"Vitamin, have you checked?" Zheng Ren asked.

"Vitamin?" Su Yun was stunned.

ICU, emergency rescue habits, do not have vitamin tests at all, except for some special disease.

Trauma is not a special disease.

"I'm considering this now, vitamin B1 deficiency." Zheng Ren said: "Stop the patient's sedatives."

"..." Su Yun was slightly stunned.

"I want to see if the patient has symptoms of ocular motor nerve palsy when he is agitated."

Paralysis of the extraocular muscles innervated by the ocular motor nerve will occur, such as abnormal ocular position and dilated pupils to disappear response to light.

Su Yun was about to refute, but suddenly recalled the scene of Yang Lili's eyes trembling when she was awake. It was precisely because of this that Su Yun felt like Yang Lili was terrified.

He pondered for a few minutes, suddenly looked up and his eyes lit up, "Boss, I think you're right."

Director Qian and other directors who consulted were shocked.

Are these two young people kidding?

The city is still waiting for today's disease report, and they...

If Su Yun hadn't shown the level of emergency emergency aid in the ICU that exceeded everyone, and if Zheng Ren hadn't shown the highest level of surgery in previous emergency surgeries, he would have been squirted and saliva would have been sprayed long ago.

Vitamin B1 deficiency?

What a joke.

"Xiao Zheng, Xiao Su, don't joke." Director Qian's voice was deep and expressed his dissatisfaction.

"Director Qian, no joke." Su Yun smiled.

Zheng Ren's words lifted the fog in front of him, and the sky was clear.

Sometimes, the difference is just a little bit. Once that layer of window paper is pierced, it is actually nothing to look back.

"What does the patient's symptoms have to do with vitamin B1 deficiency!" The director of the Medical Department said angrily: "Is beriberi disease?! Nonsense!"

"I have learned all the pathology and physiology." Su Yun looked around, and there was a mocking smile on his lips, "This vitamin B1 deficiency is commonly known as beriberi disease, which is true."

As he said that, the smile on the corner of his mouth became stronger and stronger, and the stars in the eyes of many young nurses in the ICU were flashing.

"Vitamin B1 is also called thiamine, and thiamine is phosphorylated by enzymes after intestinal absorption and is thiamine pyrophosphate.

Thiamine pyrophosphate is an important coenzyme for the decarboxylation of pyruvate and a ketoglutarate in the tricarboxylic acid cycle, and is also a coenzyme for erythrocyte ketool transferase."

A series of professional nouns emerged from the void like thunder rolling in the sky and fell on the heads of everyone present.

Director Qian pondered, and Xiao Su seemed to be talking about something.

The director of the Medical Department's face looked ugly because... he couldn't understand at all.

His position is very important, and he is responsible for the integration of various rescue links, handling medical disputes, controlling medical quality, etc.

But I have been out of clinical practice for too long, and I have forgotten about pathophysiology and other things.

Su Yun ignored the thoughts of all the big names present and continued: "In the brain and myocardial tissues with vigorous metabolism, glucose and pyruvate metabolism must be sufficient vitamin B1 to participate, otherwise pyruvate will be difficult to enter the tricarboxylic acid cycle due to the lack of thiamine pyrophosphate.

The retention of large amounts of pyruvate in the blood causes dilation of peripheral arteries, decreased peripheral resistance, increased venous flow, increased cardiac discharge and cardiac workload."

Huh? Finally, we talk about the right heart discharge and heart load?

The director of the Medical Department pretends to be thinking, and at this time people cannot see that they do not understand.

But...can this hateful guy be a little simpler?

"So, I..." Su Yun's fluent tone stagnated for a moment, "My boss said that considering Yang Lili's agitation and psychological symptoms, it should be complications caused by vitamin B1 deficiency."

After saying that, Su Yun glanced at Zheng Ren.

"I'm right, boss."

"It's basically what it means." Zheng Ren was not polite, and then said, "It is recommended to intramuscularly inject 100mg of vitamin B1, but the body absorbs slowly intramuscularly. You can try to inject 20ml of normal saline + 50mg of vitamin B1 intravenously injected with intramuscularly."

"The first dose on the first day is a little bigger, no problem," said Zheng Ren.

The directors present and the directors of the Medical Department looked at each other in a confused look, but in each other's eyes, they were all confused.

Although not everyone agrees with Zheng Ren and Su Yun’s statement, if you want to criticize, there must be a reason not to do so.

People explain things clearly and judge things from the perspective of biochemistry.

Although I don't understand, I just think it's amazing.

What should I do?

What else can I do?

"Try it, there is no other good idea," said Director Qian.

He has been in contact with Su Yun for the longest time and knows Su Yun. Generally speaking, once Su Yun has the expression of beating on his face, it means that what he said is right.

Don't refute this time, even the chief director will be slapped in the face in the face of a well-founded condition.

Besides, the intake of dozens of milligrams of vitamin B1 will definitely not have a negative impact on Yang Lili's condition.

"After half an hour, stop the sedative." Zheng Ren stood up and explained the last sentence.

"Okay, boss." Su Yun went to give the doctor's advice.

Looking at Zheng Ren's back as he left, Director Qian felt a little moved.

This is a little tiger who has grown up.

With this momentum, there will be no such thing as the chief director for many years.

There is no absolute certainty in medical care, who dares to say such a certain thing? Just say it casually and you will be slapped in the face soon, or you will be slapped with a left slap, a right slap, and a few strokes to make a pig's head.

Director Qian has only seen this temperament in a few imperial capitals and professors in the Demon City, but the First Hospital of the City... has never been like this person.

Su Yun gave a doctor's advice, and a young nurse rushed to execute it. Then he injected vitamin B1 intravenously and gave another muscle injection.

After taking a look at the time, Su Yun sat down on the chair beside the bed, staring at Yang Lili intently.

In half an hour, the boss said that the time should be fine. At that time, the sedative agent should be reduced and the metabolism of the sedative agent in Yang Lili's body should be almost done. It should be 2 hours later.

If it is really caused by the ocular neurological symptoms and cardiovascular symptoms caused by vitamin B1 deficiency, it will definitely be improved.

This diagnosis is really interesting.

...

At the same time, in the Dawai operating room, orthopedic surgery to remove vertebrae is underway.

"Xiao Zhou, was the embolization exactly yesterday?" Professor Tian from the orthopedics department of the imperial capital asked while opening his skin.

Dr. Zhou said: "The embolization time is relatively long because we only have one doctor in the interventional department. I can't tell whether it succeeds or not. However, he used to embolize the patient who had peritoneal hematoma after a pelvic fracture, and the effect was very good."
Chapter completed!