Chapter 1776 Rescue! Rescue! ! (Monthly Pass 8500 Plus Update × 17)

In an instant, countless things appeared like a tide, and the situation changed drastically. Su Yun, Zhou Litao and the family members of the patient were all stunned.

The family members of the patients who were originally dissatisfied and slandered were suddenly frightened.

The person who left is in a coma after leaving the hospital!

The news turned into fear, and all dissatisfaction disappeared.

Seeing that the patient and the patient's family did not respond, Su Yun immediately ran to the treatment room, took a blood-drawing syringe and biochemical tube, and quickly collected blood for the old man.

The old patient was obviously unable to contain his temper, but just as he was about to say something, Su Yun roared, "Shut up if you don't want to die!"

Just at that moment, Su Yun knew what the problem his boss had been looking for.

Thyroid dysfunction, followed by thyroid storm!

Not long ago, the consultation case sent by the Massachusetts General Hospital was a thyroid storm caused by the intake of a large amount of iodine in a patient with abnormal thyroid function who underwent CT enhancement.

This is absolutely a terrible, deadly disease.

"Mr. Zhou, does Corey have tapazole?" Zheng Ren asked immediately.

"No." Zhou Litao replied directly.

"Tell someone to borrow it from the pharmacy!" Zheng Ren shouted: "Tabazole or propylthiouracil will do, a lot, at least twenty boxes."

"..." Zhou Litao was stunned for a moment, and immediately went to someone to talk about it.

"Call the emergency B-ultrasound room and push the machine over immediately."

"Propranolone, prepare intravenous fluids, proton pump inhibitors, methylprednisolone, ECG monitoring!"

"Call the patient who is detached and come back as soon as possible!"

"Check out the rescue medication!"

One after another orders were issued, and Zheng Ren stood in the corridor of the emergency department, ruling everything with confidence.

The medical staff in the emergency department were at a loss. Some people gave orders confidently. The memory in their bodies came into play, and they began to operate quickly according to Zheng Ren's instructions.

"Boss Zheng!" Director Cheng heard that Zheng Ren was directing the rescue outside, and he came out angrily, "Have you found the problem?!"

"Hyperthyroidism is caused by eating." Zheng Ren said quickly, "The time delay is a bit long, and the comatose patient has already developed thyroid storm."

Hearing that the thyroid was in danger, Director Cheng was stunned.

This is a deadly disease with a mortality rate of over 20%.

"How was it diagnosed?" Director Cheng asked in surprise.

"I'm sorry, Director Cheng, I don't have time to explain to you." Zheng Ren said, "Nurse, have you called the patient who is in a coma? No need for the comatose one."

"It's fighting."

"Mr. Zhou, have you gone to get the medicine? Call and ask if there is any medicine."

Tapazole is too cheap and the dosage is small, so many pharmaceutical companies no longer produce this money-losing drug.

This is a sad thing to say.

"I just asked, there is no tapazole, but propylthiouracil." Zhou Litao said.

Zheng Ren let out a long breath.

It is estimated that there are more patients with thyroid surgery on the 912 side, and they often face patients with thyroid storm, so propylthiouracil is a drug.

In the midst of the hustle and bustle, the sound of the 120 ambulance came. Zheng Ren didn't have time to explain all this to Director Cheng, and ran to the door of the emergency passage.

The door opens and the patient pushes down.

The system panel is red with blood, and the diagnosis above is very clear, thyroid storm!

Zheng Ren wanted to understand everything at the last moment.

This group of patients should have eaten the thyroid gland of animals by mistake, so the amount of free T3 and T4 in the body increased rapidly.

Generally speaking, symptoms will appear within 5-20 hours, and the peak value will be reached within 2-7 days, resulting in thyroid storm.

The big pig's trotter was not diagnosed because it is not a toxin. Although it is considered food poisoning, it is different from food poisoning in the conventional sense. There is no toxin, but a sudden increase in the level of a substance that the body needs.

This is the most reasonable explanation.

Zheng Ren confirmed his guess the moment he saw the thyroid storm from the system panel.

The patient was pushed to the emergency room, and the nurses began to indwell venous access, suction sputum, lower gastric tube, and urinary catheter.

The doctor in the B-ultrasound room pushed the B-ultrasound over.

"What patient?" she asked. "Where to check?"

Zheng Ren didn't have time to explain, so he pushed her aside and took the couplant himself and applied it to the patient's neck.

The probe fell, and a very clear sign of fire appeared on the screen.

After confirming twice, Zheng Ren shouted, "Have you got the propylthiouracil back!"

"Come back, come back." Zhou Litao ran to the door and saw the nurse who took the medicine holding propylthiouracil and came back panting.

"600mg, injected via gastric tube!" Zheng Rendao said, "Record the time, prepare potassium iodide solution, monitor thyroid function, and instill potassium iodide in 1-2 hours."

"ECG monitoring, pay attention to heart function, prepare propranolol."

Only then did Zheng Ren let out a long breath.

Seeing that 600mg of propylthiouracil entered the patient's stomach through a gastric tube, Zheng Ren knew that the person would probably not die.

It can only be a high probability, and there is no way to talk about it now.

Director Cheng was silent the moment he saw the fire sign on the ultrasound.

Is this what Boss Zheng has been searching for? There was no sign before, it was just a common gastrointestinal cold, why did it suddenly turn into a thyroid storm?

Can't understand.

But it turns out that Boss Zheng was right.

In the sea of ​​​​fire, only such a clinical evidence is enough.

A few minutes later, Su Yun ran back with the urgently-checked test sheet.

T3, T4 were significantly increased, TSH was significantly inhibited, there is a piece of evidence that hyperthyroidism.

It's just that the old man has not had a thyroid storm yet, and it seems that his luck seems to be good.

After confirming this again, Zhou Litao did not wait for Zheng Ren to speak, and instructed the nurse to take blood tests for all patients who could.

Propylthiouracil is ready, as long as the test results come back, all is not a problem.

The treatment will not be hindered by certain things at all. Zhou Litao knows that there is only one reason - because Boss Zheng is here!

If Boss Zheng left the task one day earlier, he would definitely be full of water. After the patient is sent back, various examinations and hospital-wide consultation are performed.

By the time the diagnosis is clear, the patient may already be dead. And not one patient, but a group of patients.

Director Cheng stood aside, watching the roaring machine in the emergency department, expelling the disease, with mixed feelings in his heart.

What appeared in front of him was the picture of Boss Zheng bowing to him just now.

He was a little lost.

After more than ten minutes, the patient in the rescue room was fed with propylthiouracil via gastric tube, and the heart rate gradually decreased. Zheng Ren came out.

Seeing the simple and honest face, Director Cheng really didn't know what to say.

"Mr. Zhou, I don't care about the rest." Zheng Ren greeted Zhou Litao, and then saw Director Cheng.

Four eyes facing each other.

"Boss Zheng, amazing!" Director Cheng sighed.