BXBX NOVEL Chapter 1089: 【1089】It is not easy to clean up the mess of your peers
"Thank you." Fan Yunyun said.
"Thank you." Geng Lingfei turned his head, thinking that if he could move faster and look better, this kind of thing would not happen. Explain that you and she need to keep exercising. No wonder Teacher Xie asked him to do physical exercise.
"Sudden." The nurse explained to Xie Wanying and Song Xuelin, "The patient may have lost his mind and didn't know what he was doing."
The brain can't stand the high fever to a certain extent. Now the patient's body temperature is 40 degrees. Xie Wanying speculated that the patient is likely to evolve into severe acute obstructive suppurative cholangitis. If this goes on, systemic toxemia will cause death from toxic shock.
Simply using physical fever reduction or fever reduction needles can cure the symptoms but not the root cause. Fever is only the exposure of a disease, and obstruction is the most terrifying and life-threatening.
Must figure out where the obstruction is.
It was written on the medical record that the T-type drainage tube could not be pulled out after the operation, and the patient’s drainage fluid could not reach the extubation index.
The normal postoperative drainage fluid should be clear and transparent yellow or yellow-green, no pus, no sediment, no flocs, no turbidity, and the drainage volume gradually decreases. According to a bile duct photograph, the bile duct is unobstructed. Try to clamp the tube. If the patient has no symptoms such as fever, it can be removed.
Now, this patient can't reach one of the indicators, so he can't remove the tube. Patients and their families who cannot be unplugged are very irritable. Patients cannot always live and work with drainage tubes, so they have reached the limit of tolerance for the technology of the original hospital.
It stands to reason that there are several infectious disease hospitals in the capital, and the one the patients went to is not the most famous one, but the technical reputation is not too bad. It can only be said that this obstruction is very difficult.
If there is another obstruction after the operation, if the situation is not right, it will be treated in the operating room again. This patient happens to be HIV-infected with low immunity. It is estimated that the doctors in the hospital over there will not dare to send the patient to the operating room for another laparotomy, for fear that the patient will die on the operating table and will not be able to get off the operating table, and the problem will be even greater.
The experienced nurse frowned when she saw it, knowing that she was going to collect the corpse in this situation. Who asked to be on the night shift tonight were two newcomers to the wheel division, so I couldn't count on them.
"Do you want to call Dr. Tao?" the nurse asked the doctor on duty.
Neither Song Xuelin nor Xie Wanying seemed to hear her speaking, and they focused on palpating the patient's abdomen and checking the drainage tube. The patient does not have the conditions to go to the operating table to perform emergency surgery, so he can only think about it in the drainage tube.
"Did you not bring the CT film that the patient took in the hospital before?" Xie Wanying turned her head and asked the next person.
"Probably not," said the nurse. If there is, it will be given together when the medical record is first handed over to the doctor.
Geng Lingfei heard it and ran out to help the teacher and ask the patient's family.
There really isn’t. The doctor over there may have forgotten to give it to the patient. The patient's family did not ask for it from the previous hospital. In the case of transfer, the doctor of the hospital should have been responsible before, and handled these details so that the patient could be transferred safely. There is only one possibility. There is too much conflict between the doctor and the patient's family. The patient wants to leave and let him leave quickly. The mentality is equivalent to throwing off a burden. These small details will not be remembered to do.
The peers who throw the burden will not take into account the medical units and doctors they take over, so it is a hooligan to say that the peers who do not contact the receiving unit first.
Song Xuelin got up and exhaled again. He needed to continue to adjust his mood, and he was a little **** off.
It is very troublesome to have no CT film. Only CT films can clearly show where the specific obstruction is.
(end of this chapter)