This is the old horse。

For the patient’s family,It is a thrilling dead escape.,If it is a rabies,Then you have finished playing.。And myastosome is weak, although I can’t cure,But some drugs can be controlled,And you can return to life completely,That’s lucky。As for a diagnostic error,Old horse,They are now happy now.,It is estimated that you will not find trouble.445
Piece68Elderly male,I was found in a coma at home,Hurry and send hospital emergency。
Patients with coma come to emergency,That is very tricky。There are too many reasons for coma.,From the head to the foot, dozens of diseases,And each cause may have several dozens of changes,Classifying a little change。
The emergency doctor initially suspected that it would be a brain,Such as cerebral hemorrhage or cerebral infarction,After all, this is the most common cause of coma in middle-aged and elderly.,Especially the family said that patients have high blood pressure for more than ten years.,Not taking medicine,Take medicine is also intermittent,This makes the emergency doctor suspect,How many good guys are in the high blood pressure puzzle,Hypertension is not easy to really, it is very easy to bleak blood bleeding or cerebral infarction.。
The emergency doctor carefully saw the patient’s mouth corner,No mouth skew performance,There is also no limb hemiplegia performance,This is not big as cerebral hemorrhage or cerebral infarction。So I quickly made a craniholect,This is the gold standard.,If there is a cerebral hemorrhage,ctI can see it at a glance.。ctIt is possible to see the organization of different density of brain tissue.,Bleeding words will be high density,Show a white。
So the patient is not a cerebral hemorrhage。Is there any cerebral infarction??possible,ctCan you rule out a cerebral infarction??no。Cerebral infarction is a cerebral blood vessel.,Blood flowing,Brain tissue ischemic hypoxia,Not a cerebral hemorrhage,So short-term(24Within an hour)ctCan’t see。Must be onset24Review the brain after hoursctCan you see that it is a cerebral infarction?。
Neurologists also read,Assess,I feel that cerebral infarction is not like。
In addition to cerebral hemorrhage、Cerebral infarction can lead to coma,There are still many reasons.。Patients may be poisoned,Such as pesticide poisoning、Sleeping pill poisoning?The family denies,Impossible,There is no such chaos in the family.。
Will it be hypoglycemia?Does the patient have diabetes??Diabetes hypoglycemia is also coma。Emergency doctor is fast than the big brain,The problem has not yet been asked,Just give the nurse to take a blood sugar。A few seconds were saved.,blood sugar69ol/l,This is normal blood sugar,No hypoglycemia。
This is not,That is not,What is the reason for coma??The family is also anxious,Doctors。
The emergency doctor carefully looked at the patient.,I feel that the patient’s breathing is slightly promoted,Not too obvious,Just a little bit,I am afraid that it is not a respiratory problem.。To know,Severe pneumonia can lead to hypoxia in patients,It is also coma。But generally severe pneumonia will have a breathing、Lips(Hypoxia)Performance,But he is not very obvious。
Sweepingctwhen,LungctAlso sweep together,Didn’t see obvious pneumonia lesions。
So serious pneumonia caused a coma like a coma is not like。
Will it be myocardial infarction??Elderly,Hypertension,It is also possible to make a bad myocardial infarction.。The family said that the patient has no history of coronary heart disease.,And there is no performance of chest pain talking on TV.,It should not be。Emergency doctor interrupted him,Saying that disease is not typical,Do you have evidence?。I will know if I have a heart map.,ECGettical more than a dozen dollars,Master out。The family is not good to say anything.,Agree to make an electrocardiogram。
Is such that,Typical myocardial infarction will have chest pain、Chest tightness,But some serious maybe it is coma.,No time to show chest pain,This is completely possible。Therefore, the emergency doctor is routinely to do an electrocardiogram for the patient.。
