulcers caused by brain tumors. The specific pathogenesis is that central nervous system problems lead to excessive secretion of gastric juice. Excessive gastric juice damages the patient's own digestive tract mucosa, leading to ulcers and even bleeding and perforation.

The patient showed signs of acute edema in both feet.

Bleeding requires rehydration, and edema requires diuresis. How do you think this can be balanced?

Drawing blood for testing and getting a bunch of indicator data also need to be discussed. Ninety-nine times of such a complex situation will require experts from various specialties to be invited for consultation and discussion for a long time. Moreover, whether the plan that the big guys came up with after the quarrel is feasible or not remains to be verified.

The patient's heartbeat can stop at any time, so where does this waste of time come from?

In medicine and all walks of life, it is important to determine the way to solve problems.

Is Dr. Duan here?

Dr. Duan probably wouldn't be able to come up with a plan before he got the Western medicine data.

Maybe Dr. Duan would make the same choice as Dr. Xie, so it would be better to ask a big Chinese medicine expert.

Dr. Wen Zihan's traditional Chinese medicine theory based on clinical experience is very accurate in judging the location and development direction of the patient's condition.

"Are you sure she only started getting sick in the afternoon? Did she have any other symptoms before she fainted?" Dr. Wen Zihan asked.

Family members struggled to remember.

"Five o'clock in the afternoon?" Axi's mother said.

"I remember you said it was not five o'clock when you told Dr. Tao." Yaxi's father reminded his wife.

"It was my younger sister who was looking for my older sister. I went over to see her and found out that she was unconscious on the ground."

"What time?"

"Maybe three o'clock, four o'clock, five o'clock? My sister and I were taking a nap at the time."

Never expect family members to be able to explain everything about the patient.

It doesn't matter, Chinese medicine has known this for a long time. The reason why the description of Chinese medicine often makes people feel mysterious is that it is not specific to the minute.

Dr. Wen Zihan went on to praise his sister first: "Doctor Xie is right. This patient has a chance to be saved."

Regardless of the research summaries of Chinese and Western medicine, most patients die at night. The reason is not just that it is difficult to detect the death of a patient at night, but also because there are nurses patrolling the hospital at night.

If the rescue is used accurately, the chance of a critically ill patient being rescued during the day is high.

According to the theory of traditional Chinese medicine, a certain dose of diuretics can be tried first.

Thank you for your support, good night, dear friends~