568 Carotid artery rupture without hemorrhagic shock

It was a call from the doctor of 120 emergency in the ambulance.

Zheng Ren stood up suddenly and hurriedly asked, "Does the patient still have blood pressure?"

"Blood pressure...... 110/65 mmHg. The doctor at 120 emergency hesitated a little and said.

"......" Zheng Renleng paused.

You heard it right, it was the carotid artery that I should have just said.

It's the carotid artery! The kind of artery that the blood can circle around the roof when it's cut.

The carotid artery is cut, but the blood pressure can still remain normal? Is it because I didn't wake up or did the 120 emergency doctor not wake up?

"Look at your blood pressure again and talk about your condition again. Zheng Ren said in a deep voice as he opened the door of the classroom and walked out.

Su Yun made a gesture, and after a simple arrangement, followed Zheng Ren to the emergency department to wait for the patient.

"Mr. Zheng, the blood pressure is confirmed. Family members said that 15 minutes ago, because of an argument, the patient smashed a glass against the wall. A glass ballast flew out and scratched the patient's carotid artery. ”

The doctor of 120 emergency hurriedly reported.

"I have repeatedly confirmed with the patient's family that I have indeed seen blood spurting out of the neck. But there was only one strand, and then it was gone. ”

"What about the wound?" asked Jung-in.

"The wound was wrapped in a towel at home, and I didn't dare to open it. The patient's blood pressure is stable, and I'm worried that something will go wrong when I open it. ”

"Okay, done right. Zheng Ren said, "Come back quickly." ”

After speaking, Zheng Ren hung up the phone.

Odd...... Zheng Ren groaned.

"Boss, let's talk about it later. Su Yun said: "I want to see if the family members have been drinking." ”

Well, Su Yun was right.

It could also be drunk...... It's not even lunchtime, and it's not very likely.

However, this possibility is not ruled out.

The two of them simply didn't go to the emergency room, and stood on the inside of the gate and waited.

The flat car of the emergency department had been waiting there for a long time, and when he saw Zheng Ren, he said hello with a smile.

"Mr. Zheng, you're very busy in this class. "Escort said.

"......" even knew about the escort? Zheng Ren was speechless.

"I've been here for more than five years, and the night before yesterday was the busiest. I didn't even sleep, I ran all night. "Escort said.

"That's the whole thing. Su Yun snickered on the side: "That's it, there's no way." ”

While chatting, the shrill call of the 120 ambulance came. The voices got closer, and several people fell silent.

As the ambulance came to a steady stop in front of the emergency building, the door opened and the emergency surgeon jumped.

"Mr. Zheng. He immediately looked at Zheng Ren and said, "The patient is in stable condition. ”

Zheng Ren nodded.

Regardless of whether the family members drink and talk nonsense, or have any reason to cover up the illness and the course of the disease, as long as the state is stable, everything is okay.

The patient was pushed down, and Zheng Ren was stunned to see the mark on the system panel in the upper right of the field of vision - carotid artery laceration.

The process described by the family is consistent, but the carotid artery is laceration, can the blood pressure be fine?

Zheng Ren can not believe that towel pressure can stop the blood spurting out of the carotid artery.

Taking two steps forward, Zheng Ren glanced at the patient.

The face is normal, and there is no pale color due to heavy bleeding. Seeing Zheng Ren coming up, she also smiled, and just wanted to speak, but was stopped by Zheng Ren.

"Don't move, don't move, do you hear clearly?" Zheng Ren said loudly.

"I'm fine, doctor. The patient was lying on the flat car and said with some dissatisfaction.

She was covered with a yellow towel on the left side of her neck, and the towel was ...... No blood was seen.

What's going on? Zheng Ren became more and more confused.

Pushing the patient to the emergency room, first pressing the ECG monitoring, Zheng Ren took a look.

Blood pressure, pulse, respiration, oxygen saturation, all normal.

Seeing that Zheng Ren was careful, Su Yun was also a little puzzled.

He observed the patient's family members and behaved normally, showing no signs of alcoholism.

"Tell me about it. Zheng Ren stood in the patient's injury test, asked the family, and carefully removed the yellow towel.

There was no blood spurting out, and there was no obvious tear in the neck, just a scratch of about 4mm above the left sternocleidomastoid muscle.

If it weren't for Zheng Ren's eyes, this small scratch would have been easily ignored.

No bleeding, no bleeding, no subcutaneous hematoma!

Is carotid artery injury a manifestation of this? Zheng Ren once again suspected the big pig's trotters.

This product has not been given a task for a long time, and this time it was given such an unreliable diagnosis.

"Doctor, I saw a stream of blood spurting out, and people were scared and stupid. A middle-aged man said.

"Are you sure it's a stream of blood?"

"Sure, spray on the ground at home. ”

The doctor of 120 emergency said: "Mr. Zheng, I saw it, the amount is about 20ml." ”

It's weird.

The diagnosis of the big pig's trotters is consistent with the family's statement, and Zheng Ren did not ignore the various possibilities of small probability.

"Is there anything wrong with you?" Zheng Ren began to ask the patient, "Answer slowly, speak slowly, don't worry." ”

"Doctor, it's all right. Seeing Zheng Ren's serious face, the patient carefully experienced it, and then said: "It's just that when I was panting, the left side of my neck was a little uncomfortable." ”

There are also no definite anomalies.

Zheng Ren changed a piece of gauze for the patient, and then said, "Prepare for neck CTA." ”

Su Yun nodded, he knew why Zheng Ren was nervous.

Surgeons are not afraid of flesh and blood, they are afraid of this kind of patient who looks normal, but is out of breath in the blink of an eye.

When I sent it, it was fine, and I had no problem talking. If there is something wrong with the carotid artery, it is ignored, and the patient dies suddenly, it would be strange if the family did not make trouble.

At this time, you can only do the most detailed inspection, and you would rather kill the mistake than let it go.

To determine whether there is a problem with the blood vessels in the neck, the best examination is the CTA examination of the blood vessels in the neck.

One step, simple and worry-free.

Zheng Ren takes care of the patient to avoid irreversible damage caused by the patient's movement. Su Yun went to contact the CT room and said that there was an emergency patient here who needed to be examined.

It was close to noon, and the CT room was ready to get off work.

Just made the last patient, Su Yun came back and said, Zheng Ren carried the first aid kit, asked the escort trolley, brought a nurse, and several people ran all the way to the CT room.

Sister Zhao heard the sound of the flat car and knew that Zheng Ren and them were coming, so she greeted them.

"What patient?" asked Sister Zhao.

"Carotid artery injury. Zheng Ren said.

Sister Zhao glanced at the patient, saw that there was nothing wrong, and did not refute Zheng Ren's words, opened the door, and let the flat car in.

Together with the family, several people carried the patient to the CT bed, and the patient's lover stayed in the CT room.

"Mr. Zheng, thank you. Sister Zhao saw that there was no family member of the patient and the condition was not urgent, so she said with a smile.

"Huh?" Su Yun wondered, "Sister Zhao, why are you thanking him?"

"My neighbor said that when I went to the medical university, the doctor on that side was very enthusiastic. said that it was a patient of Boss Zheng in Haicheng, and the green light was given all the way. ”

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