There was a result.,Not myocardial infarction,Didn’t see itst-tSegment change。The emergency doctor used a stethoscope to listen to the heart and the lungs.,Looking at the camera results,Talk to the perspective,The first ECG did not see an abnormality,Can’t block the heart muscle infarction,You can continue to make an electrocardiogram after an hour.,Do a few times,Have normal,Can be assured。
Speech,The blood of the arteries also came out。Other blood draws have also come out。These blood draws are all in the blood test.,Basically, there will be results for an hour.。
Original emergency doctor is still suspected that it is not a respiratory problem,Is it a problem of hypoxia?,However, ECG monitoring is not low in blood oxygen saturation.,Now there is no hypoxia,Basically, it can be excluded is the problem of respiratory tract.。
But there is a significant error,That is the alkalinity,There is only the acid and alkalinity of the patient in the blood gas.70(normal735-745),This is really a patient’s old life.!The emergency doctor finally found the problem.。
Why is the acid alkalin so low??Why is the patient in the body so acid??
After contrasting other blood loss results,See the patient’s blood creatinine710μol/l。
Finally found the problem。
Blood creatinine710μol/lwhat,Normal people’s blood muscle anhydride top110about,Many people are100Inside。Creatinine is human muscle、Small substances produced by metabolism such as protein,Can be considered a garbage in the blood,These garbage are kept from the kidneys.,Follow the urine。
In the case, it will cause blood creatinine so high.?The answer is self-evident。That is the time when kidneys have problems。For example, there is renal failure.,The excretion of the kidney has a problem.,Creatinine can’t go out,There is more accumulated in the blood.。The kidney is like the body’s garbage excretion workstation,Rubfish recycling station,Good things are filtered over again, they will re-absorb them back.,The bad thing will be flushed away.。The kidney is a good worker who is not afraid of suffering.,model。
But there is no day and night work,Stress from work,Or other problem,Such as hypertensive nephropathy、Diabetic nephropathy、Kidney stones、Nephritis, etc. will cause renal dysfunction,It will cause the function of the kidney to decline the function of the station,In the end, the garbage of a series of hard creatinine can’t go out.,Stacked in the body,Problem。
Patient,Very might be kidney failure,Garbage accumulation,For example, creatinine、Urea, etc.,There are still many other acid metabolites accumulated,It may lead to serious acidosis in patients.,And may lead to a coma,This is also very common in clinical。A lot of coma patients,A kidney function,Utinish,Hardsthydride is high。
Emergency doctor told the patient’s family,It is said that the patient is uremia.,The reason for coma is caused by uremia.,Must wash the kidney(Hemodialysis)Can save him。
Thinking of patients are uremia,The emergency doctor quickly asked the family.,How the patient in these days,Normal urine is normal。
Family is a bit,I don’t know.,Not living with him,He lives in the old house there。If you don’t know the urination。
Emergency Department
Kidney filtration,Garbage will be filtered with the blood,Enter the urinary tract,Water will also enter the urinary tract,Forming urine rushing out。Once the prostate is large to a certain extent,Completely blocking urethra,Water and garbage will not come,Will accumulate in ureteral、Bladder,Time long,The kidney will also give water,The kidney is very large,Eventually because of the pressure of water,Hold the blood filtration,At the same time, forced the kidney ball,Then the function of the kidney will naturally shrink。Chaosteen dirty east stacked inside the kidney,Also very easy to form infection,Patients ultimately infectious shock,It will be quickly lethal。

