Big Doctor Live Room
Chapter 1206 Severe streptococcal infection
Chapter 1206 Severe streptococcal infection
"Why, Doctor Chen, what's wrong?"
Seeing that Chen Qun stood at the door and refused to go in, Feng Qiuyun frowned, felt a lump in his heart, and immediately raised his vigilance, thinking that something happened again.
"No, I saw Zhou Peng's situation, and suddenly thought of the condition of a patient who was sent to the hospital just now, and thought of another possibility. Are you Zhou Peng's parents? Now Zhou Peng has undergone interventional surgery and recovered well. Very good, you can leave the hospital in a day or two, you can rest assured."
Chen Qun walked into the room and gave some instructions to the family of three inside. Feng Qiuyun also put the food box on the table and told Zhou Peng with a smile.
"This is a little thought. This time, I brought some food for a few elderly people. I brought some special dishes for you along the way. You can try them too. If you feel sorry, you can visit my shop another day , just count it as a live advertisement. Dr. Chen has other things to do, so we will leave first."
In the corridor outside, Feng Qiuyun suddenly looked at Chen Qun and shook his head helplessly.
"Doctor Chen, do you know that now I kind of understand that you are only in charge of surgery and don't like negotiating with patients at all. This is really tiring. I only said a few words, but I couldn't find anything else .Looks like you should follow what Sister Xin said, and directly set up an assembly line operating room for you. You only need to perform surgery. Not only can you maximize your effectiveness, but it can also save you from wasting time talking nonsense. .”
"talkative!"
Chen Qun stared at him with a hint of embarrassment, causing Feng Qiuyun to burst into laughter. Anyway, she was not as good as Dongfang Wenxin, and even regarded Chen Qun as her own brother. She was not afraid of Miss Dongfang being jealous, but No fear, say whatever you want.
During lunch, Feng Qiuyun vividly described Chen Qun's behavior to a group of girls, which aroused a burst of contempt.
Seeing that everyone was eating about the same, Qi Hong started talking and joking, and then put the business on the table.
"The results of the examination at the outpatient clinic came out just now. In less than an hour, the red spot on Cheng Fei's elbow has doubled in size. Now there have been tests for hemolytic streptococcus, staphylococcus, and clostridium. Tests for common anaerobic bacteria were all negative. X-rays did not find soft tissue gases in Clostridia. So our first question was to determine whether the patient had a bacterial infection. After all, there are not many bacteria that can cause such a disease. Intense pain."
Ouyang Yang, who was still gnawing on the chicken feet, spoke inarticulately.
"What about the carnivorous fungus?"
"It's being checked, and the results haven't come out yet. Does anyone else have anything to add?"
Qi Hong glared at Little Apple, then looked at Chen Qun. "Others" actually refers to Chen Qun alone.
"What about Streptococcus pyogenes, or Vibrio vulnificus? Both of these can cause necrotizing fasciitis. We all know that necrotizing fasciitis will spread along the surface of the muscle, causing the muscle to die quickly. If it erodes the internal organs, it is lethal."
Tie Jun took the information given by the small broom on the tablet and directly raised his concerns.
Qi Hong was not worth mentioning about this question, and said directly.
"These two diseases are usually caused by Vibrio vulnificus from seafood, but according to the crew assistant, they have been filming in the mountains these days, have not eaten seafood, and have no contact with seawater, so the probability of Vibrio vulnificus infection is very small. "
"You also forgot about a severe strep infection caused by Streptococcus pyogenes?"
"These two kinds of bacteria are still being checked, but I'm afraid we can't continue to wait for the test results. According to the patient's pain and the speed of the wound expansion, it shows that necrotizing fasciitis has begun to spread. We need to remove the necrotic tissue immediately. For this disease, 24 hours after onset is the dividing line between life and death!"
Tie Jun stood up and volunteered.
"I'm going to get a blood sample right away, and we're doing a Gram stain on a blood culture in our lab here."
Ouyang Yang raised his eyebrows, put down his chicken feet, and looked at Chen Qun provocatively.
"Then what should we do now? Watch the patient's condition deteriorate."
Chen Qun knew that this guy was probably a fan of a certain movie star, so he wanted to ask for a group photo and autograph, and he immediately killed him.
"The outpatient clinic has already begun to treat severe streptococcal infections, and two chief physicians from the Department of Virology have also come to the general hospital. Let them treat them. Let's see the situation first."
There is never a shortage of doctors for celebrities to see a doctor. Many doctors are called by star fans or agents through various relationships. It is naturally impossible for them, a group of young people, to be recommended. After all, the generation gap of the times is there to block them.
