medical road high rise

Chapter 336

Chapter 338 500 million

Qin Feng found that the patient's fingers actually appeared bluish purple, just like the skin of zombies in film and television dramas.

Moreover, Qin Feng also found that the patient's lips were also cyanotic.

"Give me the patient's test sheet again." Qin Feng shouted.

Zhao Guoping handed the patient's test sheet to Qin Feng, and Qin Feng looked at the above data.

The blood picture, myoglobin and BNP that I didn't pay close attention to before were all high.

This is not a good sign, because myoglobin is only released into the blood during acute myocardial injury, and the increase in myoglobin level will only appear in the laboratory.

BNP is a quantitative marker of heart failure, which can reflect the impairment of left ventricular systolic function, left ventricular dysfunction, valve dysfunction, etc.

These increases did not happen suddenly.

However, the process of myoglobin entering the blood is very slow. Myoglobin will exceed the normal value two or three hours after symptoms appear, and it will reach its peak in nine to twelve hours.

Therefore, the current situation of the patient is definitely not a sudden occurrence, but a continuous change, which has been accumulating and then breaking out.

Qin Feng handed over the work of cardiopulmonary compression to Li Xuewen, while he himself looked through the patient's film and various laboratory data.

Through comparisons one by one, a complete case emerged in Qin Feng's mind.

"Septic shock!"

Microorganisms, toxins, and cell wall products in the infection focus enter the blood circulation, thereby activating various cellular and humoral immunity of the host, and ultimately affecting the perfusion of various organs and systems.

There should be no problem with gastrectomy, and the deputy director of the general surgery surgery is still guaranteed.

So the problem should be that there is an infection focus in the patient's body near the stomach. When it is removed, the infection focus enters other parts, which leads to infection. As time goes by, it gradually becomes the current one. look.

This kind of situation is not a surgical accident. Even if the doctor finds the infected lesion, it will lead to such a thing when it is removed.

The infected lesion can be understood as a pustule. The doctor wants to remove it, but the outflow of pus cannot be avoided. If you don’t pay attention, it will cause cross infection.

"Prepare norepinephrine, the patient is in septic shock." Qin Feng said firmly.

Li Xuewen and other doctors looked at Qin Feng, and Qin Feng told them his findings. During the process, the rescue did not stop.

Otherwise, after Qin Feng finished speaking, the patient might have died.

After listening to Qin Feng's explanation, the atmosphere in the rescue room has eased a lot. After all, for them, as long as they know the cause, the rescue is more than half successful.

Those previous experiences are not in vain.

Soon, everyone has a goal to carry out division of labor and cooperation, who is responsible for what link, and what medicine to use.

Li Xuewen acted as an intermediary, while Qin Feng supervised from the side to prevent problems from arising in any link.

At this time, Zhao Guoping walked in from the outside.

"The family members agreed to give up the rescue, but they need to take the patient home, because they pay attention to returning the fallen leaves to their roots." Director Zhao said.

Qin Feng was stunned for a moment, looked at Zhao Guoping and explained: "Director Zhao, I have found the cause of the patient here, we can treat it accordingly, and we will definitely be able to rescue the patient."

"That's right, Director Zhao, you go out to persuade the family again." Li Xuewen said.

Zhao Guoping frowned, but finally nodded.

When I contacted the family members just now, it was Qin Feng and the others who said they were hopeless to the family members. Now it is also what they said to let me give hope to the family members again.

However, who made Zhao Guoping the boss of the emergency department!
"You guys, I won't go when I'm critically ill," Zhao Guoping said.

"Don't worry, Director Zhao, there won't be a critical illness notice." Li Xuewen said with a smile, this is his trust in Qin Feng's judgment.

Zhao Guoping walked out of the emergency room, looked at the family members of the patient waiting outside, cleared his throat, and started communicating with the family members.

At the beginning, the family members were still a little angry.

Feeling that he and others were being played like monkeys, he pushed Zhao Guoping with his hands, but Zhao Guoping could only keep calming the emotions of his family members.

Finally, under the persuasion of Zhao Guoping's veteran, the mood of the family members stabilized.

"Doctor, after being revived, will my husband still be able to work?" asked the patient's wife.

This question directly stopped Zhao Guoping. The patient was in septic shock, and his organs had suffered varying degrees of infection failure. So can patients who have lost most of their organs really be the same as ordinary people?

Seeing Zhao Guoping's silence, the patient's wife wiped her tears, but said calmly: "If my husband is a useless person after being rescued, I think it's better not to save him, and let him go home with us. There is one child and four Old man, if my husband is useless, I can't handle it alone."

Zhao Guoping remained silent. The job of doctors is to let them think about how to free patients from the torment of illness or turn death into another painful thing.

People who are willing and willing, who have undergone surgery, whether it is a major operation or a minor operation, will not be the same as ordinary people.

The patient's family is also very realistic. In a city with such high consumption, a family of seven is supported by one woman. What is this concept?
Even a man can't handle it, right?If there were two people, it would be acceptable.

"And, if Xiaokong is awake, he will definitely agree with my decision." The patient's wife bit her lower lip and said.

At this time, the old man who had been silent on the side suddenly spoke.

"Your hospital is responsible for my son. After the operation in your hospital, my son turned into the half-dead state he is now," said the patient's mother.

"Our hospital will provide you with corresponding preferential policies, you can rest assured." Zhao Guoping said.

"I don't want preferential policies. First, you save my son, and second, give us 500 million." The patient's mother Lion opened her mouth.

The patient's wife looked at the patient's mother in disbelief. This is the patient's biological mother!
Looking at the trembling hands of the patient's mother, the patient's wife understood.

This is paving the way for himself. It is meaningful to let his son sacrifice. If he can exchange for a few million, it is no problem to support a family of seven.

Zhao Guoping felt a headache, and was most afraid of encountering such a thing.

In the past, the emergency department of Ruijin Hospital often encountered people. Originally, those people were sent by ambulance.

But this patient is different, this patient has previous surgery experience, no matter what, the patient's septic shock has a constant relationship with the surgery.

In court, the possibility of the hospital losing the case is also great.

Although it is impossible to pay that much, but to the extreme, there is still 60 to [-].

(End of this chapter)