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Chapter 544 Five o'clock in the morning (May 5, 12 update for subscription)

Severe bacillary dysentery, which is much more difficult than ordinary dysentery.

The person in charge of seeing patients is a young male doctor who has just been promoted to attending.Sun Li'en had met him a few times before, and the only thing he knew about him was that his name was Wang Baohe.

"Doctor Wang." Sun Li'en nodded politely to Wang Baohe, then picked up the medical records and began to look through them.While watching, he glanced at the patient's head by the way.

"Lin Zheng, male, 27 years old. Bacillary dysentery (28.33.42), mild sepsis (08.12.37), moderate dehydration (06.51.23), incontinence (01.00.51)"

"Li En, are you interested in this patient?" Wang Baohe was a little apprehensive about such a patient.It's not because bacillary dysentery is so terrible, mainly because patients with severe bacillary dysentery often have symptoms of incontinence.Coupled with the fact that there are many pus and blood or even necrotic and exfoliated intestinal mucosa in the excrement, the patient will continue to deteriorate rapidly under the drag of dehydration, sepsis and even malnutrition.All in all, dirty and hard to treat.

"I'm just here to take a look." Sun Li'en smiled at Dr. Wang, "After all, he is a ruthless character who washed Brother Cao's head..."

Dr. Wang's treatment for Lin Zheng was a standard procedure. He supplemented the lost water with balance liquid, used antibiotics to fight bacterial infection, and also hung a bottle of glucose to adjust the patient's blood sugar.No mistakes in response—Of course, if the doctors in the emergency department of Tangtang Fourth Central Hospital don't even know how to deal with severe bacillary dysentery, then the fourth hospital should be closed.

"Shigella is resistant to quinolone antibiotics, right?" Sun Lien cautiously put forward his opinion after reading the overall treatment plan, "Isn't it better to use ceftriaxone or amikacin?"

"The patient has a history of cephalosporin allergy, and amikacin needs to be used with caution when the patient is dehydrated." Wang Baohe took Sun Lien's question as a question from Dr. Gui Pei, and he answered very patiently, "Now the main thing is to give him hydration. Expand the volume, and after his urine output returns to normal levels, I plan to switch to amikacin again—ofloxacin, which is currently being used for him, is the one with the lowest probability of drug resistance among quinolone antibiotics.”

Sun Li'en nodded, "Don't you need to cool him down?"

"The level of 38 degrees four is not used yet. Antipyretic drugs can make him feel better, but oral drugs may not be easily absorbed now-his diarrhea is too serious. Lysine pirin injections and the like can cause gastrointestinal bleeding, For patients with severe bacillary dysentery, it is still possible to avoid it." Wang Baohe yawned, "Aren't you sleepy, Xiao Sun?"

"Me?" Sun Lien blinked his eyes, it was already five o'clock in the morning, and he had already passed the most sleepy time. "I'm too sleepy..."

Wang Baohe sighed enviously, "It's good to be young. It will take me two or three days to recover after a night of sleep." He stretched his waist, "If you don't feel sleepy, Xiaosun, this Please help me keep an eye on the patient first? There is no need to adjust the treatment plan, just call me if there is any movement."

This is the young man who was caught?Sun Li'en nodded, and happily agreed to the other party's request.Anyway, I definitely won't be able to go back to rest tonight, and Zhou Jun will definitely not arrange for him to go to the emergency clinic today - if he dares to say this, Sun Li'en will dare to arrest Yuan Pingan's young man. "I don't have a day shift arrangement today, Brother Wang, go to bed when you're sleepy."

The emergency room has gradually changed from a state of chaos to a normal state.Sun Lien occasionally stared at Lin Zheng's condition, and from time to time he could chat with Dr. Cao Yanhua who was a little depressed.By the way, Dr. Cao rejected Sun Lien's proposal to "buy two eight-treasure chestnut pigeons to calm the shock".Looking at his tangled expression, Sun Lien estimated that he would not be able to eat anything for at least a day or two.

Although the emergency department is usually dirty, tired and bitter, it is not an anorectal department after all.This kind of experience of being sprayed on one's head... is far less than that of anorectal doctors - they are experts in close observation.

Zheng Guoyou has already taken Wu Lian to do replantation.According to Lao Zheng's estimation, this operation will take seven or eight hours at least.Moreover, multi-disciplinary cooperation is required—at least microsurgery requires someone to help sew the nerves.Of course Zheng Guoyou can sew by himself, but because of the two brackets installed in the old man's heart, and Director Xiao's uncompromising attitude - no one will agree with Director Zheng to complete the process by himself in a short time.

In fact, there is a high probability that Lao Zheng will not be the chief surgeon from beginning to end.Since the heart was fitted with a stent, Zheng Guoyou has indeed begun to restrain himself.And after getting older, Lao Zheng will also start to think about the cultivation of successors-it is not impossible to leave all the departments to the hospital, and let the hospital or the college send a new director.But after all, Lao Zheng has been in the fourth hospital for eight years, and he has brought out a vote of deputy chief physicians and attending physicians.If there is a sudden change of generals, the new director will inevitably have his own team and team.At that time, it will be difficult for these old people to climb up again.

Every time he thinks of this, Lao Zheng feels a little grudged about his behavior of letting Zhou Jun go.How many years has Zhou Jun studied with Liu Tangchun?Now I can lead the operation of the emergency department as the deputy director and chief physician of the emergency department.If he hadn't let him go back then and had stayed by his side, why would he still have a headache about his successor now?

Then, Lao Zheng became even more dissatisfied with the group of orthopedic surgeons under him, "What are you doing? You can't screw in a single intramedullary nail for a long time? You didn't eat in the morning?"

"Director, I really haven't eaten." Lao Zheng just talked about things, but in fact he never got serious with the doctors under him.Therefore, when the doctors responded to the director's criticism, they also took a rogue spirit, "It's only five o'clock..." The doctor in charge of screwing the intramedullary nail glanced at the electronic clock next to him, "Five twenty, it's usually at this time You are all sleeping, how can you have time to eat?"

"You talk too much!" Seeing that the other party's hands were away from the patient, and there was no equipment in the standing position, Lao Zheng kicked him on the thigh with a force that was gentler than dusting, "Hurry up and work!" !"

After kicking his useless men, Zheng Guoyou sat back on the round stool again, and then began to sigh.To say that Lao Liu's luck is really good, not to mention picking a successor from himself, last year's newcomer Gui Pei actually tricked him into a diagnostic center-why didn't such a good thing come to my turn? Someone!
The same cannot be said.Zheng Guoyou immediately began to comfort himself, Lao Zheng, I still took advantage of Xiao Sun, and Lin Yanan will be able to report to the orthopedics department tomorrow.How wonderful this is, the female doctor from the Tongxie is still a senior attending doctor - in the future, I will see who dares to say that our orthopedics department is a monk's nest!

(End of this chapter)