I can see the status bar

Chapter 1056 D+7 day (4)

The doctors can rest, but Sun Li'en is a little worried.What happened to the three patients and the little girl with four characters in the name he sent to the emergency room yesterday made Sun Li'en a little worried.

Strictly speaking, Mo Zixuan's situation should be the most troublesome.She was 30 weeks + 4 days pregnant, but was infected with the new coronavirus, and had already shown a certain degree of hypoxemia.Pregnant women are extremely sensitive to infection. If the immune system is fully mobilized, it is likely to cause unwarranted disasters to the fetus—pregnancy is essentially a phenomenon of allogeneic transplantation, and the fetus is a kind of half-self and half-nonself for the mother. of grafts.Such grafts are foreign to the mother because they contain paternal genetic material and are rejected by the immune system.On the other hand, due to the gradual development of the fetus, the baby's own immune system also begins to gradually build up, and has the potential for immune rejection of the mother.

Therefore, in order to maintain the safety of the fetus and mother during pregnancy, humans have evolved an ingenious strategy.During pregnancy, the immune system of pregnant women will change from the original cellular immunity to the humoral immunity.This, in turn, leads to a reduced ability of the mother to deal with infections, leading to a predisposition to certain infections and autoimmune diseases.

But it's not all bad for mothers infected with the new coronavirus.Although there is a lack of typical and efficient maintenance of TC lymphocytes and other cytotoxic immune systems, it also means that the mothers infected with the new coronavirus will not have an inflammatory storm in a short period of time.

The benefits of the "immunosuppressed" state unique to pregnancy end here. Without the participation of the cytotoxic immune system, it is predictable that once a pregnant woman is infected with the new coronavirus, this cunning pathogen will be as invincible as possible. In this situation, a large number of alveolar cells are rapidly infected and severe viral interstitial pneumonia results.For doctors, the most urgent task at present is to find ways to prevent the virus from further attacking the mother, so as to prevent the serious sequelae that may occur later-the alveoli are difficult to regenerate, and the trauma caused by interstitial pneumonia is likely to lead to pulmonary fibrosis .And this will greatly affect the life after the mother's womb.

If Sun Lien were to make the decision, he would not hesitate to perform a cesarean section on a fetus with a gestational age of 30 weeks + 4 days.Re-initiate maternal cytotoxic immunity at the fastest speed, slowing down the speed of virus infection in the lungs.Doing so can also reduce the mother's need for oxygen and increase her chances of survival.

But for a pregnant woman, especially for a G2P0 (pregnancy 2 birth 0) pregnant woman who has lost two children in the womb, making the decision to terminate the pregnancy is simply impossible.Even though the child's father tried to persuade her again and again, Mo Zixuan still did not agree to induce labor immediately.In the end, it was the director of the obstetrics department of He'an Hospital who came forward to discuss in detail, and Mo Zixuan herself agreed to have a cesarean section at the 31st week. In the remaining three days, the obstetrics department will use dexamethasone for Mo Zixuan to promote the fetus. The lungs are mature.

Shi Chunxiu's condition is relatively better. Although her daughter-in-law still has some fever, the root cause of the fever is a urinary system infection.Under the action of antibiotics, her daughter-in-law is recovering rapidly.As for Shi Chunxiu himself... Dr. Wu Jianping is really good.With an anesthesiologist and a nurse, he successfully completed the thrombolysis treatment for pulmonary embolism without any backup force. At present, Shi Chunxiu's life is improving very stably, and his consciousness has recovered.

Ding Yun's symptoms were not as "immediately effective" as Shi Chunxiu's.Chronic obstructive pulmonary disease itself is a chronic disease that seriously damages the human body. In addition, she was treated with erythromycin for a long time to adjust the immune system, which substantially increased the emergence of drug resistance in her body. possibility of bacteria.

Currently, He'an Hospital is trying to treat Ding Yun with penicillin G for anti-infection, and at the same time prescribed a small amount of codeine to control the severe chest pain that just occurred last night.According to the general experience of treatment, Ding Yun's high fever should subside within 24 hours.If the body temperature rises and falls repeatedly or remains high for three consecutive days, it is necessary to consider whether there is another infection, or the pathogenic bacteria in her body are resistant to penicillin.

The condition of the three patients yesterday was at least stable, but Zhu Liuzhuangran's condition is not the type that can be "treated first and adjusted according to the patient's condition at any time".

Zhu Liu Zhuangran's parents arrived at the hospital 10 minutes ago.Mr. Zhu and Ms. Liu were very worried about their daughter's condition, and they could even be said to be a little angry-they wanted to send their child to the hospital last night, but because of the epidemic prevention policy and the closure of emergency departments in many hospitals, they dragged it until now .

Now the child was sent to the hospital alone, and after more than half an hour, I received a call at home saying that it was not appendicitis, and that an operation might be needed... Any parent would be anxious.

Fortunately, Sun Lien, who was wearing a protective suit, appeared in time.He basically rushed to the emergency room without stopping - after spraying with disinfectant for half a day before setting off, he almost ran all the way in order to get there as soon as possible.

"She really didn't have appendicitis." Sun Lien explained to the angry couple with the CT images sent to the emergency room, "The doctors in the community can't be blamed for this, her symptoms indeed perfectly fit all the symptoms of acute appendicitis It is inevitable that her illness was mistaken for acute appendicitis without further examination."

I don't know if it is because the logo of "Song'an National Emergency Medical Team" on Sun Lien's protective clothing comes with a certain amount of persuasion, or because Sun Lien is out of breath but trying to explain the situation can reassure them.In the end, they chose to suppress their anger and listen to the doctor's explanation and explanation.

"We are still not sure what disease she has." Sun Lien took out the CT examination sheet and explained to Zhu Liu Zhuangran's parents, "but the low-density shadow in this area is obviously abnormal. The director of pediatrics in the second batch of medical teams discussed it, and he thought it was more likely to be a mesenteric problem, possibly torsion, or thrombus. But no matter what it is, we must perform surgery on Zhu Liu Zhuangran as soon as possible to relieve this problem. The problem of the location of the lesion."

"That's what I don't understand." Mr. Zhu frowned and asked, "After all, surgery is not a trivial matter. Why can't we take conservative treatment with medication first?"

"Because we can't take this risk—if it's torsion or thrombus, your daughter's condition may be very dangerous if you continue to observe it like this." Sun Li'en replied, "If it's any of these two lesions, her bowel The blood vessels and tissues will be extremely seriously affected. After ischemia, the tissue will die, and the dead tissue will become a base camp for infection. A large amount of toxic substances may re-enter the body along with the original blood vessels at any time, and the most serious It may lead to your daughter's cardiac arrest." He said very sincerely, "I can understand that you have opinions on the doctor at the beginning, but from my experience, such mistakes and omissions occur when conditions are limited. It is unavoidable. The top priority now should be to perform surgery on Zhu Liu Zhuangran as soon as possible, and find a way to relieve her after ascertaining the situation in her abdomen."

(End of this chapter)