Chapter 252 Security
In Sun Lien's opinion, Huang Bingxian no longer has the value of rescue and treatment. A HV patient has a life-threatening death caused by bacterial pneumonia, while the addition of fungal pneumonia is considered to be "adding fuel to the fire" - it is not that I can't be saved, but it just requires good luck.
What kind of luck can make Huang Bingxian survive? The mortality rate of ordinary people with fungal pneumonia is about 30%, while immunosuppressive patients - including those who use immunosuppressive agents and patients with acquired immune system defect syndrome - has an average treatment efficiency of about 80% after being infected with fungal infections, while the treatment efficiency of lung fungal infections and liver fungal infections is much lower. Overall, if HV patients develop fungal pneumonia, the mortality rate will soar to 60% or even higher.
This is just a threat to fungal pneumonia. The mortality rate of bacterial pneumonia, high fever and sepsis caused by bacterial infection is at least 50%. Although this calculation is a bit nonsense, Huang Bingxian's probability of death is at least 110% based on the probability of adding up.
"How much does his CD4 have?" Sun Lien turned to ask about Huang Bingxian's underlying condition. The level of CD4 cells determines a person's immune system strength. For patients with HV combined with fungal infection, the higher the level of CD4 cells, the greater the probability of survival.
"The result this morning was 145." Yuan Ping'an glanced at the checklist in his hand. "Antiretroretrotranscription therapy is already being done, but I feel it may not be too late." He looked at Sun Lien and asked, "Do you think... this person can't be saved?"
"It is a miracle to be saved, but it is normal for not being able to save it." Sun Lien rubbed his temples with some headaches. Xiao Guo walked over with a white coat. He smiled and took the clothes and put them on, and then said helplessly, "The Hiv patients are seriously infected, and they are all septic..."
Yuan Ping'an probably guessed the answer a long time ago, but after Sun Lien said it, he still seemed a little disappointed, "I thought you could have any good solutions."
"Brother, I'm a regular training, not a Daluo Jinxian." Sun Lien rolled his eyes angrily by Yuan Ping'an. "In his situation, even if he did MNGS, he found the infected pathogen, treatment would probably not be as fast as his condition worsened." Speaking of this, Sun Lien nodded thoughtfully, "So Dean Song disagreed with the application of MNGS? For such a dead person, there is no benefit at all. He may have to pay for it himself."
When Yuan Ping'an heard this, he covered Sun Lien's mouth. He looked around vigilantly. He was all his own people, no family members of the patient or irrelevant people. Then he breathed a sigh of relief and took his hand away, "You can't say this nonsense. Why does it seem like President Song deliberately wanted to kill someone?"
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"Anyway, this...the treatment value of the patient is already very low." Sun Lien summarized in a small conference room that has become the treatment group office. "But I still recommend a bronchial flushing culture so that at least we can have evidence to prove that there is no error during the treatment process."
"It's better to transfer to the hospital instead of doing this." Zhou Ce made a suggestion, "Anyway, he is a HV patient, so it's okay to transfer to the third hospital for treatment, right?"
Zhou Ce's suggestion was rejected by Xu Yourong and Yuan Ping'an at the same time, "How is that possible!" Seeing Xu Yourong speak, Yuan Ping'an shut up. When he dealt with his high school classmates, Xu Yourong could be considered experienced. "What is the situation of this patient now? We are all scared to send him to an ambulance and transfer to the third hospital. Even if he is willing to take it, he may not have the life to support him."
Zhou Ce said helplessly, "What should I do? Just endure it like this?"
"The treatment should be done." Sun Lien thought for a while and made a decision, "maintain the existing treatment content... give him a smear to see." Before Yuan Ping'an spoke, Sun Lien quickly added, "I know you had done it when he was admitted to the hospital. However, the condition has progressed too quickly in the past few days, so it's better to have another smear."
Maintenance treatment with cefoperazone and sulbactam sodium should be enough to fight the infection of carbon dioxide fibromyces of dogs whose tail has not been exposed. However, the evidence of fungal infection is not obvious enough, at least Sun Lien can't find a breakthrough - traditionally, the x-ray symptoms of fungal infection pneumonia are much more serious than clinical symptoms, and patients often consider this aspect after a round of antibiotic treatment is ineffective.
However, Huang Bingxian obviously did not have this time. Although he had sentenced Huang Bingxian to death in his heart, Sun Lien still planned to be a living person, try to clarify the type of infection, and then prescribe the right medicine. If he was saved, the police might be able to dig out a few more criminal forces or drug trafficking organizations from him. This means that Sun Lien indirectly saved dozens of lives and saved hundreds of families.
"Okay, Dr. Xu and I will stare at what happened next." Yuan Ping'an nodded and began to urge Sun Lien to go back and rest. "Your wound has not healed yet, hurry up and go back and rest. Be careful that the wound has liquefied."
Sun Lien nodded, "You guys are busy first, I'll find someone to help me change the medicine and leave." He said seriously to Yuan Ping'an, "Be careful these two nights. If there is any movement, hurry up and tell the police next to you." Even if a patient like Huang Bingxian is already lying on the bed and dying, the prison guards and armed police from the detention center must send people to follow him.
On duty outside the rescue room are a prison guard and two armed police officers.
"I understand." Yuan Ping'an nodded solemnly.
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After Sun Lien's accident, Song Wen found seven or eight departments in succession and finally started the hospital security improvement work yesterday. In addition to bidding to install a facial recognition system, President Song also took advantage of the sign of "military and local cooperation" of the Fourth Hospital to invite a special armed police force to the Fourth Hospital to participate in the "residential training".
The training at the resident is a gimmick, but it is also a must-have. It is difficult for the armed police to mobilize locally. It is already the limit that President Song can do when he rotates the armed police to patrol with guns. After Sun Lien changed the medicine, he found that there were several huge wooden boxes at the entrance of the hospital, and there were many staff from the hospital office busy nearby.
"Why are you back?" Sun Lien was about to watch the excitement before leaving, but was seen by Director Zang Fusheng beside him. Old Zang pulled Sun Lien to his side and made a way for the transporting machine to start. "I heard that I'm not going to give you a holiday?"
Sun Lien nodded, "There is a patient in the emergency room. The situation is quite troublesome. I'll come and see the situation." He looked at the huge wooden boxes and said curiously, "Director Zang, what are these? What are our newly purchased equipment?"
"Yes, the newly purchased equipment." Director Zang smiled, "The dean bought a new guy through special procurement channels - a full set of security equipment."
"Security check?" Sun Lien was stunned, "Is it... the kind of high-speed rail station?"
Chapter completed!