Chapter 230: Pulse is like weeping, can it still be saved?
"Xiao Li, you're here just in time. Here are the medical records and examination documents of two patients with cerebral hemorrhage. Take a look first."
Professor Tang handed the information to Li Quan, which just eased Vice President Min's embarrassment.
Li Quan opened the document and read it carefully.
The first patient had brain stem hemorrhage and is currently in a coma. Yuanyang Hospital was not sure about surgery and chose conservative treatment. He has been in the ICU of Yuanyang Hospital for three days.
The patient's family chose to transfer to another hospital because, on the one hand, they had read news reports about the major breakthroughs made by Huier Hospital in the field of brain medicine and believed that Huier Hospital's medical skills were more advanced. On the other hand, the cost of ICU was extremely high, at least 10,000 or 20,000 yuan per day, and even if the family had a mine, they might not be able to afford it.
The patient is hanging on to life with the help of various high-tech equipment in the ICU, but he is like a living dead. Sooner or later, his family will give up.
There might be a glimmer of hope if he is transferred to Wheeler Hospital.
The second patient suffered a cerebral hemorrhage and was temporarily saved after surgery .
However, he is still in a coma and is no different from a living dead person. The opinion given by Yuanyang Hospital is that the risk of a second operation is extremely high and conservative treatment is recommended.
There are many vegetative patients who are awakened by family affection or love.
Overall, the second patient's condition is relatively stable.
"Doctor Li Quan, are you sure about these two patients?" Vice President Min could no longer pretend to be dead.
Because he was the leader here, he could only ask Li Quan for his opinion with a sullen face.
This scene is really funny.
A large group of chief physicians are waiting for the opinion of a resident physician.
"I want to feel the patient's pulse first and then make a decision. Is that okay?" Li Quan knew that Vice President Min was embarrassed at the moment, so he tried not to provoke him.
Try to be respectful to Vice President Min.
"sure."
Vice President Min nodded in agreement.
Li Quan walked out of the emergency room and went straight to the two patients.
"Doctor, can it be cured? You have been consulting for such a long time, please give us an answer." When the patient's family saw Li Quan coming over, they immediately surrounded Li Quan to demand the result.
"Don't worry yet. As you know, Yuanyang Hospital is also a top-level tertiary hospital. If it can't treat the patient, the condition must be very complicated. The doctors at Huier Hospital consulted . This is not only responsible for the patient, but also for your family. Think about it, if Huier Hospital rashly admitted the patient without any confidence, wouldn't that harm you?"
Vice President Min came out in person to explain to the patient's family.
He spoke in an artistic way, and the patient's family was temporarily calmed down.
Li Quan began to take the pulse of the first patient.
The technique of diagnosis by observation was also performed.
This patient has brain stem hemorrhage, judging from his pulse .
The pulse is stringy like crying and astringent like ash.
This is a very bad pulse.
The so-called "xuan pulse" means that when you press it, it feels like a string of a zither, straight and long, and it stands upright under your fingers. However, "xian pulse like crying" means that the pulse is like the sad sound of a zither string, intermittent.
This is an extremely rare bad pulse condition.
Generally speaking, if the pulse is stringy, thin and moist, it can be judged as the initial stage of damp-heat, and the evil blocking the Qi. Or if the pulse is stringy and rapid, it is mostly a sign of heat stagnation in Shaoyang and blazing gallbladder fire...
In short, this kind of pulse that sounds like weeping is like a dying person crying.
But it is slightly better than Juemai.
If the meridians are cut off, it means that the King of Hell has set a trap for the person and there is no hope for recovery.
If this person is treated properly, he may be able to fight against the King of Hell and save the person.
A sluggish pulse refers to a pulse that is thin and small and has poor flow.
Generally speaking, this kind of pulse indicates that the patient suffers from qi stagnation, blood stasis, and loss of essence and blood.
If a pulse as stringy as weeping is just snowing, then if it is also as astringent as ash, it would be like adding insult to injury.
In other words, the patient's condition is very serious.
You may die at any time.
No wonder Yuanyang Hospital would rather transfer the patient to another hospital than perform this operation.
The brain CT scan of the patient just now appeared in Li Quan's mind.
Logically speaking, more than three days have passed since the patient became ill, and this is already the fourth day. If he is not dead, the bleeding should have been controlled.
As long as the bleeding has been controlled, Li Quan can try a set of acupuncture.
Maybe it is possible to wake the patient up directly.
"Director Min, I suggest that this patient undergo another head CT scan in our hospital to confirm whether the bleeding has stopped. It would also be best if we could do a head angiography to see if there are any serious deformities or lesions."
Li Quan gave his own opinion.
"Open an inspection application form and get tested immediately."
Vice President Min noticed that more and more people were watching. As time passed, the emergency department began to enter its peak period of the day.
The scene was very messy.
We must make a decision as soon as possible. We can't let these two patients with cerebral hemorrhage stay here forever.
After Li Quan finished taking the pulse of the first patient, he took the pulse of the second patient.
The family members seemed to have noticed that this young doctor was very important. The chief doctors had also seen these two patients, but no one asked for an examination.
Li Quan found that the second patient's head was still wrapped in bandages.
However, no blood was seen, and it was estimated that the wound had healed initially.
No specific wounds can be seen.
Craniotomy is a rough operation that involves cutting open the skull. As you can imagine, the wound is not small.
Li Quan carefully felt the patient's pulse.
"Huh! This pulse is very strange." Li Quan felt it carefully, narrowed his eyes slightly, and the three fingers that were taking the pulse began to rise and fall rhythmically like playing the piano.
The patient was in a coma due to cerebral hemorrhage.
After being sent to the hospital, a craniotomy and drainage were performed in time to remove the blood clots, and the broken blood vessels were repaired.
Logically speaking, the patient should wake up after this series of treatments at Yuanyang Hospital.
But he remained in a coma.
Because the site of cerebral hemorrhage is very close to the central nervous system.
Therefore, Xu Tiangao from Yuanyang Hospital and even the professor of neurology from Beijing's top-level tertiary hospital, all concluded that the central nervous system had suffered some damage.
This is often referred to as irreversible damage.
In this case, there is really no guarantee of success in a second craniotomy.
Because you are not sure whether it is caused by damage to the central nervous system, and you are not sure whether it can be repaired successfully.
"The lesion is still in the head."
After diagnosis, Li Quan also came to this seemingly useless conclusion.
The patient is in a coma due to cerebral hemorrhage, and the lesion is of course in the head.
"Based on the subtle pulse, the lesion should be a little above the tip of the ear. This area is the brain. But judging from the brain CT scan, there seems to be no problem."
Li Quan frowned even more tightly.
"Let me think, where is the abnormal pulse I just sensed?"
"Hmm...it seems to be the falx cerebri. Could it be that the lesion is in the falx cerebri?"
[You successfully performed the pulse diagnosis technique, skill points +10]
[You successfully performed the visual diagnosis technique, skill points +10]
It seems that this diagnosis is correct.
Li Quan couldn't help but feel more confident that this patient could be cured without surgery.
