I can see the status bar

Chapter 496
Although the rescue process was stumbling, Qian Aiwu's blood oxygen level began to rise rapidly since ECMO began to operate.Within five minutes, her bedside monitor showed her oxygen saturation had risen to 5 percent.At least judging from this condition, she was snatched back from the door of hell by the doctors.

But this still does not mean that Qian Aiwu has turned the corner, on the contrary, her life is still in jeopardy.Although the surgeon has placed several drainage tubes in her body, and needs to lavage the retroperitoneum with normal saline and hydrogen peroxide every few hours and fully drain it, and also enter kidney dialysis at the same time and consider plasma exchange.The ICU of the fourth hospital was fully fired, and Qian Aiwu was regarded as Frankenstein.As long as Qian Aiwu's vital signs can be maintained, as long as she can give her a little hope of surviving, almost all the life magicians in the ICU will use it.

For Sun Lien, the work of diagnosis was over as early as the moment the old thing gave the result.But doctors do much more than diagnose.Now that the front line has been handed over to the ICU, he has to deal with other matters—such as talking with Qian Aiwu's daughter who is about to rush to the hospital.

The act of supplementing the signature itself carries risks, and when the opinions of the family members are not unified, the risk is much higher than usual.What's more, the family member of the patient who said "this is your responsibility" is still staying at the door of the ICU.

Sun Lien took off his white coat, lowered his head and left the ICU floor in a very inconspicuous manner.At the request of Dean Liu, the legal advisers and security guards of the Fourth Hospital have arrived at the ICU, and are setting up "posts" in an unobtrusive manner.It is actually very difficult to take protective measures without causing panic among other family members, but thanks to the high security policy implemented by the Fourth Hospital, it is almost impossible for medical troublemakers or other criminals to try to enter the hospital with weapons.Therefore, the security staff of the Fourth Hospital did not need to stand guard on the spot holding transparent shields with great fanfare—they only needed to wear stab-resistant vests under their uniforms and cut-resistant gloves on their hands.

Sun Lien strolled up to the stairs like a thief, and after confirming that his figure was completely covered, he rushed to the rescue hall as fast as he could in his life.And among a group of anxious family members, they accurately found Qian Aiwu's daughter who came to sign in home clothes.

Qian Aiwu's daughter looks to be in her 40s, but her home clothes and anxious expression do make her look older.Sun Li'en looked at the 33-year-old status bar above her head, and felt a little embarrassed for a while.Also born to the same mother, Qian Aihong's daughter, Zhao Min, showed her concern for her mother, while her biological brother Zhao Ming's attitude and even his face... formed a sharp contrast with Zhao Min.

They are all one family, why is there such a big gap?Sun Lien suppressed the doubts in his heart, and said to Zhao Min, "You are Qian Aiwu's family, right?"

Zhao Min nodded in a panic, then looked at Sun Lien and asked in confusion, "Are you...the doctor?"

It was only then that Sun Lien realized that when he slipped out of the ICU, he was not wearing a white coat in order to avoid people's eyes and ears.It is normal for the other party not to recognize that he is a doctor.

"Yes, I am Qian Aiwu's current attending doctor." Sun Lien hung his work ID on his chest, "This is not a place to talk, come with me." He led the way, leading Zhao Min walked into the small meeting room in the emergency room.

"Please sit down." Sun Li'en pointed to the stool beside him and asked Zhao Min to sit down. He took out the ECMO instruction manual and critical illness notice that he had prepared in advance, and turned on the mobile phone video at the same time, "Here are two documents that you need to sign. Let’s see, this one is the critical illness notification, and this one is the instructions for ECMO rescue.”

The two notices were handed over to Zhao Min. When she bowed her head to read, Sun Lien began to explain - starting from her retroperitoneal necrotizing fasciitis.

The surgical consent for retroperitoneal necrotizing fasciitis was signed by Zhao Min.She had already heard Feng Chujie explain this problem to her once.But she was still listening to Sun Lien's explanation carefully - while listening, she silently compared what Sun Lien described with Feng Chujie's explanation and came to the conclusion that Sun Lien's level is not bad, at least he sounds when he explained the disease Very detailed.

"The ECMO rescue we need now is to deal with the pulmonary embolism in Qian Aiwu's body." Sun Li'en took a sip of tea, moistened his throat slightly and continued, "ECMO can replace her blocked lungs and work An unsmooth heart provides oxygen-rich blood to many organs in the body. To put it simply, we have bypassed her important organs that are unable to work properly now, and we can also grab a little for us to treat her while prolonging her life. time and space."

