medical road high rise

Chapter 355 Chemical Reactions
Chapter 357 Chemical Reaction
"Impossible, this is impossible, doctor, you must have lied to me, right?" The patient's grandmother suddenly grabbed Qin Feng's arm and cried.

"Doctor, please try again. Any method will work. He is only three years old! My son is only three years old!" The patient's father covered his face in pain.

The patient's mother fainted when she heard the news.

"sorry!"

Qin Feng said softly.

This sentence of sorry has already shattered the last support of this family.

The patient's grandmother muttered: "It's all my fault, it's all my fault!"

He slammed his head against the white wall, and a smear of bright red stained the white tiles.

"mom!"

"Save people, hurry up, where is the cart? Send the wounded to the emergency room." Qin Feng roared.

For a while, the operating room was in a mess, and soon the patient's grandmother was pushed to the rescue.

The death of a child is an indelible injury to the family, and it may even lead to the fragmentation of the family.

From the current point of view, even if the child's grandma is rescued, she will be seriously ill, and her guilt will not last long.

This side also quickly called the medical department and asked the medical department to come over and deal with it.

Qin Feng returned to his post, and the patient's family was negotiated by the people from the medical department.

Qin Feng, who returned to the outpatient clinic, was so depressed that he couldn't speak.

A feeling called powerlessness swept across Qin Feng's body, and Qin Feng suddenly doubted his own life.

I am obviously a systematic person, why can't I even save a child's life?

Li Xuewen and Zhao Guoping also learned about Qin Feng's current state from the deputy director of the Department of Neurosurgery, and hurriedly dragged Qin Feng to the office to chat.

"Xiao Qin, you are no longer an intern. I think you have seen more than this one death case. Although you are very good and your surgery is very good, there are still many things in this world that cannot be operated on. to save."

"Take this patient as an example. Is there any doctor in our emergency department who can do better stitching than you? No, you have tried your best. You have done what you should do."

"If you think about it, you are one person after all, and one person's strength is limited. If one person can treat all the patients, why do we need a hospital?"

Zhao Guoping punished every word, and Qin Feng's eyes recovered.

Yes, one's own strength is weak after all.

But what if I cultivate more people?What if the entire emergency department is filled with doctors of my own level?
Qin Feng finally understood the meaning of teaching, and finally understood why everyone in the medical world is so selfless.

Everyone has experienced Qin Feng's confusion and helplessness, so they choose to pass on their best to the next generation, so that the next generation will have no regrets.

"Director Zhao, Brother Li, I see, I'm going back to work first." Qin Feng stood up.

"Go."

Seeing Qin Feng regain his strength, Zhao Guoping and the others also breathed a sigh of relief.

The current Qin Feng is the face of the emergency department, but nothing can happen ahead.

When Qin Feng returned to the outpatient clinic, he was called to the ward by a phone call.

It was the old lady with chronic renal failure who had a problem. When she vaped for the third time, she fell into a coma.

Qin Feng rushed to the ward, and went through the old lady's case in his mind.

Logically speaking, the patient's condition cannot lead to a major crisis, but what happened to this sudden coma?

After Qin Feng arrived at the ward, he quickly checked the patient's condition. Although the patient's breathing and heart rate dropped, there were no life-threatening emergencies such as cardiac arrest and apnea, which made Qin Feng heave a sigh of relief.

But the sudden coma is a doubtful point.

"Show me the patient's venous blood gas sheet." Qin Feng said.

The patient's venous blood gas showed a pH value of 7.28 and a partial pressure of oxygen of 49.9, both of which were lower than normal.

Moreover, the hemoglobin and oxygen saturation are low, but the content of trace elements such as potassium and sodium is high.

Qin Feng checked again and asked the family members: "The patient had respiratory failure before?"

Patients with long-term respiratory failure cannot inhale high-concentration oxygen for a long time.

When the patient was admitted to the hospital, there was no mention of respiratory diseases in the past medical history, so Qin Feng did not pay attention to it. However, after experiencing the death of the three-year-old child, Qin Feng began to think more comprehensively and would not let go of any clues. Passed.

"Yes, there has been respiratory failure." The family member of the patient nodded, "It's just that it happened several years ago. If you don't mention it, the doctor, I will forget it."

This makes sense, if a patient with respiratory failure is given a high concentration of oxygen, he will go into a coma.

After about 5 minutes, the patient woke up. Except for some physical discomfort, there was no problem.

Qin Feng reopened a venous blood gas report, and saw that the oxygen partial pressure on it had reached 91.8, but the carbon dioxide pressure still did not drop.

This is a problem.

Since hemofiltration was performed on the patient, the patient's carbon dioxide pressure has not dropped, and it has risen slightly. Although the increase is small, it can still be seen by comparing the venous blood gas during this period.

You must know that elevated carbon dioxide can lead to disturbance of consciousness. Carbon dioxide can quickly pass through the blood-brain barrier and cause brain acidosis.

After brain acid poisoning, the EEG will tend to be low, and the consciousness will gradually become indifferent, and in severe cases, there may even be loss of consciousness.

If the partial pressure of carbon dioxide is not corrected as soon as possible, then the next time it may not be as simple as a coma.

However, the patient did not seem to have an increase in the partial pressure of carbon dioxide before, but it increased after hemofiltration. So is it possible that it is a problem with hemofiltration?

Qin Feng looked through the patient's previous medical records, and carefully looked at the drugs used for blood filtration.

These are all requested by Qin Feng, there is no problem, suddenly Qin Feng connected everything and found something unusual.

Qin Feng quickly called Zhang Yao, modified one of the drugs, and waited for about 10 minutes. The partial pressure of carbon dioxide in the patient's venous blood gas was only 80, which was less than before. Although it was not much less, it proved to be Effective.

In fact, this drug is that the input of sodium bicarbonate is too large, which leads to an increase in carbon dioxide, which has something to do with chemistry.

Because in the normal blood filtration process, the chemical reaction of sodium bicarbonate is not considered, and the pH value is directly adjusted with sodium bicarbonate.

However, the patient has chronic renal failure, and the sodium bicarbonate cannot be excreted in time. After a large amount, it accumulates and decomposes, causing the carbon dioxide to rise.

Qin Feng prescribed several other medicines and returned directly.

According to Qin Feng's idea, with just a few days of conservative treatment, the patient's edema and partial pressure of carbon dioxide will be resolved.

(End of this chapter)