Wang Teng finished,Is more of a kind,Always be ready to deal with the opponent。

But after what Wang Teng said,,Those around,They are all looking in front of you。
After all, don’t talk about other things for now。
But at least here,Such a thing,Strictly speaking,Indeed。
But by Wang Teng’s side,Jiang Ya looked over here。
“Wang Teng,No matter what,I will definitely be on your side!”
slowly,When Jiang Ya spoke directly to Wang Teng。
The more so,Actually these problems,How to solve it。
Let’s not talk about anything else,But at least here,Such a thing,There is still a need to deal with it。
As for Wang Teng,Looking at all this,The more so,Wang Teng is more casual。
“well,Actually these things,It’s very interesting。”
“As for the others,Actually there is nothing to say,Almost ready,Just start!”
slowly,When Wang Teng subconsciously looked in front of him。
While looking in front of you,Wang Teng is even more completely convinced of the other party。
Other things,For the time being, don’t worry about that much。
But think about it,These things,In fact, it’s completely obvious。
But the more so,Put here,Wang Teng looked at all this subconsciously。
“Interesting,but,It looks like,The Wei family is very dissatisfied with us now。”
“But think about it,If there is an economic war with them,We will definitely lose。”

“Ancestors……” “Go down!”

Zhang Zhidong was drinking。
“……Yes……” Although Zhang Laoba is unwilling,Still obey your orders,Walked away alone。
Xie’s ancestor Xie Tianhua and Chai’s ancestor Chai Jin also waved to Xie Zhou、Chai Rong left。
Xie Zhou、Both Chai Rong knew that they were not qualified to stay here,Listen to the secrets of these ancestors。
After Zhang Laoba and the other three walk away,Li Tianran, the ancestor of the Li family, said first:“Originally we were chasing him,Now send it over for Chen Xiu to hunt down our children。
Do you have any attention to find this kid?”
Everyone shook their heads,If it is a frontal hard bar,None of them are afraid of Chen Xiu,But now there is no master’s morals,Hiding in the dark, specifically against his family children,It’s really a headache! The eight second-rate masters were silent for a while,The highest combat power inside,Liu Dunyue, who is closest to the first-class master, is helpless in the face of Chen Xiu’s sneak attack。
“I have a way!”
Everyone looks at,Talking about the old Zuma in the vest。
“Old horse,any solution,You say!”
Liu Dunyue asked anxiously。
The horse is gone, but it’s sold out,Just looking at Xie Tianhua。
Seeing everyone, I also look to myself,Xie Tianhua said awkwardly:“Old horse,What’s the solution,You just say,What does it mean to look at me like this!”

“Um,Knew!Sleep quickly,Niang looks at you!”

Niu Niu was originally thought that he couldn’t sleep under such a gaze.,I didn’t expect to go to the dream under the slow shooting of Zhou.。
Su Qiang went to the door, he saw Zhou Hao’s gentle look.,There is a light flash in the eyes,The whole person exudes soft rays。
“daughter in law,Put the quilt.!”
I got on the bed, I found that Zhou Han’s quilt was pressed under the body.,I can’t even have a corner of the corner.。
Su Qiang grabbed the little quilt threw over,After seeing,The voice of the speech has increased several degrees.。
“Is this not a Niu Niu??I can’t cover it.!”
“If you wake the Niu Niu woke up,You will go with Tiger, they are squeezed.!”
Su Qiang looked at the wife of the cold face,I am wronged in my stomach.
Niu Niu in Zhou’s arms don’t know what is delicious.,吧 砸 吧。
Zhou’s heart is concerned,Dip the hair of Niu Niu,Dear her forehead,Lying down and bringing her to her arms
Su Qiang looks great
the other side,Tirah’s insistence should wash your face.,Put the big mother is not light。
“mother,You have worked hard!I will do it myself later.!”
“Row,Then you come by yourself。Water leaves tomorrow morning,This is too heavy.,You can’t get it。”
“Child,You said that today’s sun is going to play the west.,How is the child this child so much today?!I also know that I have worked hard.,Wash yourself!”
“You have worked hard a day.,He wants to do you, let him do it.,Also, I have learned.!”
Burber turned over,Bend the corner of the corner。
“I am strange.!”
“All right,Don’t be strange。Sleep quickly,I have to get up early tomorrow.!”
“Big brother,Do you say that the school hall is really fun, a noun?!There are still many people who follow together.!”
“Big brother,Big brother!Are you asleep?How can I sleep so early today?!I still want to tell you what I will go to school tomorrow.!”
“do not talk,Tomorrow, we have to get up early.!”
“Big brother,Big brother!Are you still awake!Then you don’t care about me.,I thought you fell asleep.!You said that Mr. will not be very strict.,If you don’t move”
“Fell asleep,I am awakened by you.。I didn’t accept it later.!”
“what!Really?Mother, they didn’t say it.!”
“it is true!Sleep quickly!Otherwise, I really can’t come.!”
“Ok!Big brother,I have a little bit of their mother.,And you?”
Su Yuqing feels still not to take care of the tiger.,The more it is more and more
“Big brother!Big brother?Ok~~”
Su Yuqing felt the tiger’s little hand gently crossed his body,Pull the quilt,Then lying down and loosen
in the dark,Su Yuqing’s mouth rose

“Correct,Correct,I have just eaten half of it.,Oh my god,Sentences are not afraid of your joke,I really didn’t have to eat such a delicious cucumber.,exactly,I haven’t eaten this cucumber like you.,More fruits better than those fruits。”

