The discussion was not very active. After all, for Tang Min's disease, the entire diagnosis team has held many consultation meetings. What should be said and what can be said have been said at previous meetings. What doctors need to discuss now is actually the details and plans during the treatment process.

A child is injected with hypertonic glucose, and it seems that it is very likely that multiple consecutive injections are required at present. There are many things to pay attention to in the middle. Ma Yongfang, an associate senior from the endocrinology department, is responsible for dealing with this part of the problem - hypertonic glucose may cause many adverse reactions. Using hypertonic glucose alone without other treatments can easily lead to hyperglycemia or even further hyperkalemia. If insulin is used in combination with adult doses, reactive hypoglycemia may occur.

The use of hypertonic glucose alone as a dehydrating agent may also cause electrolyte disorders in Tang Min. This part of the response is also Ma Yongfang's work.

Zhou Ce is responsible for controlling the use and dosage of arginine vasopressin. The experience of using arginine vasopressin in the nephrology department is at least richer than that in the emergency department. At the same time, Zhou Ce also needs to work with an anesthesiologist to monitor Tang Min's blood pressure and other physiological conditions - arginine vasopressin has the same meaning as on the desktop, and has the effect of increasing blood pressure, while maintaining blood pressure during the operation requires an anesthesiologist and Zhou Ce to discuss strategies together.

Sun Lien was assigned a key position to communicate with the Imaging Department. The Imaging Department needs to draw an imaging doctor to monitor Tang Min's intracranial edema in the compound operating room for real-time monitoring. Every time the MRI equipment in the compound operating room is activated, Tang Min on the bed needs to be transferred to the MRI equipment, and it is also necessary to ensure that there is no metal on her body and in her body, especially magnetic metal.

This means that every time you perform MRI monitoring, Tang Min needs to leave the treatment state. During the treatment process, such operations need to be repeated many times, and any operation is very critical and cannot be missed - as long as there is a mistake, the metal dragged by violent magnetic force may leave a fatal wound in Tang Min's body.

Sun Lien needs to work with the doctors in the imaging department to decide when to start MRI for testing. At the same time, Sun Lien also needs to decide when to complete the treatment of Tang Min based on the opinions of the imaging department, and start to enter the treatment stage of inhibiting AQP4 protein and preventing rebound.

The person in charge of AQP4 protein inhibition is Dr. Bruen and Yuan Ping'an. Two senior experts in the emergency department are responsible for "feeding medicine" to Tang Min - this is not a big deal, so that the two doctors can do some tricks to coax the child. In order to ensure the full cooperation and sedation of Tang Min during the treatment process, Tang Min needs to be subjected to general anesthesia and sedation in this complete set of internal medicine treatment medication process. At that time, Dr. Bruen and Yuan Ping'an need to perfusion of Tang Min with feeding tubes under anesthesia and withdrawal.

During the anesthesia process, due to the widespread use of muscle relaxants, the smooth muscles affiliated to the digestive system will be in a state of inhibition of activity. In this case, the use of trifluoroprazine is difficult to use. Even if the risk of anesthesia is ignored and Tang Min is asked to take the medicine in advance before anesthesia. After the metabolism of muscle relaxation drugs is completed, the digestive system will start working again, which will still take several hours. During this period, the phosphorylation of AQP4 protein is maintained, and the risk of rebound is too great. In order to keep AQP4 protein discharged water in the right direction, hypertonic glucose needs to be injected all the time, which is too dangerous.

There are also risks when using feeding tubes to infuse, but it has a relatively large advantage - the feeding tube can directly pass through the stomach and enter the duodenum, which is the main area for drug absorption. The feeding tube can avoid waiting for the stomach to work again before taking medicine, and at the same time it can avoid the uncontrollable absorption and anesthesia risks caused by taking medication in advance.

