(Thanks to friends Elf, Zhu Hong, Jing Xiaowei, Naughty Dragon 1976, Book Friend 20190727205832637, likeicewolf monthly ticket encouragement)

Today's interview really took a lot of energy from Liu Banxia. Even when watching the case of the admitted patients, he was a little absent-minded.

The phone rang and I received a WeChat message.

"How is it on the show?" This was sent by Qiao Qiao.

"It feels OK. The host said my suit is very good." Liu Banxia replied.

"Then look, I chose it, it's okay." After replying, Qiao Qiao also sent a very arrogant expression of laughing with her hips on her hips.

Liu Banxia was happy. This girl was sometimes a little naughty.

But from the bottom of his heart, he really felt that he was in debt to Qiao Qiao. Now he was looking forward to resigning as the hospitalization director immediately, so that he would at least have more time to play with Qiao Qiao.

"Teacher Liu, Teacher Wei called you for consultation." At this time, Huang Bo walked in.

"Okay, I'll go now. What's going on?" Liu Banxia responded.

"The female patient was 43 years old and fell into a coma while waiting for the treatment. Her blood pressure and heart rate were 72. The electrocardiogram was normal, and the blood test result was normal." Huang Bo said quickly.

Liu Banxia frowned, it seemed that the patient's condition was a bit complicated.

"How is the situation?" Liu Banxia asked after coming to the edge of the clinic bed.

"Blood tests and urine tests are all normal. It ruled out liver failure, diabetic acid ketone poisoning, and alcohol poisoning. Now I don't know what to do." Wang Huan, who is also here, said.

"What's wrong with the scar on her face? Could it be caused by trauma?" Liu Banxia looked at it and asked.

"The patient's family said that he fell into an electric bike accident the year before yesterday and had metal implanted. But Dr. Wang and I both felt that the current coma was not directly related to the implanted injury." Wei Yuan said.

"You can help determine if there is something wrong with your brain or abdomen. The abdominal ultrasound did not detect any problems. Her friend also said that it was normal to see him when he was at work in the morning, but in the afternoon he said he felt a little uncomfortable."

"I don't have any good ideas, I can only investigate slowly." Liu Banxia said with a wry smile.

"You two are here, and there must be no abnormalities in your physical examination. The brain, cervical, spine, chest cavity, abdomen, and pelvis, come one by one?"

This is somewhat helpless to say. There are really no ways to deal with such patients. You have to check one by one from top to bottom.

"We also think so, but after such a test, it may deepen the conflict with the patient's family. Now I am very excited. If more than two tests have not been confirmed, it is difficult to continue doing it." Wei Yuan said.

Liu Banxia now understood why he wanted to come over.

You know the normal order of examinations, do you check them one by one from top to bottom? But if you do too much examination, it may involve excessive medical treatment.

The discussion on this matter is still so intense that both of them have to be cautious.

"Which part do you think is more likely to get sick?" Liu Banxia asked.

"We are considering tumors, so we plan to do a thoracic and abdomen combined with CT first. However, the second test is difficult to determine. Is it necessary to check the spine, head, or pelvic cavity?" Wang Huan said.

Liu Banxia grinned, "I don't think of me for good things, so I throw this hot potato over here. I'll have the chest, abdomen and pelvic cavity. Considering that it's a female patient, there's a high chance of pelvic problems."

"OK, that's the decision. The diagnosis is made. I'll add food to you tonight." Wei Yuan nodded.

"You have to add good dishes." Liu Banxia said.

Calling myself to come over to help make the decision does not mean that the two of them are timid and afraid of receiving complaints. Instead, they want to have one more person to refer to and avoid possible medical disputes in advance.

Especially now the patient is still in this situation. After a time-consuming and expensive examination, the cause of the disease has not been found. If it were his family members, they would have to worry.

"How is today's interview?" Wei Yuan asked curiously.

"I can only say that it has brought me a lot of pressure." Liu Banxia said.

"The environment is very comfortable and the opening is very warm, but the questions asked by the host are still very sharp. After this interview, I decided not to appear on TV again, just do whatever I want."

"It has caused such a big psychological shadow?" Wei Yuan said with a smile.

"That's not the case, I'm worried that it will be bad. That's going to be broadcast, not as casual as we are now," said Liu Banxia.

"I'll go back first if there's nothing to do. There are still a bunch of cases and discharge books to sign. I'm worried. If I had more than 48 hours this day, at least I wouldn't be so tired."

"Let's wait, we survived this way back then. But there are not as many emergency patients as we are now. You are young anyway." Wei Yuan joked.

Liu Banxia, ​​who returned to the office, continued to work hard. Now there are more patients in the emergency center, and everyone who comes and goes has to take a look.