Zhang Yuehua,Speak,Some words have no words。
If you are not a language level of Shenxuan?,I can’t understand this.。
“Hahaha,you flatter me!”
Shen Xuan slightly,Say:“What do you want to buy?,Come to our village tomorrow.,Go directly to me.,The price about vegetables may be more expensive,You’d better have psychological preparation!”
This is said,Let Zhang Yuehua have the end of the heart.。
“no problem,I will come over tomorrow.,Then you give me the address.!”
Zhang Yuehua said a sentence。
Shen Xuan then sent his address in the past,Simply said。
Waiting for him to finish these,Go back,People in live broadcast have already blown。
“Oh My God,I really have a restaurant to buy.?”
“That said that Xuan Ge is not really a source of funds.?”
“Xuan Ge,Your honest,This is not the bar you find.?”
In this step,Someone is suspected of having the authenticity of this manager,Internet,It’s too easy to doubt,In case this is a fake,That can be funny.。
“Is there anything necessary for me now??”
Shen Xuan smiled,road:“I have a fare.,Is there a real person to buy vegetables??”
“Don’t pretend to work hard,The result will not accompany you.!”
“This sentence,Give you!”
One finish,People in live broadcast are silent.。 Yes,Xuan Ge is a holiday without any good eating.,even,Some will not pay!
Make a fake,There will be no truthful customers to buy vegetables.,For Xuan Ge,Is the sale of this。
“Xuan Ge is too good to say this.!”
“I rely on,that’s right,What is the use of acting?,The result will not follow together!”
“I support Xuan Ge!”
“But a hotel is not used.,It is estimated that too much.!”
“Jingle Bell……”
Active,Shen Xuan’s mobile phone suddenly rang。
“Hey,Which one?”
Shen Xuan casually answering,Rapid。
“Hello,Is it a Shenxuan Shen boss who came to our September to promote the cucumber today??”
Liu Ru smoke sounds in the phone,High respective attitude。
“Correct,it’s me!”
Shenxuan nodded,Ask:“You are Liu Manager, September?”
“Correct,Correct,it’s me,Mr. Shen,Your memory is really good.,I still remember me.!”
The Liu Ru smoke on the phone is very excited.。
“of course,I will call me if I will call me today.!”
Shen Xuan smiled slightly,Joke,Ask:“Didn’t you throw my contact in the trash??”

This day is more people.,See who everyone feels familiar。After a few confused,I don’t dare to make people.。

“it’s okay no problem!”
Grande, Yee, rushed to sway。
Have a slightly familiar person,Grandpa Suiped in the heart of a lot of,Tone is also alleviated。
“Anzhi brother,You know.!”
“Yup,They have made some trading on the back and the shopkeeper.。Go first.,Here I am looking at it.!When the shopkeeper is coming back, he tells him.,Let him come as soon as possible!”
“it is good,That’s hard you.!”
“Go to work!The lake is also there.,I am busy outside.!I can hide in this.!Don’t envy me.!”
“Will not,I am still afraid that the reception is not good.,When I arrived slowly, I jealous.!”
Box door,Anzi took the tray from the second hand,Two people have two sentences。
“uncle,Drink tea!I have to find our treasurer today.!”
The average person is just looking for a position in the hall, let him sit down.,Or go directly to the backyard waiting.。
But Andzi has earned the business of the last sour bamboo shoots.,I feel that I am also a business partner.,Can’t be slow, it is,This is only in the box.。
Shouldn’t blame your own self-proposition!
“During this time, my wife is in the family.,Pondle your fresh eating,I want to see your restaurant.!”
Su Yeng is embarrassed to laugh。
But it is still very thoughtful, the weight of Niu Niu is weakened in this thing.,Push Su Grandma。
This credibility has also been much higher.,A small doll study new eating。It is estimated that no one is believed, no one dares to eat.!
“Then you really come to the place.,Our restaurants!I like these fresh things.,Especially eating!uncle,Do not you worry,I estimate that there are ten eight nine you have to do business with our restaurant.!”
It is also a favorite.。
No words,Just indicate your own attitude。After all, how is it to be valued by the treasurer,Also or store small two,Cannot be more likely。
It’s this all words that I am in the heart of Sujia people.。
Listening to the words of Andzi,The opportunity of your own is still very big.,Total is better than a pot of cold water.。
“Su Lao Ge,long time no see!You are getting more and more spiritual.!Niu Niu,More and more beautiful!”
Tea is drinking half a pot,The shopkeeper is coming back.。
Open the door with a gust of wind,The face is also full of smiles。
“I will listen to someone else, I’m looking for me.,Is there anything that is a good?!”
The last square is not mentioned by the earnings,But still earned a small。
the most important is,With this specialty, the name of the Fufu Restaurant is even more loud.。
Guests from the shop are not as adjust to praise the sate old duck soup。
Its unique flavor,It is also an imitation of other shops that cannot be imitated.。To eat authentic,Can only come to Tongfu Restaurant。
A pass ten,Ten pass hundred。
Many rich people will make their own small two in the door for this small second.。
This is also the strategy of Zhou Master.。
Not allowed to take,Do not accept advance reservation。Only 30 copies per day,First come first served。
have to say,Zhou Master is still not so much.。Zhou Lao is already very business.,Only from the white hand, there is such a big family。
But this week,Obviously it is blue and better than blue.!If someone is pressed,I still don’t know where this business will develop.!

