Chapter 1148

Not long after, Yang Jie returned with the patient.

CT results are also out.

Zhao Danyan took the CT film and was sure at a glance, "It's not a hemorrhage, it's an ischemic stroke."

Then bring the NMR results.

"There are many old cerebral infarction points, and there are new infarct lesions in the left basal ganglia and temporo-occipital junction!"

After speaking, Zhao Danyan hurriedly said to Chen Cang: "Professor Chen, send it to the emergency room and inhale oxygen at a continuous low flow."

"Improve the ECG examination, conduct 24-hour ECG monitoring, and I will check the patient."

Chen Cang nodded quickly.

He Yang Jie pushed the patient towards the emergency room.

And Xu Ziming followed behind without saying a word.

Zhao Danyan didn't turn her head back and didn't even look at it.

After entering, Chen Cang helped the patient to inhale oxygen, while Yang Jie made the electrocardiogram.

The electrocardiogram showed myocardial ischemia, but it did not affect.

After Zhao Danyan read it, she immediately began to conduct a neurological assessment, including the level of consciousness, the severity of the stroke, etc...

This is the process of the neurology system, and the evaluation level is directly related to the treatment plan.

At this time, the old man's consciousness is better than before, but his eyes are chaotic, he has partial motor aphasia, his short-term memory declines, and his computing power also drops significantly.

The light reflex of both eyes was normal, the tongue was deviated to the left, the face had obvious mouth-eye skew, and the right muscle strength was grade 3+.

Meningeal irritation, Klinefelter's sign... are also normal.

Generally speaking, the patient's condition is neither mild nor severe, but considering his age, everyone is afraid to relax.

After the monitor was on, the alarm sounded immediately.

"Blood pressure 190/120mmHg!"

After seeing the blood pressure, Zhao Danyan's expression changed suddenly.

Patients with elevated blood pressure within 24 hours after ischemic stroke should be managed with caution.

Tension, anxiety, pain, nausea and vomiting, and increased intracranial pressure should be dealt with first.

However, at this time, the patient's blood pressure continues to rise, which is prone to many complications.

such as hypertensive encephalopathy, etc.

After Zhao Danyan pondered for a moment, "Labetalol is administered intravenously!"

The patient here has also completed the blood draw and is waiting for further treatment.

And the old lady was standing at the door, pacing, uneasy.

Thrombolytic therapy at the age of 82 is actually risky. Although Zhao Danyan doesn't say it, she has been collecting evidence.

An hour later, the patient's agitation remained unrelieved.

This made the three of them anxious.

I saw the old man humming in his mouth even though his eyes were closed. No one could understand his voice, and his hands were waving randomly as if he was searching for clothes, touching the bed, and arranging the wires.

This made Yang Jie, who had undergone vein replacement, worried.

Don't let the patient cause problems!

At this moment, the security guard ran in Qiping: "Doctor Chen, Director Xu, the old lady said that the old man can be more peaceful when she is by her side."

As soon as these words came out, the three of them were stunned for a moment.

Zhao Danyan nodded: "Well, let the old lady come in."

The security nodded and walked out.

There are security guards outside the rescue room to prevent patients or other people from breaking in.

Qi Ping is not very old, only 22 years old, but he is already an old security guard here for three and a half years.

After the old lady came in with a cane, seeing the old man like this, she couldn't help but scold: "Tell me about you, you can't stop for a while when you get to the hospital."

Hearing the old lady's words, the old man who stretched out his hand suddenly put his hand down.

He said a few words in his mouth, but no one understood it anyway, but... the whole person stopped making trouble, and the corners of his mouth began to rise slightly.

It seems... is smiling.

The old lady hurriedly said, "Doctor, you treat me, I'm right here, I won't disturb you, this old man is like a child now, he's getting old, and I'm nervous when I'm not around."

Hearing the old lady's words, Chen Cang found that the old man laughed.

Seeing this scene, both Zhao Danyan and Xu Ziming were silent, then looked at each other and staggered their eyes from each other.

Zhao Danyan was not on duty today.

But after returning home, after arguing with Xu Ziming, he couldn't sleep, so he went back to the duty room and started on duty with the doctor on duty.

This is not the first time this has happened.

Nor is it an exception.

Therefore, seeing that the doctor on duty was not left on duty, there must have been a civil war.

After all, once a person is idle, it is easy to think wildly, and the more you think about it, the more things you have on your mind.

Go to the hospital and work the night shift, maybe you can figure it out.

Zhao Danyan is 50 years old, Xu Ziming is also 50, and Xu Ziming is at his peak, so Zhao Danyan is naturally worried about what kind of flowers and plants he has outside.

You must know that the hospital is not a Qingshui Yamen.

There are not a few things that some unconventional drug representatives throw their arms around.

You can't give money to people, you can't give one person, come two!

These things are not uncommon.

So after seeing this scene today, Zhao Danyan was really uncomfortable.

This is the same as your husband being taken advantage of.

What's more, Mitty is so young and beautiful.

And successful people like Xu Ziming are very attractive to these little girls.

In fact, Zhao Danyan did not know that Xu Ziming accompanied Chen Cang on the night shift in the emergency room.

After meeting tonight, I was also a little happy in my heart.

At least it means that he didn't go out and fool around!

...

...

At twelve o'clock, all the test results of the patient came out.

Here, Zhao Danyan held a scale in his hand and said to Chen Cang, "The current patient's condition is a level I recommendation and a level A evidence. Intravenous thrombolysis is the preferred method for recanalization!"

Chen Cang nodded: "Well, sister-in-law, you are more professional."

Chen Cang made up his mind tonight, not to be called Director Zhao, but to be called his sister-in-law, in case the misunderstanding between the two can be eased.

Zhao Danyan turned around and said to the old lady, "Auntie, the old man needs thrombolytic therapy to break the vascular obstruction, but this type of therapy definitely has certain risks, and you need your signature."

After listening to the old lady, she was very decisive, nodded and agreed, saying, "Doctor, don't be afraid, I'll sign! You can just let go of the treatment."

After finishing speaking, the old lady picked up the pen: "It's not the first time he has thrombosed, I know!"

The old lady's name is very nice, called Xiang Jinghe.

The font is also very graceful, stroke by stroke, unhurried.

After writing, the old lady said to Zhao Danyan, "Doctor, can I have a word with him in the past?"

Zhao Danyan nodded: "Well, yes."

When the old lady heard that it was ok, she laughed for a while, and walked slowly over there.

After the past, he didn't speak, and first held the old man's hand. After holding it like this, the old man opened his eyes and looked at the old lady, his eyes were much brighter.