I can see the status bar

Chapter 210 Preparation and Accident

Liu Tangchun really has a lot of private collections, two full boxes of chocolates are still packed in cardboard boxes.What's more, Comrade Liu seems to have expected that his little good will be missed by others.A note was pasted on the top of the carton, "Are you hungry? The local tyrant who beat me was the idea of ​​some little bastard in the emergency department? Ask the leader to write a [-]-word self-criticism, and the matter is over."

The so-called predicting things like a god is talking about old foxes like Liu Tangchun.Not only did he expect that someone would miss his chocolate, but he also keenly sensed that those who had the guts must be the little bastards in the emergency department.Just looking at the two boxes of untouched chocolates in the locker, Sun Lien could guess that Director Liu might have prepared this set of "reserve food" long ago, and he was just waiting to receive a [-]-word review letter.

"Old Liu's stock, right?" Eating food should not only take care of the doctors who can rest around, but also have enough care for the leaders and other comrades who need to stick to it.Liu Pingchuan was called to the lounge and ate two pieces of chocolate, while Hu Jia and Xu Yourong, who had eaten, went in together to replace Liu Pingchuan and the equipment nurse.As for the anesthesiologist and imaging doctor... I can only wrong them to stick to their posts for a while.

"I exchanged a [-]-word review for supplies." Sun Li'en showed Liu Tangchun's message to Liu Pingchuan and Zhou Jun with a wry smile, "You two should eat more, so my little grandson will sacrifice more for me." It's not in vain."

Sun Li'en said it was pitiful, but Liu Pingchuan and Zhou Jun didn't mean to appreciate it at all.While eating the chocolate, the two ignored the poor Sun Li'en who was dressed—wasn't Comrade Liu's chocolate the first thing you thought about?I want to write a review and want to drag us into the water-you really think the directors are stupid?
Anyway, Dean Song had given instructions to eat the sugar coating and return the cannonballs.Zhou Jun and Liu Pingchuan turned and left after eating the chocolate, leaving Sun Lien with a wry smile.The imaging department has already released a picture, and is waiting for the two big men to go over for consultation.As for Yang Jianqiang's situation, there is a possibility of brain herniation at any time.Under these conditions, time is life.Being able to take the time to eat two pieces of chocolate is already the limit of "waste" for Zhou Jun and others-anyway, they can't do anything before the image comes out.

Yang Jianqiang's patient can indeed be regarded as the most troublesome one among the patients Zhou Jun took over.It's not because of how sick he is—in fact, Zhou Jun has taken many patients with brain herniation.As for brain herniation, not too few were finally discharged safely under the joint treatment of experts from multiple departments in the Fourth Central Hospital.But Yang Jianqiang's situation is troublesome, but the trouble is on another level.His condition was too uncontrollable.

The continuous monitoring of intracranial pressure uses an epidural optical fiber detector instead of the traditional lumbar puncture monitoring, which is one of the manifestations of uncontrollable changes in the condition.Facing a patient who may have a brain herniation at any time, out of prudence, Liu Pingchuan directly treated it as a "brain herniation" in terms of intracranial pressure monitoring methods.And this is an absolute contraindication for lumbar puncture monitoring.At the same time, the use of epidural testing can also avoid direct exposure of the patient's cerebrospinal fluid system to the outside world to a certain extent, reducing the possible risk of infection.

As for the direction Yang Jianqiang's disease will develop, not only Zhou Jun, who is mainly in charge of the treatment plan, has no idea, even Liu Pingchuan is not sure.Although the condition of the brain is the most urgent threat, at least the problem in this position has been exposed.At the same time, the Fourth Central Hospital has also tried its best to take various countermeasures.Whether it is gamma knife, observing the situation in the compound operating room, or even letting Liu Pingchuan lead the team to stay up all night to prepare for puncture and decompression, these are at least "preparation" means.

What is really scary are those problems that have not been exposed.

When Yang Jianqiang entered the operating room, sulfadiazine and pyrimethamine had been infused according to the maximum allowable dose.According to the time, the drug concentration in Yang Jianqiang's body has just reached its peak.The toxoplasma-infected parts of his body had been soaked in a concentration capable of killing the parasite.But this also means that the organs that were able to work normally are likely to be overwhelmed by this wave of blows, and may even fail.What's more, for people with low immune levels, the recommendation for toxoplasmosis given by the Zoonotic Diseases Professional Committee of the Chinese Society of Microbiology is that on the basis of "[-] days a course of treatment" for ordinary patients, the treatment course time should be doubled, and an interval of [-] days should be given. At seven days, re-treat at least two courses.

