After that, Zhao danyan quickly asked, "have you contacted your family?"


    The nanny said anxiously, "doctor, this... Miss MI, her parents died three years ago. Now she is alone in the capital!"


    "And contact her boyfriend, the other party said they had broken up and didn''t have to contact again!"


    These words made Chen Cang and Zhao danyan look at the little girl and feel a little more distressed.


    However, there has been such a situation in the emergency department!


    Medical Department filing!


    Emergency rescue!


    At this time, Xu Ziming said, "director Hong of neurosurgery is here."


    While talking, he came in with a middle-aged man.


    After seeing Zhao danyan, he nodded: "Hello, director Zhao, Hello, Doctor Chen."


    Zhao danyan nodded, "well, Dr. Hong! Let me see the patient."


    Hong Sheng nodded, picked up the film and frowned after watching it!


    Just... The more Hong Sheng watched the film, the more embarrassed he was. After a while, he said.


    "It must need surgery!"


    "Because the patient''s situation is too special."


    "Generally speaking, hemostatic drugs are needed for intracranial hemorrhage, but the patient still has deep venous thrombosis. At this time, more than 70% of the superior sagittal sinus is blocked. After this blockage, a hematoma has been formed!"


    "At this time, if hemostatic drugs are used, it will not only not stop bleeding, but also aggravate deep venous sinus thrombosis, aggravate hematoma and induce massive bleeding!"


    "How much is intracranial pressure now?"


    Zhao danyan said directly: "half an hour ago, 400 water columns were measured in the car! Mannitol was used..."


    After hearing Zhao danyan''s words, Hong Sheng took a deep breath and began to meditate.


    The whole rescue room, everyone fell into a tense silence.


    As an experienced senior associate chief physician, Hong Sheng naturally has a set of treatment methods, but the patient''s situation is too special.


    Zhao danyan here is also embarrassed after listening to Hong Sheng''s words:


    "Indeed, once the parietal lobe hematoma continues to increase, it will certainly lead to the further aggravation of brain edema. At that time, it may induce brain hernia at any time, and even... Life-threatening!"


    "Can you operate? Director Hong?"


    You can''t just drag on in the middle of the night, can you?


    Hong Sheng nodded: "yes, even surgery is the best treatment. The patient''s intracranial pressure exists simultaneously because of hemorrhage and edema. The bleeding can be extracted during surgery. However, if the deep venous sinus thrombosis... Thrombolysis will definitely induce intracerebral hemorrhage. It is better to use sindou transverse sinus bypass in the follow-up!"


    After that, Hong Sheng said in some embarrassment, "but not now. Let''s reduce intracranial pressure first."


    "Director Zhao, I still need you to design a plan!"


    Zhao danyan took a deep breath: "OK!"


    At this time, the test results came out!


    However, when Chen Cang saw the test sheet, he was immediately confused.


    Platelets are more than twice as high as normal, plasma viscosity is also very high, homocysteine 70!


    This made Chen Cang frown.


    How can such a 24-year-old girl reach such a high coagulation state?


    Pregnant?


    But yesterday the patient said she was not pregnant!


    Not only Chen Cang, but also Zhao danyan and Hong Sheng thought of this possibility!


    So, quickly let the B-ultrasound doctor do an examination.


    The result relieved everyone.


    Not pregnant!


    However, without genetic diseases and special diseases, what kind of state can induce such a hypercoagulable state?


    Such a state, even if it is an operation, may also induce cerebral thrombosis.


    At this time, Chen Cang suddenly said, "sister Yang, let the laboratory department urgently check progesterone and estrogen."


    Hearing Chen Cang''s words, Zhao danyan and Hong Sheng were slightly curious.


    What are you doing with this?


    The patient was not pregnant.


    With such high blood coagulation, thrombolytic drugs can be used.


    However, caution is still needed.


    Zhao danyan thought hard for a long time and suddenly said, "thrombolysis with urokinase, anticoagulation with heparin calcium, improve circulation and reduce intracranial pressure!"


    "Give hyperbaric oxygen to promote the recovery of nerve function and limbs."


    "It''s best to ensure that the operation can be completed this morning!"


    As a result, several people in the emergency room began to be nervous and busy again.


    The whole process must monitor the patient''s condition all the time. Intracranial pressure was measured twice in one night.


    Less than 7:00, the intracranial pressure reached about 200. Most importantly, the overall state of the patient was relieved.


    If the patient starts the operation, it is easy to have problems due to the reduction of heart rate and abnormal pulse and blood pressure.


    In the rescue room, several people worked hard all night, but they didn''t close at all.


    Fortunately, the patient''s situation is getting better and better.


    Mity also opened her eyes at this time, looked at the people around her, and suddenly became silent.


    Chen Cang looked at mity and couldn''t help laughing.


    After Zhao danyan checked the situation, mity was much better than last night.


    At this time, Hong Sheng was also relieved: "then I''ll go up first. If the patient has an operation... I suggest inviting director Xue to do it. The location of the blockage of the superior sagittal sinus is relatively special. He knows very well about the intracranial anatomical location, and his subarachnoid serum wound is better than others. It''s not easy to damage the surrounding tissues, and the sequelae is smaller."


    Speaking of this, Hong Sheng couldn''t help saying, "after all, he has studied in Harvard Medical School for two years and has a high level!"


    At this time, the test results of progesterone and estrogen also came out.


    When he handed it to Chen Cang, Chen Cang immediately frowned.


    Why is the progesterone index so high?


    Looking at mity''s silence, Chen Cang couldn''t help asking, "do you take contraceptives for a long time?"


    Mitty looked at Chen Cang with pity in her eyes and tears rolling down her eyes.


    "Yes."


    It''s very quiet.


    When she woke up, mity seemed to have experienced a life and death, just like the feeling of another world, which made her feel ridiculous.


    Pay so much for a man!


    But what is it in the end?


    Zhao danyan, Xu Ziming and others looked at Chen Cang: "what do you mean?"


    Chen Cang said: "there are a lot of progesterone in the contraceptive. Taking it for a long time will increase the coagulation components in the blood, increase the blood viscosity and slow down the blood flow, which is likely to induce venous sinus thrombosis!"


    "The incidence of deep venous sinus thrombosis in women who take oral contraceptives for a long time will increase eight to ten times than those who do not take them!"


    These words made Mitty cry.


    When several people around saw this scene, they couldn''t help sighing.


    Poor girl!


    Peng Zhen, the nanny on one side, cried bitterly with mity in her arms: "poor child, how can you meet such an asshole!"


    ……


    PS: there''s still five o''clock today. Ask for a monthly ticket!


    Hoo!


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