I can see the status bar

Chapter 1176 Essence
First of all, it is necessary to rule out jaundice caused by other reasons.

Sun Lien began to compete with other reports of this child who was born less than 96 hours ago.Since the mother has rare p-type blood, the doctors examined the child in great detail.Although it is a bit distressing to have to draw blood every ten hours, but...these are necessary medical actions.

It's better than before the 80s, when babies underwent heart surgery without even anesthesia.

It is true that there are many small pinholes left by the blood collection needle on the baby's tiny fingers.But... this is also necessary to save her life.

The close examination of her blood by the doctors provided objective conditions for Sun Lien's rivalry.Sun Li'en is now like the most capable chef in the world, and then he is standing in the world's largest supermarket.

As long as he needs it, there are all kinds of information here.

But at the same time, such "preferential treatment" also brought him some inconvenience.After all, Sun Li'en is not the most capable chef in the world.And there are too many ingredients and props that make people feel "easy to use" in the supermarket.

As a newborn, it is not as simple as one or two abnormal items in the child's inspection indicators.Strictly speaking, few indicators on this child are normal.

When in the mother's body, most of the physiological activities of the newborn are borne by the mother.Maternal organ support is required for most of these activities, from oxygen supply to nutrient transport, from immune protection to metabolic waste filtration.

And at the moment when the umbilical cord is completely cut, the child begins to exist as an individual for the first time.All the organs in her body must rely on their own work to ensure all the needs of the body.

All of a sudden, from not having to work to relying on oneself, each habit of course requires a process of adaptation.The various high and inexplicable indicators in the newborn's body are living evidence.

The bone marrow is producing red blood cells at full capacity to ensure that the blood system still has enough capacity to carry oxygen when the body is cut off from its source.

The immune system is running wild all over the place to make sure nothing will infect the newborn at this time.

If the indicators of adults are applied mechanically, then every newborn has to be sent to the ICU for strict monitoring.But it turns out...the various indicators in their bodies will always return to normal within a period of time.

But... there are exceptions.And this exception is often a headache.

Now, the case that Sun Lien is having a headache is particularly troublesome.

She has jaundice, and all newborns have jaundice.But her mother has rare p-type blood, so she is more likely to have neonatal hemolysis than other newborns.

Based on the available indicators, the doctors couldn't tell whether she had neonatal hemolysis or normal postnatal jaundice.

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"I really have no choice." Sun Lien, who couldn't see anyone and couldn't use the status bar, formally decided to give up the idea of ​​having a headache alone after two hours of scratching his hair.He called Qian Hongjun and asked for help, "Mr. Qian, can you show me?"

"Look at the hammer." Qian Hongjun was taking a bath in the hot spring, and Sun Lien's phone call disturbed his elegant mood. Comrade Qian was very upset, "You are a physician trained in the emergency department, why are you just looking at newborns?"

"The cases in our hospital." Sun Lien said helplessly, "The hematology department, the blood transfusion department, and the PICU couldn't make up their minds, so they dragged me in."

"They are jealous that you have a vacation." Qian Hongjun explained the essence, "It's hard to take a few days off, so don't make trouble for yourself."

Sun Lien was so pissed off by Qian Hongjun that he almost put down his phone and went to sleep.In the end, before he could speak, Qian Hongjun suddenly asked, "Why didn't the bilirubin report from yesterday morning come?"

Um?Sun Lien was taken aback for a moment, and then realized that he had missed a few files when he copied the files.

"Everything is delivered!" Qian Hongjun was dissatisfied, "I didn't deliver all the things. If you treat her as Teacher Qian, I can pinch and count. I don't need to read the inspection report to know what's wrong with her?"

But... didn't your old man say don't look for trouble?
"Send it quickly!" Qian Hongjun urged on the phone, "A set of inspections is not finished, are you planning to kill me?"

After being quarantined in the hotel for a week, Qian Hongjun also began to feel uncomfortable.There is no way, a person who has spent half of his life in sleep deprivation, and now you let him let go of sleep and can't fall asleep.

Even feel uncomfortable all over.

"Actually, there's nothing to look at in this plan." About half an hour after Sun Lien sent out the checklist, Qian Hongjun called back.Director Qian on the other end of the phone said, "Actually, it's meaningless to find out whether this child has hemolysis caused by a blood type incompatibility."

"Ah?" Sun Lien was taken aback by Qian Hongjun's words, "Why is it okay?"

"Whether her hyperbilirubinemia is caused by hemolysis or not, it has nothing to do with our treatment methods." Qian Hongjun rolled his eyes and said, "Even if her hemolysis was caused by a blood type incompatibility, it has nothing to do with our treatment methods." Hyperbilirubinemia occurs. If the bilirubin level is not high enough to cause kernicterus, the current treatment plan can only be maintained.” Qian Hongjun explained with a sigh, “If it is only a particularly serious When the level of physiological jaundice is high enough to cause kernicterus, we also have to give her plasma exchange."

Sun Li'en was stunned for a few seconds, and then he was completely speechless.

"Not all cases have to find the cause." Qian Hongjun said on the other end of the phone, "Correct diagnosis can lead to correct treatment-but there are always exceptions to everything. Anyway, the treatment plan is the same, this time to find out What the hell she was jaundiced with... doesn't make much sense."

Although Qian Hongjun definitely couldn't see it, Sun Lien nodded.

The old money is right.

"B-ultrasound has ruled out the possibility that she has biliary hyperbilirubinemia, and the newborn baby who has been under close monitoring in the hospital is unlikely to have an infection—her mother has always been healthy." Sun Lien thought Liao thought about it and said, "So, regardless of the possibility of the child suffering from other diseases, just treat according to the symptoms of jaundice?"

"Just monitor her bilirubin level closely." Qian Hongjun suggested, "The next thing you need to do is to take a good rest—and don't tempt me with the case anymore. I also want to sleep more Two days to get used to retirement life in advance."

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"The situation is probably like this." After putting down the phone, Sun Lien called the PICU of the Fourth Hospital, "Director Qian and I feel that there is no need to be too obsessed with the diagnosis now. Just continue to observe and then treat the symptoms. Discordant hemolysis is most likely, but conclusive evidence is lacking."

After another pause, Sun Li'en continued, "I will be discharged from the hospital in seven days at the earliest, and the comprehensive diagnosis center is not suitable for neonatal monitoring. If the child's medical expenses at home are a problem...then you should do it first If you are in arrears, you can ask the hospital office if you have other questions about fees.”

　Cavin has been really stuck recently... I feel that if this continues, I may have to ask for leave to rest before I can recover.

　　I hope the state can bottom out and rebound, at least give me another three months, and give this book a more satisfactory ending...

　　On the 24th, I'm going to Haikou to attend a training course. Whether the next book can be seamlessly connected and written well... just wait and see.

　　
　
(End of this chapter)