Chapter 3 Blood Disease?
[The plot simulation of Bloodsorrow is over. 】
【Completion level: 5%. 】
[Reward: None. 】
[Evaluation: Poor first aid. 】
[This simulation is not completed and the ending has not been reached. 】
[Current energy value: 2 points]
Zhang Yang looked at the closing subtitles with some confusion. Why did it end?
It didn’t take him long to realize that he had just discovered that the patient had fallen into a coma and it was over. Could it be that he couldn’t let the patient fall into a coma?
But how can we prevent the patient from falling into coma?
Zhang Yang was thinking, and soon his eyes fell on the settlement subtitles and noticed the evaluation column.
Botched first aid?
Could it be that...
It was his first aid method that caused the patient to fall into coma?
He recalled carefully.
First of all, it is definitely okay before touching the patient.
After arriving at the patient's home and confirming that the patient was conscious, he quickly arranged for a stretcher to carry the patient downstairs, and then transferred him to an ambulance.
The whole process was very smooth and there were no problems.
It seems...
There is nothing wrong?
Zhang Yang was puzzled and had to recall the entire process in more detail.
“First of all, when I asked the patient for the first time, I could confirm that although the patient was relatively weak, his consciousness was still very clear and he could respond effectively...”
“Then I asked the patient Lifted down from the 7th floor, transferred to the ambulance about three minutes later, and then..."
Huh?
Zhang Yang looked startled and suddenly realized something was wrong!
Three minutes, from the seventh floor to the first floor, and then to the ambulance, and still carrying a patient. Is this too fast?
That’s right!
He reacted.
The main symptom of the patient is headache. Although there are many diseases that can cause headache, there is no doubt that brain disease is the most likely!
Everyone with first aid experience knows that people with brain diseases should avoid large-scale vibrations, because once the shaking is severe, it is very likely to cause the condition to worsen or even cause cerebral hemorrhage and coma!
But just now when I was carrying the patient from the 7th floor to the 1st floor, I just wanted to go faster, and I didn't even think about the bumping problem of the stretcher!
In other words,
The patient most likely has a brain disease. It was his improper transfer method that caused the patient's brain hemorrhage and eventually fell into a coma!
Zhang Yang was completely enlightened.
The correct approach is not to pursue speed, but to carry the patient downstairs as smoothly as possible.
As long as there is no violent shaking, the patient's condition will not worsen, he will not fall into coma, and the simulation will not end.
Yes!
That’s it!
Thinking of this, Zhang Yang was a little excited and decided to enter the simulation again.
It was still a bright emergency hall, and there was still a strong smell of hydrogen peroxide, but this time when he saw Master Yang walking over, he was not surprised. Instead, he smiled and said:
"Master Yang, thank you for the iced black tea. 1L is indeed more cost-effective."
Master Yang was stunned for a moment, and then he put the iced black tea on the service table with a smile.
After a while, a familiar call came from the intercom, and he quickly arrived at the patient's home.
The process was still the same. After confirming that the patient was mentally alert, he fixed the patient on a stretcher and prepared to send him back to the hospital.
Only this time, he no longer pursued speed. Instead, he kept reminding the two stretcher bearers to slow down when going downstairs and try to stay as smooth as possible to avoid causing secondary harm to the patient.
This method really works.
Five minutes later, the three people carried the patient to the ambulance. Until the ambulance started to return, the patient was still conscious and the simulation was not interrupted.
Zhang Yang finally breathed a sigh of relief.
The next journey back is only ten minutes. As long as the patient remains in his current state, the task should be completed.
The ambulance was speeding, and Ding Shishi was also monitoring the patient's condition in an orderly manner. As it passed the traffic light intersection, it was only two or three minutes away from the hospital.
"Victory is right in front of us..."
But as soon as he finished speaking, Ding Shishi, who had been observing the patient, suddenly turned her head and said urgently:
"Dr. Zhang, something is wrong. The patient seems to be Falling into a coma."
Zhang Yang's heart suddenly tightened and he stood up from his seat.
One look,
Oops!
The patient’s condition is exactly the same as last time!
“Why are you still unconscious!”
Zhang Yang suddenly felt unexpected.
After the last simulation, he always thought that the violent shaking when he went downstairs caused the patient to bleed and fall into coma.
But this time after being so careful, the same symptoms still appeared, or did he fall into a coma? !
Could it be that the main cause of coma is not yourself?
What is that?
