"Dr. Cao said that for the time being, we are not considering whether there is a problem in the patient's brain. We want your general surgery department to correct the patient's existing infection and possible blood loss as soon as possible. If surgery is needed, perform surgery 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 you need surgery, do it. Don't worry about whether you will die on the operating table. Anyway, if you don't go to the operating table, you will die.
All doctors in the hospital know Cao Yong's style. The group of doctors in the general surgery department could only sigh in their hearts. Does Cao Yong think that everyone is Cao Yong?
"How is it? Do you need me, the resident general, to help you contact the anesthesiology department?" Huang Zhilei raised his cell phone again as if making a call, ready to help these hesitant people contact the operating room. Senior Brother Cao was right on the phone,
This group of people may only need a whip in the back.
Li Guoxin winked at Huang Zhilei and glared: "The patient's blood pressure has gone up."
He asked Huang Zhilei to ask Cao Yong if he asked Cao Yong to urge them to do the surgery.
"Could it be lactic acidosis?"
Clinically, there are many reasons for patients' sudden changes in consciousness, which are certainly not necessarily caused by diseases in the brain. Metabolic acidosis can cause drowsiness and coma in patients. The most common cause is lactic acidosis. Normal human lactic acid is very
Low, 1 to 2 mmol per liter, and above 4 is lactic acidosis. Under what circumstances will excessive lactic acid production occur? Common causes include epileptic seizures, convulsions, anemia, shock, asthma, etc.
"It is impossible to have epilepsy. He has no history of epilepsy. His convulsions were just temporary. Didn't he have a high body temperature and a fever? Isn't anemia and shock his most typical symptom at present? Don't say that the blood pressure has risen. If the cause is not corrected, the patient's blood pressure
The promotion is only temporary." Huang Zhilei said immediately following what others said.
Having said that, don't blame the neurosurgery. If you have something to ask for consultation, you can ask for a consultation, but please analyze the problem scientifically. It is not a neurosurgery disease, and there is no cure for neurosurgery. I have treated the general surgery disease honestly.
Judging from the patient's condition from the onset to the present, it is indeed not related to any extra-neurological disease. The patient's metabolic acidosis is probably not gone. The attending doctor is not aware of this. He has done a blood gas analysis and a blood lactate test.
.I just wish that if there were really neurosurgery problems, maybe they could be transferred to an outside neurosurgery.
Seeing that the other party was a little more honest and didn't say anything, Huang Zhilei put up his glasses and turned his head to see who was talking about lactic acidosis and helping them with neurosurgery. He glanced over and said: Oh, it's the junior sister here.
Very unexpected and pleasantly surprised.
Xie Wanying is not speaking specifically for neurosurgery, but she believes that it is really necessary to seek truth from facts. Now is not the time to complain about who admitted the patient. Maybe she is at fault, but now is the time to rescue.
Her frown did not relax.
Huang Zhilei remembered and asked her: "Don't you have to go to work tonight? Why are you here?"
Upon receiving Senior Brother Huang's question, Xie Wanying was stunned for a moment. She did not expect that Senior Brother knew her duty schedule very well.
Of course I understand, Senior Brother Cao is very aware of Junior Sister's every move. Huang Zhilei said in his heart.
Xie Wanying thought of tonight's interventional surgery, and suddenly felt a little weak in her heart towards Senior Brother Huang: "Yeah."
"What are you talking about?" Sensing something was wrong with her, Huang Zhilei walked up to her and said, "Senior brother, I'm telling you, don't talk nonsense. Senior brother studies people's brains. Senior brother knows what you want to do."