568 Carotid artery rupture without hemorrhagic shock
It was a call from the 120-year-old doctor in the ambulance.
Zheng Ren stood up suddenly and asked hurriedly: "Does the patient still have blood pressure?"
"Blood pressure...110/65 mmHg." The doctor at the 120 emergency rescue said a little hesitant.
"..." Zheng Ren was stunned for a moment.
I heard it right, I should have said that the carotid artery just now.
That's the carotid artery! After being cut, blood can circle around the circle and squirt onto the big artery on the roof.
The carotid artery was cut, and the blood pressure was still normal? Was it because he didn't wake up or the 120-year-old doctor didn't wake up?
"Look at your blood pressure again and talk about your condition again." Zheng Ren said in a deep voice while opening the door of the classroom.
Su Yun made a gesture, made a simple arrangement, and followed Zheng Ren to the emergency room to wait for the patient.
"Mr. Zheng, the blood pressure is confirmed. The patient's family said that 15 minutes ago, because of a quarrel, the patient smashed a glass on the wall. A glass slag flew out and scratched the patient's carotid artery."
120 The doctor who was first aided reported in a hurry.
"I have repeatedly confirmed with the patient's family that I have indeed seen blood spurts out of my neck with my own eyes. But there was only one spur, and then it disappeared."
"Where is the wound?" Zheng Ren asked.
"I didn't dare to open the wound at home. The patient's blood pressure was stable, and I was worried that something would go wrong after opening it."
"Okay, it's done right." Zheng Ren said, "Come back quickly."
After saying that, Zheng Ren hung up the phone.
Strange... Zheng Ren pondered.
"Boss, let's talk about it when you come." Su Yun said: "You have to see if the family members drink."
Well, Su Yun is right.
It may also be after drinking... It's not even lunch order, so there is little chance of drinking.
However, this possibility is not ruled out.
The two of them simply did not go to the emergency room and stood inside the gate waiting.
The flat car in the emergency department had been waiting there for a long time. When the accompanying examiner saw Zheng Ren, he greeted him with a smile.
"Mr. Zheng, your class is very busy." said the inspector.
"..." Even the accompanying examination knew about it? Zheng Ren was speechless.
"I have been in the First Hospital of the City for more than five years. The night before yesterday, I was the busiest one. I didn't even sleep and ran all night." The accompanying inspector said.
"What's the matter?" Su Yun said with a sneering smile: "That's your life, there's nothing we can do."
As we were chatting, the sharp call from the 120 ambulance came. The sound was getting closer and closer, and several people were silent.
As the ambulance steadily stopped in front of the emergency building, the door opened and the emergency surgeon jumped down.
"Mr. Zheng." He immediately looked at Zheng Ren and said, "The patient is in a stable state."
Zheng Ren nodded.
Whether the family members are drinking and talking nonsense, or have any reason to conceal the disease and the onset, as long as the condition is stable, everything will be fine.
The patient was pushed down, and Zheng Ren was shocked to see the carotid artery cleft on the system panel in the upper right side of the field of vision.
It coincides with the process described by the family, but the carotid artery is lacerated, how can blood pressure be fine?
Zheng Ren didn't believe that pressing a towel can stop the blood sprayed out of the carotid artery.
Taking two steps forward, Zheng Ren glanced at the patient.
Her face was normal, and there was no pale color caused by heavy bleeding. Seeing Zheng Ren coming up, she smiled and was about to speak, but was stopped by Zheng Ren.
"Don't move, don't move, have you heard it clearly?" Zheng Ren said loudly.
"I'm fine, doctor." The patient said with some dissatisfaction on the flat car.
There was a yellow towel covering her left neck, and there was no blood on the towel.
What's going on? Zheng Ren became more and more confused.
He pushed the patient to the emergency room and first pressed the electrocardiogram monitoring. Zheng Ren took a look.
Blood pressure, pulse, breathing, and blood oxygen saturation are all normal.
Seeing that Zheng Ren was careful, Su Yun was also a little confused.
He paid attention to the patient's family, and his behavior was normal and there was no sign of alcoholism.
"Tell me what happened." Zheng Ren stood at the patient's injury test and asked his family while carefully taking off the yellow towel.
No blood was sprayed out, and there was no obvious rupture on the neck, but there was a scratch about 4mm above the left sternocleidomastoid muscle.
If Zheng Ren hadn't had his eyes easy to use, this small scratch would have easily been ignored.
No bleeding, no bleeding, no subcutaneous hematoma!
Is carotid artery injury a manifestation? Zheng Ren once again suspected that the big pig's hooves were coming.
This product hasn't given a task for a long time, but this time he gave such an unreliable diagnosis.
"Doctor, I saw a stream of blood spurting out, and I was frightened." said a middle-aged man.
"Is it a gust of blood?"
"Check, spray it on the floor at home."
The doctor who was first aided by 120 said: "Mr. Zheng, I saw it, the amount is about 20ml."
It's strange.
The diagnosis of the big pig's hoof is consistent with the family's statement, and Zheng Ren did not ignore the various possibilities of low probability.
"Do you feel uncomfortable?" Zheng Ren began to ask the patient, "Reply slowly and speak slowly, don't worry."
"Doctor, it's all okay." The patient saw Zheng Ren's serious look on his face, and then said, "It's just that when you're breathing, your left neck feels a little uncomfortable."
There is no clear exception either.
Zheng Ren changed a piece of gauze for the patient and immediately said: "Prepare to do a neck cta."
Su Yun nodded, he knew why Zheng Ren was nervous.
Surgeons are not afraid of flesh and blood flying, but are afraid of such patients who look normal but are not angry in the blink of an eye.
It was fine when it was delivered, and it was fine. If there was something wrong with the carotid artery and it was ignored, the patient died suddenly, and it would be strange if the family did not cause trouble.
At this time, you can only do the most detailed inspection, and it is better to kill the wrong ones than let go.
To determine whether there is any problem with the blood vessels in the neck, the best test is the CTA examination of the blood vessels in the neck.
In one step, simple and worry-free.
Zheng Ren cared for the patient to avoid the patient's movement and caused irreversible damage. Su Yun went to contact the CT room and said that there was an emergency patient on this side and needed an examination.
It was almost noon, and the other side of the CT room was ready to get off work.
Just as the last patient was achieved, Su Yun came back and said, Zheng Ren carried the first aid kit, asked the accompanying test cart, took a nurse, and several people rushed to the CT room.
When Sister Zhao heard the sound of the flat car, she knew that Zheng Ren and the others were coming, so she came out.
"What patient?" Sister Zhao asked.
"Carctic artery injury." Zheng Ren said.
Sister Zhao glanced at the patient and saw that nothing was wrong, she did not refute Zheng Ren's words. She opened the door and let the flat car go in.
As well as the family members, several people carried the patient to the CT clinic bed together. The patient's lover stayed in the CT room. Zheng Ren said a few more words, telling the patient not to move around, and then he entered the operation room.
"Mr. Zheng, thank you." Seeing that the patient's family was gone, Sister Zhao was not in a hurry, so she said with a smile.
"Hmm?" Su Yun was surprised, "Sister Zhao, why are you thanking him?"
"My neighbor said that after going to the Medical University, the doctor on that side was so enthusiastic. He said he was a patient of Boss Zheng in Haicheng, and the light was green all the way."
Chapter completed!