According to general experience, Toxoplasma gondii infection may involve the brain, eyes, lymph nodes, heart, lungs, liver and other parts.In other words, counting from now, to the next [-] days, Yang Jianqiang's whole body organs may be at risk of strike - although the risk of the next few courses of treatment is definitely not as great as the previous one, such a danger still exists objectively.

For this small family, their ordeal has just begun.

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Sun Lien's test came.

At seven o'clock in the morning, Yang Jianqiang had been sent to the clean room for isolation treatment. The results of CT imaging were positive—new edema appeared in his brain.But the edema area is not the original infection lesion.Instead, it is slightly striped across the skull.The range of edema is not too large, and it is still within the acceptable range.In other words, the increase in his intracranial pressure was indeed caused by acute radiation injury rather than further expansion of the lesion.

After increasing the amount of mannitol, Yang Jianqiang's condition has gradually stabilized.And it wasn't until this time that Sun Li'en, Hu Jia, Xu Yourong, and Rui Qiu had the chance to have a bite of the completely cold Eight Treasure Chestnut Pigeon.

"Delicious!" Hu Jia's eyes lit up.Although the soup poured on the pigeon had completely cooled down and even solidified into jelly, she still couldn't stop eating.

Sun Lien originally suggested that the pigeons should be warmed up in the microwave before eating.However, considering that the quality of the takeaway boxes is not controllable, I don’t know whether the takeaway boxes provided by the healthy stir-fry restaurant can withstand microwave heating.After thinking about it again and again, the three pigeons were still eaten by everyone.Sun Li'en sighed, it would be great if it was warm!The pigeon itself was stripped of all the bones inside by the chef with superb techniques. This skill must be at least at the level of an orthopedic doctor in a hospital.In addition to the chestnuts and shiitake mushrooms that can be eaten immediately, there are probably at least four or five other ingredients in the stuffing.But Sun Li'en really couldn't figure out what it was.

As for Rachel, she fully carried forward the glorious tradition of foreign friends being defeated in front of Chinese food.Except for the fact that she had nothing to say when she looked at a whole pigeon at first, she never considered herself as a lesbian at all during the rest of the time—what kind of image does she care about when she has such delicious food?It's over when it's delicious.

Even Xu Yourong was full of praise for this cold snack.If it weren't for the fact that the pigeons couldn't be reserved at all, and there were only three or four of them every day.She had to eat it for at least a month before giving up——Dr. Xu kept nodding and saying it was delicious with a cold face, which made Sun Lien stunned.

After eating supper at breakfast time, Hu Jia took a taxi and went home to sleep.Xu Yourong and Raiqiu decided to walk back together - although the eight-treasure chestnut pigeon is delicious, it is meat after all.Eating meat early in the morning, both of them felt that they needed some exercise to consume some excess calories.And Sun Li'en - he had to stay and clean his ninth consulting room again.

But this cleaning has swept out a huge trouble.

Sun Li'en was blocked in the hospital.

The blocking person was Zhao Mengli, who was just transferred to the gynecology inpatient department by Sun Lien last night.And the six NO.70 female comrades who came from nowhere.

They rushed into the emergency room aggressively, and unfurled a banner at the toll window, with a large line written in dripping ink on it. "Gender discrimination is unforgivable, immediately fire unscrupulous doctor Sun Lien!"

"Xiao Sun, what are you doing?" Seeing that the situation is not going well, Brother Liang, the security guard, lowered his hat, slipped into Sun Lien's ninth consultation room like a thief, and reported in panic, "The group of women outside Why are you here all the time?"

　The college entrance examination is coming soon.I don't know if there are any college entrance examination candidates among the readers of Sanguan, but it seems that there is no problem in reading novels and relaxing now.Believe in yourself, the hard work of preparing for so many years will not be in vain.You can do it!I wish you all the best in the exam, and you are all right.The level of the test is good, and the test goes well!

　　
　
(End of this chapter)