However, withdrawing the anesthesia and then injecting the feed tube means that Tang Min may gradually become intolerant of the feed tube. The vomiting reflex will make her try to spit out the feed tube. This requires Dr. Bruen and Yuan Ping'an to lower the tube and administer the drug quickly. After quickly completing the entire drug delivery process, withdraw the pipeline.

After withdrawing from the pipeline, Sun Lien and the doctors in the imaging department also needed multiple MRI examinations to determine that Tang Min's brain edema area no longer rebounded. The examination was conducted one or two hours after the peak of the drug to finally verify the treatment effect.

It can be said that this is a high-precision "surgery" that does not require a surgeon. Whether in terms of the use of equipment or the monitoring of the impact of drugs by doctors, the difficulty of this treatment can be comparable to a fourth-level surgery. Lack of data support, no previous experience, the human body's reflections are different, and it is only seven years old... These difficulties are placed on other treatments, which may lead doctors to directly give up this plan and turn to seek other treatment options. But Tang Min has no other way - she only has such a glimmer of hope.

The work of Sun Lien and others has become to bite the bullet and continue on this road, and then do everything possible to make the possibility of success a little more likely.

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"Okay, then you guys are ready to come here." Liu Tangchun was in his office like a defeated rooster bowed his head. On the other end of the phone, Professor Zhu Min smiled extremely unrestrainedly, while Liu Tangchun, the defeated general, did not even feel like rolling his eyes.

The second test of Tang Min's sample was conducted by Professor Zhu Min, and he also knew that Yuan Ping'an was nervous to call for another examination to make sure Tang Min's diagnosis. Zhu Min, who was staring at the side throughout the whole process, even knew the final test results earlier than Yuan Ping'an and Sun Lien. The years of experience in working and studying together made Zhu Min immediately realize what kind of treasure this is - this is a rare common gene sequence genetic disease first discovered by Chinese doctors!

Of course, Professor Zhu was thinking, but he also knew that the diagnosis of the patient was in the fourth hospital was Sun Lien. It was neither realistic nor moral to take this case into his hands to obtain academic achievements. But such a big discovery was determined by the ability of the colleague... If Professor Zhu didn't think about it, it would be a strange thing.

Fortunately, Professor Zhu, Sun Lien and Yuan Ping'an maintained a very smooth and convenient channel of contact. What's more coincidental is that Sun Lien did have the idea of ​​introducing experts from the outer school to jointly complete the project. Liu Tangchun, who was protecting food, was suppressed by Dean Song's random meals.

Under the combined influence of these three key elements, Professor Zhu successfully obtained permission to lead the team to Ningyuan, organize consultations and participate in treatment. At the same time, he also obtained Liu Tangchun's unwilling "consent".

"You said this!" On the phone, Professor Zhu Min was like an old farmer who had been in a drought for a long time. He smiled extremely flamboyantly, and even made people feel a little worried. This bald man would have to be alkaline in the next second.

Liu Tangchun waved his hand impatiently, as if he could reach his hand over the phone line and slapped Zhu Min's bald head twice, "Get ready to go quickly, the patient here is still waiting for treatment."

"Have Xiao Sun and his team's treatment plan come out?" When it comes to serious matters, Professor Zhu became much more serious. "You can ask them to send the plan first. It is easier for me to find someone to help when I work together. After I have to pass the message back and forth, it will be a bit troublesome."

"Otherwise, you should bring doctors from the departments of endocrine, pathology, and other departments. Professor Zhu came from the capital from the countryside like our Ningyuan, so why don't you bring a few experts together?" Liu Tangchun retorted, "At least two deputy seniors should be brought to help carry their luggage!"

Professor Zhu Min sneered, "What should I do to bring people here? Let me let you dig and play with it? Let me tell you Liu Tangchun, don't do this! I'll just come here alone, come and carry my luggage!" After that, Zhu Min hung up the phone. Only Liu Tangchun, who stared at her eyes and was ready to curse, but couldn't scold her because the phone hung up.
Chapter completed!