Chapter 1813 Impossible, absolutely impossible

Zhang Fan entered the ward, started disinfecting, and then put on protective clothing. In fact, this disease does not need to be so publicized, but who makes people rich? Even using the word "rich" to describe people is a bit like saying people are poor.

Zhang Fan went in and saw that the old man had already fallen asleep. The sound of snoring is no different from that of a broken tractor starting. This kind of snoring is different from apnea syndrome.

Apnea syndrome is a feeling that a person is about to suffocate to death. He takes a breath, and then does not breathe out or take in air for several seconds. It can even make the observer want to open his mouth and blow in one or two breaths.

Snoring in a drowsy state occurs one after another, one after another, with a loud sound that never stops. In this mental state of a person, the next level of lethargy is coma, and the next level of lethargy is coma.

What is the state of lethargy? In human terms, it means that if you pinch his thigh flesh and hurt him, he will wake up, and then he can have a normal conversation with you, and his thinking will be clear, but you let him go. Thigh flesh, he instantly fell asleep again.

When Zhang Fan entered the ward, there were four or five doctors on one side responsible for monitoring vital signs, and a group of nurses on standby. Not all doctors and nurses are from the Middle East, it feels like there are people from all over the world.

To be honest, from this point on, Zhang Fan clearly felt that no matter how rich a country is, once it fails to develop basic science, money will be like waste paper.

For example, in China, there is no such thing as a digital hospital. Even if it is a hospital in the capital, after entering, you will not see foreign doctors or nurses in specific departments. In this regard, the big dogs still haven't done a good job.

 After seeing the current boss coming in with a group of people, the doctors and nurses who were observing and monitoring vital signs also started to get busy. There are people fishing everywhere. To be honest, with a disease like this in this ward, it is more than enough to leave one nurse before the operation. With so many people here, the labor force must have exceeded the standard. What else can people do if they don't fish? .

 Many people think that foreigners don’t know how to fish, and that foreigners are all model workers. In fact, these are all idiotic sayings made up by idiots. But any animal with some intelligence likes to work. Not to mention humans, even monkeys don’t want to work.

Of course, the current boss can’t tell if these people are fishing for fish or not. Anyway, people seem to be quite busy, and from time to time a few people will gather together to discuss. Various professional terms and various professional data may sound serious, but if you listen carefully, they are all nonsense.

Zhang Fan smiled and nodded. The current boss felt that Zhang Fan recognized their work, so he whispered to these people: "Thank you, thank you for your hard work."

 Actually, this is Zhang Fan’s habit, the habit of a bad person. But there are advantages to this. When Zhang Fan walked up to his former boss, a group of doctors and nurses gathered around him and prepared stethoscopes, percussion hammers, stimulating needles, etc. for Zhang Fan.

People also understand that the people who can enter this ward are all powerful doctors. Since the powerful doctors do not make things difficult for them, they are happy to participate and help each other.

Anyway, it's just to fool people, get paid by the hour, and every hour of fooling around will be counted as an hour.

Zhang Fan took the stethoscope without taking anything else, and patted the old man. The old man didn't respond. The stimulation was not enough. Zhang Fan reached out and pressed his thumb directly on the old man's eyebrows.

There is a depression in the front third of a person's eyebrows. This thing's official name is the intersection between the eyebrows. It is a path for nerves to enter and exit. It is very painful to press here. In the past, when the police asked the prisoner if the prisoner was dishonest, some old policemen would If you click here, the prisoners in pain will tell you what happened in the women's room.

When Zhang Fan pressed the button, the old man stopped snoring, and then opened his eyes. This state of awakening was obviously different from the state of waking up from sleep. This state of awakening was as if the old man had been pretending to sleep, and there was no such thing as the state of just waking up. Confused state.

 “Have a headache?”

I have never met this old man Zhang Fan. When I came here last time, this old man had retired, so he didn't know Zhang Fan, but the current boss gave me an explanation first.

Zhang Fan asked a question, and the translator was immediately provided to the old man.

 Shaking his head and nodding, Zhang Fan understood that the old man could no longer confirm, "Come and whistle."

The translator glanced at Zhang Fan strangely, but for a moment, he immediately translated it to the old man.

As soon as the old man whistled, he could clearly see his condition. One side of his crooked mouth formed wrinkles, and the other side was flat without moving. It felt a bit like a monk with a crooked mouth. Moreover, as soon as he whistled, there was no sound, and his saliva started to flow. .

Zhang Fan let go of his eyebrows. The old man wanted to say something more, but before he finished speaking, he fell into a deep sleep and started snoring again.

 The name for stroke is cerebral apoplexy. This thing is divided into hemorrhagic stroke and ischemic stroke. The blood vessel network in the brain is like a piece of fat inside a black stocking. Then many filaments from the black stockings penetrated into the fat, and worked with the nerves and cerebral cortex to support the fat.

 It is built like a small villa, with a living room and a bedroom.

