I can see the status bar

Chapter 430 Security
In Sun Lien's view, Huang Bingxian no longer has the value of rescue and treatment.For an HIV patient, the severe infection caused by bacterial pneumonia would have been close to death, but the addition of fungal pneumonia can be regarded as "adding fuel to the fire"-it's not that it can't be saved, it just needs a good luck.

What kind of luck can make Huang Bingxian survive?The mortality rate of ordinary people suffering from fungal pneumonia is about 30%, and immunosuppressed patients—including patients using immunosuppressants and patients with acquired immune system deficiency syndrome—have an average treatment efficiency after they are infected by fungi About 80%, while the effective rate of treatment of lung fungal infection and liver fungal infection is much lower.Taken together, if fungal pneumonia occurs in HIV patients, the mortality rate will soar to 60% or even higher.

And that's just the threat of fungal pneumonia.The mortality rate of bacterial pneumonia, high fever and sepsis caused by bacterial infection is at least 50%.Although this calculation is a bit foolish, simply adding up the probabilities, Huang Bingxian's death probability is at least 110%.

"How much CD4 does he have?" Sun Lien turned to ask about Huang Bingxian's basic illness. The level of CD4 cells determines the strength of a person's immune system.For patients with HIV combined with fungal infection, the higher the level of CD4 cells, the greater the probability of survival.

"The result this morning is 145." Yuan Pingan glanced at the checklist in his hand, "Anti-retroviral therapy is already underway, but I feel it may be too late." He looked at Sun Lien and asked, "Do you think... Can this person be saved?"

"It's a miracle to be able to be rescued, and it's normal to be unable to be rescued." Sun Lien rubbed his temples with some headaches, Xiao Guo walked over with a white coat in his arms, he smiled, took the clothes and put them on, and said helplessly , "HIV patients are severely infected, reaching the point of sepsis..."

Yuan Ping'an probably guessed the answer a long time ago, but after hearing Sun Li'en say it, he still seemed a little disappointed, "I thought you could have a good idea."

"Brother, I'm a regular trainer, not a big Luo Jinxian." Sun Lien rolled his eyes angrily by Yuan Pingan, "In his current situation, even if mNGS is used to find out the pathogen of the infection, the treatment may not be able to keep up with the deterioration of his condition Speed." Speaking of this, Sun Lien nodded thoughtfully, "Is that why Dean Song disagreed with the mNGS application? For such a doomed person, there is no benefit in going to mNGS. You may have to pay for it yourself.”

Yuan Pingan covered Sun Lien's mouth when he heard this, and looked around vigilantly. They were all his own people, and there were no family members or unrelated people of the patient, so he took a sigh of relief and took his hands away, "You can't talk nonsense. , how come it seems that Dean Song deliberately wants to kill people?"

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"In short, the therapeutic value of this... patient is already very low." Sun Lien concluded in the small conference room that has become the treatment team office, "However, I still recommend doing a bronchial washing culture, so that at least we can have Evidence that nothing went wrong during treatment."

"Instead of this, it's better to transfer to another hospital." Zhou Ce made a suggestion, "Anyway, he is an HIV patient, so it's okay to transfer to the third hospital for treatment, right?"

Zhou Ce's suggestion was rejected by Xu Yourong and Yuan Ping'an at the same time, "How is that possible!" Seeing Xu Yourong speak, Yuan Ping'an also shut up, and Xu Yourong can be considered experienced in dealing with his high school classmates, "This patient What's the situation now? We were all terrified to send him for a CT scan, and if he was sent to the third hospital in an ambulance, even if he was willing to accept him, he might not be able to survive."

Zhou Ce said helplessly, "Then what should we do? Just suffer like this?"

"The treatment that should be done is still done." Sun Lien thought for a while and made a decision, "Maintain the current treatment content...give him a sputum smear and have a look." Before Yuan Pingan could speak, Sun Lien quickly added, "I know you did it when he was first admitted to the hospital. But the condition has progressed too fast these days, so it's good to have another smear."

Maintenance therapy with cefoperazone and sulbactam should be sufficient to combat the C. caninophilus infection in the tail-less C. caninophilus.But the evidence of fungal infection is not clear enough, at least Sun Lien has not been able to find a breakthrough-traditionally, the X-ray symptoms of fungal infection pneumonia are much more serious than clinical symptoms, and patients are often treated by doctors after a round of antibiotic treatment is ineffective. will be considered in this regard.

But Huang Bingxian obviously didn't have the time.Although Huang Bingxian had already been sentenced to death in his heart, Sun Lien still planned to be a dead horse as a living horse doctor, try his best to clarify the type of infection, and then prescribe the right medicine.If he was saved, the police might be able to dig out a few more evil forces or drug trafficking organizations from his mouth.In this way, Sun Lien indirectly saved dozens of lives and saved hundreds of families.

"Okay, Dr. Xu and I will keep an eye on the rest." Yuan Ping'an nodded, and began to urge Sun Lien to go back to rest, "Your wound hasn't healed yet, go back and rest quickly. Be careful that the wound liquefies."

Sun Lien nodded, "You guys are busy first, I will find someone to help me change my medicine and leave." He said seriously to Yuan Ping'an, "You should pay more attention to these two nights, if there is any movement, hurry up and tell the police next to you. Say." Even if a patient like Huang Bingxian is lying on the bed dying, the prison guards and armed police from the detention center have to send people out to follow him.

On duty outside the rescue are a prison guard and two armed police officers.

"Understood." Yuan Pingan nodded solemnly.

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After Sun Li'en's accident, Song Wen searched for seven or eight departments in a row, and finally started the work of improving the hospital's security yesterday.In addition to inviting bids for the installation of the face recognition system, Dean Song also invited a special armed police team to the Fourth Academy to participate in the "resident training" under the signboard of "Military-Civil Cooperation" of the Fourth Academy.

Resident training is a gimmick, but it's a must.It is already difficult to mobilize the armed police at the local level. Rotating the armed police special forces to patrol the Fourth Hospital with guns is already the limit of what Dean Song can do.After Sun Li'en finished changing the medicine, he found that there were several huge wooden boxes at the entrance of the hospital, and there were many hospital staff busy nearby.

"Why are you back again?" Sun Li'en was about to watch the excitement before leaving, but was spotted by Director Zang Fusheng, who pulled Sun Li'en to his side and made way for the moving machine to start, "I Didn't I hear you were given a vacation?"

Sun Lien nodded, "The emergency room has admitted a patient, and the situation is quite troublesome. I'll come over to check the situation." He looked at the huge wooden boxes and asked curiously, "Director Zang, what are these? Our new equipment? "

"Yes, newly purchased equipment." Director Zang smiled, "The dean bought a new guy through a special procurement channel - a full set of security inspection equipment."

"Security check?" Sun Li'en was taken aback, "Is it...the kind at the high-speed rail station?"

Director Zang nodded and shook his head again, "The security inspection device was purchased according to the airport standard. It will be installed tonight, and it will probably be installed tomorrow afternoon. The trial run will start tomorrow night—it will be officially launched after a month of trial run."

(End of this chapter)