Liu Tangchun wanted to put these two people together to write a paper, otherwise he would not be able to explain it to Vice President Liu Pingchuan.
The transaction between Liu Tangchun and Liu Pingchuan was very simple. Liu Tangchun came forward to persuade Xu Yourong and Sun Lien to form a "scientific research team" and publish articles under their signatures, while Liu Pingchuan provided the two with a convenient environment and funding, as well as "case support."
Liu Pingchuan used his many years of experience and connections, while trying to explain to Shen Qingmei how bad Chen Wen's situation was, while putting pressure on the group of old classmates outside Union God. No matter what, Chen Wen must be kept first. At the Fourth Central Hospital, for this purpose, he could even invite his old friends from Xiehe University to Ningyuan for consultation.
In fact, there is nothing wrong with Liu Pingchuan's behavior. After all, his suggestion has sufficient medical reasons. Chen Wen's brain had just been stabbed with a needle, and an insect cyst with a diameter of about three millimeters was sucked out from it. The structure was originally It is more fragile than the normal brain. It is difficult to say whether the turbulence on the plane will cause Chen Wen's intracranial pressure to fluctuate. Once the intracranial pressure rises, the changing pressure is likely to squeeze the brain tissue into other holes in the skull, causing cerebral herniation. As a result, the patient died during transportation.
Although he had some selfish motives, Liu Pingchuan's behavior was basically considering the patient. Staying in the Fourth Central Hospital with complete facilities is obviously more beneficial to Chen Wen's condition in the short term.
Liu Pingchuan went out of his way to ask for help, and the chief director of the Union Medical College was happy to give Liu Pingchuan this favor. The number of beds at the Union Medical College was already tight, and since Chen Wen's condition was not urgent, they had nothing to be dissatisfied with.
Vice President Liu's face allowed Xiehe to give in, which made Liu Tangchun feel even more pressured. He did not expect that Xu Yourong would have such a big reaction to this arrangement. If the persuasion failed, he would really have no shame to see Lao Liu.
"This case?" Xu Yourong was obviously a little excited. In addition to surgery, diagnosis is also a very important part of the necessary skills that neurosurgery doctors need to master. Surgery can be accumulated through a large number of surgeries, but others have already diagnosed Cases will not help improve the doctor's diagnostic level. She needs some cases that have not been diagnosed by her peers to hone herself.
A group of three people quickly rushed into the rescue room. Cao Yanhua was organizing the rescue of Xiao Linxun. His systolic blood pressure soared to 220, and the wound in the ear canal continued to bleed out under the influence of blood pressure.
Esmolol has been injected into Xiao Linxun's body through the intravenous channel. The ultra-short-term esmolol quickly curbed Xiao Linxun's rapidly rising blood pressure. But his heartbeat was still frighteningly fast. Cao Yanhua thought twice. , Xiaolin Xun was injected with two more units of esmolol, a drug that controls blood pressure and can also play a role in arrhythmia.
"Hypertensive crisis caused by emotional excitement?" Seeing that Xiao Linxun's vital signs returned to normal, Cao Yanhua finally breathed a sigh of relief. But at the same time, he was even more confused. If Xiao Linxun was admitted to the hospital for ear canal bleeding before, it was because of a car accident. Delayed bleeding caused by hypertensive crisis is like symptoms falling from the sky.
"It doesn't look like it. How excited can an average person be to get so angry?" Sun Lien observed Xiaolin Xun's condition again. The signs of amnesia and skull base fracture are still there. But in addition to high blood pressure, there is a new indicator. ."Extremely low thyrotropin levels."
Extremely low? Sun Lien felt nervous. This was the first time he saw this term in the status bar. The status he saw before was at most "high", and the corresponding one was just "low". The value "extremely low" appeared.
In human endocrinology projects, this is generally not a good thing.
"He was emotional and couldn't control it." Sun Lien mused, "This morning, I talked to him about Lin Lan's surgical plan. He also seemed very excited, and later he also had bleeding symptoms... I thought it was delayed bleeding.
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"It seems that it may not be the case now." Xu Yourong nodded, "Such symptoms had already appeared in the morning. However, he fell asleep due to a slight concussion, so he did not continue to show it?"
"His condition is basically stable now." Liu Tangchun put his hands behind his back and looked at Xiaolin Xun on the bed with great interest, "You two, discuss the condition and give me a treatment plan."
Sun Lien didn't care. Anyway, as a graduate student without the right to prescribe, it was a dream to get such a case diagnosis. The four surprises at noon now brought a new situation. Sun Lien almost wanted to jump up and shout loudly.
Say "yes!"
Xu Yourong was somewhat hesitant, "I have to go to the outpatient clinic tomorrow..."
"Liu Pingchuan said, your outpatient work is suspended." Liu Tangchun directly made arrangements for Vice President Liu's work adjustment. Anyway, as long as Xu Yourong is involved in Sun Lien's case, there is no fear that she will not sign the paper in the end.
Since when did the attending doctor's signature on the paper require the department director and even the vice-dean to be careful and considerate? Liu Tangchun felt a little blocked in his heart.
Xu Yourong quickly nodded in agreement. Such a patient was very challenging, and she really put her mind into it.
"Do a thyroid pentathlon." Sun Lien's suggestion is very straightforward. Since the status bar indicates that the level of thyroid stimulating hormone is low, start with the thyroid gland.
"It can't be a thyroid problem." Xu Yourong's attitude was very direct. "Hyperthyroidism will not cause intermittent emotional loss. Let's do a cerebral angiography to rule out cerebrovascular accidents first. The car accident may have caused edema in part of his brain tissue and prevented
The bleeding, as time went by, his edema was receding, and the bleeding caused a reaction in his heartbeat and blood pressure."
"The contrast agent that needs to be injected for cerebral angiography contains iodine. If he has thyroid problems, the contrast agent may further stimulate his thyroid disease. This may kill him." Sun Lien was taken aback by Xu Yourong's suggestion, although
Car accidents and cerebrovascular accidents are often closely linked, but he prefers to trust the prompts and judgments on the status bar. If Kaoru Kobayashi has a thyroid disease that can cause hyperthyroidism, the risk to him from the contrast agent would be too great.
"He looks like a patient with hyperthyroidism?" Xu Yourong was not used to the atmosphere of discussing the condition with others, especially not used to arguing with a graduate student. "He has no goiter, no protruding eyes, and he is not very serious.
Weight loss. The majority of patients with apathetic hyperthyroidism who do not have these three symptoms at the same time are basically elderly people. He does not look like someone in his 70s or 80s."
"You can't tell that his eyes are protruding because he was in a car accident this morning!" Sun Lien said anxiously, "If you look carefully, his entire forehead and cheekbones are covered with hematomas. If you can see the protruding eyes, then