Vol 2 Chapter 1817: impossible, absolutely impossible

   Chapter 1817 Impossible, absolutely impossible
   Zhang Fan entered the ward, started disinfection, and then put on protective clothing. In fact, this disease does not need to be so publicized, but who makes people rich? Even using money to describe people is a bit like saying people are poor.
   Zhang Fan went in and saw that the old man had entered a state of drowsiness. The sound of snoring is no different from the start of a broken tractor. This kind of snoring is not the same as apnea syndrome.
  Apnea syndrome gives people the feeling that he is about to suffocate to death. He takes a breath, and then he doesn't breathe out or breathe in for a few seconds, even making the observer want to open his mouth and blow in a mouth or two.
   And the snoring in the sleepy state is one after another, one wave after another, the sound is loud and does not stop. In this mental state of a person, the next level of drowsiness is lethargy, and the next level of lethargy is coma.
What kind of state is drowsiness? When you speak human words, you pinch his thigh and hurt him, and he wakes up, and then he can talk to you normally, and his thinking is clear, but you let him go. Thigh meat, he fell asleep again in an instant.
   When Zhang Fan entered the ward, there were four or five doctors in charge of vital signs monitoring, and a group of nurses on standby. Not all doctors and nurses are from the Middle East, I feel that there are people from all over the world.
   To be honest, from this point, Zhang Fan clearly felt that no matter how rich a country is, if it fails to develop basic science, money is like wasted paper.
   For example, in China, there is no such thing as a digital hospital. Even if it is a capital hospital, after entering, you will never see foreign doctors and foreign nurses in certain departments. In this regard, the big dog owners still haven't done a good job.
   After seeing the current boss bringing a group of people in, the doctors and nurses who were monitoring vital signs also started to get busy. There are people who fish everywhere. To be honest, this ward is a disease, and it is more than enough to leave a nurse before surgery. With so many people here, the labor force must be exceeded. What else can people do if they don't touch the fish. .
  Many people think that foreigners don’t know how to fish and that foreigners are all model workers. In fact, this is all a brain-damaged saying made up by a brain-damaged person. But any animal with a little intelligence, who Nima likes to work. Don't talk about people, even monkeys don't want to work.
   Of course, these people don’t touch the fish, and the current boss can’t see it. Anyway, people seem to be very busy, and from time to time a few people will gather to discuss and discuss. All kinds of professional terms, all kinds of professional data, it seems to be very serious, but in fact, if you listen carefully, it is 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.
   In fact, this is Zhang Fan's habit, the habit of bad people. However, this is also beneficial. Zhang Fan walked to the former boss, and the group of doctors and nurses surrounded him, and also prepared all the stethoscopes, percussion hammers, stimulation needles and the like for Zhang Fan.
  People also understand that those who can enter this ward are all powerful doctors. Since the powerful doctors do not embarrass them, they are also happy to join in and help each other.
   Anyway, he is fooling people, taking money by the hour, and mixing an hour counts as an hour.
   Zhang Fan took the stethoscope and took nothing else. He patted the old man, but the old man didn't respond. This kind of stimulation was not enough. Zhang Fan stretched out his hand and pressed his thumb directly on the frame between the old man's eyebrows.
There is a depression in the middle third of the front of a person's eyebrows. This thing's official name crosses the frame between the eyebrows. It is a way for nerves to enter and exit. It hurts a lot. I will click here, and the prisoner who hurts will say everything about the women's toilet.
As soon as Zhang Fan pressed the button, the old man stopped snoring, and then opened his eyes. This wakefulness was obviously different from the state he had just woken up from. This wakefulness was like the old man pretending to be asleep all the time. Confused state.
   "Do you have a headache?"
  This old man Zhang Fan has never met. When he came last time, this old man had already retired, so he did not know Zhang Fan, but the current boss explained it first.
   Zhang Fan asked a question, and the translator immediately translated it for the old man.
   shook his head and nodded slightly, Zhang Fan understood that the old man could no longer confirm, "Come and whistle."
The    translator gave Zhang Fan a strange look, but in just a split second, he immediately translated it to the old man.
As soon as the old man whistled, he could clearly see the state. The crooked side of his mouth formed folds, and the other side was flat and motionless. He felt a little like a monk with a crooked mouth, and when he blew no sound and did not say anything, his saliva would flow. .
  Zhang Fan let go of the frame between his eyebrows. The old man wanted to say something, but before he could finish speaking, he fell into a sound sleep and started snoring again.
