Chapter 575: Yamen acupoint and stroke corpse, this is caused by human


  The patient's name is written on the head of the bed, An Wen, 32 years old.
  Of course, this age should be the age when An Wen was admitted to the ICU.
  Li Quan looked at the ECG monitor connected to the patient's body. At present, the patient's heart rate, ECG, pulse, blood pressure, respiration, blood oxygen saturation, and body temperature, all indicators tend to a relatively stable normal value.
  "Why don't you connect the patient to an EEG monitor?" Li Quan asked curiously.
  There are various life monitoring equipment and treatment equipment in the ICU ward.
  ECG monitor and EEG monitor are the two most commonly used monitoring instruments.
  Especially the ECG monitor can monitor almost all the most basic vital signs of the patient.
  Dr. Annie’s younger brother has been in a coma. If you are from a medical point of view, it is necessary to use an EEG monitor to monitor the patient’s brain waves in real time.
  "Heh~! My income is not particularly high, and then my brother's ex-wife took almost all the property in the family. In order to save my brother's life, he has been living in the ICU for several years to prevent accidents.
  As you know, it is very expensive to live here.
  In order to maintain it, I even sold the house at home.
  Whether the EEG monitor is used or not, it will not affect my brother's life safety. In order to save money, I asked the hospital not to use these monitoring equipment for my brother. "
  Dr. Annie's face was bitter.
  Long-term treatment in the ICU, this cost must be extremely alarming.
  There are many critically ill patients, even very critically ill patients. If they are willing to spend money, they are fully capable of saving their lives with modern advanced medical technology.
  Because the family’s financial situation is limited and cannot afford it, the family can only reluctantly give up this money-burning treatment.
  In fact, from the perspective of ordinary families, one can also understand the choices made by the families of those patients.
  Some extremely critically ill patients are already a lot of age, and they have lived to the end of their lives. The conditions at home are not particularly good. If you choose to live in an ICU ward, even if you can live for one or two years, what about it?
  The patient has been suffering from illness and pain, and he cannot die if he wants to die.
   Then all the savings in the family are used up, and the children may even owe a debt.
  Instead of this, it is better to give up treatment.
  In order to save her younger brother, Dr. Anne changed her job to become a psychologist. Not to mention that she even sold her family house to treat her younger brother.
  This kind of affectionate sister and brother is really touching.
   "Dean Li, if you just scratch the surface of the scalp for the patient, you can just go here. I will immediately ask someone to prepare a scalpel, hemostatic cotton, suture needles, forceps and other tools for you."
Professor Hawking next to    is a hard worker.
   Seeing that Li Quan has made new discoveries, he didn’t ask much, and he gave his full support.
  If you just scratch your scalp, it is a minimally invasive surgery. The risk of this surgery is extremely low and the requirements are not high.
  "Professor Huo, I suggest that the patient be transferred to the operating room. If the surface layer of the scalp is cut, the situation will be roughly the same as my diagnosis and guess, which is also convenient for further surgical treatment."
  Li Quan has actually roughly diagnosed the cause of the patient.
  It's just that now, through a layer of skin, looking at the flowers in the mist, I can't really see them.
  Medicine is a rigorous subject. He can't draw conclusions before he is clear.
  "Doctor Ann, transfer the patient to the operating room, I can arrange it immediately. But this will definitely incur a certain cost, and then the surgical treatment is risky, do you agree?"
  Professor Hawking looked at Dr. Anne.
  The more you are a doctor or a big boss, the easier it is to be kind.
  Because people have no desire for quality.
  Only when one's own survival needs are solved, can you feel pity for those who need help and are worthy of sympathy.
  Dr. Anne’s care for her younger brother is enough to move countless people.
  I will try my best to help her if I can.
"I agree!"
  Dr. Annie didn't think too much, and focused on her head.
  She can’t say it. Although she has been in contact with Li Quan for a short time, Li Quan has a special potential that ordinary people do not have, which makes her feel very unusual.
   Faintly expecting that Li Quan can bring miracles to her brother.
   "Okay, I will arrange the operating room immediately and then transfer."
  Professor Hawking’s power and status in the brain department should be very high.
  Because of the temporary arrangement of the operating room, he was able to make a decision alone.
  The operating room and beds in a super tertiary hospital like Beijing First Hospital should be very tight.
