Rebirth 1975: Tore up the call-back order at the beginning
Chapter 215: Treatment options
County Hospital. Inpatient Ward!
Everyone finally saw several patients who were being treated in the hospital. All three were men, and they were all about 30 years old.
Zhou Yang took a look at the medical records of these people, and saw the records above: Complaints of palpitations, shortness of breath, aggravated by exertion, and the main clinical manifestations were chronic congestive heart failure, accompanied by oliguria, edema, and peritoneal effusion, etc. typeface.
Based on these symptoms in the medical records alone, Zhou Yang can basically deduce that these patients are suffering from Keshan disease.
After carefully checking the status of the three people, it was found that two of them were in a coma, and one of them was in deep shock!
The other person's condition is acceptable, and he is still conscious.
Zhou Yang immediately asked for a stethoscope from Zhong Zhennan, and then checked the heartbeat and pulse of the three patients one by one.
The results of the examination showed that the heart sounds of the three were very low, showing signs of heart failure.
In addition, the jugular veins of two critically ill patients were distended, accompanied by lower extremity edema, which is a typical symptom of Keshan disease.
After checking the patient's condition, Zhou Yang said in a deep voice, "It's Keshan disease, one acute patient and two subacute patients!"
Liu Jimin and Wang Yuanhua also finished the inspection at this time, and they looked at each other. After a short exchange of eyes, Liu Jimin took the lead and said: "Well, we agree with Comrade Xiao Zhou's judgment that it is Keshan disease!"
At this time, Zhong Zhennan said: "Old Liu, Old Wang, and Old Zheng, my own understanding of Keshan disease is limited, so please save them!"
When he spoke, his eyes couldn't help but a little red.
He thought of the patient who died yesterday!
The young man just turned 19 years old this year. He was a worker who was transferred from the northeast to Saibei Province with his parents to support the construction of the Saibei Iron and Steel Plant.
Unexpectedly, not long after they were assigned to Ninghai Iron Mine, they felt unwell.
At the beginning, I thought that I was overworked, and I thought that resting would make me better, but I never thought that my condition would deteriorate rapidly, so I was sent to the county hospital by the mine as a last resort.
The county hospital didn't pay much attention to their situation at first, and it wasn't until the young man fell into a severe coma that Zhong Zhennan, a big doctor from Shanghai, was called over.
Zhong Zhennan still remembered the scene when he saw the young man. As soon as he came, the young man's father knelt down for him, and at the same time said in grief: "Look at my child, he is about to die."
Realizing that the patient's condition was dangerous, Zhong Zhennan took out a stethoscope and stuck it on the patient's chest while comforting the family members. He found that the child's arrhythmia was a typical symptom of Keshan disease.
He immediately rescued the patient, but because the young man missed the best opportunity for treatment, he finally stopped breathing in front of Zhong Zhennan.
When the young man's father learned that the child had passed away, he cried until he almost fainted. This was his only son.
As a doctor, Zhong Zhennan deeply felt his powerlessness and insignificance.
Apart from being able to watch the patient die, he can do nothing, which is perhaps the most failed and saddest thing for a doctor.
Liu Jimin patted Zhong Zhennan on the shoulder, and said, "As a doctor, I understand your feelings. Don't worry, we will do our best!"
Then, he turned to Zhou Yang and said, "Comrade Xiao Zhou, you have experience in treating acute Keshan disease patients before, how do you think it should be treated?"
Zhou Yang immediately said: "Mr. Liu, Mr. Wang, and seniors, through the examination of the patients just now, I think that the severe patients who have fallen into a coma must be treated as soon as possible. The disease will get out of control, and it will be difficult for the gods to save them when they come!"
"The condition of the subacute patient next to him is still under control, so my idea is that we can use different treatment plans for them!"
"Oh, tell me about your specific plan?" Liu Jimin said.
"I will treat patients with severe emergencies, and I will use the treatment method I used at Dongquan Farm! And the sub-urgent patients will be treated by Mr. Liu or Mr. Wang, and we will use traditional treatment methods. Let's compare the treatment effect at the end!" Zhou Yang said.
