I can see the status bar

Chapter 391 Stomach Bleeding
Sun Li'en held Guo Yulai's cell phone in his hand, feeling a little panicked.

It's a good thing that Xiao Guo hasn't had time to post on Moments yet.But as soon as he got his mobile phone, he was called over by Zhou Jun who had just entered the emergency room, which made him feel a little uneasy-it couldn't be that Xiao Guo had other spare mobile phones, and he just posted on Weibo, right?
"How did you think of the plague?" "Why can't the patient be pneumonia?" Unexpectedly, as soon as Sun Li'en walked in front of Zhou Jun, an old man in white clothes suddenly spoke.The tone is quite kind, but the words are a bit direct.

Sun Li'en was stunned, and looked at Zhou Jun with pleading eyes, Brother Zhou, do you have to introduce who this old man is first?

"This is the old dean of our fourth hospital, and also the previous principal of the college." Zhou Jun briefly introduced Wu Youqian, and then said to Sun Li'en, "President Wu is very interested in your diagnosis, so just speak up if you have anything to say." Bar."

Sun Li'en nodded, and then seriously explained to Wu Youqian, "Because the existing evidence can only support the diagnosis of plague."

"Tell me about your diagnosis process." Of course Wu Youqian also understood this point.But Sun Lien's diagnostic thinking is the focus of his curiosity. "How did you rule out other options?"

"First of all, a family was sent to the hospital, and the symptoms were consistent. That is to say, the disease is either highly contagious and can be transmitted to a family of different ages and genders at the same time. Or the course of the disease is extremely slow enough to allow people to be infected at different times. All three members of my family fell ill." Sun Lien is much more confident in his diagnosis thinking now than before - after all, the symptom of the plague was indeed diagnosed by him, rather than the status bar directly giving the answer. "But the latter is obviously unlikely. The family of three were found by neighbors and sent to our hospital for treatment. Therefore, I first ruled out mycoplasma pneumonia."

Deriving the content that has not been mastered through the information that has been mastered is actually a very risky technology in the field of medical diagnosis.After all, the reasoning of information may be wrong.And once the reasoning is wrong, it is likely to lead the doctors' thinking into the wrong path, and go wrong all the way to the end.

"The risk is high, but it's justified." Wu Youqian frowned. He didn't agree with such reasoning and diagnosis, but in this case, there was no way to derive the diagnosis through reasoning. "Then what?"

"Then three people showed the same symptoms, so I ruled out lobar pneumonia." Sun Lien pointed to the three people lying in the clean room, "Lobar pneumonia will be more serious in young people, but All three were showing comparable symptoms and severity - the two older people were even more severe."

Lobar pneumonia is more common in young men, more common in winter and spring.And most of them have incentives before the onset, such as fatigue, exposure to rain and cold, surgery and so on.

"At the same time, lobar pneumonia is generally not contagious - if the immune system is normal." Sun Lien continued to add, "If there is a genetic immune system defect, it is reasonable to show that one of the parents and the child have the disease. But a family Everyone has the disease, and it shows a consistent progression of lobar pneumonia ... the probability is too low, so low that it should not be considered first."

Wu Youqian nodded silently, at least there is nothing wrong with what Sun Lien said so far.Of course, some of these diagnostic ideas are risky, and some rely too much on experience.But at least it makes sense, and there are no serious flaws.

"Then next, we have to consider pulmonary anthrax and pneumonic plague." Sun Li'en continued, "The manifestations of pulmonary anthrax are highly consistent with those of pneumonic plague, but after questioning, I learned that the patient died about two days before the onset of the disease. Xihai Province has eaten marmot meat. Xihai Province is a natural plague area, and marmot is the main species that spreads plague in Xihai Province. Therefore, I highly suspect that these three people are patients with pneumonic plague. I will take samples for inspection according to the corresponding procedures, and use The CDC was notified as quickly as possible... This is my diagnostic process."

It can be said that the description of this diagnosis is almost true.The status bar indicated that the three of Sun Li'en were infected at the same time, and the onset of the disease was extremely fast. At the same time, the three of them were infected with a highly contagious disease.The rest of the differential diagnosis was made by Sun Lien himself.

"Amazing." After Wu Youqian was silent for a while, he suddenly clapped his hands and said while applauding, "It's really amazing."

Dr. Pascal said to Dr. Brunn beside him, "No matter how many times I watch it, I still feel that Dr. Sun is just like the protagonist in the movie."

"There are more doctors like this in TV dramas." Dr. Brunn shrugged his shoulders, and he said out of habit, "Doctors in movies usually die first to indicate that the situation is critical, just like dead black actors Same. The ones who really save the world have to be those white Marines.”

Zhou Jun nodded lightly, every time listening to Sun Lien's diagnosis was like watching a theater performance.Although I have seen it several times, the shocking feeling will not fade after seeing the diagnosis in person.All doctors make mistakes, but Sun Lien has not made any mistakes in diagnosis so far.I really don't know whether this kid is really lucky or has his own unique diagnosis method.

"Diagnosis is very important, and you did a good job." Wu Youqian was only dubious about Sun Lien's miraculous performance at first, but now after hearing the whole process himself, Wu Youqian, who has taught doctors all his life, has to admit that Sun Lien is indeed the same as what he has seen before. All people are different.

If there is a genius in diagnosis, this is probably what it looks like?
"Are you doing regular training in the Fourth Hospital?" Seeing such outstanding young people is the dream and the biggest temptation of every educator. Even Wu Youqian has retired. "Have you considered continuing to work in other medical schools?" Further studies? Because of the short period of establishment of the Fourth Academy, the requirements for academic qualifications are not too high now. But in the future, there will definitely be requirements for academic qualifications. You are only an undergraduate now, and it will be inconvenient to evaluate professional titles in the future..."

"Principal Wu, Li En's admission to school next year has been decided." Zhou Jun on the side felt more and more shameful as he heard it. "Director Liu will be his mentor."

"Liu Tangchun?" Wu Youqian shook his head regretfully, "Forget it, I don't want this guy to block my door every day after he comes back from Africa."

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After a little more relaxed chatting and asking questions, the next thing to face is not relaxing.Three patients with pneumonic plague are still not doing well.This caused a headache for the expert team who came to support.

"Add two units of frozen plasma to patient No. 2. Four units of whole blood, pressurized infusion." Wu Youqian gave the doctor's order.For the convenience of management and addressing, Tang Xingde's family of three was divided into three numbers.Tang Xingde is patient No. 1, Hou Huiying is No. 2, and their son Tang Wen is No. 3.But now it is patient No. 2 Hou Huiying who has a problem.

"He vomited blood again, and the blood pressure is still dropping. There is stomach bleeding." The person in charge of the treatment has changed from Sun Li'en to Wu Youqian. The old expert gave orders without haste, but there was basically no hesitation or nonsense, and there was still time. Dismiss the advice of other physicians. "The three-chamber and two-capsule tube should not be used anymore. How do you lower the tube while on the respirator? Zhou Jun!" Wu Youqian shouted to the clean room, "Let's prepare for the intervention. This is the intervention to stop the bleeding."

Sun Lien looked at the situation inside the clean room with some worry. Although Hou Huiying had fallen into a state of insanity, her body's reflexive reaction still made her writhe constantly, and spit out black foam from her mouth from time to time. Blood from the stomach - This is the product of the reaction between blood and stomach acid after a stomach bleed.

(End of this chapter)