Chapter 1153 Why? (Ask for a Monthly Pass)

After speaking, Zhao Danyan hurriedly asked, "Have you contacted your family?"

The nanny said anxiously: "Doctor, this... Miss Mi's parents were gone three years ago, and now she is alone in the capital!"

"And contacting her boyfriend, the other party said that they have broken up, so don't contact her anymore!"

After some words, Chen Cang and Zhao Danyan looked at this little girl and felt a little more distressed.

However, this situation is not without emergency!

Medical department record!

Emergency rescue!

At this time, Xu Ziming said, "Director Hong of Neurosurgery is here."

While speaking, a middle-aged man walked in.

After seeing Zhao Danyan, he nodded: "Hello Director Zhao, hello Doctor Chen."

Zhao Danyan nodded: "Well, Dr. Hong! You can take a look at the patient's condition."

Hong Sheng nodded, picked up the film and watched it, then frowned!

It's just... The more Hong Sheng watched the film, the more embarrassed he became. After a while, he said this.

"It definitely needs surgery!"

"Because the patient's situation is too special."

"Generally speaking, intracranial hemorrhage requires hemostatic drugs, but the patient still has deep vein thrombosis. At this time, the superior sagittal sinus is blocked by more than 70%. After this blockage, a hematoma has formed!"

"At this time, if you use hemostatic drugs, not only will you not be able to stop the bleeding, but it will also aggravate deep venous sinus thrombosis, aggravate the hematoma, and induce massive bleeding!"

"What is the intracranial pressure now?"

Zhao Danyan said directly: "Half an hour ago, I measured 400 water columns in the car! I used mannitol..."

After hearing Zhao Danyan's words, Hong Sheng took a deep breath and pondered.

In the entire rescue room, everyone fell into a tense silence.

As an experienced senior deputy chief physician, Hong Sheng naturally has a set of treatment methods, but the patient's situation is really too special.

After listening to Hong Sheng's words, Zhao Danyan here is also embarrassed:

"Indeed, once the parietal lobe hematoma continues to increase, it will definitely lead to further aggravation of brain edema. At that time, brain herniation may be induced at any time, or even... life-threatening!"

"Can I have surgery? Director Hong?"

You can't just drag it on in the middle of the night, can you?

Hong Sheng nodded: "It can be, and even surgery is the best way to deal with it. Because the patient's intracranial pressure exists at the same time as hemorrhage and edema, the hemorrhage can be pulled out with surgery, but, with this deep venous sinus thrombosis... Thrombolysis will definitely help. Induced cerebral hemorrhage, it is better to use Sindou transverse sinus bypass surgery later!"

After finishing speaking, Hong Sheng said with some embarrassment: "But not now, let's lower the intracranial pressure first."

"Director Zhao, I still need you to come up with a plan!"

Zhao Danyan took a deep breath: "Okay!"

Just then, the test results came out!

However, when Chen Cang saw the test sheet, he was immediately confused.

Platelets were more than double the normal level, plasma viscosity was also high, homocysteine ​​70!

This made Chen Cang frown.

How could such a 24-year-old girl get to such a high coagulation state?

Pregnant?

But yesterday the patient said that she was not pregnant!

Not only Chen Cang, but also Zhao Danyan, Hong Sheng and others have thought of this possibility!

So, I quickly asked the B-ultrasound doctor to do a check.

The result made everyone heave a sigh of relief.

Not pregnant!

However, if there is no genetic disease or special disease, what kind of state can induce such a hypercoagulable state?

Such a state, even if it is an operation, may induce cerebral thrombosis.

At this time, Chen Cang suddenly said: "Sister Yang, ask the laboratory department to urgently check progesterone and estrogen."

Hearing Chen Cang's words, Zhao Danyan and Hong Sheng became slightly curious.

Check this for what?

The patient was not pregnant again.

With such high blood coagulation, thrombolytic drugs can be used.

However, caution is still required.

Zhao Danyan struggled, thinking for a long time, and suddenly said, "Use urokinase for thrombolysis, heparin calcium for anticoagulation, and at the same time improve circulation and reduce intracranial pressure!"

"Give hyperbaric oxygen to promote the recovery of nerve function and limbs."

"It's best to guarantee that the operation can be completed this morning!"

As a result, several people in the emergency room began to frantically again.

During the whole process, the patient's condition must be monitored at all times. In one night, the intracranial pressure was measured twice.

When it was less than 7 o'clock, the intracranial pressure reached about 200, and the most important thing was that the overall state of the patient was relieved.

If the patient starts the operation, the existing heart rate decreases and the pulse and blood pressure are abnormal, which is easy to cause problems.

In the rescue room, several people worked hard all night, and they didn't see each other.

Fortunately, the patient's condition is getting better.

Mitty also opened her eyes at this time, looked at the people around her, and suddenly became silent.

Chen Cang looked at Mitty and couldn't help laughing.

After Zhao Danyan checked the situation, Mitty had greatly improved compared to last night.

At this time, Hong Sheng was also relieved: "Then I will go up first, if the patient has surgery... I suggest to invite Director Xue to do it. The location of the superior sagittal sinus is special, and he is very knowledgeable about the intracranial anatomy. I understand, and his subarachnoid hemorrhage is relatively good, it is not easy to damage the surrounding tissue, and the sequelae are smaller."

Speaking of this, Hong Sheng couldn't help but say: "After all, I have studied at Harvard Medical School for two years, and my level is very high!"

At this time, the test results of progesterone and estrogen also came out.

When it was handed to Chen Cang, Chen Cang frowned.

Why are progesterone levels so high?

Seeing Mitty's silence, Chen Cang couldn't help but ask, "Are you taking birth control pills for a long time?"

Mitty looked at Chen Cang with pity in her eyes and tears rolled down her cheeks.

"Um."

The sound is very light.

When she woke up, Mitty seemed to have experienced a life and death, like a lifetime, which made her feel ridiculous.

So much for a man!

But what is it in the end?

Zhao Danyan, Xu Ziming and others looked at Chen Cang: "What do you mean?"

Chen Cang said: "There is a lot of progesterone in contraceptives. Long-term use will lead to increased blood coagulation components, resulting in increased blood viscosity and slowed blood flow, which may induce venous sinus thrombosis!"

"Women on long-term oral contraceptives are eight to ten times more likely to develop deep vein thrombosis than those who do not!"

This remark brought Mitty to tears.

When several people around saw this scene, they couldn't help but sigh.

Poor girl!

On the other hand, the nanny Peng Zhen hugged Mitty and cried distressedly: "Poor child, how can you meet such a bastard!"

...

ps: There are five more updates today, ask for a monthly pass!

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