"She's having a minor seizure. Pay attention to her vital signs.
Also, prepare a 10-milligram dose of Diazepam. If it's a grand mal seizure, push the drug quietly.”Chen Fan said to the nurse beside him as he pressed down on the little girl's hand.
Epileptics are divided into major and minor episodes.
A major episode referred to repeated episodes and each convulsion lasted for 10-20 seconds. The convulsion was violent and delicious, foaming at the mouth, dilated pupils, and purple face and tongue. After the convulsion ended, the patient would fall into a coma.
A minor episode meant that the convulsion lasted for 5 - 15 seconds, usually no more than a minute, and the patient would slowly regain consciousness after the convulsion ended.
" Okay…" The nurse nodded in confusion.
There were so many attending physicians and department directors here, but this Chen Meng…was actually giving orders?!
However, the time needed to save the patient was not that important. The nurse looked at Lee Chang Ming and saw that he did not have any reaction, so she still obediently did as he said.
"Raise the bed by 30 degrees and prepare an IV drip of 20% mannitol. The oxygen flow is adjusted to 4ml.”Chen Meng continued.
"Alright!" The nurse nodded repeatedly.
What Chen Meng said was indeed the emergency measures for epilepsy and increased cerebral pressure.
The drug of choice for increasing cerebral pressure was mannitol. Mannitol's main function was diuretics, which could be used to discharge cerebral edema to reduce cerebral pressure and prevent cerebral hemorrhage.
At the same time, due to the increase in the cerebral pressure, the heart rate would slow down and cause the brain to be deprived of oxygen. At this time, the oxygen supply had to choose a high-flow continuous oxygen supply to ensure that the oxygen in the blood could penetrate deep into the brain.
"Who is this young man?" The neurosurgeon could not help but ask.
"He is a new doctor in our department. Although he is young, he is still very good at handling things.”Lee Chang Ming said with satisfaction.
Behind him, He Shen, who had just returned from a phone call, felt a little upset when he heard this…
He had been in the ICU for so many years, but he had never been praised like this by Department Director Li.
It seemed that he was still not outstanding enough!
On the hospital bed, the little girl twitched for about 30 seconds before finally stopping.
"You can inject a dose of Diazepan, and then use an IV drip of Manprodil and Dexamethason.
Family members, you have to sign and make a decision as soon as possible. This child's condition is very dangerous now, and it's not just the problem of the tumor.
Her tumor had already pressed against the cerebral lobes. Not only would her cerebral pressure increase, but her eye pressure would also increase in the later stages. It was also possible for her to lose her sight.
Therefore, I suggest that you operate on him as soon as possible.”
The situation in the little girl's brain tissue was not very optimistic. Chen Meng had no choice but to urge the family members to make a decision as soon as possible.
After all, the longer the delay, the more danger the little girl would be in.
However, before the patient's family could speak, a doctor from the Department of Mental Surgery pulled Chen Meng aside and asked,"
"What's wrong with you? How did you know that it was pressing on the cerebral vessels? He could not spout nonsense in front of his family before he was diagnosed with a tumor!”
There was a hint of reprimand in his words.
He, an attending physician in the Department of Brain Surgery, had yet to make a conclusion, and Chen Meng, a new doctor who had not yet obtained a certificate, was the first to speak to the family?
If the results were different from what he said, how would he explain it to his family?
"This…I saw it through the CT scan.”In a moment of desperation, Chen Meng thought to himself that it would be fine if he could get the family members to sign for the surgery as soon as possible. However, they forgot that at this moment, none of the doctors could tell where the tumor was on the CT scan.
Also, what kind of tumor did this little girl have?
"What is it? You saw through it? How could you tell?" The neurosurgeon obviously did not believe it.
Even if Lee Chang Ming had praised him, he didn't believe that a young man could see through such a complicated CT scan.
Lee Chang Ming walked over and asked,
"Chen Fu, tell me how you saw through it?”
Chen Meng could only pick up the CT scan in his hand and slowly said,"
"Director, as I told you just now, I suspect that this kind of tumor with unclear borders is a colloid tumor.
In addition, the colloid sac occurred inside the cerebral ventriculus, so it could be seen clearly and needed to be diagnosed with an MRI.
Moreover, this kind of tumor that occurred in the brain would also increase the pressure on the brain.
Also, the little girl's eyes. When she had a seizure just now, I noticed that the white part of her eyes was more bloodshot, indicating that her eye pressure had also begun to rise.
With these conditions combined, I think this little girl is in danger now. We have to operate on her to remove the tumor as soon as possible!”
Even though they weren't sure if Chen Rong's speculation was correct, the other medical interns and nurses around them all felt that Chen Rong was amazing!
Just saying his thoughts so clearly and logically was already very awesome!
After all, many doctors did not even have the chance to speak loudly in front of the department director when they just graduated, let alone diagnose their own illnesses…
"We still have to wait for the results of the examination! Chief Physician Li, quickly arrange for someone to send this child for an enhanced CT scan and MRI scan.”The neurosurgeon didn't believe Chen Meng. He turned around and said to Lee Chang Ming.
Enhanced CT was also known as enhanced CT. It meant that if the patient could not see clearly on normal CT scans, they could inject a type of enhancement agent (contrast agent), meglumine dizoate, into the patient's vein, and then perform a plain CT scan to confirm the location of the disease.
Lee Chang Ming nodded and arranged for He Shen to make the trip.
Even if Chen Meng wasn't completely correct, it should be obvious that the child had suffered from epilepsy again after being unconscious for so long.
The child was in danger now. If it was really a colloid sac, he had to arrange for surgery as soon as possible.
Very soon, the results of the enhanced CT scan came out.
The neurosurgeon and Lee Chang Ming held the scan and carefully observed it under the light.
Gradually, the neurosurgeon's brows furrowed tightly, while Lee Chang Ming's brows revealed a trace of surprise!
This... this was really as Chen Meng had said, it was a colloid tumor!
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