I can see the status bar

Chapter 362 Dr. Cao (1)

Cyanobacterium marneffei is an opportunistic pathogen known to many people recently. Compared with relatively common pathogenic bacteria such as Staphylococcus aureus, its biggest feature lies in its different biological attributes-this is a fungus.

In the natural environment, C. marneffei is by no means uncommon.It is widely distributed in the subtropical regions of Asia, from the Indian peninsula to the Indochina peninsula, and this fungus, which has only been isolated from the Penicillium genus in recent years, has almost all been reported.In my country, cyanobacterium marneffei is especially found in Hong Kong, Macao and Taiwan, Guangdong, Guangxi and Jiangxi and Hunan.

It is one of the main pathogens of opportunistic pathogens infecting HIV patients, but the reports of infecting non-HIV patients are gradually increasing.Immunodeficiency patients, patients with autoimmune system diseases, and patients who need to take immunosuppressive drugs for a long time have more and more reports and numbers of cyanobacteria marneffei, which even makes people worry about whether it is because of this strange disease. Fungi began to mutate.

"The biggest feature of this disease is that the symptoms are highly similar to tuberculosis." Yuan Pingan explained to Sun Li'en the characteristics and differential diagnosis of Cyanobacter marneffei in detail, and then asked, "Has the patient ever eaten bamboo rats or Sugar cane, bamboo shoots?"

"What?" Sun Li'en was taken aback, "I know the other two...but what is a bamboo rat?"

"It's just...a kind of rodent. It's not small. It mainly lives on bamboo. It looks like a big mouse." Yuan Ping'an has obviously never eaten this kind of "rodent". His description It seems a bit general, "It is said that in Guangdong and Guangxi, there are many people who eat this kind of animal."

Sun Li'en nodded knowingly, no wonder people always joked that Cantonese eat everything - especially Fujianese.

"If it's really Cyanobacterium marneffei, it's not difficult to treat." Yuan Pingan took the medical record copied by Sun Lien, found the medical record number on it, and entered it into his computer to read it. "With amphotericin, it can be cured after continuous treatment for about four weeks. However, problems such as bone damage have to wait for the patient's body to recover on its own..."

While looking at the case, Yuan Pingan explained to Sun Lien the key points of the treatment of cyanobacteria marneffei. The more Sun Lien listened to it, the more strange he became. He interrupted Yuan Pingan's explanation and asked curiously, "How do you know about this disease?" of?"

"It's almost the same as the heparin insensitivity before." Yuan Ping'an smiled, a little proud but also a little sad, "The first paper in China to discover and summarize non-HIV patients infected with Marneffei's cyanosis was tested by our colleagues. Director Wang of the Department of Medicine and the Department of Laboratory Medicine of the First Affiliated Hospital of the General Hospital of the PLA, as well as the Department of General Internal Medicine, Respiratory Internal Medicine, and Pathology of the General Hospital of the PLA, made it together."

·
·
·
The four words "We are in the same association" are easy to say, but they have a completely different meaning when they come out of Yuan Ping'an's mouth.He studied in Tongxie and started his career in Tongxie.Although he switched from neurosurgery to emergency medicine, he at least achieved the position of chief resident in Tongxie Emergency, the number one emergency department in the country.

Yuan Ping'an is actually really good.

"Of course, now we have to say 'they are in the same association'." Yuan Ping'an seemed to have suddenly realized that there was something wrong with what he said, and he smiled and changed the phrase, "After this review was published, it attracted many people from Guangdong and Guangxi. The laboratory doctors discussed that Director Wang was very busy in those days, and went to work with dark circles under his eyes every day."

Sun Li'en nodded, and said regretfully, "I was in a hurry when I went to the Tongxie, otherwise I might be able to meet Dr. Wang."

Yuan Pingan stared at Sun Lien for a while, then shook his head after a moment of silence, "I can't see you again." After a pause, he continued, "Director Wang suddenly fell ill last year, and he passed away."

Sun Lien and Yuan Pingan fell silent together.Just when the air was freezing, Sun Lien's cell phone rang just right, breaking the suffocating silence.

"Dr. Cao?" Sun Li'en immediately regained his energy when he saw the call number, and he rushed to the front and said, "We have some clues about that patient!"

There is no sound on the phone.

"Hello?" Sun Li'en yelled at the phone a few more times, it seemed that there was some noise, but it sounded like the meaningless noise made by the phone rubbing in his pocket.

"What's wrong?" Yuan Ping'an asked, "Is there something wrong?"

Sun Li'en hung up the phone, frowned and shook his head, "It should be because the phone is unlocked and the screen was typed out?"

There was a commotion outside the door, and the two looked at each other, and Sun Lien had a bad feeling.

"Go out and have a look." Seeing that Sun Lien's expression was not quite right, Yuan Pingan stood up from his seat, put on a white coat, and walked out together with Sun Lien.

Pushing open the door of the small conference room, a burst of panic and urgent shouts came towards the two of them.

"Tourniquet, bring the tourniquet!"

"800CC Type B blood, hurry up!"

"Monitor, get out of the way, the monitor is coming!"

"Pressure blood transfusion, push ECMO over, the technical team will be here soon!"

"Two venous channels are not enough, and a central venous catheter is required. Has anyone from the anesthesiology department come?"

The emergency room was usually very noisy, but it was as noisy as a vegetable market, and everyone's voices were no longer as calm as before. It was the first time that Sun Lien experienced the panic that almost spread to the entire emergency room.

"What's the matter?" Yuan Ping'an stepped on his feet and looked at the place where a bunch of doctors gathered, while Sun Li'en was more direct, he grabbed the little nurse beside him and asked, "A new patient?"

"The doctor in urology was stabbed by the patient!" The little nurse put down a sentence, and then got into the crowd, "Let's go, let's go! The hemostasis is here!"

The crowd parted under the little nurse's scolding, and at that moment, Sun Li'en saw a familiar but pale face from the crowd.The expression on that face was helpless, terrified, and painful.Eyes closed, occasionally opened.

It's Dr. Cao.

Sun Li'en felt a buzzing in his head, and he couldn't hear any other voices.

"Cao Xin, male, 28 years old. Pericardial filling (00.01.14), penetrating liver injury (00.01.25), open pneumothorax (00.03.11), fourth rib fracture (00.03.35), cephalic vein rupture of the left limb , (00.04.31)"

Sun Li'en stayed where he was, watching his roommate lying on the rescue bed, his face turned as pale as Dr. Cao's.Both hands also began to shake.

"What are you doing in a daze? Hurry up and save people!" Yuan Ping'an looked back, and saw that his leader was standing there with a terrified look on his face, and suddenly became anxious.He grabbed Sun Lien's arm, and dragged him to the bed.

"Doctor Sun, Doctor Sun!" He patted Sun Li'en on the back vigorously a few times, waking up his leader from the shock and daze. "what should we do?"

Sun Li'en blinked, glanced at Yuan Ping'an, and then at Cao Xin.On the monitor, Dr. Cao's blood pressure has dropped rapidly from 110/85 to 85/55, while his heart rate has risen to 138 beats per minute.

Sun Li'en grabbed the syringe on the emergency bed and stabbed it fiercely towards Dr. Cao's chest.It happened to be stuck two centimeters below the fruit knife.

Sun Lien pulled the plunger on the syringe, and a stream of blood poured into the syringe.After 20 milliliters of blood were pumped out, Cao Xin's heart rate dropped to 110 beats per minute, and his blood pressure began to rise.

"Acute pericardial hemorrhage." Yuan Pingan knew what was going on at a glance, "Hurry up, send it to the operating room immediately!"

(End of this chapter)