However, his mind could not be completely calmed down, and he was still thinking about the patient's affairs just now. He had to think about it in advance. If there was no problem with the chest, abdomen and pelvis, how should he discuss with the patient's family for the next examination?

Judging from the patient's clothes, it is not a very rich family. It is easier for rich people to do it. They don't care about the cost of examinations and are afraid that you will have less examinations.

Today, my work efficiency is not high and I think too much about it.

While busy, Wang Huan walked in, "The chest and abdomen CT scan is normal, and I am now doing a pelvic cavity."

Liu Banxia grinned, "I'm really going for the most difficult situation to deal with, let's wait."

"Dididi...Dididi..."

Before Liu Banxia could continue to say, the alarm from the emergency center sounded.

Wang Huan and Liu Banxia didn't think much and ran out directly. This was an alarm that a patient had a high-risk situation.

"What's the situation?" Liu Banxia asked after coming outside.

"Bed 7, an eight-year-old child has respiratory failure." Zhou Li, who was running over, said.

"Why has it been a day?" Liu Banxia muttered and ran to bed 7 directly.

"Give oxygen, 10 units of etomidate, 50 units of skelin, intubation." Chen Hongyang, who was guarding the bedside, said.

"The intubation is completed, blood oxygen is 86." Liu Man, an intern in the pediatric department, reported after the intubation is completed.

"One-tenth of nitric oxide is inhaled for treatment, and sent to the emergency room for chest X-rays." Chen Hongyang said.

Liu Banxia made way out of the position and asked the nurses to push the gurney to the rescue room.

Chen Hongyang frowned, "The patient was 8 years old, had a high fever and cough. His medical history was about a week, and he had taken cold medicine at home, but the effect was not good. After auscultation, he was diagnosed with mild pneumonia and was given antibiotic treatment."

"The child is in poor health and has a history of allergic disease. Moreover, in previous allergen tests, the test result was multiple allergies and many allergens."

"The infusion has been around for about 27 minutes, and I have respiratory failure. Allergic reactions to drugs have been ruled out. If the blood oxygen still cannot be raised, I plan to go to the external membrane of the lungs."

Although the past has been revealed, he doesn't want to report to Liu Banxia. After all, the level of the two is much different.

However, he didn't have much confidence in this little patient. If the blood oxygen cannot be raised, the little patient will have big problems.

"Is such a serious allergic reaction? Then his usual life must be very hard." Liu Banxia frowned and said.

"Often his parents do a good job in protecting him. He has his own special dishes and chopsticks. He rarely lets him go out to reduce allergic reactions." Chen Hongyang said.

"Let's first look at the effect of intubation and nitric oxide. If you apply to the external membrane lung, it will not only cause a lot of expenses, but will also have great obstacles in later treatment." Liu Banxia said.

Chen Hongyang didn't say anything, and he agreed with it in his heart.

Otherwise, I wouldn't have talked about this with Liu Banxia, ​​but the child's blood oxygen is a problem, which is also a situation that needs to be solved at present.

"Teacher Chen, nitric oxide has not worked, the child's blood oxygen has not increased, and there is a rash on the child's arms." At this time, Liu Man walked out of the rescue room.

"Prepare the extracorporeal membrane lung machine." Chen Hongyang said.

Liu Banxia frowned slightly. Although she knew that Chen Hongyang was also good to the child, she still made a decision so early and was still a little hasty. Especially when the child had a rash on his arm, this was a new symptom. Could it be that he was allergic to the bed sheets of the hospital?

The nurses began to prepare the external membrane lung machine, and he followed him into the rescue room and carefully examined the rash on the little patient's arm.

"Doctor Chen, do you think this patient has hypertrophic systemic hyperplasia?" said Liu Banxia.

"I observed that there were two rashes on the other side of the child's arm and one on the left leg. If it was a certain allergic reaction, it should be systemic in an environment like the hospital, right?"

"But I didn't find any rash on the child's head. I think it was because the child had mastoid hyperplasia, so he secreted a lot of histamine in his body, causing the current reaction."

"If he uses the external membrane lung and lets his blood flow through the machine, he may experience allergic shock. The inflammation displayed in his lungs now may not be the inflammation caused by infection, but the result of mast cells aggregation."

"Did you make a judgment based on these rashes? The child's blood oxygen has now dropped to 84." Chen Hongyang said with a frown.

"But compared with the child's life, I think we should make other attempts. For example, PLV will improve the current sucking effect of the child?" Liu Banxia said.

Listening to the conversation between the two, even though the nurses next to them had prepared the extracorporeal membrane lung machine, they now dared not ask whether they should be used.

This is the situation now. The two doctors have different opinions, and they are all very powerful doctors. One is the deputy chief physician of pediatrics, and the other is the hospitalization director.
Chapter completed!