I can see the status bar

Chapter 442 Roll Your Eyes

Back in the Fourth Hospital, both Sun Li'en and Dr. Brunn were as tired as dead dogs.This business trip is really too busy, so busy that the two of them are physically and mentally exhausted, wishing they could just sleep to death.

However, the follow-up report that should be done is still to be done.The problem that needs to be dealt with does not need to be taken care of by someone just because both of them are dying of exhaustion.For example... Huang Bingxian who is undergoing interventional therapy.

During the 48 hours when Sun Lien and Dr. Brunn left the Fourth Hospital, Huang Bingxian fell into a near-death state several times.After the bacteria that infected his lungs entered the heart with the blood, a large number of bacteria began to multiply in his heart valves.In addition to blocking the heart valve from closing, the valvular growth also eroded his heart valve.After a severe ventricular fibrillation, the fourth hospital confirmed that Huang Bingxian had severe third-degree insufficiency of the aortic valve through echocardiography.

While the aortic valve is insufficient, the vegetation on the heart valve is also constantly falling off.When Sun Lien arrived at the Fourth Hospital, he happened to meet Huang Bingxian who was pushed out of the emergency room by Xu Yourong and others, and ran towards the CT room.

"Splenic infarction" Sun Li'en caught a glimpse of this state at a glance, and the sepsis is still there.

This is... the bacterial embolism produced by sepsis, leading to splenic artery embolism, right?Sun Li'en looked at Huang Bingxian who was being pushed away expressionlessly. Although he planned to follow up to see the situation, he couldn't move his legs—he was really tired.

"We'll handle it here." Yuan Pingan saw Sun Lien standing there sluggishly, and shouted at him, "Go back and rest!"

The fourth hospital in the rear has been busy for two days, and one can imagine how busy Sun Lien and the others are on the front line.Even if there is no status bar, Yuan Ping'an can see that Sun Li'en is tired and his mind is numb.He sent Sun Li'en back to the dormitory without hesitation.With his current state, Yuan Pingan would not dare to listen to any diagnostic opinions—the ghost knows whether his judgment is an illusion made by exhaustion.

Sun Li'en didn't know how he got back to the dormitory, nor did he know when he lay down.When he opened his eyes again, not only did he not feel that he had recovered, but he even felt more tired - the sky outside was gray, and Sun Li'en couldn't tell whether he had slept from night to the next morning, or I slept right into the next afternoon.

There are no unread messages on the phone, which is the first focus of Sun Lien's attention.And then it's time... It's seven o'clock in the morning.

Well...the power of habit is that powerful.Sun Li'en slowly got up from the bed, he really couldn't fall asleep and didn't want to continue to sleep.Apart from his habit, there was another important reason why he decided to go to the hospital early in the morning - he had been on a business trip in Panjiang City for the past two days, and the wound had not been changed.

It won't be possible to get scratched again, right?When Sun Li'en thought of this, he felt a little chilly.

As usual, Sun Lien strolled downstairs, but this time he bought meat buns - more than double the price of the usual vegetarian buns, and the buns may not contain any good meat.After all, according to general experience, most of the meat buns sold on the market are made of pork scraps.But things like meat are really suitable for the cold winter.After eating the four buns in his hand, Sun Li'en only felt a little stronger in his body, and his stomach gradually felt a little fuller.

The turbulent rescue had less impact on the Fourth Hospital than he had imagined.Although there are still some hurried staff walking around in the rescue hall, at least the previous order has been restored.The routine shift handovers that take place each morning are also being exchanged normally, rather than collectively, as is the case with Level [-] Emergency Response Mechanisms.

"...The situation is probably like this." Zhou Jun closed the medical record folder in his hand a little tiredly, "Except for the three operations that need to be stabilized and scheduled for elective operations, all other operations have been completed."

Including Sun Lien's treatment team, all the medical staff in the emergency room surrounded Zhou Jun and listened quietly to his report.Although these two days were very tiring, fortunately, the best results were obtained in the end.In addition to the relaxation that things have come to an end, everyone is also sincerely happy for the feedback of the treatment results-so many patients have been sent to the fourth hospital, and there is no death case.It's almost indistinguishable from a miracle.

"As for special patients..." Before Zhou Jun finished speaking, he turned his attention to Sun Li'en, half describing the situation and half reminding, "The experimental drug has been used for four days, although the new antibiotics are very effective against infections. Okay, but his physical condition is still very bad."

The antibacterial properties of apothycin are beyond doubt, but this does not mean that it can solve all the problems of Huang Bingxian.Even to some extent, it will aggravate the danger Huang Bingxian faces.While apomycin kills a large number of bacteria, it will also cause the growths entrenched in Huang Bingxian's heart to peel off.On the one hand, these peeling growths will expose the eaten heart valve, causing his heart function to further decline, and at the same time, it will randomly block the blood vessels in his body, leading to unpredictable organ ischemic necrosis or limb gangrene .