Beads of sweat appeared on Zhang Yang's forehead, and his mind was running rapidly.
Did the patient suffer from cerebral hemorrhage at home? Is it just because the amount of bleeding was small and I could stay awake temporarily?
It's possible!
But he was still puzzled.
The patient is only twenty years old and is not a high-risk group for cerebral hemorrhage. Normally, cerebral hemorrhage is impossible!
Unless...
His eyes tightened, unless,
congenital hypertension? !
He asked anxiously:
"What's your blood pressure?"
"I measured it just now and it was a bit low. Now I'm re-taking it. It came out. The high pressure is 76 and the low pressure is 48. ”
"Why is it so low!"
Zhang Yang was stunned and couldn't believe it.
Generally speaking, most of the causes of cerebral hemorrhage are intracranial high blood pressure caused by high blood pressure.
Available now!
The patient in front of me is not only not hypertensive, but also hypotensive!
Low blood pressure causes cerebral hemorrhage?
This is wrong!
"Doctor Zhang, what should we do now?"
At this moment, Ding Shishi asked anxiously.
Zhang Yang was suddenly sweating profusely. He didn’t even know the cause of the patient’s illness. What good solution could he have?
Fortunately, there are only two minutes left, so I quickly calmed down:
"We are going to the hospital soon. Let's get the needle first and put on the saline first!"
"Okay!"
Ding Shishi quickly took out a tourniquet and tightened the patient's wrist, preparing for intravenous injection.
Look for blood vessels,
Disinfection,
Zhang Yang didn’t dare to look away from the patient. At this moment, as Ding Shishi raised the patient’s arm, he suddenly noticed a large group of bruises on the back of the patient’s hand. Next to the bruise, there were also Lots of red dots.
“Wait a minute...”
Zhang Yang’s eyes were startled, what is this? !
Is this subcutaneous bleeding? !
As a second-level researcher at Beifeng Pharmaceutical, he has been copying a drug called "Eltrombopag" for the past year.
This is a drug developed by the British company GlaxoSmithKline and is mainly used to treat blood diseases.
Due to work needs when he was making the original copy, he carefully understood the clinical symptoms of various blood diseases, among which subcutaneous bleeding was the most prominent feature of blood diseases.
He immediately realized, does the patient have some kind of blood disease? !
What are blood diseases? !
To put it simply, a blood disease is an abnormality in the body’s red blood cells, white blood cells and other hematopoietic functions.
For example, a normal person has 100 red blood cells and white blood cells in one unit of blood, while a patient with a blood disease may only have 10 or even a few!
This results in poor coagulation factors, making it extremely easy for blood vessel walls to rupture, causing subcutaneous bleeding and bruises.
In addition, due to the decrease in platelets and red blood cells, the vast majority of blood patients suffer from severe anemia, and anemia can cause hypotension...
Hypotension!
Thinking of this,
Zhang Yang was startled and suddenly realized that all the contradictions just now were clearly connected.
That’s right!
The 20-year-old patient is indeed not a high-risk group for cerebral hemorrhage!
The patient's hypotension is indeed not a typical symptom of cerebral hemorrhage!
but!
Blood disease Yes!
Hypotension and intracranial hemorrhage are common clinical symptoms of blood diseases!
Remember that this simulation is called Blood Disaster... In other words, the patient is most likely a blood disease patient? !
The real cause of his cerebral hemorrhage was not a brain disease, but some kind of blood disease? !
leukemia? !
Zhang Yang took a few deep breaths of air, just as the ambulance arrived at the hospital in time.
He hurriedly pushed the stretcher into the emergency room. Without waiting for his colleagues in the emergency department to ask, he hurriedly said:
"The patient has cerebral hemorrhage and has fallen into a coma."
"And I judge that it may be intracranial hemorrhage caused by a blood disease!"
"Blood disease?"
The doctor who took over was slightly startled, and then asked doubtfully:
"How did you judge?"
"The patient had obvious subcutaneous lesions on the back of his hand. Bleeding, this is a typical clinical symptom of blood diseases.”
The emergency doctor picked up the patient’s palm and looked at it, then put it back:
"Subcutaneous bleeding is not only a symptom of blood diseases, there are many reasons that may cause bleeding."
"But I have written down your suggestion. You should go and take a rest first."
>Zhang Yang was stunned for a moment and wanted to say something else, but finally nodded and walked out of the emergency room.
After a while, the picture became blurry and he returned to the void again.
(End of this chapter)