I can see the status bar

Chapter 98 Grass Green (45)

Gao Yan is still receiving emergency treatment in the operating room.But this did not prevent Sun Li'en from taking his test results and coming to Director Liu for help.In fact, it is not uncommon for subordinate doctors to be uncertain about cases. After all, not all patients' symptoms are very typical and obvious.At this time, a more experienced superior doctor is often required to re-diagnose the patient.

Liu Tangchun usually runs to the emergency room when he has nothing to do, but this is the first time he has seen Sun Lien come to ask for help.He accepted the examination results from Sun Lien curiously, "What kind of case is this? Director Sun, you can't figure it out, and Dr. Xu can't figure it out either?"

After being molested by Liu Tangchun for two consecutive days, Sun Li'en has become a little numb.He just said helplessly, "You have a look."

The content of Gao Yan's case was written by Sun Li'en, based on the communication with Gao Yan's parents on the phone, as well as the preliminary diagnosis and treatment plan for Gao Yan in the lower-level community hospital.Writing medical records is a technical job, but also hard work.Counting the internship, Sun Lien has been writing the case content for seven or eight months.It has been able to make the content detailed, objective and true, and there is no speculation.

"Let me take a look." Director Liu signaled Sun Lien to put the case and other things on the table in front of him, and he was still picking up the meal, and from time to time he would use black coffee to deliver the meal to his stomach.His eyes were already looking at the content of the case at a glance.Since the implementation of electronic medical records, Comrade Liu finally does not need to look at other doctors' ghost marks to guess the content.This kind of great good news even made his thinning hair grow back a lot-sometimes Director Liu had to find a nurse to recognize the ghost drawing talisman in the past.

"It does look like an infection." Probably after reading the record, Director Liu has almost eaten a bowl of rice.Wiping his mouth with a tissue, Liu Tangchun ordered some cases and asked, "What do you think is wrong?"

"I can't tell." Sun Li'en just felt that something was wrong, but he didn't understand what was wrong. "If there is anything unusual, it may be that when the patient was admitted in the morning, the family members who sent the patient here took the opportunity to run away."

"Run away?" Liu Tangchun was also taken aback, "What's going on?"

What happened in the morning, Sun Li'en said it from beginning to end. "The police were called at the time, mainly because the patient's stab wounds were unusual."

Under normal circumstances, if the patient has self-harm behavior, then the inner lower arm is usually involved.That's the side of the wrist.However, it was the outside of Gao Yan's lower arm—the back of his hand—that had been hacked until his bones were covered in blood.

If someone intends to cut his arm with a kitchen knife, then it is speculated that the position where the knife will be cut will definitely be the inside of his arm.Generally speaking, the outside of the arm was cut to a bloody mess, which was basically the scar left by protecting his head and face with his arm after being attacked.

In addition to the unusual nature of the arm injury, the patient's disease course was also somewhat problematic.

His disease progressed too slowly.

When he was treated at the community hospital, Gao Yan had a severe high fever.The body temperature was as high as 40.2°C.Complaints of headache, high fever, and chills for more than four days.But after two days of treatment, the high fever still exists.In addition to coming to the Fourth Central Hospital for treatment, it has been nearly a week since Gao Yan became ill.

Viral meningitis has a rapid onset but is also relatively easy to treat.Generally, including the time of onset, one week is enough to cure - or enough to transform into a more serious disease.

And Gao Yan was even able to walk into the emergency room by himself with the support of the accompanying woman.This situation conflicts with the diagnosis of viral encephalitis.

If it is bacterial meningitis, although the progress of the disease can be corrected, the combined therapy of antibiotic intravenous infusion + oral antibiotics provided by the community hospital should be able to directly eliminate the bacteria that invaded the meninges.

After listening to Sun Lien's explanation, Liu Tangchun nodded, "There is indeed something wrong." He stood up, took his white coat from the hanger, "Go, go see the patient."

In the operating room, Gao Yan's upper arm repair has come to an end.Tall orthopedic carpenters are trimming the flap of his lower arm.Although the repair of the skin flap cut by a sharp tool is much more convenient than tearing, in order to better align the wound and promote the healing of the sutured wound.The carpenters are still finely cutting Gao Yan's flesh.It is necessary to ensure that the wound fits well, and it is also necessary to ensure that the tension of the wound will not be increased due to too much cutting.All in all, it's meticulous work.

Liu Tangchun and Sun Lien were in the observation room on the second floor to observe the progress of the operation downstairs.

"The vital signs are not stable." Liu Tangchun looked at the busy anesthesiologist downstairs, and suddenly muttered to himself.He pressed the communicator fixed on the side of the observation window and asked, "What's the matter with the patient's vital signs?"

The person downstairs who was busy was the zebra glasses doctor who had placed Zhao Weihong's jugular vein catheter.He didn't care about answering Liu Tangchun's question. After pushing his glasses and adjusting the dosage of the medicine for a long time, he stared at the monitor and groped the wall with his hands for a while, found the communicator, and put it next to his ear. Said, "Director Liu, right? The patient sent by your department has a poor response to anesthetics. There is no reaction under ordinary doses of anesthesia, and the blood pressure drops when the dose is slightly increased."

"Is the blood volume replenished?" Liu Tangchun raised his eyebrows. For anesthesiologists, it is common for patients to occasionally experience insensitivity to anesthetics.However, the tolerance threshold of anesthetics is not high, and it is relatively rare that the anesthetics are not sensitive at the same time.His first reaction was that the patient's blood volume was insufficient.

"4 units of AB type RH negative blood have been transfused." Zebra glasses doctor patted his thigh, "The heart rate is also normal, it shouldn't be a problem with blood volume."

"Is there a problem with maintaining anesthesia?" Liu Tangchun was also surprised. "Last year, the First Central Hospital reported that the content of propofol they received in the hospital seems to have a problem with the calibration."

The Zebra glasses doctor shook his head and said, "We dare to use milk for patients with intracranial hypertension, and we give him amflurane and procaine. If the concentration of amflurane is lower than 2%, blood pressure will rise. If the blood pressure is higher than 3.5%, it will drop. This patient is in trouble to death anyway, and I have been sweating for a while."

At this moment, Sun Lien suddenly saw a strange green in front of his eyes.

"Wait a minute." Sun Li'en, who noticed something was wrong, quickly tugged on Liu Tangchun's sleeve, "Director Liu, let them take a look at the patient's urine bag."

"Urine bag?" Liu Tangchun repeated without knowing why, and suddenly realized something, "Xiao Wang, go to the patient's side and check the condition of the urine bag."

Doctor Zebra scratched his head, looked back at the monitor three times a step, and walked over to the operating bed.He lowered his head, and suddenly looked back in surprise at Liu Tangchun who was standing on the second floor.Then bent down, picked up the urine bag from the side of the bed, and showed it to the two of them.

The urine in the urine bag is grass green.

　Today... two more.Let me make up for what I didn't send out yesterday.

　　
　
(End of this chapter)