Ouyang Yang saw that aggressive tactics were not enough, so he came to the second move directly.
"Zhang Yifei is in the Chinese medicine hall, and he doesn't seem to have any feelings about this matter. When I mentioned it, I just said "oh" and continued to play chess. By the way, it seems that Zhang Yifei's status is higher than Considering that these big stars are much taller, this may refresh our three views."
Miss Dongfang directly despises the past.
"Everyone is a billionaire who behaves like a billionaire and waits outside. Almost no one can invite him. Whether he will show you or not depends on his mood. They don't care about your stinky money at all. And Celebrities are different, any famous female star would like to marry into a wealthy family right away, but very few succeed. You can imagine who has a high status."
Speaking of which, Miss Dongfang directly encouraged Little Apple.
"By the way, I forgot that the magic stick also has the function of predicting life and death, why don't you go and ask, how is the life and death of the big star this time?"
Little Apple rolled her eyes and smiled happily.
"In my opinion, Master Zhang thinks that if Chen Qun is in this courtyard, no one can die, so he is completely indifferent. He sits firmly on the Diaoyutai. His view is that he has nothing to worry about, and he thinks that Chen Qun can solve this problem. So why don't we give him A surprise, how about sending the patient back to Xiangjiang directly?"
Before Miss Dongfang answered, Qi Hong sighed helplessly.
"You are so stupid, even if you send Xiangjiang to Xiangjiang, you will still come to us if you can't solve it in the end. Isn't this tossing around?"
While talking, several people's phones rang at the same time. Everyone saw that there was only one answer.
"Mr. Cheng Fei developed a systemic allergy to meropenem, and he was temporarily rescued. Members of the research center team will go over immediately to solve this problem!"
The order came from Liu Yang's dean's office, indicating that the situation was more serious than they had predicted.
"Allergic to meropenem, which also means that there is a high possibility of allergic to penicillin antibiotics. Now it is impossible to determine which kind of bacteria is infected, and we cannot use antibiotics casually. What we can do is very limited. Let's go and see if we can Come up with a two-episode approach."
Qi Hong stood up and urged everyone to go over together to see this increasingly complicated illness.It wasn't until this moment that Cheng Fei's condition reached the stage where they could go out.
(End of this chapter)
"Why, Doctor Chen, what's wrong?"
Seeing that Chen Qun stood at the door and refused to go in, Feng Qiuyun frowned, felt a lump in his heart, and immediately raised his vigilance, thinking that something happened again.
"No, I saw Zhou Peng's situation, and suddenly thought of the condition of a patient who was sent to the hospital just now, and thought of another possibility. Are you Zhou Peng's parents? Now Zhou Peng has undergone interventional surgery and recovered well. Very good, you can leave the hospital in a day or two, you can rest assured."
Chen Qun walked into the room and gave some instructions to the family of three inside. Feng Qiuyun also put the food box on the table and told Zhou Peng with a smile.
"This is a little thought. This time, I brought some food for a few elderly people. I brought some special dishes for you along the way. You can try them too. If you feel sorry, you can visit my shop another day , just count it as a live advertisement. Dr. Chen has other things to do, so we will leave first."
In the corridor outside, Feng Qiuyun suddenly looked at Chen Qun and shook his head helplessly.
"Doctor Chen, do you know that now I kind of understand that you are only in charge of surgery and don't like negotiating with patients at all. This is really tiring. I only said a few words, but I couldn't find anything else .Looks like you should follow what Sister Xin said, and directly set up an assembly line operating room for you. You only need to perform surgery. Not only can you maximize your effectiveness, but it can also save you from wasting time talking nonsense. .”
"talkative!"
Chen Qun stared at him with a hint of embarrassment, causing Feng Qiuyun to burst into laughter. Anyway, she was not as good as Dongfang Wenxin, and even regarded Chen Qun as her own brother. She was not afraid of Miss Dongfang being jealous, but No fear, say whatever you want.
During lunch, Feng Qiuyun vividly described Chen Qun's behavior to a group of girls, which aroused a burst of contempt.
Seeing that everyone was eating about the same, Qi Hong started talking and joking, and then put the business on the table.
"The results of the examination at the outpatient clinic came out just now. In less than an hour, the red spot on Cheng Fei's elbow has doubled in size. Now there have been tests for hemolytic streptococcus, staphylococcus, and clostridium. Tests for common anaerobic bacteria were all negative. X-rays did not find soft tissue gases in Clostridia. So our first question was to determine whether the patient had a bacterial infection. After all, there are not many bacteria that can cause such a disease. Intense pain."