As soon as the words fell, Liu Jimin said in a deep voice: "Comrade Xiao Zhou, this is not a joke. It is related to the lives of patients. If something goes wrong, you must be responsible!"
Zhou Yang said in a deep voice, "Old Liu, let me ask you, with regard to the conditions of these two acute patients, how likely are you to be cured?"
Liu Jimin frowned and said, "If the person on the left is treated by me, there is almost 20% hope, but the ten-year survival rate does not exceed [-]%!"
"The one in the middle, I really don't have any confidence..."
Before he finished speaking, Zhou Yang said in a deep voice: "Since even an expert like you is not sure, then no one in the whole country dares to say that he will be cured!"
"Since that's the case, then why not give it a go, the right will be treated as a dead horse and a living horse doctor!"
Liu Jimin thought for a while and said, "Well, you will treat the patient with the most severe symptoms in the middle, I will treat the patient with milder symptoms on the left, and Comrade Yuanhua, the subacute patient at the door, what do you think? "
Wang Yuanhua nodded and said: "I think it will work! Let's not wait to go back and set up some research group, now use this opportunity to verify Comrade Xiao Zhou's treatment method! It's a mule or a horse, let's pull it out for a while!"
Zhou Yang also nodded and said, "Well, I have no objection!"
Immediately Liu Jimin made a final decision and said, "Okay, then it's settled!"
Afterwards, Liu Jimin personally appointed a few assistants to Zhou Yang, and then each got busy.
Zhou Yang did not rush to administer medicine to the patient, but picked up the stethoscope and blood pressure meter again to conduct a detailed examination of the emergency patient.
After knowing the basic situation of the patient, Zhou Yang immediately said to Zhong Zhennan, one of the assistants: "Uncle Zhong, prepare a large dose of vitamin C for intravenous injection, and prepare an intravenous infusion of 5%-10% glucose solution, 200ml is enough !"
"Row!"
"Prepare vasoactive drugs and cardiotonic drugs at the same time. Vasoactive drugs should be diluted with rapid digitalis preparations, such as lanatoside C or lanatoside K, and then injected intravenously."
Then Zhou Yang continued: "Digoxin is usually taken orally as a cardiotonic drug, and diuretics must be added to patients with swelling in their lower limbs..."
While talking about his treatment method, Zhou Yang explained why he used these medicines.
Soon Zhong Zhennan took the medicine that Zhou Yang needed, and Zhou Yang immediately gave the patient the medicine with ease, either by intravenous injection or intravenous drip.
While Zhou Yang was busy here, Liu Jimin and Wang Yuanhua also started treating the other two patients.
Compared with Zhou Yang's simple and fast treatment method, the two of them are not only slow, but also more cumbersome.
It took nearly half an hour for Zhou Yang to finish here before they took care of the two patients!
Because Keshan disease belongs to the kind of disease with rapid onset and rapid deterioration, but the treatment effect is relatively slow!
Even with medicine, there will be no immediate effect.
Therefore, after the few people finished using the medicine for the patient, they could not leave at all, and could only quietly wait in the hospital for the development of the disease.
In order not to affect the rest of the patients, and to allow everyone to better communicate with each other, the county hospital has set aside a conference room for everyone to use.
Ever since, after treating the patients, everyone came to the conference room one after another!
ps: I saw many readers leave messages to Lao Cang yesterday, saying that Keshan disease is not contagious!Indeed, we now all know that Keshan disease is not contagious, but at the beginning of the founding of the People’s Republic of China, the common people did not think so. You can find out by looking up some literature on Keshan disease. At first, people thought that Keshan disease would be contagious. Infection, so it is also called "extreme household disease".So it's not that Lao Cang wrote it wrong, but that everyone still knows relatively little about this disease!Also please book friends, when encountering this kind of plot, show mercy when spraying, don't spit out fragrance!
Have fun reading the book, even if there is something wrong with Lao Cang's writing, you can point it out, but please don't implicate your parents and ancestors, why bother!
After the endless coma, Shi Yu suddenly got up from the bed.
He took a big gulp of fresh air, his chest trembling.
Confused, puzzled, all kinds of emotions came to my mind.
where is this?
