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Chapter 999 D-day (10)

Chapter 999 D-day (10)

This chapter is Chapter 1, which was updated for the leader "changing the name is too expensive". Since it was the leader in May, it was two months in arrears, so seven changes were added.After this chapter, there are six more chapters waiting to be added.

The number of doctors attending the conference is actually not many.The more than 400 doctors in Ningyuan City who worked hard to get together needed to support four different hospitals, so a good medical team was finally divided into four groups and lived in three different hotels.The distance between the hotels is quite far, and now it is not realistic to notify the doctors living in the other two hotels to attend the conference.

But modern technology has this advantage. A few minutes later, under the live broadcast of other doctors' mobile phones, the impact of this meeting quickly covered the doctors in the other two hotels.Sun Li'en glanced at the mobile phone that was filming next to him. It showed that the number of doctors participating in the conference via mobile live broadcast had exceeded 600, and the number was still rising rapidly.

The entire medical team is less than 500 people.Sun Lien was a little dazed, and then he realized that this was probably a doctor who sent out the link to the conference, which attracted many doctors from other regions to attend the conference.

Everyone is very concerned about the battle situation on the front line of Yunhe, and is eager to know the specific news of this new type of infectious disease.

The death case discussion lasted for about an hour and a half, and the number of participants quickly reached the upper limit of 2000 people for the Tencent meeting.As for whether anyone recorded the screen or even rebroadcasted it to other places...then I don't know.

However, Sun Lien is not very worried about the troubles that will be caused by the live broadcast of the conference.On the one hand, these cases have actually been reported to the relevant departments of the Health and Medical Commission, and have been announced to the public after their review.On the other hand, due to the professional sensitivity of doctors, these cases have been desensitized accordingly, so there is no need to worry about the leakage of personal information of patients.

Expanding the number of participants who discuss infectious diseases is always beneficial to the prevention and control of epidemics.At least the advantages outweigh the disadvantages.The meeting lasted more than two hours, and then everyone came to a preliminary consensus on three points to deal with the new coronavirus infection.

First, more attention should be paid to elderly male patients with underlying diseases.Even if the initial indicators and imaging features are not severe, active review of imaging is still required.

Second, for critically ill patients, lactate should be actively monitored and T lymphocyte subsets counted, while the absolute number of peripheral lymphocytes should be monitored.The higher the lactate level, the lower the count, the more severe the disease, and the greater the risk of death.

Third, most critically ill patients tend to quickly turn to critically ill patients.Before there is an effective antiviral treatment plan, consideration should be given to moving the barrier forward, with preventing the transfer of critically ill patients to critically ill patients as the main treatment direction.

For doctors who are not very knowledgeable, or even have little contact with critically ill patients, these three consensuses seem a bit...too general and difficult to grasp.But Sun Lien, who participated in the whole meeting, knew very well that this is all the content that doctors can grasp and summarize about the new coronavirus infection.

For doctors, facing patients infected with the new coronavirus, what worries them the most is not their own protection. Although N95 masks and qualified protective clothing are not easy to manufacture, they are backed by the entire national industrial system. is a problem that can be solved.The biggest trouble is the lack of effective medicines - wearing body armor on the battlefield, the soldiers found that they did not even have a gun in their hands.This is the most troublesome problem for doctors now.

The current plan and consensus, at best, is to "take active intervention and support measures for the vital signs of patients".To put it bluntly, in fact, it is to hang his life with all his strength, and then let the patient's immune system work hard to overthrow the virus.

"For specific measures, I suggest adding these few items." After the consensus was reached, Director Huang Wenhui added, "The first point, since Dean Song has already mentioned the lactic acid level in the patient's body, should we use it in clinical treatment? Think about it, enhance microcirculation and in vivo perfusion levels? For example, for patients with normal renal function, α-receptor blockers such as phentolamine can be considered to reduce peripheral vascular resistance and increase tissue blood flow."

"Secondly, I currently have two patients with symptoms of hypokalemia and hyponatremia due to severe diarrhea." Director Huang Wenhui continued, "Their diarrhea is very worrying. Microecological regulators are not effective, and I have asked the doctor to increase the dosage to 10 TIDs. I will check the situation tomorrow and the day after tomorrow.”

Under normal circumstances, for intestinal microecological regulators, one person only takes six capsules a day—two capsules each time, three times a day.Director Huang Wenhui directly increased the dosage to 5 capsules a day, which was [-] times higher than what was recommended in the instructions.

"The last point, I suggest that you perform tracheostomy on patients with poor indicators this morning." When it came to the last suggestion, Huang Wenhui said very seriously, "We are now doing disaster relief, which is different from normal medical activities. different."

"That's true." Liu Pingchuan nodded seriously from the side, "To treat a disease is to treat a disease, and there is no need to consider the cost at all—I, Lao Liu, have never fought such a rich battle in my life."

"You can't patronize yourself to enjoy yourself." Song Wen glared at Liu Pingchuan, "Now that medical resources are limited, there is also an issue of efficiency."

"The speed of cleaning up the hospital bed should be increased, the death certificate should be completed as soon as possible, and the funeral home should be notified to hand over." The staff of the Health and Medical Commission who had been listening for more than two hours finally found a place to interject. They said quickly, "Although this It sounds... a bit inhumane. But I still have to ask everyone to free up the beds for deceased patients as soon as possible... Medical support from all over the country will arrive in Yunhe one after another starting tomorrow, and the shortage of medical personnel should be improved soon. But it will take time to transform inpatient wards into qualified infectious disease wards."

"The province decided to build a 1000-bed infectious disease hospital in Yunhe based on the model of Xiaotangshan." The staff of the Health and Medical Commission said, "Combined with the renovations we have made to other hospitals, we should be able to add at least one hospital in a week. 2000 beds are available. But before these beds can be put into use, existing resources must be maximized."

Speaking of this, the staff member of the Health and Medical Commission stood up and bowed to all the doctors present, "Everyone has traveled thousands of miles, and even years have passed. Come to our Yunhe and help Yunhe up and down 1000 Thousands of ordinary people have overcome this difficulty... I thank you on their behalf!"

He bowed deeply, and after a long time, the staff member raised his head with red eyes, and said to Sun Li'en and the others, "Thank you, everyone, for troubling you."

"If I didn't know where Yunhe is, I would have been able to go to Japan for myself." Dean Song patted the shoulder of the staff beside him, and said with a smile, "When one side is in trouble, all sides support it. This is our Chinese tradition. You don't need to thank us, I really want to thank you, when the spring flowers bloom, take us to Yunhe University to see the cherry blossoms - I heard that the cherry blossoms there are very beautiful."

"You can wait until next year to see the cherry blossoms." Director Huang Wenhui obviously didn't care too much about the cherry blossoms. "We have arrived in Yunhe, and we haven't eaten the most famous hot and dry noodles yet. When the situation improves, what about supplies? I have it too, get us some hot dry noodles to try!"

(End of this chapter)

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