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第144章 要不再打个赌?(1 / 2)

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第144章 要不再打个赌?

张建国的眉头微微一皱,瞥了刘龙辉一眼。

这刘龙辉可不是什么好鸟,他这句话看似是为了大家好,但里面的道道张建国再清楚不过了。如果张建国坚持,治好了没什么,人家也是出于安全考虑嘛,顶多就是太保守,但如果治不好,甚至把病人给治没了,那问题可就大了。人家刘副局已经尽了提醒的义务了吧,是你要一意孤行,出了事自然也是你自个扛雷吧,说道省委那边也有道理啊。

进可攻,退可守。

张建国看向了苏铭,有些纠结。

“能不能先看看病人?”苏铭笑了笑,说道。

“当然可以。”刘卫东带着苏铭等人进入了病区。

唐大头的待遇很好。

但由此可见,他的病情绝对不容乐观。

灯光很亮,呼吸机显示器、心电监护仪、微量泵等仪器的灯光交互闪烁,偶尔有两声报警声响起,便会有护士前来加药换药,病床上,唐大头全身浮肿,面部更是肿的像猪头一般,整个头部都被医用棉垫包裹的严严实实,他躺在床上一动不动,若不是监护仪上的心电图波形还不错,恐怕都以为他死了。

“患者昨天晚上做了急诊开颅手术,因为是对冲伤,两侧颞部都有挫伤出血,脑肿胀也很厉害,几乎压迫到脑干,神经外科的医师术中已经把他两侧的颅骨骨瓣拿掉了,但现在病人的情况依然不容乐观。”刘卫东让实习医生拿过来病例和ct胶片,一边说道,“今天早上复查过颅脑ct,脑水肿很严重,现在病情的生命征也不平稳,高热、心率快、血压偏低、尿崩,两侧的瞳孔都已经开始扩大,预后极差。”

苏铭点了点头,说道,“格拉斯评分有几分?”

“3+t分左右吧。”刘卫东叹了口气说道,“痛刺激下没有睁眼、两侧肢体过伸,如果水肿继续加重压迫到脑干,恐怕他连命都保不住。”

在神经系统方面,最常用的评分便是格拉斯评分,通过对神经病症患者的睁眼反应、语言对答、肢体反应来评估病人的预后,睁眼反应占4分,语言5分,肢体反应占6分,最高15分,最低则是3分。而有气道保护的患者通常用英文字母t来替代,一般来说,低于8分的患者提示预后不良。

听到刘卫东的话,苏铭都不由得心中一沉。

这唐大头的病情比想象中的还要重。苏铭开启火眼金睛,看到唐大头的大脑,不由得倒吸一口凉气。这唐大头虽然做了开颅手术,但他的脑肿胀却依然很厉害,把去掉骨瓣腾出来的空间完全占据,把骨窗的头皮撑的好像石头一样坚硬,甚至已经把完好的大脑向中心脑干区域压迫,如果苏铭再来迟一些,他那些水肿的脑组织就会因为缺血而梗死,彻底的丧失活力,以苏铭现在的实力也是回天乏力。

苏铭把脉,脉搏沉而细,搏动无力,却又伴着一抹艰涩,可见大脑里的淤血也很严重,苏铭松了一口气。只要脑组织还没有出现坏死,他就有把握。

“苏桑的医术很高超,我想苏桑一定有办法妙手回春吧。”安藤川微笑道,“苏桑,还请让我再开一次眼界。”

苏铭摇了摇头,不语。

张建国的心中一沉,刘卫东也叹了口气,刘龙辉和安藤川心中则是大喜。

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