Afterwards, Shi Yu subconsciously observed his surroundings, and then became even more at a loss.
A single dormitory?
Even if he was successfully rescued, he should be in the ward now.
And my own body... How come there is no injury at all.
With doubts, Shi Yu quickly swept his gaze across the room, and finally settled on a mirror by the bedside.
The mirror reflected his current appearance, he was about seventeen or eighteen years old, and he was very handsome.
But the problem is, it's not him!
My previous self was a handsome young man in his 20s who had been working for a while.
But now, no matter how you look at it, this appearance is only the age of a high school student...
This change left Shi Yu in a daze for a long time.
Don't tell him that the operation was a success...
The body and appearance have changed. This is not a question of whether to have surgery or not, but a fairy art.
He turned into a completely different person!
Could it be... that he crossed over by himself?
In addition to the mirror on the bedside which was obviously placed in a bad feng shui position, Shi Yu also found three books beside it.
Shi Yu picked it up and took a look, the title made him silent for an instant.
"Necessary Beast Breeding Handbook for Novice Breeders"
"Postpartum Care of Pet Animals"
"Guidelines for Evaluation of Alien Beast Ear Girls"
Shi Yu:? ? ?
The titles of the first two books are quite normal, what's the matter with you in the last one?
"cough."
Shi Yu's eyes were serious, and he stretched out his hand, but soon his arm stiffened.
Just when he was about to open the third book to see what it was, his brain suddenly felt a sharp pain, and a large amount of memories flooded in like a flood.
Icefield City.
Pet breeding base.
Trainee pet keeper.To provide you with the rebirth of the great god Cangyue 1975: tearing up the order of returning to the city at the beginning
Beastmaster?
Everyone finally saw several patients who were being treated in the hospital. All three were men, and they were all about 30 years old.
Zhou Yang took a look at the medical records of these people, and saw the records above: Complaints of palpitations, shortness of breath, aggravated by exertion, and the main clinical manifestations were chronic congestive heart failure, accompanied by oliguria, edema, and peritoneal effusion, etc. typeface.
Based on these symptoms in the medical records alone, Zhou Yang can basically deduce that these patients are suffering from Keshan disease.
After carefully checking the status of the three people, it was found that two of them were in a coma, and one of them was in deep shock!
The other person's condition is acceptable, and he is still conscious.
Zhou Yang immediately asked for a stethoscope from Zhong Zhennan, and then checked the heartbeat and pulse of the three patients one by one.
The results of the examination showed that the heart sounds of the three were very low, showing signs of heart failure.
In addition, the jugular veins of two critically ill patients were distended, accompanied by lower extremity edema, which is a typical symptom of Keshan disease.
After checking the patient's condition, Zhou Yang said in a deep voice, "It's Keshan disease, one acute patient and two subacute patients!"
Liu Jimin and Wang Yuanhua also finished the inspection at this time, and they looked at each other. After a short exchange of eyes, Liu Jimin took the lead and said: "Well, we agree with Comrade Xiao Zhou's judgment that it is Keshan disease!"
At this time, Zhong Zhennan said: "Old Liu, Old Wang, and Old Zheng, my own understanding of Keshan disease is limited, so please save them!"
When he spoke, his eyes couldn't help but a little red.
He thought of the patient who died yesterday!
The young man just turned 19 years old this year. He was a worker who was transferred from the northeast to Saibei Province with his parents to support the construction of the Saibei Iron and Steel Plant.
Unexpectedly, not long after they were assigned to Ninghai Iron Mine, they felt unwell.
At the beginning, I thought that I was overworked, and I thought that resting would make me better, but I never thought that my condition would deteriorate rapidly, so I was sent to the county hospital by the mine as a last resort.
The county hospital didn't pay much attention to their situation at first, and it wasn't until the young man fell into a severe coma that Zhong Zhennan, a big doctor from Shanghai, was called over.
Zhong Zhennan still remembered the scene when he saw the young man. As soon as he came, the young man's father knelt down for him, and at the same time said in grief: "Look at my child, he is about to die."
