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0146 Focal plexus palsy degeneration syndrome

It was already noon, and Chang Yue insisted on inviting the patient's son to a noodle restaurant opposite the hospital for a meal.

The patient's son quickly refused, but Chang Yue was determined and could not refuse.

Yang Lei followed Chang Yue and Zheng Ren couldn't leave. He chatted for a few words, sent Chang Yue and the patient's son away, and prepared to go to the cafeteria.

As an experienced clinician, what you will do takes more than ten minutes, so you must prepare in the early stage - check-in.

Only when the patient is stable can he not be disturbed. Otherwise, he would have to wait nervously for a while and not know when the phone would ring. He really couldn't even have a good meal.

Zheng Ren started the second round of the new day.

The patients in the emergency room were all stable, including two patients transferred from the ICU.

Tang Xiu also knew that she was just verbal in the doctor's office. She was a little embarrassed, but Zheng Ren thought that this had never happened.

After entering the house, I checked my body and asked about my illness, just like other patients.

The patient's vital signs were stable. Because it was an interventional surgery, the pain was not severe after the operation, but his stomach was a little swollen.

Zheng Ren judged that it was caused by the accumulation of blood in the abdominal cavity stimulating the peritoneum, so he comforted the patient a few words and dispelled the patient's idea of ​​going home at night.

What a joke? When I came yesterday afternoon, one foot had already stepped into the gate of hell. Do you want to go home today?

Although the conditions of the hospital are much worse than those at home, after all, there is a doctor on duty. Once there is any dangerous situation, it is better to go on stage to conduct a laparotomy than waiting for 120 emergency treatment at home.

Zheng Ren refused this request from the patient very firmly.

Tang Xiu's father did not insist too much. When Zheng Ren told him that he would be able to go to the ground after another day of recovery, the old man finally smiled.

The patient with a ruptured spleen was lying on the hospital bed. Because of the open surgery, he had to wait for exhaust before he could eat. The couple didn't know what to say, and laughed while talking, looking warm and harmonious.

Who knows that my wife just stabbed her husband into hemorrhagic shock yesterday?

So, impulse is a devil. If you can make noise, try not to do anything.

Zheng Ren went in and chatted with the patient's family. Seeing that the patient had a ruptured spleen recovered quickly, he also told the patient that the patient's family was exhausted today and that the patient could go down to the ground to move after dinner.

The ward is stable, but it is still not enough. As the hospitalization officer, Zheng Ren has to take a look at the emergency department.

Su Yun had no place to eat, and he didn't follow Chang Yue to have a meal. I don't know if it was the shadow left by the eleven boxes of big green sticks or if he was particularly unwilling to communicate with the patient's family.

The two of them came to the emergency department and visited the emergency ward accompanied by the doctor on duty. They were still minor injuries and minor illnesses, just a little anti-inflammatory and dehydrating medicine, and there were no misdiagnosis or hidden critical illnesses.

Fortunately, when I saw that the patients were all stable, Zheng Ren's heartbeat was 80 times per minute, which was particularly comfortable.

After eating, sleeping, waiting for the emergency room that you will be in at some point, Zheng Ren has already planned his work plan today.

He transferred out of the emergency observation room and explained to the doctor on duty. Just as he was about to leave, Zheng Ren turned around and saw the families of two patients pushing a small flat car into the emergency building.

There was a thin and dry old lady lying on the flat car. She seemed to be in her seventies.

"What's wrong with the patient?" Zheng Ren asked twice quickly.

"My mother fell a few days ago when she was passing by. Now both legs are not easy to use and she can't walk." said a strong young man in his twenties.

"Push a wheelchair." Zheng Ren greeted the back.

As for whether Su Yun pushes the wheelchair or the doctor on duty pushes the wheelchair, this has nothing to do with Zheng Ren.

There was a peaceful and quiet green on the system panel in the upper right corner of the field of view, and there was no illness. Zheng Ren was confused and looked at the old lady lying in the car carefully.

The old lady had miserable wrinkles on her face, her eyes narrowed into slits, and she could vaguely see traces of crying not long ago. Because she was old, she probably had bad teeth, and her cheeks were a little deep, and she looked at her completely indifferent.

The car had several layers of mattresses, and she lay on the mattress with a thick quilt on her body.

The dusty breath came towards us.

Could it be that it was pushed? This is so scary, Zheng Ren thought to himself.

"Why did it be pushed?" Zheng Ren asked tentatively.

Another older patient's family member said frowningly: "My mother can't stand up. If she is in a car, she can carry her back. She is afraid that she will feel uncomfortable in the car, so she pushed her over."

The family is good, Zheng Ren thought to himself.

The surgeon on duty pushed a wheelchair over, and several people helped the old lady into the wheelchair in a slight manner.

Zheng Ren was confused. When he was helping him, he suddenly relaxed his hand intentionally and then grabbed it.

The moment he let go, the old lady fell in love with him.

Because of the body blocking it, Zheng Ren was not afraid of the old lady falling down.

But he noticed that the patient suddenly used force on his right leg to support his body.

In an instant, many years of heads appeared in Zheng Ren's mind. Various different arguments and ideas, and finally combined with the information on the system panel, he came up with his own diagnosis.

"Which part of the fall was injured? Where did you see it?" Zheng Ren pushed his wheelchair from behind and walked to the emergency room. He asked while walking.

"I'm fine, my head was touched. I went to the clinic in our countryside. The doctor said nothing was wrong, but I should be careful of late intracranial hemorrhage. Once it happens, I will be paralyzed even if I don't die. Two or three days later, I gradually couldn't leave. I took me to the hospital in the town for a checkup. I had B-ultrasound, CT, etc., and I found no problem."

When he came to the emergency department, Zheng Ren carefully read the various CT scans from his family.

It's okay, everything is fine.

There was no intracranial hemorrhage, no fracture, and no abdominal organ bleeding, but why did she become paralyzed?

Zheng Ren stood in front of the video reading device and pondered, the families of the two patients were increasingly worried.

I wanted to ask, but I was still a little restrained and timid, and I didn't dare to disturb Zheng Ren's thoughts.

But if you don’t ask... Haicheng First Hospital is the largest hospital they can think of. If they don’t understand it, the old man will probably not be able to stand up for the rest of his life.

"You're pretending to be sick." Su Yun stood behind Zheng Ren's side and whispered.

Zheng Ren didn't say anything, just shook his head.

"This is a rare local plexus paralysis and degeneration syndrome." Zheng Ren came to the patient and the patient's family and said seriously.

“…”

“…”

Su Yun and the surgeon on duty were confused.

What kind of diagnosis is this? Why haven’t I heard of it?

But seeing Zheng Ren's serious expression and his tone are full of authority, he is even more confused.

"Ah?" The patient's family members were stunned.

It sounds serious.

The old lady's ears were not deaf, she could hear clearly, and two lines of turbid tears flowed down the corners of her eyes.

"But you are lucky." Zheng Ren said calmly.

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