Since 1981 Health School
Chapter 654: wake up overnight
The artificial liver and artificial kidney machines that Chen Qi took out are fully automatic, and they are really similar to fool machines.
You just need to stick two needles on the patient, one for blood draw and the other for blood transfusion, then turn on the machine to run, the machine will automatically filter out toxins for you, then remove toxins, and finally infuse the clean blood back into the human body .
This is the most thorough detoxification medical model, which is far more civilized and thorough than Zhang Wuji, a prostitute who has to take off his clothes every time he heals a woman.
There is nothing to say about the operation of the machine.
If you want to talk about the main thing, you should also talk about the specific principles.
Especially the artificial liver. After decades of this technology, Huaguo is leading the world. For example, the beloved academician grandma of later generations is specialized in this. Combined with the artificial lung, it has made great contributions to the subsequent severe epidemics. .
Of course in this life, ahem, Chen Qi wants his wife to cut off the artificial liver project.
At that time, he will be in liver surgery, and his wife will be in hepatology. The husband and wife will be evaluated as academicians with one liver, so romantic.
Sure enough, Lan Lijuan was very interested in the "artificial liver", that is, the Molecular Adsorption Recirculation System (MARS). Chen Qi also found out the instructions and asked her to study while monitoring blood indicators.
Chen Qi began to study the compound injury of the lower limbs of the young patient, which is gunpowder injury + burn. Although the burn area is not very large, it is more complicated and more difficult to treat.
This night, the lights in the burn surgery ward stayed on all night, and the young couple were making their own efforts for the life of the little patient.
On the hospital bed, the poor little patient Fu Zhenzhen is still struggling to maintain her life with a ventilator, a large stomach tube, a deep vein catheter, an arterial catheter, a urinary catheter, electrodes, etc. inserted all over her body...
The next morning at 7:00, Zhu Huoyan just opened the door of the inpatient department when he found Chen Li sitting on the ground, sleeping with her head on a stool.
"Hey, Chen Li, why are you sleeping here?"
Chen Li woke up instantly, thinking that she was dozed off at work and was caught by the cold-faced judge Zhu, and instantly got up from the ground in fright:
"Zhu, Director Zhu, I, I, Dean Chen ordered people to guard the door and prohibit outsiders from entering or leaving."
Although Zhu Huoyan was full of question marks, he didn't say much, just nodded slightly:
"It's dawn, you can get off work too, don't sit on the floor to sleep next time, you are not afraid of the palace cold in this winter?" After finishing speaking, she walked towards the ward.
Chen Li yawned and muttered to herself:
"I don't want to sleep either, but yesterday I worked all day during the day, and at night, Dean Chen temporarily ordered soldiers to be on the night shift. I don't stop for 24 hours a day. I really can't stop it."
Few people pay attention to and understand the hard work of the little nurse. All they think about is the temptation of uniforms all day long, bah, bah!
By the time Director Zhu walked into the ward, the two artificial liver and artificial kidney machines, Chen Qi, had already been removed ahead of time, which should not be seen by more people.
After entering the door, Director Zhu saw the urine bag hanging on the hospital bed at first sight, a bag full of yellow urine, and he was instantly pleasantly surprised.
"Hey, the urine output has increased? Kidney failure is getting better!"
The urine output of normal people is 1500 to 2500 ml per day. As the renal function declines, the urine output gradually decreases. When it is less than 400 ml per day, it is called oliguria, and if it is less than 100 ml per day, it is called anuria.
Kidney failure will have a period of oliguria. The urine produced is not only less, but the color is usually bloody, and it looks like it is going to die.
Director Zhu is an experienced and qualified doctor after all, and he inferred that the patient's condition was improving from a change in the amount of urine.
Chen Qi waved quickly at this time: "Mr. Zhu, come here quickly, the little patient has awakened."
"Are you awake?" Zhu Huoyan's heartbeat accelerated a little when he heard it, and he quickly ran to the side of the hospital bed.
"Fu Zhenzhen, Fu Zhenzhen, can you hear me?"
Sure enough, Fu Zhenzhen heard the doctor's call, and slowly opened her eyes, but her consciousness was not very clear, and she would soon fall into a coma again.
"Okay, okay, it's amazing, Chen Qi, Lijuan, what method did you use to make the patient wake up overnight?"
At this time, there were only three people in the ward, and Chen Qi also told the truth:
"Mr. Zhu, I can only tell you and Uncle Guo about this. In fact, I smuggled back a few pieces of medical equipment from the United States. One is an artificial liver. The full name is artificial liver support system, which is called artificial liver support system in English.
