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Chapter 528 Indwelling Needle

"Of course it's serious. His limb numbness and epilepsy are all caused by demyelination." Sun Lien poured a glass of water for Shen Xi, sat down again and sighed, "Otherwise, why do you think I'm in such a hurry? Myelin disease itself is not curable, even if given neurotrophic drugs and supplemented with hyperbaric oxygen chamber, how much it can recover depends on God's will." He thought for a while, but he still cheered for Shen Xi, "I used to take There was a patient with demyelinating disease—you know the owner of Zhanjun BBQ in our school? It was his brother who came to us for treatment because of lead poisoning. The condition was very bad when he was admitted to the hospital, but after the diagnosis was confirmed, he has been Adhere to the rehabilitation treatment, now except for the muscle tension in the arm is a little weaker, it basically does not affect daily life."

The prognosis of demyelinating lesions really depends on luck.Zhan Hao belongs to the category with very good luck, but it's hard to say what Shen Qiushi's luck is.What's more, he is actually a recurrence of MOG antibody disease, and the scope and degree of damage must be more serious than that of patients with MOG antibody disease at the first episode.When he got sick last time, he was lucky.But this time...it's really hard to say.

Nerve cells that have been damaged are difficult to repair, and it is difficult for doctors to determine how many nerve cells are damaged until the immune system is suppressed and the inflammatory response in the brain disappears.The immune shock therapy itself also has risks. In addition to the relatively common endocrine disorders, a large number of injections and maintenance of glucocorticoid intake may also lead to a large number of side effects including cardiovascular risks.Iatrogenic Cushing's syndrome, and even serious consequences such as femoral head necrosis.

This is a treatment with huge side effects, but it is also the most effective so far.

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After receiving Sun Lien's detailed explanation and Shen Xi's approval, Shen Qiushi's parents signed the agreement for treatment with tears in their eyes.The only thing they can be thankful for now is that they listened to Shen Xi's suggestion three years ago and sent Shen Qiushi to the capital for treatment.Although hospitals in the capital did not clearly diagnose MOG antibody disease, their treatment methods were similar to those of hormone shock therapy—under the suppression of a large dose of hormones, Shen Qiushi's optic neuritis was quickly improved.

"I'll ask the pharmacy to deliver the medicine to start the treatment now." Sun Lien glanced at his watch, at 06:30 in the evening, it was still too late, "Do you want to go to the ward to accompany him?"

In general, inpatient treatment is concentrated during the daytime hours.But special circumstances are treated specially, Shen Qiushi is obviously not the kind of patient who can afford to wait.Before the glucocorticoid shock treatment, his autoimmune system was attacking the myelinating oligodendrocytes in his brain almost every minute.Waiting for an extra minute may cause more myelinating oligodendrocytes to be killed by CD1+ T cells, thus disintegrating the cellular structure in Shen Qiushi's brain.

If the human brain is compared to a computer with a sophisticated structure, then the current situation is that a group of mice are tearing at the insulation layer of the wires in the computer.With less and less insulating layers, short circuits and abnormal discharges can increase rapidly.By then, Shen Qiushi's condition would only get worse.

Antibiotics are directly dispensed by the pharmacy and sent to the diagnostic center.But the nurse who gave the injection... There is really no such thing now.The head nurse Zhong Yu was busy changing Qian Aiwu's medicine, while Xiao Guo was in charge of checking the emergency medicine in the inpatient department - later he would be responsible for disinfecting the corridors and wards.

In desperation, Sun Li'en decided to give Shen Qiu the medicine himself.Fortunately, intravenous injection is an important part of the medical practice exam-at least in theory, he is fully capable of infusion.But in practice, he really didn't do this job much... After all, when he was in the emergency room before, he never lacked the kind of powerful nurses who could open the intravenous access smoothly under the condition of chest compressions.

"Or...you come and try?" Sun Lien held the injection needle in his hand, and deliberately said to Shen Xi, who looked a little nervous, "Anyway, you have to practice in the future if you want to take the medical license exam."

Shen Xi turned her head into a rattle, "Brother, let's not joke about it... It's okay to stab someone I don't know, but how can I do it against my cousin."

"Oh..." Sun Li'en nodded suddenly, "It's too familiar to make a move, right?"

Shen Xi's brows twitched when she heard the sudden joke, "Brother Sun, your joking posture now really looks like our boss."

The surgical theater is usually a real F1 racing track.There are all kinds of jokes and jokes.In order to relieve their boring life, this group of department directors, who do nothing but surgery every day, often tend to molest young doctors and nurses.Especially when molesting one's own students, it's called ruthless.

Especially in departments like urology... where various "sewer" accidents are common, the driving speed is even faster.There are generally two ways to evaluate whether a doctor is upright in a hospital.One is "You are more knowledgeable than dermatology", and the other is "You are better at joking than urology."

After completing the preparations before the injection proficiently but with some uncertainty, Sun Lien steadily inserted the indwelling needle into the superficial intradermal vein on the back of Shen Qiushi's hand.The needle of the indwelling needle is much thicker than that of ordinary adult intravenous infusion needles, and it is more painful than ordinary intravenous infusion when it is inserted for the first time.But the advantage is that only one or two pricks are needed during the entire hospitalization process-if the care is proper, and there is no infection or needle blockage, the indwelling needle can even be used for more than ten days.

For the comfort of the patient and the convenience of subsequent infusions, it is very necessary to use an indwelling needle from the beginning.

The superficial vein indwelling needle and the deep neck vein catheter puncture that Sun Lien has seen are basically the same in principle.However, this operation is much simpler than deep jugular vein puncture.Like ordinary infusion, after disinfection, look at the position of the vein and prick the needle, stop the puncture when you see blood returning, then fix the pipeline with a transparent film dressing, and leave the injection port.Since the fourth hospital widely adopts the heparin cap indwelling needle instead of the traditional heparin sodium tube indwelling needle, it also eliminates the need to flush the pipeline with normal saline every day and lock the heparin sodium tube after treatment.

In actual operation, Sun Lien performed quite well.After completing the catheterization straight to the point, Sun Lien hung up the prepared glucocorticoid for him.After pulling the infusion pump and adjusting the infusion speed, he nodded to Shen Xi and Shen Qiushi's parents, "You can continue to stay with him here for a while. But it's best not to exceed an hour—it's better to let him rest more good."

After leaving the ward, Sun Li'en glanced at the darkened sky and walked towards the office.As a result, he had just walked halfway, but heard a bad news from Xiao Guo.

"Brother Sun, the head nurse wants you to go over here." Xiao Guo, who was wearing a nurse uniform that finally fit, walked over quickly and whispered to Sun Li'en, "Qian Aiwu has some rashes on his body."

(End of this chapter)