Chapter 618: Bilateral frontal lobe contusion

Style: Science Author: LinshanhaiWords: 2228Update Time: 24/01/12 21:40:24
Tao Le thanked everyone one by one, had a simple meal, and then came to the hospital.

Here, she also received all kinds of love.

The local residents, headed by Dundup Gyalpa, Dorje and Chang Shengnan, each showed a hatred of evil and spoke out for justice, which impressed her.

It was still early before work hours, so Tao Le went to the ICU to check on Wen Hao's condition.

Yesterday, Simu's new drug was extremely effective. In addition to killing mutated bacteria, it was also converted into immunoglobulin, which greatly improved the body's immunity.

At this time, Wen Hao's health value has increased to 45 points, and all indicators have become more stable.

Neither Duan Guangsheng nor Mr. and Mrs. Wen are here at the moment. It seems that they are still resting after yesterday's changes of great joy and great sadness.

David and Director Liu are not here either. They have stayed up for too long, and they really should go back and rest.

On the other hand, the attending physician, Dr. Hua, had taken another round of leave yesterday afternoon and was back on duty now.

As soon as he saw Tao Le, his face lit up with joy.

"Mr. Tao, I would like to ask if your friend can prepare some more of this new drug for us?" He rubbed his hands and said: "You also know that Acinetobacter baumannii is a nightmare in the ICU, but the ICU is The hot springs where it lives are very difficult to eradicate.”

"No problem." Tao Le didn't think it was a big deal, so he immediately agreed: "I'll contact you shortly."

"This is great." Dr. Hua has seen the efficacy of this new drug with his own eyes and is extremely confident in it.

"So are you coming here today?"

"I want to help Wen Hao with acupuncture, which should promote his recovery."

Tao Le underwent acupuncture to help the liver surgery wound heal and once again improved his health by 6 points.

After doing all this, she went downstairs with confidence and started the day's consultation with Chang Shengnan.

Most of the patients who came in the morning were local Tibetan compatriots. The doctor-patient relationship was harmonious and the diagnosis and treatment went very smoothly.

But at noon, an ambulance arrived with a car accident casualty.

This is a 25-year-old young woman traveling from other places. She was hit by a car an hour ago. She fell into coma after the back of her head hit the ground. She gradually woke up after about 5 minutes. She felt dizzy, had a headache, and was accompanied by vomiting.

During admission to the hospital for physical examination, the patient suffered from disturbance of consciousness, coma, and slow reaction to light in both eyes.

A whole-body CT examination revealed that the patient had bilateral frontal lobe contusion with bleeding, brain stem injury, subarachnoid hemorrhage, zygomatic fracture, rib fracture, and right distal clavicle fracture.

The people who sent the patient to the hospital were three of her friends, two women and one man. Everyone was about the same age as her, with panicked looks on their faces.

"The situation is very serious." Wang Zhang frowned and looked at the test results: "Immediately invite the Department of Surgery, Thoracic Surgery, and Emergency Anesthesiology to come for consultation."

If there is an emergency need, other departments will provide support as soon as possible.

The one who came down from the chest was the attending physician Anjun, and the one who came over from the anesthesiology department was the attending physician Lezeng. As for neurosurgery, both Zheng Changchun and Zhuo Shengli were undergoing elective surgeries, and the one who came down was deputy chief physician Li Shanyuan.

After understanding the situation of the injured, Li Shanyuan immediately frowned.

The injured patient was admitted to the hospital with bilateral frontal lobe contusion and was already in a coma when admitted. Whether it was conservative treatment or surgical removal of the hematoma, the risk was extremely high.

If there is no surgery and only non-surgical treatment is given to prevent and treat edema, the disease may progress more quickly. Once central herniation occurs, the patient will have a narrow escape.

However, if intracerebral hematoma removal surgery is performed, cerebral edema will continue to occur, and at its peak, it is also easy to shift the brain tissue and form cerebral herniation.

In addition, the patient already has brainstem damage. Even if the operation is successful and the perioperative period is successfully completed, functional loss will occur in the later stage, resulting in sequelae such as paralysis, aphasia, apathy, memory loss, and incontinence.

"The condition of the injured is not optimistic." Li Shanyuan said everything he was thinking, and finally said: "Based on the above considerations, the benefits of surgical treatment are not high, and conservative treatment is recommended."

"The injured person is still very young." Wang Zhang thought for a while and asked, "Is there really no other way?"

"This is my personal judgment." Li Shanyuan said with a wry smile: "Director Zheng has much more experience than me, but he just came on stage and it would take at least five or six hours to come down - even if he had another operation at that time, he probably wouldn't be able to do it. What’s the point?”

"Otherwise, we should tell the family members the truth about the situation and let them make the choice." Wang Zhang sighed.

When the three friends heard this result, they were immediately stunned.

"Doctor, Wan Rong came from the orphanage and has no other relatives. She came out with us to relax this time after she had a fight with her boyfriend. I didn't expect that something like this would happen."

"We also took her mobile phone and called her boyfriend just now. Unexpectedly, the other party hung up without answering. Apparently she still wasn't calmed down."

"It's not impossible for us to pool money to help her with treatment, but if it's the final decision, we're not suitable."

"And, according to what you just said, even if her operation is successful, she will probably never be a normal person again?"

"Yes." Li Shanyuan said: "It is basically impossible to return to the previous state."

The three friends looked at each other, with hesitation in their eyes.

The only man finally stood up and said:

"Actually, her current financial situation is not very good. This time, we took care of her and shared a lot of expenses with her. She has no relatives at home. It would be fine if she can return to normal. We will help her no matter what. To make up for the cost of the surgery.”

"But if that's not possible, then... let's give it conservative treatment, okay?"

Wang Zhang felt a little depressed after hearing this. Although the words are like this, the reason is also the same, and even their choices are the same as what Li Shanyuan did, but why does it sound a bit harsh?

He wanted to say something, but in the end he kept his mouth shut.

In fact, he had never encountered such a thing before. The choices made by several young people are just human nature.

At this moment, a clear voice sounded from behind them:

"You don't need to worry about the expenses." Tao Le said calmly:

“According to relevant regulations, if it is impossible to obtain the opinions of the patient or his close relatives due to emergencies such as rescuing a life-threatening patient, corresponding medical measures can be implemented immediately with the approval of the person in charge of the medical institution or the authorized person in charge.

"Having said that, my opinion is actually the same as theirs." Li Shanyuan said.

From the moment Tao Le appeared, the three young men's eyes had been rolling on her face, and then they all focused on her breastplate.

They looked at each other, each showing an expression that was hard to explain.

"Are you Tao Le? The Tao Le who is making waves on the Internet?" one of the women asked, and everyone could hear the disdain in her voice.

Tao Le raised his eyebrows slightly and was about to answer when An Jun and Le Zeng spoke at the same time.

"The rumors on the Internet are not credible! The level of our Teacher Tao is beyond what you can imagine!"

(End of chapter)