  If you want to temporarily requisition an operating room, you need multiple scheduling.
  Because there is an operation, the operation time is arranged in line.
  ……
  In less than twenty minutes, arrangements were made, and Dr. Anne’s brother was transferred to the operating room.
  Such as unconscious patients, transportation is quite troublesome.
  Fortunately, the medical staff here are very professional, and the whole transfer process is very smooth.
  After entering the operating room, Li Quan found out that Professor Hawking had transferred all the anesthesiologists.
  Cut the epidermis at the beginning, just do a small local anesthesia.
  This kind of general does not need anesthesiologist, Li Quan or the doctor who is in charge of the surgeon, it can be done easily by yourself.
  "Since a professional anesthesiologist is here, I will leave the anesthesia work to you later!" Li Quan was very polite to this 30-year-old anesthesiologist.
   "Okay!" The anesthesiologist just nodded lightly.
  Female anesthesiologists are relatively rare.
   But this anesthesiologist is not bad. Li Quan couldn't help taking another look.
  Many patients and their families who do not understand the doctor system often think that the anesthesiologist is just a small role.
  As everyone knows, anesthesiologists are more important than they thought.
  There has always been a professional saying in the hospital that the surgeon treats the disease and the anesthesiologist saves his life.
What does that mean?
  The surgeon treats the patient, removes the lesion, or controls the lesion through surgery or intervention. Don't let it endanger the lives of patients.
  In addition to providing the patient with an anesthesia plan, the anesthesiologist will monitor the patient's vital signs throughout the entire operation.
  Guarantee the life of the patient at any time.
  In addition, the anesthesiologist's protection of patients goes far beyond the operation period.
  But the entire perioperative period.
  Including the preoperative judgment of the patient’s condition, according to the patient’s physical condition, considering individual differences, and formulating a treatment plan accordingly.
   and the use of advanced instruments to monitor the vital functions of patients during surgery. Anesthesiologists must rely on various complex and sophisticated instruments to make an accurate diagnosis of the condition and maintain the life of the patient.
  After the operation, the patient’s recovery is still to be observed, so that corresponding treatment measures can be made at any time.
  So the rumors circulating in the hospital that surgery is performed to cure the disease, anesthesia saves life, is very true.
  "Prepare skin for this part of the patient first!"
  Li Quan originally wanted the nurse next to him to do it.
  Because nurses are women, they are naturally gentler than men. Also more refined.
  Skin preparation is usually done by nurses or interns.
  The skin preparation is completed and disinfected.
   Then local anesthesia.
  After the anesthesia took effect, Li Quan held the small scalpel and carefully cut through the bone spurs.
  After cutting the scalp, a small amount of blood gushes out.
  You can clearly see the tail of a white bone spur revealed.
  Its tail is very smooth.
  Just because the bone spurs are very small, not much bigger than embroidery needles, no matter how rounded its tail is, it still looks like a thorn.
   "Is this bone hyperplasia?"
  Professor Hawking is the top expert in brain department, and he has done untold craniotomy for patients in his lifetime. Minor head surgery without craniotomy has also been done countless times.
  The understanding of human skulls is probably unmatched.
  At this moment, he saw Li Quan cut the patient's scalp into a cut about two centimeters long, revealing a small osteotomy spur, perfectly growing on the skull.
  The first thing that comes to mind is bone hyperplasia.
  In some joint parts, when there is bone hyperplasia, this kind of bone spurs are easy to grow.
  How can bone spurs just grow on the head?
  This position should be a little bit above the nape of the neck.
   is located just below the first cervical vertebra.
  According to common sense, the bones in this position are all round and round, and there is no possibility of bone spurs.
"Wonderful! The man who killed Dr. Ann's brother has used a method that is perfect. No wonder the cause of the disease can not be found after various examinations." Li Quan looked at the end of this small bone spur, his eyes showed thinking. color.
   "Dean Li, what are you talking about? My brother was murdered like this?" Annie asked in anger.
   Over the years, she has always thought that her younger brother was unconscious because of losing the game.
  She even called the police specifically for this.
   and checked the entire gambling process with the police.
  First of all, make it clear that gambling is legal in that place.
  Dr. An has repeatedly checked the surveillance video several times. Her brother was not attacked from entering the casino until he suddenly fell into a coma.
