Liu Pingchuan, along with his students and doctors from outside the hospital, filled the CT room. Together with Chen Tianyang, the two second-level professors frowned, making the atmosphere in the monitoring room so severe that the resident doctors felt a little uncomfortable.
Out of breath.
"The bleeding at the base of the skull is about 20 milliliters." Director Zhao Hua sighed, "There is nothing worthy of further study. It will obviously affect the performance."
Chen Tianyang didn't speak for a long time. Although he is not a neurosurgery doctor, any doctor knows how dangerous skull base hemorrhage is. What may be worse than skull base hemorrhage is brainstem hemorrhage. Skull base hemorrhage at least requires the operation table.
If there is a chance, basically no doctor will agree to the operation for brainstem bleeding. Even if the patient survives the operation, the chance of waking up after the operation is no better than tossing a hundred coins in a row, and each time it lands exactly on the ground.
The chances are higher.
"There's nothing to say, let's prepare for the operation." Liu Pingchuan moved his legs and feet, and he said to Zhou Jun, "Have you notified your family?"
"We haven't been contacted yet." Zhou Jun sighed, and the trouble was here. "The plane made an emergency landing in Ningyuan. The patient's family members are in the capital now. Even if they take the fastest flight, it may take three people to get there.
hours or more.”
"Do I need authorization from the medical office?" There are many cases in the emergency center that require immediate surgery, but family members are not around. Everyone knows how to handle it, and Liu Pingchuan immediately asked, "Do I still have to contact the airline?
connect?"
"Authorization... this is very troublesome." Zhou Jun sighed, "We just got a call from the airline, saying that the patient's family does not agree with our craniotomy and requires conservative treatment."
"Conservative treatment?" Liu Pingchuan's brows furrowed several times, "That won't work. This might cause cerebral herniation, which could kill someone."
Zhou Jun shook his head, "Even if there is no cerebral herniation, if the cerebral hemorrhage is not resolved, acute pulmonary edema caused by the nervous system will kill him."
The patient's condition is completely consistent with what Zhou Jun is most worried about. This is a case of NPE (neurogenic pulmonary edema). The patient does not have basic diseases such as heart, lung and kidney, but when the nervous system is affected, spontaneous symptoms occur.
of acute pulmonary edema.
Although the specific mechanism of NPE is still not fully understood, in this situation, emergency craniotomy, hematoma removal, and bone flap removal for decompression are the most effective treatments.
"The patient's family expressed clear opposition, and there is nothing we can do." Zhou Jun sighed again, "Let's transfer him to the ICU. Since surgery cannot be performed, we can only hope that dehydration treatment can lower his intracranial pressure first."
Most family members of patients, when their loved ones suffer an accident, will choose to save their loved ones at all costs. For example, Yang Jianqiang’s wife, Yang Jianqiang has lived in the ICU for more than 20 days, and Mrs. Yang still stays in the ICU every day.
The family rest area outside the ICU was guarded for a whole day. Except for about half an hour every day when she went home to wash up and change clothes, Mrs. Yang almost always stayed at the door of the ICU, never leaving. Many nurses from the Department of Critical Care Medicine
The doctors were trying to persuade her to at least not wear her body down. But she still insisted on staying at the door every day, as if this would make Yang Jianqiang recover faster.
However, there are also some family members who choose completely different directions.
Economic reasons are the main reason why most family members refuse medical treatment. Even if there is medical insurance coverage, for extremely poor families, even if the treatment costs are acceptable, the family still cannot afford a member who may be severely disabled.
When a person dies, the family will suffer for a while, and there will be no other additional expenses after the funeral arrangements are taken care of. And family members who are left with severe disabilities not only have to continue to spend money, but also have other family members to take care of them. For these families, one member cannot
If you have a job, you will lose a very important source of income. Under this situation, the originally tight life may not be able to continue at all. This phenomenon of returning to poverty due to illness does exist objectively.
Chen Tianyang frowned, always feeling that something was wrong. He had also seen family members who gave up treatment because of poverty, which was not surprising. But this injured person was a passenger in business class. A business class ticket was not worth mentioning.
It costs several thousand yuan more. The family members of passengers who can choose business class during their journey do not seem to be in financial difficulty. What's more, under these conditions, the airline must have advanced the money to treat the passengers.
Then the underwriting insurance company was asked to intervene, and the airline turned to the insurance company to claim for the expenses it had already paid in advance.
In this case, family members should not refuse treatment because of cost.
Are there other reasons?
"You are Professor Chen, right?" When Chen Tianyang was still thinking about the joints, Liu Pingchuan came over to him and stretched out his right hand, "I am Liu Pingchuan, the director of the Department of Neuroscience of the Fourth Hospital. Regarding your matter, I listen to Liu Tangchun.
I’ve said it before.”
"Professor Liu." Chen Tianyang shook hands with Liu Pingchuan, and then smiled bitterly and said, "I hope he didn't say anything bad about me." Chen Tianyang paused and lowered his voice, "The patient's family refused treatment. I think there may be a problem."
Liu Pingchuan didn't take it seriously, he just sighed and said, "Happy families are always similar, and each unfortunate family has its own misfortune." After practicing medicine for decades, Liu Pingchuan has seen all kinds of human relationships."
Maybe there is some last resort?”
Chen Tianyang expressed his doubts and emphasized, "Without financial pressure, the family directly refused treatment. This is unreasonable."
Liu Pingchuan thought for a while and was a little confused, "Maybe it's because of other reasons?"
"I think it is still necessary to tell the police." Chen Tianyang frowned and said, "Business class passengers usually buy accident insurance. Could it be that the family members deliberately did this in order to defraud the insurance?"
Zhou Jun and other emergency doctors rushed back to the emergency room. Although the number of injured this time was less than fifty, it still exceeded the handling capacity of the airport hospital. About twenty patients with serious injuries were transported by ambulance.
He was sent to the Fourth Central Hospital. As the director of the emergency department, Zhou Jun must return to his post to coordinate and direct other doctors to carry out treatment activities for patients. As for the unknown person, he was handed over to the Department of Critical Care Medicine.
"The right shoulder is dislocated. Let the orthopedic department take a look at this. It should be solved by manual repositioning." Zhou Jun was busy without touching the ground. Under his command, the emergency room, which seemed a little panicked at first, gradually stabilized.
Patients in serious condition received treatment immediately, while patients who were not in immediate danger were placed in the observation area, and three attending doctors and two nurses were responsible for debriding and bandaging them.
While Zhou Jun was busy, Chen Tianyang and Liu Pingchuan, who had been discussing for a long time and felt that something might be wrong, came over.
"It's useless to talk to me about this kind of thing." Zhou Jun took off his gloves, washed his hands under the watchful eye of the hospital boss, and took out two paper towels from the table and wiped his forehead. "Dean Liu, please
Why don't you tell Song Yuan?"
"Then I have to drag you along." Liu Pingchuan said with a smile, "After all, you are the patient you brought back. You know better than me how urgent the patient's condition is."