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Chapter 823 Finalized (Blood Donation Plus Series 042)

This chapter is added to thank the book friend "Dao Chang's Nanpiao" for donating 2020ml of whole blood on July 07, 05.There is still a chapter waiting to be added.

Although it is still not 100% sure that this is the cause, Sun Lien is 360% sure that the [-]ml nasal drops with liquid paraffin as the solvent is the root cause of Wei Aihua's lipogranuloma.

Now that the possible causative factors have been found, the next thing is easy to handle.Sun Li'en still didn't prescribe any medicine for Wei Aiguo, "You must not use this nasal drop after you go back, and then come to the hospital as soon as possible."

"I don't need this medicine, is it all right?" Wei Aihua still seemed a little unwilling to come to the hospital, she asked hesitantly, "If I have to be hospitalized...do we have a private room here? I sleep lightly at night, and I can't sleep with other people."

"Don't worry about this, the comprehensive diagnostic center is full of single rooms." Sun Lien first answered the other party's most concerned question, and then said, "Without this medicine, it can only temporarily prevent the further development of the disease. But those that have entered your lungs... ...The medicine cannot be digested or excreted by itself. To really solve the problem, you still have to be hospitalized."

Sun Lien is not a doctor of respiratory medicine, but he also knows that it is difficult to recover from this kind of chronic injury that has been done for many years.Unlike an organ like the liver, the lungs have a strong regenerative capacity.It's actually more like a kidney - although it has more redundancy that can be replaced, the organ itself cannot regenerate.

More than 300 milliliters of liquid paraffin oil has already caused damage to Wei Aihua's alveoli, and this damage is likely to be irreversible.Due to the influence of gravity, most of these paraffin oils were located in the dorsal segment of the lower lobes of Wei Aihua's lungs.This may bring some convenience for subsequent surgical treatment.

Yes, surgery.Judging from the knowledge Sun Lien has learned, the only way to deal with this level of alveolar damage is through surgical intervention.The alveoli covered with hyperplastic lipogranuloma were resected, thereby completely relieving the patient's symptoms.

But before that... Wei Aihua probably needs to be treated for several months.Her tuberculosis is also a matter of great concern.If the tuberculosis still exists before the operation, then when the diseased lung tissue is removed, the bacteria lurking in the lungs may enter any place in her body along the blood.And after undergoing surgery, Wei Aihua, who was in a state of stress, suddenly broke out in his body.

This kind of accident is fatal.In order to treat a cough, but in the end died of tuberculosis... This kind of thing is what doctors need to do their best to avoid.

After exhorting Wei Aihua several times, Sun Li'en let him out of the ward.And Wei Aihua's attitude is also very clear - she will go home and pack her things, and she will come to the hospital today.And I have to bring my husband and son to check.

Sun Li'en entered the hospitalization information from the computer, and then called the Comprehensive Diagnostic Center to arrange for Wei Aihua's affairs.Then continue to start today's outpatient work.

In general, today's emergency department is not too busy.Except for Wei Aihua, there were no other patients who were recommended by the local hospital to name Sun Lien.Most of the people who come to see a doctor are ordinary patients who think their illness is "very urgent".And the establishment of the emergency clinic...in fact, it is to deal with these patients who don't know where they should go to see a doctor.

Sun Lien saw about twenty patients in one afternoon.Except for the two children with diarrhea who were transferred to the pediatric emergency room upstairs by his suggestion, the other patients were basically within the scope of prescribing over-the-counter medicines.Of course, this workload is not small in the outpatient department, but in the emergency department, this is already a very leisurely life.

The duty schedule in the emergency department is more...complicated.There are four kinds of shifts that Sun Lien has worked on: day shift, long day shift, small night shift and night shift.Day shifts start at [-]:[-] am and end at [-]:[-] pm.The long day shift is from [-]:[-] am to [-]:[-] pm.And the small night shift is the one that Sun Lien works on - it starts at one o'clock in the afternoon and ends at twelve o'clock in the evening.The night shift is less humane - from eight o'clock in the evening to seven o'clock the next morning, these are the working hours of night shift doctors.

Generally speaking, the small night shift is a relatively relaxed category.This is especially true for doctors in the emergency department.Their shift time overlaps with that of the doctors in the day shift and Changbai shift, and the period from [-]:[-] p.m. to [-]:[-] p.m. is relatively easy.

Dr. Brunn sent a message in the evening. Besides asking Sun Lien to bring him a roasted duck rice as always, he also mentioned the biopsy results of Ji Xiuying's CT-guided puncture—a total of Two copies, one had been made into a frozen specimen and sent to the capital by express mail, while the other was sent to the pathology department for examination.

"The pathology department reported that preliminary examination showed granulomatous lesions, and after GMS (hexamine silver) and PAS staining examination, it was found that there were fungi in the tissue." The pathology department of the fourth hospital seemed to have changed staff today. , they gave a very exciting result, "Judging from the morphology, it is believed that Cryptococcus is more likely."

"Cryptococcus? Can you confirm it?" Sun Lien immediately replied a WeChat message.He really didn't expect that a pathology department, which was not favored by the doctors in the hospital, could give him such a big surprise.

"If it is confirmed, further immunohistochemical examination is needed, which will take time." Sun Lien calmed down a little with Brune's response, "But they are very confident in this result."

"First... take amphotericin B." The previous antibiotic treatment has proved to have no positive effect on Ji Xiuying's treatment, so it is very natural to consider fungal infection.Although the pathology department of the fourth hospital has been criticized for one item, at any rate, this time, the fungus was indeed found through staining.

It is generally said that the pathology department of a hospital is insufficient because they will mistakenly judge some problematic biopsy specimens as having no abnormalities.Recognizing the stained bacteria as cells... This kind of thing is generally impossible to happen in the pathology department of a regular hospital.

Despite this understanding, Sun Lien still did not notify Tongxie Hospital to stop the pathological examination out of prudent considerations—anyway, all the samples were taken, so it would be better to check again.

It is precisely because of this consideration that mNGS inspections continue.If there is no accident, their inspection results will probably be released at the same time as the results of the Tongxie Laboratory.

When the results of the three parties are released together, they can verify each other and finally determine the source of infection!
(End of this chapter)