  Now Li Quan tells her that An Wen was unconscious because of being injured.
  How can she not be angry?
  "Professor Huo, Doctor An, don't worry, listen to me slowly. This bone spur, at first glance, looks like a bone spur point growing on this skull. But do you know what acupuncture point is?
  This is the Yamen point, one of the most important points on the head.
  This acupuncture point mainly treats slow tongue, dumb voice, heavy head, headache, severe neck, spine reflex, stroke, corpse, madness, epilepsy, hysteria, bleeds, heavy tongue, and vomiting. Update the fastest computer terminal::/
  If someone pierces this acupuncture point with a silver needle, it can cause the pierced person to suddenly become unconscious.
  The murderer’s techniques are extremely clever.
  If he used ordinary metal needles, it would have been checked out long ago. It happens to use spicules made from human bones. Whether it is X-ray or nuclear magnetic resonance, it is impossible to detect abnormalities. After sticking into Anwen's head for a while, the spicules and skull have grown together, which makes it more difficult to detect. "
  Li Quan explained the murderer’s modus operandi.
  "Damn it, this murderer is so terrible! My brother just won him a few rounds, so he was so bad at it. It's really hateful." Annie couldn't help gritting her teeth.
"Doctor Ann, I can tell you clearly that this bone spur was definitely not the one that stabbed your brother into the brain on the day of his coma. It may have been stabbed for a while. Therefore, the person who gambled with your brother is less likely to commit the crime. .
  Unless he and your brother have known each other before and have enemies with each other. "
  Li Quan said so, it makes sense.
   "Dean Li, can you tell me the reason?" Dr. Annie's name for Li Quan is already a respectable name.
  Words and demeanor have become extremely respectful.
  The beautiful anaesthetist like an iceberg also looked at Li Quan in amazement.
  This patient knew about it before she came in for anesthesia.
  You need to know that this patient was consulted by many experts in the whole hospital, and several department directors consulted together, and the cause was not found even after exhausting the means.
  Now, the cause of the disease has been found out by this unremarkable young doctor.
  And inferred that Anwen was murdered like this.
"After the Yamen point is attacked, there will usually be strong symptoms of discomfort immediately, and even coma. But as you said just now, you have watched all the videos of your brother entering the casino until he was comatose, and you did not find you. The younger brother was attacked.
  In addition, judging from the depth of this bone spur, the murderer's methods are extremely clever.
  After piercing the bone spur into your brother's head, he did not immediately pierce the Yamen point.
  But not deep or shallow, just pierced to the position of Yamen point.
  When your brother is itchy from the wound caused by a bone spur, or when your brother is angry or panicked, unconsciously touching the back of his head with his hand, or even shrinking his neck, may cause the bone spur to pierce the Yamen point, and then your brother will be unconscious on the spot. This is an elaborate crime. "
  Li Quan explained the reason.
   "So it's like this..." Dr. Anne nodded slightly, and she began to wonder who the murderer was.
"Oh, I know who the murderer is. It must be that vixen. She must have planned and wanted to take away my brother's assets, so she carefully arranged such a round. Bitch, I will definitely not let you go... …"
  Dr. Annie looked at a mature woman who was elegant and intellectual.
  At this moment, in front of Li Quan, Professor Hawking and others, he swears.
  "The pursuit of the murderer can be slowed down and handed over to the police to solve the case. Now let's talk about the treatment plan to save your brother. The more straightforward is the craniotomy to see how deep the bone spur is.
  Now that the bone spurs have grown together with this whole skull, it might be difficult to pull it out.
  So, craniotomy is an effective treatment plan.
  There is another way to lower the risk. Use my special potion to separate this bone spur from the skull. Loose, then pull it out. But I can't guarantee it will work. "
  Li Quan gave two treatment options.
  It is like an iron screw, which cannot be screwed off after rust. With a little bit of lubricating oil, you can unscrew it after removing the rust.
  Li Quan’s special potion can increase the gap between bones that are not originally part of the same bone, but are joined together.
   "Dean Li, I want to try the second option you mentioned. Try with a special potion." Dr. Annie also understands that the risk of craniotomy is very high.
  The cost is not low.
  If you can use a more conservative method, you must choose the latter.
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