Here, it can be said that every thread of the black stockings involves these functional components. Once the stockings are broken or blocked, resulting in a lack of oxygen and nutrition supply, the involved functions will have problems.

In daily life, many people will encounter symptoms such as lightning-like headaches, numbness, tongue inflexibility, spasms and tremors. To be honest, neurological diseases are particularly scary, some of which are asymptomatic.

For example, hemiplegia suddenly occurs when he has never felt uncomfortable. This situation is the most troublesome, and it is often difficult for patients with no symptoms to achieve clinical improvement.

Moreover, sometimes stroke and poisoning are particularly easy to confuse, such as lead poisoning.

 After Zhang Fan finished the examination, he said something to the current head scarf brother and started to take his people to check the old man's medical records. The country's medical care is relatively good in this desert.

  But it’s a bit like IWC. Developed countries in Europe and the United States have large hospitals here.

But this thing, medical treatment, is different from other aspects. Many times, just like the girls in KTV, they can’t say how beautiful they are, but they just have more repeat customers. Why? Everyone knows, but I don’t. I don’t even understand what I said.

Several medical teams have already prescribed treatment plans, but the current head scarf brother has an inexplicable confidence in Zhang Fan. Maybe Zhang Fan is the type who has more repeat customers. Although he is a bit shady, he does not deceive people or make lies.

 “We need to have a meeting to talk about it.”

 Zhang Fan did not tell the treatment plan directly, but solemnly said this to Brother Turban.

“Okay, okay, doctors from other teams will come up with treatment plans tomorrow. I’m sorry for disturbing you today. I’ll let you guys work as soon as I get off the plane.”

Zhang Fan said a few polite words and took the team back to the hotel.

The hotel is just a few steps away from the hospital. When we returned to the hotel, the people from Ah Guo wanted to eat. Zhang Fan and the others were not in the mood to eat at the moment, so they started consultation and evaluation directly in Zhang Fan's suite in the hotel.

To be honest, after seeing the old man’s examination, Zhang Fan understood why so many expert teams from top hospitals could not come over and had to wait for everyone to come up with a plan.

The inside of this old man’s head was like the skin of a toad, with lacunar infarcts all over his head densely packed, and there was also a history of craniocerebral hemorrhage in the past.

To be honest, if this situation happened to ordinary people, they would be buried in peace.

If you can't understand it, or city people have never seen a toad and can't imagine it, it's probably a poor beauty wearing stockings, but the stockings are covered with patches. The originally **** and smooth stockings suddenly turned into an ancient Chinese door with steamed buns inlaid on it. That feeling of nails.

"Although the patient's current condition seems to be serious ischemic stroke, I think the main reason is that the blood clot is compressing the cranial neurons. The best way at present is to open the skull to remove the compression." Luo Zhengguo, the director of the hospital's brain surgery department, He spoke first.

Xue Xiaoqiao and Dai Yuhang also nodded, agreeing with their boss's statement.

"I think conservative treatment is still necessary. First of all, please see that the patient is over 70 years old, and the past life history has caused the patient's brain to be riddled with holes. Surgery will indeed improve the symptoms as quickly as possible. , but will it cause the disease of subsequent patients to worsen?

 The area of ​​current oppression may be conservative after dehydration and antihypertensive treatment, which may not necessarily improve the patient's symptoms.

Moreover, please see that the patient's cerebral cortical blood flow (rCBF) has dropped to 15ml/(100g.min). The brain tissue is inherently a high oxygen-consuming tissue. If secondary trauma during surgery causes ischemic circulation to stop, I It is believed to cause loss of neuron function and even death of the patient. "

Wen Yunyun, director of the Department of Neurology, argued with reason.

If Zhang Fan is not considered, the Department of Neurosurgery of Tea Sue is a bit more powerful, especially Director Wen Yunyun, who is quiet on weekdays, not like Juma Beike who is as arrogant as a big cock, and not like any other person. Li has a leadership aura in the hospital.

She is just like an ordinary internal medicine doctor, she rarely speaks, but the construction of the department can still keep up with other internal medicine departments.

 The main reason is that this department is too difficult. Almost all the fresh information is in English, so doctors in this department must settle down.

Moreover, ordinary doctors, no matter which department they belong to, can make some pointers about heart and breathing, but when it comes to Shinai, they usually keep silent. Not only do academic journals in this department have to be read in English, but even many medicines are in English. version.

 As for the country, they are happy to use the blood of calves. Because the rebates on this thing are high!

“What if intraoperative bleeding will not affect cerebral blood flow?” After listening, Zhang Fan interrupted the argument between the two parties. There was no point in continuing the argument.

"Yes, but since it is a traumatic treatment, how can it not affect the blood flow? It is absolutely impossible, and the patient is so old, Zhang Yuan, I suggest not to take risks."

Zhang Fan smiled slightly, clapped his hands, and then said: "Let's see if this works!"

 After saying this, Zhang Fan began to draw a diagram of the surgical route on the computer.

 (End of this chapter)