"What can be confirmed at present is that a special patient has now suffered from ischemic necrosis of the spleen." Xu Yourong added to Zhou Jun's report, "But due to the nature of the embolus, we cannot conduct further treatment on this part. Whether it is Surgical resection of the necrotic area, or re-opening of blood vessels through interventional surgery will not work."

In the case of severe infection, surgery is almost equivalent to death.However, after the bacterial embolus is dredged by interventional surgery, because the embolus cannot be completely removed, a large part of the bacterial embolus will inevitably be broken into smaller fragments and re-enter the blood circulation, causing a wider range of random small blood vessel blockages, so Can't do it either.

"Currently, conservative treatment is the only option." Xu Yourong concluded, "After communicating with clinical pharmacists and experimental units, they suggested increasing the dose of apomycin for patients, from the current 0.5 mg per dose to at least 2 mg per dose. milligrams, and the dosage was increased from twice to three times a day."

That is to say, the dosage of apomycin should be increased from 1 mg per day to 6 mg per day.The drug dose increased six times in one go.

"At the same time, I suggest preparing for ECMO treatment for the patient. At least there must be preparations for this." Xu Yourong continued to put forward his suggestion, "Judging from the current cardiac ultrasound situation, the decline of the patient's heart function has become a foregone conclusion. Improve After the dosage of antibiotics is determined, we will face the problem of his severe drop in ejection fraction in a very short period of time. Coupled with his current lung infection, if there is no ECMO support, after the high dose of antibiotics takes effect, he will be the patient The beginning of death."

Xu Yourong used a relatively abstract term to describe the seriousness of the situation, "The patient's underlying disease determines that he is not qualified to receive an organ transplant, and his current physical condition cannot accept valve replacement. Except for ECMO, there is no A second treatment could be used."

After pondering for a while, Zhou Jun said to Sun Li'en, "You should contact the relevant departments. After all, the cost of ECMO treatment is very high. If they can't afford the cost, they should make preparations in advance."

What kind of preparations were made in advance, this does not need to be stated clearly, Sun Lien knew it in his heart.As for whether the relevant departments can accept the treatment fee of ECMO... Sun Li'en is more inclined not to.After all, they do not produce benefits themselves, and all funds come from financial appropriations.The cost of treatment during this period alone is enough for them to have a headache.No matter how valuable Huang Bingxian is, it is really embarrassing to treat him with almost endless ECMO treatment.The start-up cost is almost 6 yuan, and the maintenance cost is even more exaggerated.A patient like Huang Bingxian, who has severe infection of unknown bacteria, fungal pneumonia and HIV at the same time, costs at least 2 yuan a day.

The average running time of ECMO is at least ten days. That is to say, if Huang Bingxian receives ECMO treatment, the relevant department will have to pay at least 26 yuan.According to statistics, about 30% of patients who received ECMO treatment survived.

With tight financial resources, to bet on whether a suspect who may be worth interrogating can survive with a 30% chance?Taxpayers' money is not spent like that.

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"This... we really have nothing to do." Sure enough, after hearing Sun Lien's introduction to the situation and the cost of using ECMO, Captain Wu was the first to encounter difficulties, "How much is our annual case handling fund!"

"The current situation is like this..." Sun Li'en said helplessly, "Without money, Huang Bingxian will definitely not be able to save him, and if he has money, he may not be able to survive." He paused and continued, "Since we have no money, then I Let’s continue to treat according to the current situation...Maybe there will be a miracle?"

Captain Wu coughed twice, "A miracle? If that kind of thing appears so easily, it's not a miracle." His voice sounded frustrated, "I don't care about anything else, but it's a pity that I haven't taken it out of his mouth yet." Give enough confessions..."

This topic is brought up again.Sun Lien rolled his eyes. Captain Wu used this as an excuse to force Sun Lien and the treatment team to treat Huang Bingxian.Now repeating the same old tune, although I definitely don't mean to continue to embarrass myself, but it always sounds a little unpleasant.

"Captain Wu, I think your thinking may need some changes." Sun Li'en interrupted the other party's complaints, "Huang Bingxian should not be the only one who knows about these things. His little brothers will more or less know something, Especially..." Sun Lien recalled a little, and found out from his memory what color the hair of the grandson who slashed himself was, "...that guy with purple hair."

"Oh?" Captain Wu didn't expect that Sun Li'en would give him advice on this aspect. Because of his professional habits, he immediately asked, "How do you know?"

"When rushing to the rescue room, apart from Huang Bingxian, the guy with the purple hair was the most excited." Sun Lien carefully chose his words. Under the circumstances at that time, even though the Rainbow Boys all had the look of "I am Hong Xing's handle". , but at least the other five people did not take the initiative to attack, only Huangmao and Zimao made the most violent movements-the others even looked a little surprised when they saw Zimao take out the knife. "His actions are even more intense than the other five."

"This cannot be used as direct evidence." Captain Wu's interest just mentioned was immediately dissipated, "Forget it, since this is already the case, there is no other way. We can only see if we can dig out anything valuable from other people. news."

Sun Lien hung up the phone and rolled his eyes again, but this time it was for himself.

Who said that a good doctor must be a good detective?

(End of this chapter)