Zhou Sheng said "go", but the situation was urgent, so there was no point in walking.
Su Quan led the way.
The two trotted to the door of the emergency room.
At this moment, many family members of patients came to the door of the emergency room.
There were more than a dozen men and women.
They saw Zhou Sheng and Su Quan in white coats.
They immediately surrounded him.
"Doctor, how is my sister's condition?" a young man asked anxiously.
"Has my niece woke up?" a middle-aged uncle also asked anxiously.
"Oh, doctor, you must save my daughter!" the patient's mother said with tears and runny nose.
…
Zhou Sheng and Su Quan were tightly surrounded.
For a while, it was impossible to enter the rescue room.
Su Quan pushed aside the crowd and rushed to the emergency room while protecting Zhou Sheng, "Everyone, give way and let us go in."
Faced with emotional family members.
Zhou Shengsheng helped Su Quan explain: "Please be patient, we will notify you immediately if there is any situation. Please do not delay our rescue of patients."
At this time, the family members made way for the two of them in panic.
Zhou Sheng and Su Quan got rid of the entanglement of their families.
Entered the emergency room.
The patient's brother and mother also tried to enter the emergency room.
As a result, I was dissuaded by the nurse in the room.
Zhou Sheng entered the emergency room.
Went straight to bed No. 1.
Lying on the hospital bed was a woman in her twenties.
Her condition is very bad at the moment.
The whole person is in a state of unconsciousness.
Beside her, Liu Jing was concentrating on the rescue work. She did not notice the arrival of Zhou Sheng and Su Quan at all.
At this time, Su Quan shouted: "Doctor Liu, Team Leader Zhou is here."
Liu Jing turned around and saw Zhou Sheng.
Her tense mood relaxed slightly.
It was Liu Jing who asked Su Quan to find Zhou Yisheng for help just now.
Today's Zhou Sheng's status in the emergency center is no longer the same as before.
People in other groups may not understand Zhou Sheng.
But everyone in the four groups knows that his clinical emergency capabilities are definitely not inferior to Director Fang and Director Jiang.
Even Liu Zhengqing admitted privately that Zhou Yisheng was more skilled than him in many aspects.
In front of me, I encountered a critically ill patient.
Liu Jing thought of Zhou Sheng almost immediately, so she asked Su Quan to call Zhou Sheng for support.
"What's the patient's condition now? How long has he been poisoned by carbon monoxide?" Zhou Sheng came to Liu Jing's side and said in a deep voice.
"The patient is a 20-year-old female. The patient's family members don't know the time of poisoning. They only said that they found something happened to the patient and it only took half an hour to send him to the hospital. Just after the examination, the patient's lips were cherry red, he was in a deep coma, his breathing was shallow, and his heart sounded.
Low and blunt. Pupils are equal in size, 0.2 cm in diameter. Slow light reflex, neck resistance, decreased muscle tone in the limbs..."
Su Quan spent this short period of time looking for Zhou Sheng.
Liu Jing has already done basic checks.
Zhou Shengsheng turned on the A-level scanning system while listening.
In a moment, the system has given the diagnosis result.
In addition to the diagnosis results given by Liu Jing.
The system provides two more diagnostic indicators.
First, the patient's tendon reflexes disappeared.
Second, the Babinski sign was positive bilaterally.
Inference: The time of carbon monoxide poisoning was 12 hours ago, and he was in deep coma for 11 hours.
Diagnosis: severe carbon monoxide, hypoxic encephalopathy.
Estimated probability of recovery: 10%.
Estimated probability of epileptic seizure: 80%.
Treatment: Cerebral edema treatment.
Treatment to protect brain nerves.
Anti-epileptic treatment.
Continuous hyperbaric oxygen therapy.
Carbon monoxide poisoning is a common poisoning emergency.
Generally speaking, if discovered early.
Take the patient to a ventilated area and let the patient breathe fresh air. The patient's symptoms will relieve themselves.
But some poisoners are often discovered late.
The poisoning lasted for a long time and fell into a deep coma.
Such a situation can damage the brain due to lack of oxygen, causing hypoxic encephalopathy.
Some patients may be in coma for a long time or even die.
As a neurosurgery expert.
Of course Zhou Sheng knew this.
The condition looks very serious!
Symptomatic treatment must be given as soon as possible to see if the patient can be revived.
Zhou Shengsheng said to Su Quan in a deep voice: "Babinsky is asking for inspection!"
Su Quan was stunned for a moment.
Liu Jing reminded from the side: "Pull paddling test!"
Su Quan suddenly realized.
This operation is rarely used clinically by Su Quan.
He didn't think of it for a moment.
Babinski's sign examination is a clinical pathological reflex examination.
This is somewhat similar to the knee-jerk reflex that everyone is familiar with.
The specific operation is to use a blunt object to scratch the lateral edge of the sole. When the patient's big toe is dorsiflexed and the other four toes are fanned out, this situation indicates a positive Babinski sign.
A positive Babinski sign is a manifestation of upper motor neuron damage. Its appearance indicates damage to the motor area of the cerebral cortex and to the corticospinal tract.
The patient suffered from carbon monoxide poisoning.
If it lasts for a long time, it will inevitably damage the brain tissue.
In the absence of brain CT and MRI, this rapid pathological reflex examination is an effective method to judge the condition.
Su Quan understood.
Do it immediately.
He quickly removed the socks from the patient's feet, then found a cotton swab, used the tail end of the cotton swab to draw a semicircle on the patient's sole from the outside of the sole toward the big toe.
Normal people should have no special reaction when faced with this test, and it is clinically called negative.
But at this moment, the patient's sole showed positive reactions such as dorsiflexion of the big toe.
"Babinski sign is positive!" Su Quan blurted out.
Liu Jing was also surprised and said: "It's a neurological problem."
Zhou Sheng nodded and immediately made a judgment: "Carbon monoxide poisoning, brain nerve damage. Considering that the patient's poisoning time should be much longer than half an hour. At this time, there should be cerebral edema. Mannitol and flumetasone will be given to treat cerebral edema. Use cells
Pigment C, inosine, ATP, vitamins B, C, and E nourish the nerves.”
Zhou Shengsheng analyzed the condition and treatment methods in one go, without any sloppiness.
It's completely the performance of a seasoned emergency doctor.
Su Quan and Liu Jing were very convinced and immediately obeyed.
When the doctor's orders were issued on Monday, Director Jiang also came to the emergency room.
Behind Zhou Sheng's back, he witnessed Zhou Sheng's diagnosis and treatment process.
It can be said that Zhou Sheng's treatment process and medication were almost impeccable.
In just ten minutes.
I have watched Zhou Sheng treat two patients.
And one of them is seriously ill.
Director Jiang is feeling particularly relaxed now.
Well, this young man has grown up a lot compared to when he first met him.
At this rate of development, in the future... no, now he is already a general in the emergency center.