When Zhang Fan entered the ward, he began to disinfect and then put on protective clothing. In fact, this kind of disease does not need such a big fanfare, but who makes people rich? Even using rich to describe people is a bit like saying people are poor.
Zhang Fan went in and saw that the old man had already entered a state of drowsiness. The sound of snoring is no different from that of a broken tractor starting. This kind of snoring is different from apnea syndrome.
Apnea syndrome gives people a feeling that he is about to suffocate. He takes a breath, and then he does not breathe out or inhale for several seconds. It even makes the observer want to open his mouth and blow in a breath or two.
The snoring in the sleepy state is one after another, one wave after another, the sound is loud and uninterrupted. In this mental state of a person, lethargy is one level higher than drowsiness, and coma is one level higher than lethargy.
What is the state of lethargy? In human terms, you pinch his thigh and hurt him, and he wakes up, and then he can talk to you normally, and his thinking is clear, but you let go of his Thigh meat, he fell asleep again in an instant.
When Zhang Fan entered the ward, there were four or five doctors monitoring the vital signs, and a group of nurses were on standby. Not all doctors and nurses are from the Middle East. It feels like there are people from all corners of the country.
To be honest, from this point, Zhang Fan clearly felt that no matter how rich a country is, if it cannot develop basic science, money is like waste paper.
For example, in Huaguo, there is no such thing as a digital hospital, even if it is a capital hospital, after entering, in a specific department, there are no foreign doctors or nurses at all. In this regard, the big dog still hasn't done a good job.
After seeing the current boss bring a group of people in, the doctors and nurses who observed and monitored the vital signs also became busy. There are fishers everywhere. To be honest, for this disease in this ward, it is more than enough to leave one nurse before the operation. So many people staying here must have exceeded the labor force. What else can people do if they don’t fish? .
Many people think that foreigners don't know how to fish, and that foreigners are model workers. In fact, this is just a stupid idea made up by the brain, but any intelligent animal likes to work. Not to mention humans, even monkeys are unwilling to work.
Of course, these people are not taking advantage of the fish, and the current boss can't see it. Anyway, it seems that people are very busy, and from time to time several people have to gather together to discuss and discuss. All kinds of professional terms, all kinds of professional data, it seems to be very serious, but in fact, if you listen carefully, it is full of nonsense.
Zhang Fan smiled and nodded. The current boss felt that Zhang Fan recognized their work, so he whispered to these people: Thank you, thank you for your hard work.
In fact, this is Zhang Fan's habit, the habit of bad people. But this is also beneficial. When Zhang Fan walked to the former boss, the group of doctors and nurses surrounded him, and even prepared Zhang Fan's stethoscope, percussion hammer, and stimulation needles.
People also understand that those who can enter this ward are all powerful doctors. Since the powerful doctors don't make things difficult for them, they are also happy to participate and help each other.
Anyway, it's a trick of the lake, and the money is paid by the hour, and one hour of mixing is one hour.
Zhang Fan took the stethoscope, took nothing else, patted the old man, but the old man didn't respond, the stimulation was not enough, Zhang Fan reached out and pressed his thumb directly on the old man's brow frame.
There is a depression in the front and middle third of a person's eyebrows. The official name of this thing is intersected between the eyebrows. It is a path for nerves to enter and exit. It is very painful to press here. In the past, when the police asked the prisoner and the prisoner was dishonest, some old policemen would If you press here, the painful prisoner will tell you about the women's restroom.
When Zhang Fan pressed the button, the old man stopped snoring, and then opened his eyes. This kind of sobriety is obviously different from the state of just waking up from sleep. This kind of sobriety is like the old man has been pretending to be asleep. Lost state.
"Do you have a headache?"
This old man Zhang Fan has never seen before. The last time he came, the old man had already retired, so he didn't know Zhang Fan either, but the current boss explained something first.
Zhang Fan asked a question, and the translator immediately translated it for the old man.
Shaking his head and nodding his head, Zhang Fan understood that the old man could no longer confirm, "Come and whistle."
The translator gave Zhang Fan a strange look, but only for a moment, and immediately translated it to the old man.
As soon as the old man whistled, he could clearly see the state. The crooked side of the mouth formed wrinkles, and the other side remained flat without moving. It felt like a monk with a crooked mouth. And when he whistled without making a sound, his saliva would flow. .
Zhang Fan let go of the frame between his brows, the old man wanted to say something, but before he finished speaking, he fell into a deep sleep and started snoring again.
The big name of stroke is cerebral apoplexy. This thing is divided into hemorrhagic stroke and ischemic stroke. The vascular network in the brain is like a black stocking with a piece of fat inside. Then the black stockings branched out many filaments to penetrate into the fat, supporting the fat together with the nerves and cerebral cortex.
It is supported like a small villa, with a living room and a bedroom.
