"Doctor Cao said that for now we don't consider that there is a problem in the patient's brain. You in the general surgery department should correct the patient's existing infection and possible blood loss as soon as possible. If surgery is required, perform it immediately." Huang Zhilei informed Li Guoxin of Cao Yong's words.
As expected of Cao Yong, he spoke simply and clearly. If surgery is needed, then do it. Don't worry about whether the patient will die on the operating table. Anyway, if you don't send the patient to the operating table, he will die.
All the doctors in the hospital knew Cao Yong's style. The doctors in the general surgery department could only sigh in their hearts. Did Cao Yong think that they were all Cao Yong?
"What? Do you need me, the chief resident, to help you contact the anesthesiology department?" Huang Zhilei raised his phone again as if to make a call, ready to help these hesitant people contact the operating room at any time. What Senior Brother Cao said on the phone was right, these people might just need a whip in the back.
Li Guoxin winked at Huang Zhilei and said, "The patient's blood pressure has risen."
He asked Huang Zhilei to ask Cao Yong, not to ask Cao Yong to urge them to perform the operation.
“Could it be lactic acidosis?”
There are many reasons for the sudden change of consciousness in clinical patients, and it is definitely not necessarily caused by diseases in the brain. Like metabolic acidosis, it can cause drowsiness and coma in patients. The most common cause is lactic acidosis. The normal human body lactate level is very low, 1 to 2 mmol per liter, and it is lactic acidosis when it reaches 4 or more. Under what circumstances will excessive lactate be produced? Common causes include epileptic seizures, convulsions, anemia, shock, asthma, etc.
"Epilepsy is impossible, he has no history of epilepsy. His convulsion was only temporary, wasn't he having a fever? Aren't anemia and shock his most typical symptoms at the moment? Not to mention that his blood pressure has risen. If the cause of the disease is not corrected, the patient's blood pressure will only rise temporarily." Huang Zhilei said immediately after what others said.
...
...
In the end, don't blame the neurosurgeon. You can ask for a consultation if you have something to do, but please analyze the problem scientifically. If it is not a neurosurgeon's disease, the neurosurgeon can't treat it. Just treat the general surgery disease honestly.
The patient's condition from the onset to now is indeed not related to neurosurgery. The patient is probably suffering from metabolic acidosis. The attending physician is not unaware of this. He has done blood gas analysis and blood lactate test. He just hopes that if there is a problem with neurosurgery, he can be transferred to neurosurgery.
Seeing that the other party was more honest and didn't say anything, Huang Zhilei raised his glasses and turned around to see who had just said lactic acidosis and spoke fairly for their neurosurgery department. He glanced over and said: Oh, it's the junior sister here.
It was unexpected and surprising.
Xie Wanying was not speaking specifically for neurosurgery, but she believed that we really needed to be realistic. Now was not the time to complain about who admitted the patient. Maybe she was at fault, but now was the time to save the patient.
She didn't relax her tightly furrowed brows.
Huang Zhilei remembered and asked her, "Don't you have to go to work tonight? Why are you here?"
When Xie Wanying heard this question from Senior Brother Huang, she was stunned. She didn't expect that Senior Brother Huang was so familiar with her duty roster.
Of course I understand, Senior Brother Cao knows every move of Junior Sister very well, Huang Zhilei said in his heart.
Xie Wanying thought of the interventional surgery tonight, and suddenly felt a little nervous when facing Senior Brother Huang: "Yeah."
"What are you talking about?" Huang Zhilei noticed that something was wrong with her and walked up to her and said, "I'm telling you, don't talk nonsense. I study the human brain. I know everything you want to do."
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