"What is the cause of my mother's... pulmonary embolism?" Zhao Min's expression was a little sad. According to Sun Lien, her mother's biggest problem was actually just "unlucky".Retroperitoneal necrotizing fasciitis itself is a rare postoperative sequelae of abdominal surgery-it occurs very rarely, and the cause of occurrence is not clear, but the risk does exist.It took Zhao Min a day to convince herself to accept this reality, but she was not ready to accept the new cause of pulmonary embolism.

"From the current situation, there are three possibilities." Sun Lien explained, "The first possibility is that the embolism that causes pulmonary embolism is a thrombus, and its occurrence is not directly related to retroperitoneal necrotizing fasciitis... ...It came from the tumor in your mother's body. Malignant tumors can cause blood coagulation in the human body. This possibility is relatively high." Sun Lien first started the analysis from the nature of the emboli.The explanation to the patient's family is actually a re-examination of his own diagnosis. "The second possibility is that the embolus itself is still a thrombus. But the source is because of retroperitoneal necrotizing fasciitis. When the human body is severely infected, there may be a wrong blood clotting tendency in the body. This will cause a large amount of blood Coagulation substances coagulate in small blood vessels. When the small blood vessels are full of coagulated thrombus, the coagulation substances stored in the blood are consumed, and the human body has a serious tendency to bleed." Sun Lien continued to talk about his guess, "This situation is very dangerous. The medical professional name is DIC - disseminated intravascular coagulation."

Maybe it was frightened by the word "very dangerous", Zhao Min immediately asked, "Is this the case with my mother?"

"It's hard to say now, but we don't think it's very likely. Even if she is DIC, she is still before extensive coagulation." Sun Lien explained, "Because we have not observed her bleeding tendency, at least not yet. Now that she has extensive body surface purpura and blood oozing from the intravenous rehydration channel-including that she is currently using ECMO, she has not experienced similar symptoms. We cannot completely rule out this possibility, but the possibility of DIC is indeed unlikely .”

Zhao Min seemed slightly relieved, "Is there any other possibility?"

"The third type is that the embolus is not a thrombus, but a bacterial embolism." Sun Li'en continued, "Retroperitoneal necrotizing fasciitis develops very quickly, and some tissue eroded by bacteria may enter the blood after necrosis, and then with blood flow blocked in your mother's lungs."

Zhao Min frowned, "Is this different from a blood clot?"

"It's really different." Sun Li'en explained, "If it's a bacterial embolus, the emboli that fall off carry bacteria themselves. They may cause new infections in the lungs. But from the perspective of treatment, it will cause serious illness. The difference is not very big—no matter what the nature of the embolus is, we have to give Qian Aiwu a wide range of high-dose antibacterial treatment. If it is a bacterial embolus, it will slowly disappear with the continuation of antibacterial treatment. If it is Thrombus, it should be ablated under the maintenance of our continuous heparin.” Sun Lien paused and explained, “Using ECMO requires continuous use of heparin. If the thrombus is too large and heparin cannot dissolve it, we may consider interventional thrombectomy .”

After describing all the treatment plans and pros and cons, Sun Lien himself was a little tired, "Probably that's the case, I'm worried that Dr. Feng might explain something unclear to you on the phone. Please sign now, and we will make up the formalities." superior."

Zhao Min signed the letter without hesitation, and emphasized it again with Sun Lien, "Don't worry about my mother's treatment expenses, I still have some family background - Dr. Feng and I are good friends, she told me about this The cost of ECMO treatment."

Sun Li'en was finally relieved, and he replied with a smile, "That's good. We can also concentrate on treatment without distractions."

Zhao Min frowned suddenly, she gritted her teeth and asked, "My brother... Where is Zhao Ming now?"

"It's at the entrance of the ICU on the fourth floor." Sun Li'en only thought that the other party was going to unify his opinions and understandings on rescue with Zhao Ming, and he "enthusiastically" pointed the way, "If you want to find him, just go up the elevator." I can see it."

Zhao Min nodded, and walked to the emergency room by himself.Sun Lien took out his phone in the small conference room and began to notify the doctors in the ICU of the authorization status.After everything was arranged, Sun Lien walked out of the small conference room, ready to go to the ICU to get his white coat.The elevator had just reached the fourth floor, and as the elevator door opened, a burst of horrified shouts suddenly poured into the elevator.

Sun Li'en was taken aback, he poked his head out to have a look, he was petrified by the bloody scene in front of him.

Zhao Min was held down by three or four security guards at the gate of the ICU.She didn't struggle to resist, but there were very obvious blood stains on her hands.And a little far away, the doctor who rushed out from the ICU was urgently treating Zhao Ming to stop the bleeding.

Zhao Mingban sat on the ground and wailed. There was a white, bloody thing on the ground beside him.Sun Lien took two steps outside before realizing that the white thing... should be Zhao Ming's eyeball.

(End of this chapter)