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Chapter 18 Coma

Although it is easy to say, Sun Lien is not sure whether he can save Qian Aiwu's life. He has no other reserve means to apply - except for the plasma replacement that is still waiting for evaluation, all the available means have been used on Qian Aiwu. Although he has obtained the consent form to continue treatment, it is only to lift the compliance issue of ECMO for Sun Lien and the Fourth Hospital.

To save her life, it depends on the effect of the treatment. Sun Lien looked at Qian Aiwu with a pale face in the ICU, and was a little helpless. In order to save her life, Qian Aiwu's children all paid a price beyond ordinary people's imagination. However, the huge sacrifice may not necessarily bring her peace. This kind of cruel helplessness is objective and real, and is not diverted by human will.

"Anyway, they should have done everything their family members do." The doctors in the ICU are obviously much more skilled in facing this situation than Sun Lien. They can even comfort Sun Lien under tremendous pressure. "Our job is to do what they can do to perfection and then give the rest to life. You can't always think that you are the savior of red shorts. If you always have this idea, then reality will press you to the ground and beat you up one day."

Sun Lien nodded with a wry smile. When his thoughts like being a savior were just a sign, Dean Wu Youqian's angrily scolded him, he had already awakened. Now Sun Lien is extremely clear and accurate in his positioning - I am just a brick in the medical system, wherever I need it. The division of labor in the modern medical system is too detailed and specialized. No matter how genius Sun Lien is or how capable he is, he cannot take charge of 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.

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

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"How could there be a result now?" Shi Yan hugged his head and wailed at Sun Lien's repeated questioning, "I'm not a god! It takes at least 72 hours to produce it to produce it. How long has it been?"

"Do you think of a solution?" Sun Lien also knew that bacterial culture takes time. But isn't his college roommate the best person to transfer stress? Anyway, there are no other doctors now, and Shi Yan has no other testing work to do. It just happened to take advantage of the moment to destroy the other party to ensure his inner peace. Sun Lien continued to put pressure on his face without changing his face, "This test result is really important."

"Get out!" Shi Yan finally couldn't help it. He jumped up from his stool, "Either you get a time machine for me, or get out quickly! I'm annoyed when I see you now! I'm just a test dog, not a god!"

Every time Shi Yan calls himself a "dog", the conversation should end. Sun Lien chuckled and left the laboratory department, and threw down a declaration of "I'll come again tomorrow morning to ask about the situation", and then walked to the rescue room.

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

I hope that Lao Cao, who had just eaten two and a half bowls of cold noodles, can eat today's "dinner" with his stomach.

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

Unfortunately, Dr. Cao Yanhua was organizing a consultation with several other neurology doctors. Sun Lien could not find a chance to directly attack him. Just as he was about to go back to the small conference room to see the case, Dr. Cao Yanhua saw Sun Lien in the crowd at first. Then he was overjoyed and grabbed Sun Lien's sleeve in the white coat and refused to let go.

"Lien, brother, how do I treat you normally?" Dr. Cao Yanhua asked a question with a serious look on his face, "If you have something to do, brother will help you, right?"

Sun Lien looked at Cao Yanhua with a vigilant look, "I will make a statement in advance first. It is his own idea to ask you for trouble. I can't help you."

"You are so kind to you, so you have to be my adviser to this patient..." Dr. Cao said to himself. Halfway through his words, he suddenly widened his eyes, "What?"

"What patient?" Sun Lien did not reply. He looked at the CT scan in Dr. Cao's hand and said curiously, "This movie looks like nothing wrong."

The CT scan in Dr. Cao Yanhua's hand was a head scan, and there seemed to be no obvious abnormality at the moment.

Cao Yanhua's attention was immediately transferred to the patient. "This is a patient sent to 120 in the afternoon, a 17-year-old girl. She was unconscious when she was admitted to the hospital. She had a 4-point coma score, her bilateral pupils were dilated, she responded to light slowly, her lower limb muscle tone increased, and she had intermittent tremors. Her blood sugar was slightly higher, but it was still a normal range - 12.8mmol/L."

"Do you suspect there may be a cerebrovascular accident?" Sun Lien took the CT picture and looked at it again. He was in a coma with his bilateral pupils and was slow to respond to light. Emergency doctors would first go to the cerebrovascular accident to guess. But since he had even checked blood sugar and had invited doctors from the neurology to come for consultation, it means it should not be a cerebrovascular accident - if so, the person who came for consultation should be a neurosurgeon.

"This is a normal suspicion direction, but it is obvious that this direction is not correct." Dr. Cao Yanhua sighed, "I have seen the CT scan, the doctors in the imaging department, and the doctors in the God-in-chief, but I didn't see anything wrong. After the patient's family came over, he said that the patient had stubborn nausea and vomiting about two weeks ago. The doctors from the affiliated hospital prescribed Ondansetron for her."

Ondansetron is a central nervous system inhibitory antiemetic drug commonly used to fight vomiting after chemotherapy. It has no effect on vomiting caused by motion sickness, but it can effectively block the combination of serotonin (5-HT3) and the vagus nerve. It is generally believed that vomiting caused by chemotherapy is the direct consequence of the combination of serotonin and the vagus nerve.

From this perspective, Sun Lien can be sure that the 17-year-old girl's vomiting must have been very serious at that time. Otherwise, the doctors in the affiliated hospital would not have used such powerful antiemetic drugs as Ondansetron - this can even be considered as a drug that is beyond the scope.

"Can it be an adverse drug reaction?" For a young girl, she suddenly had symptoms of unconsciousness after using powerful antiemetic drugs. At the same time, the CT examination result also ruled out the cerebrovascular accident. Sun Lien naturally began to think about the cause of the drug. While talking about his inference, he looked around, "Where is the patient?"

"I sent it to the imaging department for an MRI." Dr. Cao Yanhua scratched his head, "I was wondering if it would be a side effect of Ondansetron, but after asking the pharmacy department, the pharmacists said it should not. Ondansetron has a certain liver damage, but the degree of damage is generally controllable. Her current liver skill is also normal - there are no abnormalities in the five liver skill contents."

When Sun Lien heard this, he asked carefully, "Brother Cao, are you sure this patient is going to discuss with me?"

Cao Yanhua was stunned when he heard this, and then suddenly realized, "Yes!" He took out the phone with a relieved expression and dialed it out, "Hey, President Liu? I have a very complicated case on hand. Can I transfer it to Xiao Sun for treatment?"
Chapter completed!
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