The other is an artificial kidney, which is a hemodialysis machine for treating uremia. These two machines are medical equipment recently developed abroad, and they are not sold on the market. I also got them personally through the logistics manager of Mayo Clinic. Some.
So last night I used the two machines of artificial liver and artificial kidney to purify the blood of the little patient's whole body, and removed most of the arsenic toxin. Then you can see that Fu Zhenzhen's consciousness quickly recovered after the medicine cured her. Started to recover. "
"Artificial liver, artificial kidney?"
As a technical geek, Zhu Huoyan is very interested, but he has partnered with Chen Qi for so many years, and he knows that this kid can often get advanced equipment that others can't, but he doesn't come from the right way.
It was not so upright when he brought back 10 CT machines from abroad, and they traveled by sea.
Zhu Huoyan understands that once some of Chen Qi's channels are known to outsiders, they will be available both at home and abroad.
In the sensitive era of the 1980s, as long as he relied on Guoan, Chen Qi would definitely end up badly, so it is normal for him to be cautious.
Zhu Huoyan was not surprised, but his strong curiosity made him ask:
"I understand. It's nothing new for you to have a machine. That's how the X-ray machine you used for cardiac intervention last time came from, right? I don't ask about the source, and I will keep it secret. When will you use the artificial liver again?" , when the artificial kidney is in use, I also want to visit it.”
Chen Qi was delighted when he heard it: "It's not easy. The toxins in Fu Zhenzhen's body have not been completely eliminated. I plan to continue to purify her blood tonight. You can come and see it then."
Zhu Huoyan nodded, and just about to say something, the door of the ward was opened again, and other physicians and surgeons rushed over one after another.
The hospital starts at 8 o'clock, and doctors have their own jobs, and they have to go out to the clinic and do rounds.
So everyone rushed to Fu Zhenzhen's ward around 7 o'clock in advance, firstly to care about her condition, and secondly to see if they could help.
Director Xia Hua walked into the ward, saw the excited three people, and asked strangely:
"Hey, why are you three so happy? Are you discussing benefits for New Year's Day?"
Lan Lijuan took Director Xia's hand: "Mr. Xia, Fu Zhenzhen just woke up."
"real?"
Old Comrade Guo who just walked in the door was also happy when he heard it: "Haha, this is great news. It seems that our Yuezhong Hospital is really going to heaven."
Yangshan Hospital treated the patient in a coma for two weeks, but after two days in Yuezhou, the patient regained consciousness.
The doctors came one after another, and when they heard that Fu Zhenzhen had woken up, they were all as happy as Chinese New Year, and felt that they had a part to play in it.
At this time, Yang Xiuxiu came in with the emergency biochemical report that she had just taken in the morning:
"Dean Chen, Guo Shuji, several teachers, today's biochemical results are out."
Old Guo was close, and he pulled it over, and the white coats next to him quickly formed a circle to look.
"Hey~~~ Liver function and creatinine have dropped by half. It's amazing. How did you do it overnight?"
"Did the laboratory make a mistake? Isn't the difference between yesterday's and today's indicators too big?"
"Could it be that the special effects shot yesterday took effect?"
The doctors were all talking about it. When Lao Guo was excited, he looked up and saw Chen Qi and his wife with calm faces, and his heart was full of doubts.
According to what he knew about Chen Qi, this guy must have used some special method to make the patient's liver and kidney function improve quickly, and the patient began to wake up.
Nothing can hide from the eyes of the old fox, he is going to ask privately, the recovery of the patient is the most important thing now:
"Xia Hualan Lijuan, Fu Zhenzhen's internal medicine work will be handed over to you, especially her brain resuscitation work must be done well, and there must be no sequelae. What kind of medicine should be used. I will take care of the difference. subsidy.
In addition, old Zhu Chenqi, the patient has awakened, and you are immediately ready to perform a thorough debridement of the patient's lower limbs to lay a solid foundation for the subsequent skin grafting. The long-term exposure of the wound is not a problem. The little girl's burns must not only be cured, but also beautiful. "
Once Lao Guo gave an order, he always felt that something was missing.
"Chen Qi, do you have anything to add?"
"I just want to add that our two groups of medical and surgical teams are treating the child's physical pain at the same time. It is not a big problem to treat the child's physical pain, but it is best to ask a professional psychologist to intervene for the child's spiritual pain. Now she will be treated immediately. But you are fully awake, and you must hurry up on this matter."