Realizing that the patient's condition was dangerous, Zhong Zhennan took out a stethoscope and stuck it on the patient's chest while comforting the family members. He found that the child's arrhythmia was a typical symptom of Keshan disease.
He immediately rescued the patient, but because the young man missed the best opportunity for treatment, he finally stopped breathing in front of Zhong Zhennan.
When the young man's father learned that the child had passed away, he cried until he almost fainted. This was his only son.
As a doctor, Zhong Zhennan deeply felt his powerlessness and insignificance.
Apart from being able to watch the patient die, he can do nothing, which is perhaps the most failed and saddest thing for a doctor.
Liu Jimin patted Zhong Zhennan on the shoulder, and said, "As a doctor, I understand your feelings. Don't worry, we will do our best!"
Then, he turned to Zhou Yang and said, "Comrade Xiao Zhou, you have experience in treating acute Keshan disease patients before, how do you think it should be treated?"
Zhou Yang immediately said: "Mr. Liu, Mr. Wang, and seniors, through the examination of the patients just now, I think that the severe patients who have fallen into a coma must be treated as soon as possible. The disease will get out of control, and it will be difficult for the gods to save them when they come!"
"The condition of the subacute patient next to him is still under control, so my idea is that we can use different treatment plans for them!"
"Oh, tell me about your specific plan?" Liu Jimin said.
"I will treat patients with severe emergencies, and I will use the treatment method I used at Dongquan Farm! And the sub-urgent patients will be treated by Mr. Liu or Mr. Wang, and we will use traditional treatment methods. Let's compare the treatment effect at the end!" Zhou Yang said.
As soon as the words fell, Liu Jimin said in a deep voice: "Comrade Xiao Zhou, this is not a joke. It is related to the lives of patients. If something goes wrong, you must be responsible!"
Zhou Yang said in a deep voice, "Old Liu, let me ask you, with regard to the conditions of these two acute patients, how likely are you to be cured?"
Liu Jimin frowned and said, "If the person on the left is treated by me, there is almost 20% hope, but the ten-year survival rate does not exceed [-]%!"
"The one in the middle, I really don't have any confidence..."
Before he finished speaking, Zhou Yang said in a deep voice: "Since even an expert like you is not sure, then no one in the whole country dares to say that he will be cured!"
"Since that's the case, then why not give it a go, the right will be treated as a dead horse and a living horse doctor!"
Liu Jimin thought for a while and said, "Well, you will treat the patient with the most severe symptoms in the middle, I will treat the patient with milder symptoms on the left, and Comrade Yuanhua, the subacute patient at the door, what do you think? "
Wang Yuanhua nodded and said: "I think it will work! Let's not wait to go back and set up some research group, now use this opportunity to verify Comrade Xiao Zhou's treatment method! It's a mule or a horse, let's pull it out for a while!"
Zhou Yang also nodded and said, "Well, I have no objection!"
Immediately Liu Jimin made a final decision and said, "Okay, then it's settled!"
Afterwards, Liu Jimin personally appointed a few assistants to Zhou Yang, and then each got busy.
Zhou Yang did not rush to administer medicine to the patient, but picked up the stethoscope and blood pressure meter again to conduct a detailed examination of the emergency patient.
After knowing the basic situation of the patient, Zhou Yang immediately said to Zhong Zhennan, one of the assistants: "Uncle Zhong, prepare a large dose of vitamin C for intravenous injection, and prepare an intravenous infusion of 5%-10% glucose solution, 200ml is enough !"
"Row!"
"Prepare vasoactive drugs and cardiotonic drugs at the same time. Vasoactive drugs should be diluted with rapid digitalis preparations, such as lanatoside C or lanatoside K, and then injected intravenously."
Then Zhou Yang continued: "Digoxin is usually taken orally as a cardiotonic drug, and diuretics must be added to patients with swelling in their lower limbs..."
While talking about his treatment method, Zhou Yang explained why he used these medicines.
Soon Zhong Zhennan took the medicine that Zhou Yang needed, and Zhou Yang immediately gave the patient the medicine with ease, either by intravenous injection or intravenous drip.
While Zhou Yang was busy here, Liu Jimin and Wang Yuanhua also started treating the other two patients.
