I can see the status bar

Chapter 498 coma
Although it was easy to say, Sun Li'en was not at all sure whether he could save Qian Aiwu's life.He didn't have any other reserve means to use - except for the plasma exchange that was still waiting for evaluation, all available means had been used on Qian Aiwu's body.Although the consent to continue the treatment was obtained, it only relieved Sun Lien and the Fourth Hospital of the ECMO compliance issue.

To save lives, it depends on the effect of treatment.In the ICU, Sun Li'en looked at Qian Aiwu with his face pale and mouth open, feeling a little helpless.In order to save her life, Qian Aiwu's two sons and daughters paid a price beyond ordinary people's imagination.But a huge sacrifice may not necessarily bring her peace.This somewhat cruel helplessness is an objective reality, independent of human will.

"Anyway, they have done what the family members should do." The doctors in the ICU are obviously more skilled than Sun Lien in this situation, and they can even turn their heads to comfort Sun Lien under great pressure, "What to do with us?" One line is to make the best of what you can do, and then give the rest to life itself. You can’t always think that you are the savior in red pants. If you always have this kind of thinking, the reality will come sooner or later I'll pin you to the ground and beat you up."

Sun Lien nodded with a wry smile. When his idea of ​​being a savior was just a sign, Dean Wu Youqian's scolding made him wake up.Now Sun Li'en is extremely clear-headed and accurate about his positioning - I am a brick in the medical system, and I can be moved wherever I need it.The division of labor in the modern medical system is too detailed and specialized. No matter how talented and capable Sun Lien is, he cannot do all the work by himself.If you want to save more lives, you can only work hard to cooperate with other doctors and other departments with a more correct attitude.

"This patient's situation is indeed quite complicated, thank you for your hard work." Sun Lien nodded towards the doctors in the ICU, and decided to go to the laboratory to ask about the results of bacterial culture.

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"How can there be results now?" Shi Yan hugged his head, and wailed like a collapse in response to Sun Lien's repeated questioning, "I'm not a god! It will take at least 72 hours to produce results, how long has it been?"

"Think of a way." Of course, Sun Li'en also knew that bacterial cultivation would take time.But isn't one's college roommate the best object to transfer stress?Anyway, there are no other doctors now, and Shi Yan has no other testing work to do.Just take advantage of this moment to torture the other party vigorously, so as to ensure my inner peace.Sun Lien continued to exert pressure without changing his expression, "This test result is really important."

"Fuck off!" Shi Yan finally couldn't hold it anymore, he jumped up from his stool, "Either you get me a time machine, or get out of here quickly! I'm annoyed when I see you now! I'm just a test Dogs are not gods!"

Every time Shi Yan calls himself "dog" the conversation should end.Sun Li'en left the laboratory with a grin, and threw down the declaration "I'll come back tomorrow morning to check the situation", and then walked to the emergency room.

He had to truthfully bring to Dr. Cao Yanhua what Dean Liu had instructed on the phone.

I hope that Lao Cao, who just ate two and a half bowls of cold noodles, still has the stomach to eat today's "dinner".

Sun Lien actually has a bad habit. When he is under a lot of pressure, he always likes to think of ways to relieve the pressure.In the past, I mainly relied on tormenting Shi Yan, but now... it seems that it is not bad to toss Dr. Cao Yanhua.

It is a pity that Dr. Cao Yanhua is organizing consultations with several other neurology doctors.Sun Li'en failed to find a chance to hit him directly.Just as he was about to go back to the small conference room to look at the cases, Dr. Cao Yanhua saw Sun Lien in the crowd.Then, overjoyed, he grabbed Sun Lien's white coat sleeve and refused to let go.

"Lien, brother, how do I treat you?" Doctor Cao Yanhua asked the question seriously, "I will help you if you have any problems, right?"

Sun Li'en looked at Cao Yanhua warily, "Let me declare in advance that it was Dean Liu's own idea to trouble you, and I can't help you."

"Usually treats you so well, you have to give me a staff advisor for this patient..." Dr. Cao was talking to himself, halfway through his words, his eyes suddenly widened, "What?"

"What kind of patient?" Sun Li'en didn't reply, he looked at the CT film in Dr. Cao's hand, and asked curiously, "This film doesn't seem to be a problem."

The CT film that Dr. Cao Yanhua held in his hand was a head scan, and it seems that there is no obvious abnormality at present.

Cao Yanhua's attention was immediately shifted to the patient, "This is a patient, a 120-year-old girl who was sent at 17 in the afternoon. She was unconscious when she was admitted to the hospital, and her Glasgow coma score was 4. Unresponsiveness, increased muscle tension in the lower limbs, and intermittent tremors. The blood sugar is slightly higher, but it is still in the normal range - 12.8mmol/L."

"Do you suspect that there may be a cerebrovascular accident?" Sun Lien took the CT image and read it again. He was admitted to the hospital in a coma, with dilated pupils and slow response to light. Emergency doctors would first guess at the cerebrovascular accident.But since even the blood sugar was checked, and neurology doctors were invited to come for consultation, it means that it should not be a cerebrovascular accident—if so, it should be a neurosurgery doctor who came for consultation.

"This is a normal direction of suspicion, but obviously, this direction is not correct." Dr. Cao Yanhua sighed, "I, the doctors in the imaging department, and the doctors in Shennei have all gone through the CT scan, and nothing is wrong Come. The patient’s family members came and said that the patient had intractable nausea and vomiting about two weeks ago, and the doctor at the affiliated hospital prescribed ondansetron for her.”

Ondansetron is a central nervous system depressant antiemetic commonly used to combat vomiting after chemotherapy.It has no effect on the vomiting caused by motion sickness, but it is very effective in blocking the binding of serotonin (5-HT3) and vagus nerve slave.It is generally believed that the vomiting caused by chemotherapy is the direct consequence of the combination of serotonin and vagus nerve.

From this point of view, to infer the diagnosis of the doctors in the affiliated hospital, Sun Lien can be sure that the 17-year-old girl must have been vomiting very seriously at that time.Otherwise, the doctors at the affiliated hospital would not have used such a powerful antiemetic drug as ondansetron—this could even be regarded as an over-the-range medication.

"Could it be an adverse drug reaction?" For a young girl, the symptoms of unconsciousness suddenly appeared after the use of strong antiemetics, and the results of CT examination also ruled out a cerebrovascular accident.Sun Lien naturally began to think about the cause of the disease in the direction of drug use. While talking about his deduction, he looked around, "Where is the patient?"

"Sent to the imaging department for MRI." Dr. Cao Yanhua scratched his head, "I was wondering if it might be a side effect of ondansetron, but I asked the pharmacy department, and the pharmacists said it shouldn't be. Ondansetron Seton has certain liver damage, but the damage is generally controllable. Her current liver function is also normal—the five items of liver function are not abnormal.”

Hearing this, Sun Lien asked cautiously, "Brother Cao, are you sure this patient wants to discuss it with me?"

Cao Yanhua was taken aback when he heard the words, and then suddenly realized, "Yes!" He took out the phone with a relieved expression, and dialed, "Hello, Dean Liu? I have a complicated case on hand. Can you transfer it to Xiaosun?"

(End of this chapter)