medical road high rise

Chapter 271 Side effects of new drugs

Chapter 271 Side effects of new drugs

Qin Feng stood on the operating table, and the anesthesiologist gave the patient an epidural injection of anesthetic.

"Doctor Qin, the anesthesia is ready." The anesthesiologist gave up the seat to Qin Feng after observing that there was no abnormality in the patient.

Qin Feng began to lay down the sterile towel, took the scalpel from the equipment nurse, and cut a small 6cm incision in the patient's lower right abdomen.

The scalpel cuts the skin and subcutaneous tissue layer by layer along the incision, exposing the surgical field of view, and then separates the external oblique muscle and internal oblique muscle, retracts and uses tension to open the peritoneum, and separates the peritoneum to open the abdominal cavity.

The moment Qin Feng opened the abdominal cavity, he saw that the patient's appendix was somewhat gangrene, and there was an obvious scorched black section in front, with purulent exudate continuously dripping from it.

A few minutes later, Qin Feng successfully stripped all the tissues around the patient's appendix, and the appendix operation was declared over.

Although for other emergency doctors, this appendix operation may be a bit difficult, but for Qin Feng, as long as it does not cause tissue necrosis, any appendicitis operation is a piece of cake.

As soon as Qin Feng got off the operating table and explained the situation to the patient's family, he was called by Zhao Guoping.

I heard that a patient came and fell into a coma suddenly. The other doctors in the emergency department had no choice but to let Qin Feng go over and make a diagnosis.

When Qin Feng rushed to the ward, it was still a step too late. The patient was already dead on the bed.

"What's going on?" Qin Feng asked an emergency doctor.

The emergency doctor took a look at Qin Feng and said calmly: "The patient suddenly went into acute shock and cardiac arrest 10 minutes ago. We performed rescue and added a shot of epinephrine..."

After listening to Qin Feng, he couldn't find any faults. They were all very routine first aid operations, and there were no illegal operations.

I can only say that I did my best!

The patient's wife cried bitterly on the patient's body, unable to believe that her husband, who was talking and laughing with her 10 minutes ago, lost her life in an instant.

Soon, various examinations of the patient were also sent over.

After taking a look, Qin Feng gained an understanding of the patient's illness and the cause of death.

When Zhao Guoping heard that the patient had died, he hurried over, fearing that it was caused by a doctor's illegal operation.

Unless it is on the operating table, it is normal to die in the emergency room, but I am afraid of encountering messy family members.

"Patient's condition?" Zhao Guoping looked at the emergency doctor in charge beside him.

"The patient should be brain dead, and there are already ischemic symptoms in the brain." Qin Feng handed over the CT of the brain.

In medicine, brain death refers to the irreversible termination of all brain functions, including the brainstem function, and the respiratory center is located in the brainstem. If the brainstem is structurally damaged, the respiratory function will stop.

No matter what medical method is used, it is impossible to save the patient's life. Taking current medicine as an example, brain death is more intuitive than organ death in any part.

Death in the traditional sense is based on breathing and cardiac arrest. This is actually what is called cardiac death in medicine. Many people misunderstand that cardiac arrest is cardiac death.

But with the development of medicine now, even cardiac death is possible to be cured. Patients with cardiac death can be saved through organ transplantation, but the cost is relatively high.

Brain death is completely irreversible. The moment the brainstem loses its function, all organs will wither rapidly like flowers and plants that have lost their nutrition, and the speed is too late to stop.

"Have you done the routine standard inspection?" Zhao Guoping asked.

"Not yet." Qin Feng shook his head.

Zhao Guoping personally checked the patients for the determination of brain death. There are still fixed standards for the determination of brain death in international medicine.

Firstly, the patient is unconscious and completely unresponsive to external stimuli and internal needs of the body, and secondly, the patient's spontaneous movements and spontaneous breathing cease.

The pupil-induced reflex is absent, and brain waves are flat or isoelectric.

Brain death can only be declared after 24 hours if these four criteria are met at the same time and repeated inspections are repeated within 24 hours.

Of course, this is an international standard, and it is not that complicated domestically.

Brain death can be directly determined as long as deep coma, spontaneous breathing stop, and brainstem reflex disappearance are met, together with relevant examination results and patient medical history.

It seems that China is not as rigorous as foreign countries. In fact, domestic inspections are the most standard. After all, there are more brain-dead patients in China than in many foreign countries combined.

Not only in the determination of brain death, but also in the determination of many diseases, domestic standards are different from those abroad.

Zhao Guoping asked the nurse to take the patient's family out first. After waiting for the patient's family to leave, Zhao Guoping's expression suddenly became serious.

"Tell me about the patient."

The emergency doctor reacted, and quickly said: "The patient had an ischemic stroke before, and it was the first attack. We asked someone from the vascular department to check it out. They prescribed thrombolytic drugs and left, saying The patient's condition does not require surgery at all, but I didn't expect..."

Qin Feng looked at the patient's medical records, and suddenly saw that the drug was a new type of thrombolytic drug.

"Does our hospital have this medicine?" Qin Feng pointed out the medicine on the medical record to the two of them.

The emergency doctor shook his head, not quite sure, there are so many medicines in the hospital, unless the nurse said no when he went to get the medicine, otherwise no one would know if there was any.

"Wei Ling Pharmaceutical? There is no such drug in the list of thrombolytic drugs in the hospital." Zhao Guoping was also a little unsure.

Qin Feng took out his mobile phone and checked it, and found that the drug was only in the clinical trial stage, so he dared to sell it.

"Is this pharmaceutical group crazy about money? It's still so expensive?" Qin Feng couldn't help complaining.

Zhao Guoping also took a look, and his expression became serious in an instant.

Was it a direct death from a clinical trial drug, or was it caused by the hospital without the knowledge?

"If this drug has serious side effects, I'm afraid there are already many patients..." Qin Feng didn't care what he said, and felt a chill behind him.

This is too frightening. Family members can buy it, and doctors don’t know the channel. Obviously, it is sold one-on-one through chat groups or offline hospitals.

Selling dog meat with a sheep's head, it doesn't mean that the medicine is a fake medicine, but the side effects of this medicine are too great, and the fatality rate is too high!
"I think we need to discuss it with the patient's wife and give the patient another final examination. It is not yet clear whether it is a side effect of the new thrombolytic drug. If it is, it needs to be reported." Zhao Guoping is serious. road.

"Well, I think the examination should be done quickly, obviously the patient is not the first person." Qin Feng said.

(End of this chapter)