I can see the status bar

Chapter 310
If calculated according to the 30% increase in the general standard, Rawls should have been in a state of anemia three days ago.If this state lasts for a long time...it can be matched with an anemia state of [-] hours!

"It's interesting..." Sun Li'en said to himself, and he wrote a bracket after the data three days ago, "Anemia".

"Then the question is why his anemia progressed so quickly." Sun Lien circled Rawls's hemoglobin level today, "According to today's results, he is now severely anemic, right?"

Yuan Ping'an nodded, "So I gave him four units of hemoglobin, which should be able to correct his anemia first."

"Then...what is the cause of his anemia?" Sun Lien squinted his eyes and asked himself, "The infection itself may cause anemia, especially pneumococcus. And the adverse reaction of the drug may also cause hemolytic anemia."

"Looking at how thin and short he is, he might have been anemic a long time ago." Yuan Pingan followed Sun Lien's train of thought and replied, "Malnutrition can also lead to anemia, right?"

Long-term malnutrition, leading to chronic anemia?Sun Li'en was thoughtful. If this is the case, then Rawls's question is actually simple.He may have been chronically malnourished for no apparent reason and was therefore persistently anemic.Anemia and malnutrition, on the other hand, caused his body's resistance to be low, so the cold could not heal on its own, and it was even dragged into pneumonia.

The hospital on the training ground who was diagnosed with pneumonia directly applied Chinese health data standards to black people because of carelessness or lack of experience, or simply did not expect it.As a result, the training ground hospital failed to detect the symptoms of anemia in Rawls in time.As for Rawls's current problem, it may be hemolytic anemia caused by adverse drug reactions, or it may be anemia caused by pneumonia itself, or it may even be due to some unknown reason that exacerbated the persistent [-] wounds in Rawls' body. hours of anemia.All in all, the lack of experience in the training ground is certain, but this insufficiency is not enough to cause decisive mistakes-although the training ground hospitals made mistakes, their mistakes were not serious.

"Then, the next question is to figure out what exactly caused his anemia to worsen." After thinking for a while, Sun Lien put forward his own idea, "Take blood and let the people in the laboratory do a smear. Look, at least you need to clarify the type of anemia of the patient first." Although Sun Lien has learned that Rawls has "hemolytic anemia" through the status bar, it is still unclear whether it is "intravascular hemolysis" or "extravascular hemolysis".

"I'll go and do another physical examination for him." Sun Li'en looked at his watch, it was 10:30 in the morning, and Hu Jia had been wandering around Sun City by himself for more than two hours.According to the plan and arrangement of the two at the beginning, Hu Jia went shopping alone for about three and a half hours, and he should be able to wait until around twelve o'clock until the end of the rounds.

But planning this kind of thing can basically be equated with a joke in a doctor's life.Anyway, in Sun Lien's "career", as long as the plan has nothing to do with the illness and treatment, almost none of them can go on according to his initial vision and plan.Of course, Hu Jia is also mentally prepared for this kind of thing. She just sent a WeChat message, which probably said that she was "tasting" milk tea and desserts one after another, so that Sun Li'en can rest assured and work hard. If he is very busy at noon If so, there is no problem for her to continue the tasting journey.

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How can it be okay!Sun Lien scratched his head vigorously. The only thing he wanted to do now was to appear beside Hu Jia, and then the two of them would spread dog food to the innocent people around them.

Young people always have an inexplicable energy.Even a weary young ER doctor can experience a surge of motivation just to spend a few more minutes with his passionate girlfriend.

No matter what your problem is, it will be solved within two hours!Sun Li'en stretched his sore arms and walked towards the small meeting room.

Although he wanted to solve the problem in two hours, Sun Lien knew better than anyone else that he would probably need more than two hours to solve the patient's problem—in addition to the help of the status bar, he might also need some excellent luck.

Unfortunately, Sun Lien's luck has not been very good.

"The hemolysis is still going on..." Less than half an hour after arriving at the patient's bedside, he got a more troublesome piece of information.After transfusing four units of suspended red blood cells to Rawls, although his hemoglobin content rose, it only rose to the level of 11.2g/dl.There was a certain error in Yuan Pingan's calculation at the beginning, and the main reason for the error was probably that for some reason, the cause of Rawls' hemolytic anemia had not been resolved.

"Extract sputum and blood, and do a culture test." Sun Lien said with a frown. After all, based on the analysis of Rawls's status column, the biggest difference between him now and the past ten years is probably pneumonia and the treatment of pneumonia. Cefoperazone injected into the body.

But the problem is that for bacterial hemolysis caused by pneumonia, the first principle is to continue to use antibiotics for antibacterial treatment.Drug-induced hemolysis needs to be treated with hormones or even high-dose hormone shocks.

One cause requires fighting infection, the other requires suppressing the immune system.This is why it is necessary to carefully identify and adopt different strategies for the same symptom - giving hormones to patients with pneumonia and continuing to use antibiotics to patients with drug hemolysis is basically the same as adding fuel to the fire.

The culture was done to deal with possible infections in advance, and Sun Lien's second doctor's order was to verify the possibility of "drug-induced hemolysis".

"Liver function check, urine routine..." Sun Lien began to palpate Rawls' stomach while dictating the contents of the examination.The liver was fine to the touch, but the spleen was slightly enlarged—but not to the point of moderate enlargement.

"Huh?" The moderately enlarged spleen surprised Sun Lien.It's a pity that Rawls's liver showed no signs of enlargement, otherwise it could have been directly diagnosed as drug-induced hemolysis.

Sun Lien was "handling" Rawls when the closed door of the emergency room was suddenly pushed open.Sun Li'en was busy with palpation, so he didn't bother to look up—he was thinking about whether to add another abdominal CT to Rawls.At this moment, he heard footsteps stopping beside him.

Sun Li'en looked up, and saw a green military uniform and two uniform stripes on his shoulders, and the one walking in front turned out to be a major general.

　There are a lot of things going on recently, the update... is slow, sorry, sorry.

　　I try to speed up, at least not in debt. . .

　　
　
(End of this chapter)