Chapter 568 Carotid Artery Rupture without Hemorrhagic Shock

It was the call from the 120 emergency doctor from the ambulance.

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

"Blood pressure... 110/65 mm Hg." The 120 emergency doctor hesitated and said.

"..." Zheng Ren froze for a moment.

I heard it right, I should have said the carotid artery just now.

That's the carotid artery! After the incision, the blood can flow around the large artery on the roof of the house.

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

"Check the blood pressure again, and talk about the condition again." Zheng Ren said in a deep voice as he opened the door of the lecture room and walked out.

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

"Mr. Zheng, the blood pressure is confirmed to be correct. The patient's family said that 15 minutes ago, because of a quarrel, the patient smashed a glass against the wall. A glass shard flew out and scratched the patient's carotid artery."

The 120 emergency doctor reported in a hurry.

"I have repeatedly confirmed with the patient's family, and I did see blood spurting out of the neck. But there was only one stream, and then it disappeared."

"Where's the wound?" Zheng Ren asked.

"The wound was wrapped in a towel at home, and I didn't dare to open it. The patient's blood pressure was stable, and I was worried that something would go wrong after opening it."

"Okay, you did the right thing." Zheng Ren said, "Come back quickly."

After finishing speaking, Zheng Ren hung up the phone.

Strange... Zheng Ren pondered.

"Boss, let's talk when we come." Su Yun said, "We need to see if the family members have drunk."

Well, Su Yun is right.

It may also be after drinking... It's not even lunch time yet, so drinking is unlikely.

However, this possibility is not ruled out.

The two of them didn't go to the emergency room at all, instead they stood inside the gate and waited.

The flat car from 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 shift is quite busy." The escort said.

"..." You even know about the escort? Zheng Ren was speechless.

"I have been in the city's No. 1 hospital for more than five years, and the class the night before yesterday was the busiest one. I didn't sleep well, and ran all night." The escort said.

"Then what's the matter." Su Yun snickered at the side: "It's life, there is no way."

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

As the ambulance stopped steadily in front of the emergency building, the door opened, and the emergency surgeon jumped out.

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

Zheng Ren nodded.

No matter whether it is because the family members are drinking and talking nonsense, or there is some reason to cover up the disease and the course of the disease, as long as the state is stable, everything is fine.

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

It was consistent with the process described by the family members, except that the carotid artery was lacerated, so could the blood pressure be fine?

Zheng Ren didn't believe that pressing with a towel could stop the blood spurting out of the carotid artery.

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

The complexion was normal, without the pallor of profuse bleeding. Seeing Zheng Ren coming up, she smiled, and was about to speak when Zheng Ren stopped her.

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

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

The left side of her neck was covered with a yellow towel, on the towel... no blood was seen.

How is this going? Zheng Ren became more and more confused.

Push the patient to the emergency room, first press the ECG monitor, Zheng Ren took a look.

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

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

He paid attention to the patient's family members, who behaved normally and showed no signs of alcoholism.

"Tell me what happened." Zheng Ren stood at the patient's injury examination, asked the family members, and carefully removed the yellow towel.

No blood spurted out, and there was no obvious breach in the neck, but there was a scratch of about 4 mm above the left sternocleidomastoid muscle.

If it weren't for Zheng Ren's good eyesight, this small scratch would be easily ignored.

No oozing, no bleeding, no subcutaneous hematoma!

Carotid artery injury, is this the performance? Zheng Ren once again became suspicious of the big pig's trotters.

This guy hasn't been given a mission for a long time, and this time he gave such an unreliable diagnosis.

"Doctor, I saw a spurt of blood at that time, and people were frightened." A middle-aged man said.

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

"Sure, spray it on the ground at home."

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

Strange.

The diagnosis of the big pig's trotters was consistent with what the family members said, and Zheng Ren did not ignore the various possibilities with small probabilities.

"What's wrong with you?" Zheng Ren began to ask the patient, "Answer slowly and speak slowly, don't worry."

"Doctor, everything is fine." Seeing Zheng Ren's serious face, the patient took a closer look, and then said, "It's just that when I'm panting, the left side of my neck feels a little uncomfortable."

There are also no clear exceptions.

Zheng Ren changed a piece of gauze for the patient, and then said, "I'm going to do a neck CTA."

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

Surgeons are not afraid of blood and flesh flying everywhere, but they are afraid of patients who look normal but lose their breath in the blink of an eye.

It was fine when it was delivered, and there was no problem talking. If there is something wrong with the carotid artery, it is ignored, and the patient dies suddenly, it will be strange if there is no trouble at home.

If Su Yun didn't study medicine, and when he encountered this kind of thing, he sent it well, and the doctor said it was fine, and the person disappeared in the blink of an eye. If he didn't shut down the first hospital in Haicheng City for rectification, he would be damned.

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

To judge whether there is any problem with the neck blood vessels, the best inspection is the CTA examination of the neck blood vessels.

One step in place, simple and worry-free.

Zheng Ren took care of the patient and prevented the patient from moving around and causing irreversible damage. Su Yun went to contact the CT room, saying that there was an emergency patient here who needed to be checked.

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

It happened to be the last patient, Su Yun came back and said, Zheng Ren carried the first aid kit, asked the accompanying examination cart, brought a nurse, and they rushed all the way to the CT room.

Sister Zhao heard the sound of the flat car and knew that Zheng Ren and the others were coming, so she came out to meet them.

"What patient?" Sister Zhao asked.

"Carotid artery injury." Zheng Ren said.

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

Together with the family members, several people carried the patient onto the CT bed. The patient's lover remained in the CT room. Zheng Ren said a few more words, telling the patient not to move around, and then entered the operating room.

"Mr. Zheng, thank you." Sister Zhao said with a smile when she saw that the patient's family members were gone and her condition was not in a hurry.

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

"My neighbor said that when I went to the medical university, the doctors there were very enthusiastic. They said that it was a patient of Boss Zheng in Haicheng, and the green light was given all the way."