  The name of stroke is cerebral apoplexy. This thing is divided into hemorrhagic stroke and ischemic stroke. The vascular network in the brain is like a black stocking with a piece of fat in it. Then the black stockings separated a lot of filaments into the fat, and supported the fat together with the nerves and the cerebral cortex.
The    is supported like a small villa, with a living room and a bedroom.
   Here, it can be said that each thread of the black stockings involves these functional components. Once the stockings are broken or blocked, resulting in insufficient supply of oxygen and nutrients, there will be problems with the function involved.
  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, and some are asymptomatic.
   For example, if you have never been uncomfortable, but suddenly hemiplegia occurs, this is the most troublesome situation. It is often difficult for patients without symptoms to have clinical improvement.
   Also, stroke and poisoning are sometimes especially confused, such as lead poisoning.
   After Zhang Fan finished the examination, he said something to the current hooded brother, and began to take his own people to check the old man's medical records. A country's medical care, in the desert, is quite powerful.
   But it is a bit of a brand of IWC. Developed countries in Europe and the United States have large hospitals here.
But this thing, seeing a doctor, is different from other aspects. Most of the time, just like KTV girls, Zhang's can't be said to be good-looking, but Nima's family has more repeat customers. Why, I understand it, I don't understand I don't know what to say.
   Several medical teams have already prescribed treatment plans, but the current hooded brother has an inexplicable confidence in Zhang Fan. Perhaps Zhang Fan is the type with more repeat customers.
   "We need to have a meeting to talk about it."
   Zhang Fan did not directly say the treatment plan, but solemnly said this to Brother Turban.
   "Okay, okay, tomorrow, the doctors of other teams will also come up with a treatment plan. I'm disturbing today, and I'll let you work when I get off the plane. I'm really sorry."
  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 said that they were eating. Zhang Fan and the others were not in the mood to eat, so they started the consultation and evaluation 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 couldn't come, so he had to wait for everyone to come up with a plan.
  The inside of this old man's head is like the skin of a toad, a lacunar cerebral infarction in his head, which is densely packed, and he has a history of craniocerebral hemorrhage before.
   To be honest, if this kind of situation was placed on ordinary people, it would be safe for Nima to be buried in the ground.
If you can't understand it, or people in the city haven't seen a toad and can't imagine it, it's probably a poor beauty wearing stockings, but the stockings are covered with patches, and the and smooth stockings suddenly turned into a steamed bun inlaid on the gate of ancient China. The feeling of a nail.
"Although the patient seems to be suffering from ischemic stroke at present, the main reason is that the blood clot compresses the cranial neurons. The best way at present is to remove the compression by craniotomy." Luo Zhengguo, director of the hospital's brain surgery department, said: 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. Moreover, the past life history has caused the current patient's brain to be riddled with holes. Surgery will indeed improve the symptoms as quickly as possible. , but will it cause the subsequent aggravation of the patient's disease?
   The current oppressed place may be conservative after dehydration and antihypertensive treatment, and it may not be able to improve the patient's symptoms.
Moreover, please see, the patient's cerebral cortical blood flow (rCBF) has dropped to 15ml/(100g.min), and the brain tissue is originally a high oxygen-consuming tissue. It is thought to cause the loss of neuronal function and even the death of the patient. "
   Wen Yunyun, director of the Department of Neurology, argued with reason.
The neurosurgery of Chasu, if Zhang Fan is not considered, the neurosurgery is a bit more powerful, especially Director Wen Yunyun, who is usually quiet, not like the arrogant and arrogant of Ma Buick, nor like Ren. Li has an aura of leadership in the hospital.
   Like ordinary physicians, she seldom speaks, but the construction of the department can still keep pace with the various internal medicine departments of Chasu.
   The main reason is that this department is too difficult, and almost all the fresh materials are in English, so the doctors in this department must settle down.
Moreover, ordinary doctors, no matter which department they belong to, can point fingers on the heart and respiration a few times, but they usually keep their mouths shut when they arrive in the gods. In this department, not only academic journals must be read in English, even many drugs are in English. version.
   And domestically, calf blood is used with great joy. Because this thing has high rebates!
   "What if the intraoperative hemorrhage will not affect the cranial and cerebral blood flow?" After listening to Zhang Fan, he interrupted the argument between the two parties, and it was pointless to argue further.
   "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, I suggest not to take risks."
  Zhang Fan smiled slightly, clapped his hands, and said, "Everyone, look, can this work?"
   After saying this, Zhang Fan began to draw the surgical path map on the computer.
   (end of this chapter)