Went to town,Several express companies have not opened yet,The door of the agency is closed,But their phone number is left on it,Fang Hao wrote it down,Start calling one by one,Ask them the price of the courier fee。

When he opened his mouth, he said that he had at least thousands of couriers to send out,There may be tens of thousands,Request that the express delivery fee be reduced to an acceptable level。
After some bargaining,I chose the lowest quotation among several express companies for cooperation。
After negotiating the express price,Ye Wenwen finally told Manager Liu that she would take half a month’s leave。
It has been a month since the last book sale,The leeks in the leek garden have grown very vigorously,It’s time to cut leeks again。
Chapter One Three One Free labor
After discussing the delivery cost with the courier company,Fang Hao went to a factory producing cardboard boxes in the county,To buy large quantities of cartons。
This ponkan must be packed in a carton for delivery,The express way will not be crushed。
While he is doing these things,His parents started going to the houses of those in the village who had ponkans and asked if they wanted to sell them.,The price they gave was six cents a catty。
If you bring this to the town and sell it yourself,Can sell for a dollar per catty,But not very good,Can’t sell dozens of catties a day,Have to run so far,Not worth it。
So many people would rather rot if they couldn’t finish it,I don’t want to sell it in town。
There are hundreds of families in the town,Their spending power is so big,If the villagers in every village pull the fruit there to sell,That’s harder to sell,Can’t sell dozens of catties a day。

“what’s up,So anxious?”

See the appearance of this disciple,Asked the head in doubt。
“Palm,Head,Good thing,Great thing。”
This disciple,I heard from the head,Excited。
“What good thing?”
Zhong Bao,Seeing this person appear in such a hurry。
Also showed a puzzled expression,Asked。
“On Wutai Mountain,An ancient relic appeared,In this ruin,Exuding the smell of figs,Guess so,There are figs to be born。”
“More than that,This relic,seem,Is the relic of a certain power。”
“inside,May have a great heritage。”
“Because of this ruin,Is brand new,No one has entered。”
This disciple,Answered excitedly。
“There are ancient ruins?”
“Row,I know。”
Head,Hear this,Frowned,Wave,Signal this person to go down。
then,Look at Zhong Bao,Tao:“You don’t have to be so excited。”
“The remains of this time,You don’t want to go。”
“Your current inheritance,Very powerful。”

Of course they didn’t get involved,Sometimes I will interact on Weibo,Well-behaved friendship。

Such interaction,incpPink look,This proves that they are indeed interested in concubine。
In the eyes of those wife fans,This is the company deliberately hyping,The company is operating their account,Very hateful。
Tang Xiaodie spread this sentiment among multiple support clubs:
“In order to hold that woman,At the expense of brother’s reputation,Explain in their minds,That woman’s status is more important than that of her brother。”
“Brother’s account is controlled by them!”
“That woman joined this company,Will definitely snatch the resources that belonged to brother,Sisters,We have to stand up!Let the company see who is the one that brings them profits!”
“We won’t stand up,Brother has no position in this company!”
“Brother’s new book will be released soon,Sisters,This time we have to show our strength,Let those in the company see!”
“Brother is the only one left,We won’t stand up,No one can help him!”
“Sisters,We have nowhere to go!”
Chapter Four and Eight It’s time to cut the leeks again
The fan circles of the two artists of Haoran Culture Company tear each other,Many fans who have been torn by Fang Hao’s brain fans came to watch the excitement,And laughed,Some even helped Qu Wan’er’s brain fan to tear Fang Hao’s brain fan。
of course,There are also some girls who have taken off their fans from Qu Wan’er and were scolded by her brain fans who have joined the camp to help Fang Hao’s brain fans tear Qu Wan’er’s brain fans.。
Downfall,Is a virtue shared by mankind。
But this kind of behavior,Objectively also helped them to scan the data。

“Of course not his,But we can’t get,Don’t even think about it。”

People of Akabane School。
Never thought,This exquisite sect person,I stabbed myself in the back。
Meet the people of Linglong School,Want to snatch this fig。
One after another,Stop this exquisite sect person。
“Your Akabane Sect,Want to die??”
“Dare to stop us from snatching figs?”
Exquisite sect,See this Akabane Sect,Dare to stop my whereabouts。
“Humph!The school of attacking people behind。”
“Stop you,so what?”
People of Akabane School,Every,All with death,Not let this exquisite sect person,Get this fig expression。
“it is good,In this case,Then die for me。”
“kill,Don’t leave one。”
“The people of the Akabane Sect,Kill me all。”
The people of Linglong School heard,Yelled。