I can see the status bar

Chapter 167 Choice (Second Change)

When two extreme conditions that should be opposed to each other appear on a patient at the same time, the person who has the most headache must be the patient's doctor.

The exact cause of this symptom of systemic disseminated intravascular coagulation varies.But in general, it is caused by the human body erroneously starting the blood coagulation program under various conditions.A large number of coagulation fibers and platelets are mis-activated in human blood vessels, so thrombus occurs in blood vessels in various parts of the human body.These blood clots can interfere with normal blood flow, resulting in insufficient blood flow to tissues throughout the body, resulting in symptoms such as hypoxia.

And the total amount of clotting material in the human body is limited.When these coagulation substances become thrombus in blood vessels all over the body, there will not be enough coagulation substances in the places that really need to stop bleeding.As a result, the body is prone to spontaneous bleeding.After all, the human body is actually a place where various small mistakes often occur.

Our body is being damaged all the time, and tissue cells are repairing the damage all the time.When the two sides reach a balance point, the human body is healthy.DIC will completely overturn this delicate balance.Repair materials are not available where repairs are needed, and normal blood vessels are filled with clots that block blood flow.

For the treatment of DIC, in addition to "symptomatic treatment" and "supportive therapy", the most important tool is heparin.At the same time, it is necessary to replenish blood volume as soon as possible, maintain blood pressure, and treat the primary disease that caused DIC.

The symptoms that happened to Wu Fenmei were actually quite straightforward. The severe infection caused by bird flu triggered blood clotting.According to the changes in Wu Fenmei's situation, she should be in the initial stage of DIC.The treatment method is obvious and direct—intravenous infusion of small doses of heparin (50~100U/H), and crystalloid supplementation at the same time.

Liu Tangchun skillfully found the heparin from the cart in the clean room, but because he was wearing protective clothing, it was really difficult for Comrade Liu to dispense the medicine with his hands covered in several layers of gloves.So Sun Li'en became Nurse Sun without hesitation.Although he was clumsy in dispensing the medicine, it was always more convenient than Liu Tangchun.

"Just replace the medicine bottle!" Liu Tangchun looked at Sun Lien who was about to give the patient another injection, and was furious. "Are you afraid that she doesn't bleed enough?" He pointed at the bottle of imipenem and cilastatin sodium that was almost finished.After Sun Lien changed the medicine, he flew up and kicked Sun Lien's ass, "I'm usually very clever, why are you so clumsy now?"

Sun Li'en rubbed his sore butt from being kicked, and said with a wry smile, "I'm so tired these days, I feel like my mind is numb."

"I can tell by the way you rush in without thinking." Liu Tangchun snorted coldly, and Bi Tianhua, the director of the Infection Office outside the door, interjected in time, "Old Liu, your gas cylinder will be empty in 2 minutes, come out quickly !"

The gas cylinder carried by Liu Tangchun is not big. Theoretically, the carbon fiber gas cylinder with a capacity of 15 liters of water can provide about half an hour of battery life if it is only used for breathing.However, since the gas cylinder is directly connected to the positive pressure protective clothing, the theoretical safety time left for Comrade Liu is only 13 minutes.Thirteen minutes had passed since he entered the clean room, and Bi Tianhua was afraid that something might happen to Lao Liu's old bones, so he hurriedly called him out.

"They brought a total of three gas cylinders, and this is the last one for me." Liu Tangchun was also a little distressed, "You might as well go out with me."

"There is still a possibility of human-to-human transmission of bird flu." Sun Lien's answer was a bit irrelevant, "Since no matter who comes in, it is risky, why not let me watch it for a while. This can at least reduce the number of doctors exposed to the risk. .And this mask..." He pointed to the N95 mask on his face, "The effective defense time is eight hours, which is still plenty of time."

"Then be careful yourself." Liu Tangchun understood that this was the best solution so far. "I'll urge the clinical department to arrange for the transfer of the patient as soon as possible if the bird flu is confirmed. The patient needs to take medicine and tell me directly, and I will give you permission."

Sun Lien nodded.It's just that there was a wry smile in his heart. Judging from the patient's current vital signs and conditions, it was basically impossible to arrange a transfer.If she was forced to transfer to another hospital, she might have an accident on the way.

Maybe after the patient's test results come out, her vital signs will be stable.Sun Lien thought so in his heart.

In addition to the gate, there is a "hole" in the wall for the communication channel between the clean room and the outside world.There are plexiglass doors on both sides of the hole, which can be used to transfer samples and medicines and surgical instruments.Speaking of it, it is a bit strange to have such a clean room in the rescue room.I don't know what kind of mentality the designers had in order to put a class [-] clean room here.

Sun Lien gave Wu Fenmei crystalloid, and after seeing that the blood pressure did not change much, with Liu Tangchun's consent, another injection of norepinephrine was given intravenously.After watching Wu Fenmei's blood pressure gradually rise from 80/45 to 95/55, she relaxed a little.

There were no stools to sit on in the clean room, Sun Lien looked around, and could only find a corner to lean against, and slowly sat on the ground.He is so tired.

When he was about to fall asleep in a daze, Sun Li'en suddenly opened his eyes.He stood up vigilantly, looked at the status bar above Wu Fenmei's head, quickly picked up a syringe, and drew a tube of blood from Wu Fenmei's intravenous needle that was still bleeding slowly.The syringe was then sealed and placed in the transfer hole in the wall.

"Urgently check your kidney function." Sun Li'en briefly and quickly ordered to Xiao Guo who was waiting outside, "Call Dr. Zhou Ce from the Nephrology Department for consultation immediately."

Not daring to delay, Xiao Guo carefully picked up the syringe, wrapped it in a plastic bag, and quickly turned around and rushed out of the emergency room.

And Sun Li'en returned to Wu Fenmei's side, and the status bar was updated again with a new status, "Acute Kidney Injury."

The kidney is a very sensitive organ, and the kidney needs a lot of blood to provide energy and oxygen to filter the waste in the body.Therefore, acute kidney injury (AKI) occurs in nearly half of DIC patients.The drug peramivir is a new product, and the side effects and adverse reactions in the human body are not yet very accurate.Although the drug itself will basically be excreted through the kidneys in the form of the original drug, no one can say whether it will increase the burden on the kidneys during the excretion process.Wu Fenmei's acute renal injury should be caused by DIC.But Sun Lien is still a little uncertain whether to slow down the input speed of Peramivir.

So he decided to call someone to help.

Hello?What about Zhou Ce? That rotten guy from DIC has trouble with his kidneys, come and help!
　In order to ensure two updates of "today"...so the second update only has 2000 words

　　that. . .For the sake of my hard work and double updates, how about a reward for a monthly pass?
　　
　
(End of this chapter)