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【2827】Shangxin

"I knew during my internship that Senior Brother Cao was in charge of the third group of patients, from beds 21 to 32."

Huang Zhilei was deeply relieved to hear that she came back the day before but clearly remembered her previous internship. He adjusted his glasses and said: It means that the junior sister's return to the neurosurgery department is like returning to her parents' home.

Turning back to look at Senior Brother Cao, Senior Brother Cao's eyes narrowed into lines with a smile.

Speaking of the head nurse's patient list, it is a table that mainly facilitates nurses to do statistics on patients in the ward. It lists the patient's name, bed number, admission date, and diagnosis name.

Because it is a statistical form, each patient's information is concentrated on a small card, and the writing space for the diagnosis name is only one or two centimeters. It is impossible to write all the diagnoses on the doctor's medical record, only the most important one.

diagnosis.

Dr. Jin is talking about the two diagnoses of hydrocephalus and cerebral arteriovenous malformation. Unless the patient's two diagnosis names are written on the list card, it will not be clear either.

Xie Wanying explained further: "Yesterday, there was only one new patient in the 23rd bed, and he was diagnosed with hydrocephalus. Teacher Jin, you said that he is your friend, and you take it seriously. You came to visit the patient in person. I am anxious to discuss the condition with the attending doctor. I guess it may be

I was just transferred to this department yesterday."

Who said only Holmes Spann can solve crimes?

When classmate Pan Shihua received the questioning looks from the other two classmates, he replied: In medicine, I have always touched classmate Xie's head to cross the river.

"You are very dedicated to your work. No wonder so many teachers like you." Dr. Jin opened his mouth to praise without hesitation.

Let’s get to the point. This matter actually has nothing to do with the ability to solve crimes.

If a doctor is responsible for his work, he will definitely understand the situation of the patients under his jurisdiction as soon as he returns to work.

On this point, Xie Wanying said honestly: "I learned it from clinical teachers."

The great teachers she has followed, such as Teacher Tan, Senior Brother Tao, Teacher Xin, and Teacher Du, all do this. Even the fairy-like brother who comes out of the office with a thermos cup after lunch breaks will go first.

The nurse station will ask about the status of the patients in its own group before talking about it.

As classmate Xie said, if you have hydrocephalus, you need to treat the hydrocephalus first.

Because of the "pockmarked" cerebral arteriovenous malformation, if the blood vessel explosion is not serious, you can choose elective surgery. On the contrary, for hydrocephalus, conservative medical treatment will not work, and it is a life-threatening time to seek surgery.

You may ask, if I had known this, why not send the hydrocephalus patient to neurosurgery first?

Hydrocephalus is different from cerebral arteriovenous malformations in that the best treatment is internal medicine rather than surgery.

When we talked about diseases in other departments before, we said that there is "water" in some places in the human body. This "water" is healthy as long as it is not excessive. Remember? Ascites.

There is the same "water" in the brain. The scientific name of the "water" in the brain is cerebrospinal fluid.

What is the function of cerebrospinal fluid? You may also know that it is like lubricating oil, which protects organs and acts as a buffer. It also contains something to nourish and nourish the brain tissue and regulate internal and external pressure.

Normal adult cerebrospinal fluid is 90 to 150 ml, and the cerebrospinal fluid produced every day is about 500 ml. This means that a large part of the cerebrospinal fluid needs to be absorbed by the body itself, and a healthy internal circulation is required to meet the needs of the normal human body.

Healthy internal circulation relies on channels of production, absorption, and intermediate circulation.

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