Compared with Zhou Yang's simple and fast treatment method, the two of them are not only slow, but also more cumbersome.
It took nearly half an hour for Zhou Yang to finish here before they took care of the two patients!
Because Keshan disease belongs to the kind of disease with rapid onset and rapid deterioration, but the treatment effect is relatively slow!
Even with medicine, there will be no immediate effect.
Therefore, after the few people finished using the medicine for the patient, they could not leave at all, and could only quietly wait in the hospital for the development of the disease.
In order not to affect the rest of the patients, and to allow everyone to better communicate with each other, the county hospital has set aside a conference room for everyone to use.
Ever since, after treating the patients, everyone came to the conference room one after another!
ps: I saw many readers leave messages to Lao Cang yesterday, saying that Keshan disease is not contagious!Indeed, we now all know that Keshan disease is not contagious, but at the beginning of the founding of the People’s Republic of China, the common people did not think so. You can find out by looking up some literature on Keshan disease. At first, people thought that Keshan disease would be contagious. Infection, so it is also called "extreme household disease".So it's not that Lao Cang wrote it wrong, but that everyone still knows relatively little about this disease!Also please book friends, when encountering this kind of plot, show mercy when spraying, don't spit out fragrance!
Have fun reading the book, even if there is something wrong with Lao Cang's writing, you can point it out, but please don't implicate your parents and ancestors, why bother!
After the endless coma, Shi Yu suddenly got up from the bed.
He took a big gulp of fresh air, his chest trembling.
Confused, puzzled, all kinds of emotions came to my mind.
where is this?
Afterwards, Shi Yu subconsciously observed his surroundings, and then became even more at a loss.
A single dormitory?
Even if he was successfully rescued, he should be in the ward now.
And my own body... How come there is no injury at all.
With doubts, Shi Yu quickly swept his gaze across the room, and finally settled on a mirror by the bedside.
The mirror reflected his current appearance, he was about seventeen or eighteen years old, and he was very handsome.
But the problem is, it's not him!
My previous self was a handsome young man in his 20s who had been working for a while.
But now, no matter how you look at it, this appearance is only the age of a high school student...
This change left Shi Yu in a daze for a long time.
Don't tell him that the operation was a success...
The body and appearance have changed. This is not a question of whether to have surgery or not, but a fairy art.
He turned into a completely different person!
Could it be... that he crossed over by himself?
In addition to the mirror on the bedside which was obviously placed in a bad feng shui position, Shi Yu also found three books beside it.
Shi Yu picked it up and took a look, the title made him silent for an instant.
"Necessary Beast Breeding Handbook for Novice Breeders"
"Postpartum Care of Pet Animals"
"Guidelines for Evaluation of Alien Beast Ear Girls"
Shi Yu:? ? ?
The titles of the first two books are quite normal, what's the matter with you in the last one?
"cough."
Shi Yu's eyes were serious, and he stretched out his hand, but soon his arm stiffened.
Just when he was about to open the third book to see what it was, his brain suddenly felt a sharp pain, and a large amount of memories flooded in like a flood.
Icefield City.
Pet breeding base.
Trainee pet keeper.To provide you with the rebirth of the great god Cangyue 1975: tearing up the order of returning to the city at the beginning
Beastmaster?
You'll Also Like
-
I am writing a diary in Douluo, and Huo Gua is actually me
Chapter 349 2 hours ago -
Douluo: Start from Tianshui Academy
Chapter 280 2 hours ago -
Versatile Mage's Magic Talent
Chapter 686 2 hours ago -
Wasteland Echoer
Chapter 478 3 hours ago -
Mysterious city
Chapter 398 3 hours ago -
Luck in the heavens starts from the Red Mansion
Chapter 371 3 hours ago -
Immortality Cultivation: I can use my clansmen’s energy and blood to add points
Chapter 550 3 hours ago -
The heavens begin from Pingyang City
Chapter 523 3 hours ago -
I, the Lord of God, recruit witches to make money
Chapter 316 3 hours ago -
Only I know the reincarnation world of the plot
Chapter 404 3 hours ago