I can see the status bar

Chapter 933 Celebration
After spending about 3 minutes explaining what "adenosine triphosphate" is, Sun Hongbin said confidently that he knew which hospital could provide these materials.And he proudly "showed off" to his son, "I just bought a new car, and it's like walking on flat ground in this kind of road conditions."

"It's early morning now." Regarding his father's showing off, Sun Lien criticized very seriously, "Don't think about driving to pick up things by yourself today. You must let a special driver go on the road. In case of a car accident, you An accident will add chaos to the medical system, and the patients on my side who are in a hurry to take medicine will have to be delayed."

After being repeatedly "threatened" by Sun Lien, Sun Hongbin had no choice but to agree to let the rested driver drive to deliver the goods.As for Sun Li'en, he hung up the phone and began to continue to care about the patient's condition.

Although the young male patient was registered as "Anonymous", Sun Lien could still see his name - "Jiang Daode".

This virtuous young man is not doing well.This made Sun Li'en a little embarrassed.

Pulling his parents out of the hyperbaric oxygen chamber too early would have a serious impact on his parents' condition, and it would not necessarily have any positive effects on him.As a doctor, Sun Li'en cannot accept the means of saving the health of another patient by compromising the health of one or more patients.Even if his parents have a high probability of being willing to sacrifice their own health in exchange for the safety of their son.

This kind of choice is not easy to understand for Sun Lien who has not yet married, but for almost all parents in the world, this is a choice that does not need hesitation at all.

Before the hyperbaric oxygen chamber is emptied, Sun Li'en must find a way to control these completely immoral red blood cells combined with carbon monoxide in Jiang Daode's body.

This behavior is a bit like dealing with a group of dogs who are not very obedient.It is impossible to make the dog group completely obey Sun Lien's command.However, Sun Li'en can approximately achieve his goal through some means.

For example... add a batch of normal dogs to the dog group?
"Give him two units of suspension red." Sun Lien had a flash of inspiration. He had learned in books before that he could treat patients with carbon monoxide poisoning through blood transfusion.However, he has never done this operation before, and because this plan has been replaced by a hyperbaric oxygen chamber, the treatment plan in Sun Lien's memory is to infuse 400ml of "fresh whole blood" instead of using suspension red.

The hematocrit in the fresh blood of an adult male is about 40% to 50%.That is to say, there is about one unit of suspended red blood cells in 400ml of fresh whole blood.

If this data is reversed, in theory, infusion of two units of suspension red can not only achieve the therapeutic effect of fresh whole blood, but even better.

As for the heart failure caused by the massive infusion, Sun Lien wasn't too worried.Anyway, with the help of mannitol, infusion of two units of Suspended Red to a healthy adult should not cause any serious damage.

Under normal circumstances, patients with carbon monoxide poisoning are left alone, and the carbon monoxide in their body is halved in about 200 minutes.Inhaling pure oxygen can shorten the halving time by about 50 minutes.Of course, the most ideal is to use hyperbaric oxygen chamber treatment-in 30 minutes in the hyperbaric oxygen chamber, the carbon monoxide concentration in the patient's body can be reduced to half of its original level.

Judging by the standard that the carboxyhemoglobin content should not exceed 2.5%, the hyperbaric oxygen chamber treatment should last for about two hours.With oxygen alone, Jiang Daode's carboxyhemoglobin content can only be reduced to 36% after two hours and 2.5 minutes.

This time seemed acceptable, but Sun Lien felt that there was still time to grab.

Human blood accounts for 7% of body weight. Jiang Daode is thin and weighs about 50 kilograms.Roughly estimated, there are about 3.5 liters of blood in his body.Calculated by 50%, there are 1750ml of red blood cells in his body.That's 8.75 healing units.

Entering two units of suspension red can directly reduce his carboxyhemoglobin content, which is currently as high as 30%, to about 24%.With this kind of treatment combined with the inhalation of pure oxygen, Sun Lien could at least buy back another 40 minutes of treatment time for him.

Getting the patient out of the hypoxic state 40 minutes earlier is of great significance for subsequent treatment and rehabilitation.

After the blood matching was completed, the thawed suspension red was quickly sent to the emergency room, and the infusion began.Sun Li'en watched the whole infusion process closely, for fear that something might happen in the middle.

But it seems that Jiang Daode's character is not bad.After four 10-minute rapid infusions of two full treatment units, 400ml of suspended red blood cells, his vital signs were stable, and no acute transfusion reactions occurred.

"Continue to inhale oxygen and strengthen observation." Sun Lien breathed a sigh of relief, and began to arrange the following treatment plan, "The overall focus is on controlling cerebral edema, nourishing the cranial nerves, and preventing and controlling false healing. Rehabilitation and other treatments Don't worry, just make sure the person is okay before talking."

One of the most common phenomena in patients with severe carbon monoxide poisoning is "false recovery".And the situation of false recovery is very troublesome.

Patients who have been rescued after poisoning may develop "delayed toxic encephalopathy" or other neuropsychiatric symptoms within 2 to 60 days after waking up.Patients may gradually develop symptoms including disturbance of consciousness, expression dementia, apathy, incontinence, blindness or hemiplegia.

Considering that a family of three was poisoned this time, it is obviously impossible to entrust the task of observing the recovery period to the family members.If a family of three suffers from problems such as hemiplegia at the same time, it might be a massacre.

"This is a family of three who are sick, so we have to send them all to the hospital." The director in charge of the emergency department obviously knew Sun Lien. "Behind.Regarding Sun Lien's judgment, the director surnamed Feng also agreed, "When we finish our work here, I will go and talk to the staff in the community. Let them contact the relatives of Lao Jiang's family."

Sun Li'en nodded at Director Feng, looked at the work card on the other's chest, and suggested, "After the patient's condition stabilizes, let's do the handover? His parents are still in the high-pressure chamber... You know he What's your name?" The second half of the sentence was Sun Lien's subconscious inquiry after he suddenly realized it.

"I know you." Director Feng nodded and said seriously, "My family belongs to a paper mill. Lao Jiang and his wife used to be employees of the factory. I remember they used to work in the pulping workshop."

Getting to know people is easy.Sun Li'en nodded and said, "Our registration is still anonymous. After that, the registration work will be handed over to the courtyard, right?"

"Of course." Director Feng nodded with a smile, "This time, thanks to the doctors from the Fourth Hospital who rushed to help, otherwise our hospital would be completely overwhelmed."

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The sky is dawning, and the sun is rising.The traffic lines in Changning City gradually resumed, and more and more patients began to be transferred from Zhongfu Hospital to higher-level hospitals for treatment.At nine o'clock in the morning, after the last patient was sent out of the emergency room, the medical staff of Zhongfu Hospital were stunned for a while, and then suddenly burst into cheers.

After cheering for a while, the doctors of Zhongfu Hospital, who finally felt relieved, realized that some people did not participate in their celebration.When everyone turned their heads to look, they found that the doctors who came to support from Ningyuan Fourth Central Hospital had fallen asleep on the ground.

(End of this chapter)