It was Feng Runguang's turn to speak, and he cleared his throat:

"The patient's disease course has obvious liver damage, but the increase in bilirubin is not obvious, so I think acute liver failure should not be diagnosed, and diffuse intravascular coagulation and multi-organ failure can be confirmed.

The patient has thrombocytopenia, bleeding rash, and disseminated intravascular coagulation, so the epidemic bleeding fever should be considered. In addition, whether the patient has used Chinese herbal medicines, contacted with special chemicals, and gluttony or not, whether he or she eats special foods. He is so young and has such a dangerous disease, so he or she should pay attention to eliminating poisoning."

After hearing a lot of talks from several senior directors, Chen Xia always felt that these diagnoses were not comprehensive and they should have missed something.

Seeing Chen Xia scratching his head over there, Ren Yuanfei quietly stepped on his feet and whispered:

"Sitting safely. Your father-in-law hates whether to sit or not, whether to sit or not, especially when you are discussing serious problems now."

Chen Xia glanced at his master, and suddenly his eyes lit up and blurted out: Yes, infectious department, chickenpox, everyone forgot about chickenpox.

President Gu had seen the son-in-law's sitting posture for a long time, and suddenly heard him talking to himself below. He was quite dissatisfied and asked with a stern face:

"Chen Xia, you are the attending doctor and the first person in charge. What do you think of this patient?"

Yang Jingye sat in the seat and gave the dean next to him a thumbs up. This is to kill his relatives for justice, and he directly designated his son-in-law as a doctor directly.

Chen Xia stood up, "Dean, everyone, I think we all overlooked a problem. The patient suddenly had chickenpox yesterday."

"chicken pox?"

Everyone was confused, then fell into deep thought, and immediately searched for chickenpox in their minds.

Ren Yuanfei leaned on the back of the chair and nodded gently, unable to help but feel proud: "This apprentice is indeed talented."

In fact, if Chen Xia didn't mention it, he would also mention this issue.

"Yes, everyone has ignored the chickenpox link. On the contrary, I think the patient's current situation is precisely due to acute liver failure and diffuse intravascular coagulation caused by the varicella zoster virus. It can almost explain all the clinical manifestations of the patient."

President Gu was a little unbelievable, but since the son-in-law said he was sure, let’s listen to his opinion.

Chen Xia turned around and saw the master with a smile on his face, "Master, it seems that this is a professional problem in our infectious disease department. Should you explain it or me?"

"Small slippery head, since you proposed it first, of course you will report it to everyone and also test your recent academic performance."

Everyone raised their ears and wanted to see what medical insights the head of the General Affairs Section had. To be honest, no one took them seriously.

Chen Xia stood up, coughed a few times, and said:

"The reason why I say that chickenpox-zoster virus infection can explain the patient's symptoms is the following:

1. Visceral varicella-zoster virus infection includes liver damage, lung damage, and brain damage. Among them, liver damage related to varicella-zoster virus infection is often manifested as triplicates: palatal herpes, abdominal pain or back pain, and fever.

2. The pathology of liver damage is coagulated necrosis, and mixed inflammatory cells can be infiltrated around necrosis, including macrophages. Laboratory often has mild increase in transaminase for several days, and then it quickly progresses to explosive liver failure, diffuse intravascular coagulation, and shock.

3. Bilirubin gradually increases while Grain grass decreases. 80% of Grain is present in the hepatic cell plasma. When liver cells are damaged, the permeability of the cell membrane changes, Grain escapes into the blood, and Grain can increase in the early stage.

As the condition worsens, the enzyme has been exhausted by a certain period of time. In addition, its half-life is short, and the serum glutamate decreases. However, the patient's bilirubin is not high, which can also be explained to Director Du that the patient's liver failure is a bit different from what he sees normally.

To sum up, I personally prefer that this patient is caused by visceral varicella-zoster virus infection.

At the same time, patients have taken paracetamol before admission, which can also cause drug-induced liver damage and is the most common cause of severe acute liver damage and acute liver failure."

As soon as Chen Xia finished speaking, Ren Yuanfei was the first to applaud, and then several old directors also applauded.

Regardless of whether everyone agrees with his views, based on his justified and well-founded arguments, this has also achieved scientific and rigorousness, and it also shows that he has put in hard work on infectious diseases and has a very solid foundation.

Old Man Gu tried his best to maintain a serious expression, but the corners of his mouth still raised unconsciously.

Yang Jingye sighed lightly in his heart, "This kid is so successful, and he is protected by the dean and several old directors. It's hard to speak like a hedgehog."

Although the cause of the hospital was not established, under the advice of Ren Yuanfei and Chen Xia, the treatment was based on severe hepatitis, disseminated intravascular coagulation, multi-organ failure syndrome, and septic shock.

Du Guobiao and Chen Xia returned to the rescue room and immediately directed the rescue.

Active fluid resuscitation is combined with vasoactive drugs to resist shock, protect the liver, infusion of fresh frozen plasma, correct coagulation dysfunction, maintain water electrolytes and acid-base balance and other treatments.

Chen Xia even took out the best antibacterial drugs from the space hospital, including carbapenem such as apenem and moxifloxacin needles, and at the same time, he used acyclovir needle to treat antiviral treatment.

It is important to save people at this time, and I don’t care about asking for money from the patient’s family. Although Chen Xia felt very heartbroken, he still did not hesitate to marry him and hang up the patient.

All the treatments that should be used have been improved, but the patient's condition is still not optimistic. Unfortunately, there is no ventilator in the Fourth Hospital of Yuezhou. Several emergency blood gas analyses have shown that the patient's blood oxygen saturation has not increased.

Wu Shaochen asked quietly with his two panda eyes: "Chen Laoshi, what do you think of this patient?"

"What else can you do? It's almost impossible to save yourself. You can quickly issue a notice for critical illness and explain it to your family."

Such a serious patient came to the emergency department, and the Fourth Hospital did not have an intensive care unit, so everyone finished their usual leisurely work and all went to the state of in-fight.

As expected by Chen Xia, the patient suddenly had a heartbeat, breathing stopped, and his blood pressure and oxygen saturation could not be measured.

Chen Xia immediately performed cardiopulmonary resuscitation and repeated injections with adrenaline.

14:18, the heart rate recovered 74, and then gradually rose to 140, the blood pressure was measured 95/54, and the spontaneous breathing was recovered 17 times. The blood oxygen saturation finally increased.

The patient is in a deep coma, and his blood pressure and heart rate need to be maintained at a very large dose of adrenaline, and blood qi continues to replace acid, high lactate, and high potassium.
Chapter completed!