"What's the matter?" Zheng Ren asked.

"There is a female student who fell down the stairs." Su Yun's expression was a little strange, but her speech was very fast. "I came to the hospital for examination and found that pneumonia of the right lower lung was accompanied by a large amount of effusion in the right chest cavity."

"Where is Fang Lin?" Zheng Ren asked.

While dripping the car, Su Yun glanced at Zheng Ren and asked, "Have I told you that you fell down the stairs?"

“…”

"Craniocerebral injury, left temporal bone fracture accompanied by gas accumulation, traumatic shock, occipital part... This is not important." Su Yun said, "Fang Lin went to the consultation and felt something was wrong, so call me for consultation."

"What did you think about it?"

"A lot of pleural effusion, a 19-year-old girl, what would you consider?" Su Yun asked.

"Tuberburial pleuritis, the first impression is this." Zheng Ren said: "But if she considers that she falls, she also causes a fracture of the left temporal bone and traumatic shock, it cannot be ruled out that she fell because of shock."

"Shock, accompanied by a large amount of pleural effusion, I also thought so." Su Yun said.

"Look at it and talk about it." Zheng Ren thought about the patient's condition and unconsciously returned to his state when he was watching the movie.

"Boss, if you keep this in your state on the road, you will look very handsome, silly and handsome." Su Yun said.

"Shock, pleural effusion...what if it doesn't matter? It's just a simple pleural effusion?" Zheng Ren ignored what he said, but whispered on his own.

"If that's the case, it's simple."

"By the way, Fang Lin saw the patient, what did he think about it?"

"The patient had a fracture of the left temporal bone with gas accumulation, but there was a large area of ​​bruises on the right calf, which he felt like a vascular embolism." Su Yun said.

"Well, Fang Lin is good." Zheng Ren said, "It should be uncommon for thoracic departments to consider thrombosis at first glance. The patient may have pulmonary embolism... Maybe... it is wrong, it should be pulmonary embolism!"

"Boss, pulmonary embolism is very common, okay?" Su Yun said contemptly: "It's just that this patient's condition is quite special, so Fang Lin called me to consult while calling me for an echocardiac."

"I think Fang Lin's diagnosis is based on it." Zheng Ren outlined the patient's condition in his mind and said: "The strangest thing is that young students have a large amount of pleural effusion, which is rare. Falling and coma are very common."

"Well, with the bruises on my legs, I think Fang Lin's logical process is the same."

"Yes." Zheng Ren said: "It's okay. After the examination, we probably had a confirmed diagnosis before we returned to the hospital. Maybe even thrombolytic drugs have been used..."

As he said that, Zheng Ren was stunned for a moment.

Cerebral hemorrhage and thrombolysis are completely different.

If low-molecular heparin sodium plus warfarin is used for thrombolysis treatment, will there be a large amount of bleeding in the left temporal bone fracture? In the end, it will lead to brain hernia?

But if it is not treated, the blood clot alone will be fatal!

"When will the car arrive?" Zheng Ren asked.

“3 minutes.”

"Tell Xiaofeng, go to the hospital quickly." Zheng Ren's tone immediately became anxious.

Su Yun was stunned for a moment.

"Fang Lin, are you by the patient's side?"

"Call to urge me! Do it immediately after echocardiac!" Zheng Ren spoke loudly, "If you find any problems, you will immediately consult the whole hospital, the vascular department and the circulatory department."

"I think it may be a pulmonary embolism, accompanied by fainting, and the situation is very urgent. We cannot use a large amount of anticoagulant drugs, and emergency thrombosis is needed." Zheng Ren said.

All the ones that should be explained were explained, and Zheng Ren hung up the phone.

After Su Yun also called, he saw Zheng Ren's hurried expression and asked, "Boss, will you make a fuss?"

"Fang Lin's intuition is right!" Zheng Ren said firmly: "The fracture of the left temporal bone is difficult to cause large-scale bruises on the right calf, which is caused by venous embolism in the lower limbs."

"So young..."

"Contraceptive pills may cause venous thrombosis in the lower limbs." Zheng Ren said: "Get back quickly and keep in touch with Fang Lin."

As he said that, a car parked not far from the road with double flashes, and at the same time, Su Yun's cell phone rang.

Su Yun took a look at the license plate number and walked over.

When getting on the bus, Zheng Ren's "Ding Dong" mission prompt sound rang in his ears.

[Emergency task: Misdiagnosis.

Task content: Many times, people will focus on the "main" symptoms, especially bleeding. However, the internal disease is more serious and even fatal. Please rescue a patient with pulmonary embolism in time.

Mission time: 3 hours.

Mission reward: Experience value 10,000 points, skill point 1000 points.]

Uh... Zheng Ren hasn't seen such a slim task in a long time.

However, the biggest significance of this mission is to affirm the guess just now. Both Zheng Ren, Su Yun and Fang Lin’s guesses are correct.

It is a pulmonary embolism! Not a temporal bone fracture and accumulating gas.

The so-called traumatic shock is also a wrong diagnosis. It is because of the occurrence of pulmonary embolism that shock symptoms appear. Trauma is something that happens in the future.

Various embolisses in the systemic circulation block the pulmonary artery and its branches and causes clinical pathophysiological syndromes that cause pulmonary circulation disorders.

The most common embolism of pulmonary embolism is thrombosis, and pulmonary embolism caused by thrombosis is also called pulmonary thromboembolism.

The patient suddenly develops unexplained collapse, pale complexion, cold sweating, dyspnea, chest pain, cough, etc., and has symptoms of cerebral hypoxia such as extreme anxiety, burnout, nausea, convulsions and coma.

Once the brain deficiency leads to coma, it will cause falls.

A large amount of effusion in the right thoracic cavity indicates a blockage of the right pulmonary artery, which is an acute pulmonary embolism.

The patient's blood oxygen saturation is now...

Zheng Ren thought, so he simply entered the system space and clicked to buy the surgical training time.

The system operating room rose from the ground and Zheng Ren went in directly.

The experimental subject was lying honestly on the operating table to diagnose pulmonary embolism, deep venous thrombosis in both lower limbs, etc.

Compared with pulmonary embolism, other diagnoses are really not worth mentioning.

Zheng Ren took a look at the experimental subject's electrocardiogram monitoring, with a blood oxygen saturation of 85%, which is a very dangerous value.

Let’s have surgery, there is no other way, Zheng Ren took a deep breath and started the thrombectomy surgery.

Generally speaking, after the deep venous thrombosis falls off, it flows to the right atrium and then to the right ventricle, and then to the pulmonary artery, which will block the branches of the pulmonary artery or larger pulmonary artery.

This is a form.

In addition, small emboli in the lower limbs continue to fall off, resulting in continuous embolization of the pulmonary artery and eventually leading to large embolization.

The other reason is that the emboli formed by the right heart system falls off and flows to the pulmonary artery, leading to pulmonary embolism, such as congenital heart disease, causing the right atrium to expand and form thrombosis, shedding, etc.

The patient in front of him was caused by deep vein thrombosis in the lower limbs.

Zheng Ren is still quite confident in duct removal.
Chapter completed!