Ouyang Yang, who was still gnawing on the chicken feet, spoke inarticulately.
"What about the carnivorous fungus?"
"It's being checked, and the results haven't come out yet. Does anyone else have anything to add?"
Qi Hong glared at Little Apple, then looked at Chen Qun. "Others" actually refers to Chen Qun alone.
"What about Streptococcus pyogenes, or Vibrio vulnificus? Both of these can cause necrotizing fasciitis. We all know that necrotizing fasciitis will spread along the surface of the muscle, causing the muscle to die quickly. If it erodes the internal organs, it is lethal."
Tie Jun took the information given by the small broom on the tablet and directly raised his concerns.
Qi Hong was not worth mentioning about this question, and said directly.
"These two diseases are usually caused by Vibrio vulnificus from seafood, but according to the crew assistant, they have been filming in the mountains these days, have not eaten seafood, and have no contact with seawater, so the probability of Vibrio vulnificus infection is very small. "
"You also forgot about a severe strep infection caused by Streptococcus pyogenes?"
"These two kinds of bacteria are still being checked, but I'm afraid we can't continue to wait for the test results. According to the patient's pain and the speed of the wound expansion, it shows that necrotizing fasciitis has begun to spread. We need to remove the necrotic tissue immediately. For this disease, 24 hours after onset is the dividing line between life and death!"
Tie Jun stood up and volunteered.
"I'm going to get a blood sample right away, and we're doing a Gram stain on a blood culture in our lab here."
Ouyang Yang raised his eyebrows, put down his chicken feet, and looked at Chen Qun provocatively.
"Then what should we do now? Watch the patient's condition deteriorate."
Chen Qun knew that this guy was probably a fan of a certain movie star, so he wanted to ask for a group photo and autograph, and he immediately killed him.
"The outpatient clinic has already begun to treat severe streptococcal infections, and two chief physicians from the Department of Virology have also come to the general hospital. Let them treat them. Let's see the situation first."
There is never a shortage of doctors for celebrities to see a doctor. Many doctors are called by star fans or agents through various relationships. It is naturally impossible for them, a group of young people, to be recommended. After all, the generation gap of the times is there to block them.
Ouyang Yang saw that aggressive tactics were not enough, so he came to the second move directly.
"Zhang Yifei is in the Chinese medicine hall, and he doesn't seem to have any feelings about this matter. When I mentioned it, I just said "oh" and continued to play chess. By the way, it seems that Zhang Yifei's status is higher than Considering that these big stars are much taller, this may refresh our three views."
Miss Dongfang directly despises the past.
"Everyone is a billionaire who behaves like a billionaire and waits outside. Almost no one can invite him. Whether he will show you or not depends on his mood. They don't care about your stinky money at all. And Celebrities are different, any famous female star would like to marry into a wealthy family right away, but very few succeed. You can imagine who has a high status."
Speaking of which, Miss Dongfang directly encouraged Little Apple.
"By the way, I forgot that the magic stick also has the function of predicting life and death, why don't you go and ask, how is the life and death of the big star this time?"
Little Apple rolled her eyes and smiled happily.
"In my opinion, Master Zhang thinks that if Chen Qun is in this courtyard, no one can die, so he is completely indifferent. He sits firmly on the Diaoyutai. His view is that he has nothing to worry about, and he thinks that Chen Qun can solve this problem. So why don't we give him A surprise, how about sending the patient back to Xiangjiang directly?"
Before Miss Dongfang answered, Qi Hong sighed helplessly.
"You are so stupid, even if you send Xiangjiang to Xiangjiang, you will still come to us if you can't solve it in the end. Isn't this tossing around?"
While talking, several people's phones rang at the same time. Everyone saw that there was only one answer.
"Mr. Cheng Fei developed a systemic allergy to meropenem, and he was temporarily rescued. Members of the research center team will go over immediately to solve this problem!"
The order came from Liu Yang's dean's office, indicating that the situation was more serious than they had predicted.
"Allergic to meropenem, which also means that there is a high possibility of allergic to penicillin antibiotics. Now it is impossible to determine which kind of bacteria is infected, and we cannot use antibiotics casually. What we can do is very limited. Let's go and see if we can Come up with a two-episode approach."
Qi Hong stood up and urged everyone to go over together to see this increasingly complicated illness.It wasn't until this moment that Cheng Fei's condition reached the stage where they could go out.
(End of this chapter)
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