Here, it can be said that every thread of the black stockings involves these functional components. Once the stockings are broken or blocked, resulting in insufficient supply of oxygen and nutrients, problems will arise with the functions involved.
In daily life, many people will encounter symptoms such as lightning-like headaches, numbness, tongue inflexibility, spasms and tremors. To be honest, neurological diseases are particularly scary, and some are asymptomatic.
For example, hemiplegia suddenly occurs after never feeling uncomfortable. This is the most troublesome situation. It is often difficult for patients without symptoms to improve clinically.
Moreover, sometimes stroke and poisoning are particularly easy to confuse, such as lead poisoning.
After Zhang Fan finished the examination, he said something to the current turban brother, and began to take his own people to check and examine the old man's medical records. A country's medical treatment is relatively good in the desert.
But it is a bit of a brand name. There are large hospitals in developed countries in Europe and the United States.
But this thing, seeing a doctor, is different from other aspects. Most of the time, it’s just like the girls in KTV. Zhang’s is not very good-looking, but Nima’s family has more repeat customers. Why? I don't understand even after I say it.
Several medical teams have already issued a treatment plan, but the current turban brother has an inexplicable confidence in Zhang Fan. Maybe Zhang Fan is the kind with more repeat customers.
"We need a meeting to talk about it."
Zhang Fan did not directly mention the treatment plan, but solemnly said this to Brother Turban.
"Okay, okay, tomorrow, doctors from other teams will also come up with a treatment plan. I'm sorry to disturb you today, and let you come to work after getting off the plane."
Zhang Fan said a few words politely, and took the team back to the hotel.
The hotel is just a few steps away from the hospital, and when they returned to the hotel, the people on Ah Guo’s side said to have dinner, but Zhang Fan and the others were not in the mood to eat at the moment, so they started the consultation and evaluation directly in Zhang Fan’s suite in the hotel.
To be honest, after seeing the old man's examination, Zhang Fan understood why it was not enough for so many expert teams from top hospitals to come over, and he had to wait for everyone to come up with a plan.
The inside of the old man's head was like the skin of a toad. There were many lacunar cerebral infarctions in his head, not to mention, and he had a history of cerebral hemorrhage before.
To be honest, if this situation were placed on ordinary people, Nima would have died long ago.
If you can’t understand it, or people in the city have never seen a toad and can’t imagine it, it’s probably a poor beauty wearing stockings, but the stockings are covered with patches, and the silk stockings that were originally sexy and smooth suddenly turned into steamed buns inlaid on the ancient gate of Huaguo. That feeling of nails.
"Although the patient seems to be suffering from severe ischemic stroke, I think the main reason is blood clots compressing neurons in the cranial brain. The best way at present is to open the cranium to remove the compression." Luo Zhengguo, as the director of the hospital's brain surgery department, He spoke first.
Xue Xiaoqiao and Dai Yuhang also nodded, agreeing with what their boss said.
"I think conservative treatment is still necessary. First of all, please see that the patient is over 70 years old, and the previous life history has caused the current patient's brain to be riddled with holes. Surgery will indeed improve the symptoms as quickly as possible. , but will it aggravate the disease of subsequent patients
The current oppressed place may be conservative after dehydration and antihypertensive treatment, but it may not be able to improve the patient's symptoms.
Moreover, everyone, please see that the patient's cerebral cortical blood flow (rCBF) has dropped to 15ml/(100g.min). The brain tissue is a high-oxygen-consuming tissue. It is believed to cause loss of neuronal function and even death of the patient. "
Wen Yunyun, director of neurology department, argued with reason.
Chasu's neurology and surgery department, if Zhang Fan is not considered, the neurology department is even better, especially director Wen Yunyun, who is usually quiet, not like Jumabek who is arrogant with a big rooster, nor is it like any Li has a leadership halo in the hospital.
Like an ordinary physician, she seldom speaks, but the construction of the department can still keep up with the various internal medicines of tea.
The main reason is that this department is too difficult, and almost all the fresh materials are in English, so the doctors in this department must settle down.
Moreover, no matter what department they are in, ordinary doctors can point fingers at heart and breathing a few times, but they usually keep their mouths shut when they get to Shennei. This department not only has to read academic journals in English, but even many medicines are in English. edition.
But domestically, calf blood is used with great joy. Because this thing has a high rebate!
"What if intraoperative bleeding won't affect brain blood flow?" Zhang Fan interrupted the debate between the two parties after listening to it.
"Yes, but since it's a traumatic treatment, how could it not affect the blood flow? It's absolutely impossible, and the patient is so old. Zhang Yuan, I suggest not to take risks."
Zhang Fan smiled slightly, clapped his hands, and said, "Everyone, take a look, will this work!"
After saying this, Zhang Fan began to draw a surgical route map on the computer.