Chen He's previous life was much more terrifying. The news about children jumping off the building made the depression and mental health of children and adolescents almost become a social problem.
He didn't want to work so hard to cure Fu Zhenzhen's illness, but in the end, good guy, as soon as she returned to her broken home, she would jump off the building and commit suicide. Then everyone's efforts today would be in vain.
This matter is not possible, but will inevitably happen. After all, this matter in her family is disgraceful, and people all over the country pay attention to it. Fu Zhenzhen will be pointed at wherever she goes. How will she live as a high school girl?
In this society, there are not only citizens who donate money and sympathize with her, but also a considerable number of selfish and cheap people, just like the keyboard warriors of later generations.
Hearing what Chen Qi said, the doctors in the ward nodded repeatedly.
"That's right, the grandfather and mother were arrested and shot, and the father was also killed in the bombing to protect her. This is such a ruined family, and no one can bear it."
"A psychiatrist is indeed necessary. Don't leave a psychological shadow on the child."
"It's so pitiful, this grandpa and mother who have suffered tens of millions are simply not human!"
Old Guo also slapped his head:
"Oh, that's it. I'm getting old and I've forgotten this important matter. In this way, I will call Dean Xu of the Seventh Hospital in person and ask him to arrange two psychologists to follow up the treatment."
At this time, Director Xia Hua read all the inspection reports, raised the paper, and raised another problem:
"Don't be too happy. Although the toxins in the little patient's body have dropped, the inflammatory indicators have not gone down. Look at the blood culture of Yangshan Hospital. It was found that there were Aspergillus and Candida infection on the wound surface of the little patient. These two fungi But very hard to kill.
In addition, bacterial culture found that Pseudomonas aeruginosa and Staphylococcus aureus co-existed on the surface of the burn, and ordinary penicillin and chloramphenicol would not work at all. Dangerous. "
Doctors in the 1980s were really afraid of getting infected.
Because of the lack of antibiotics, many patients end up dying here.
But other hospitals are afraid of things, Yuezhong Hospital is not worried at all, who knows that there is a magical director Chen Qi.
Sure enough, when Chen Qi heard that his condition had changed, he said calmly, "Director Xia, tell me what medicine is missing. I'll find a solution. This is not a problem."
Everyone in the ward laughed lightly.
Director Xia was not polite, and said the name of the best medicine in his mind:
"You already have cephalosporin and Zuoxime for antibacterial drugs. These two drugs are enough. Now the antibiotics are mainly for fungal infections. The best two injections are caspofungin and voriconazole. This is safe."
Lan Lijuan was afraid that her husband would not be able to remember, so she wrote it down with a pen and handed it to Chen Qi.
Chen Qi stared blankly at the note in a daze. In fact, his mind was searching in the spatial operating room. He found these two medicines easily and heaved a sigh of relief:
"Okay, no problem, I will definitely get it before noon today."
Zhu Huoyan also interjected: "Buy more of this voriconazole injection, and then you can use gauze to wet the wound, and the effect is very good."
"OK, the medicine is on me."
Old Comrade Guo slapped his chest: "Chen Qi, how much money can you come to my account to reimburse, this money can't be paid by you alone, I will cover it if I say it."
Head nurse Liu quickly reminded: "No, no, no, Fu Zhenzhen now has 26,000 yuan in her hospital account, which is enough for her."
"So much money, where did it come from?"
Everyone in the ward was shocked. You must know that in the era when "ten thousand yuan households" could still be praised in newspapers, more than 20,000 yuan was definitely a huge sum of money.
The Fu family was completely burned down by a fire. All the relatives of the Fu family seemed to be dead. No one was seen. Where did so much money come from?
Ms. Nurse Liu is the big housekeeper, and she is quite clear about the source of funds:
"This money is all donated by the people of the whole country. When the little patient was transferred from Yangshan Hospital, the remaining medical expenses of 27,000 yuan were transferred over, and it was clearly stated that it was used for Fu Zhenzhen's follow-up treatment. .
After Fu Zhenzhen was admitted to our Yuezhong People’s Hospital, she received a donation of more than 2,000 yuan on the spot that day. Many citizens and even entrepreneurs came to donate. Up to yesterday, she had donated a total of more than 5,000 yuan. Donate money, so I don't have to worry about medical expenses. "
Hey~~~ so much money~~~ (end of this chapter)
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