【1089】It is not easy to clean up the mess of your peers
Geng Lingfei brought her a chair and helped her sit on the chair to let her rest for a while.
"Thank you." Fan Yunyun said.
"Thank you." Geng Lingfei turned his head, thinking that if he could move faster and look better, this kind of thing would not happen. It means that he and she need to continue to exercise. Don't blame Teacher Xie for telling him to do physical education.
exercise.
"It's sudden." The nurse explained to Xie Wanying and Song Xuelin, "The patient may be confused and doesn't know what he is doing."
When the fever reaches a certain level, the brain cannot withstand it. Now the patient's body temperature is 40 degrees. Xie Wanying speculates that the patient is likely to evolve into severe acute obstructive suppurative cholangitis. If this continues, systemic toxemia, toxic shock, and death will occur.
Simply using physical means to reduce fever or giving fever-reducing injections will treat the symptoms but not the root cause. Fever is just a manifestation of the condition, and obstruction is the most terrifying and life-threatening thing.
It is necessary to find out where the obstruction is.
The medical record stated that the T-type drainage tube could not be removed after the operation, and the patient's drainage fluid did not meet the extubation index.
Normal postoperative drainage fluid should be clear and transparent yellow or yellow-green, with no pus, no sediment, no floc, no turbidity, and the drainage volume gradually decreases. Take a photo of the bile duct to show that the bile duct is unobstructed. Try clamping the tube, and the patient
If there are no symptoms such as fever, it can be removed.
Now, this patient cannot meet any of the indicators and cannot have the tube removed. Patients and their families who cannot have the tube removed are very irritable. The patient cannot live and work with a drainage tube all the time, so he has reached the limit of tolerance for the original hospital's technology.
.
It stands to reason that there are several infectious diseases hospitals in the capital, and the one the patient went to is not the most famous one, but its technical reputation is not too bad. It can only be said that this obstruction is very difficult.
If there is another obstruction after surgery, if the situation is not right, it will be treated in the operating room again. It just so happens that this patient is HIV-infected and has low immunity. I guess the doctors at the hospital took this into consideration and did not dare to send the patient to the operating room again.
If another laparotomy is performed here, I am afraid that the patient will die on the operating table and cannot get up and down, and the problem will be even greater.
The experienced nurse looked on and frowned, knowing that in this situation, the body would have to be collected. Who told the night shift tonight to be two newcomers to the rotation department, so there was no hope.
"Do you want to call Dr. Tao?" the nurse asked the doctor on duty.
Neither Song Xuelin nor Xie Wanying heard her words, and they were concentrating on palpating the patient's abdomen and checking the drainage tube. The patient was not able to go to the operating table for emergency surgery, so he could only think of ways to deal with the drainage tube.
"The patient didn't bring the CT scan taken at the hospital before, did he?" Xie Wanying turned around and asked the servant.
"Probably not," the nurse said. If there was, they would have given it to the doctor when they first handed it over to the doctor.
When Geng Lingfei heard this, he ran out and helped the teacher to ask the patient's family.
Really not. The doctor there may have forgotten to give it to the patient. The patient’s family did not ask the previous hospital for the transfer. The doctors at the previous hospital should have been more responsible and handled these details so that the patient could be transferred safely. There is only one possibility.
, there was a huge conflict between the doctor and the patient’s family. The patient wanted to leave and asked him to leave quickly. The mentality was equivalent to getting rid of a burden, and he would not remember these small details.
Colleagues who are dumping the burden will not take care of the medical unit and doctor who takes over, so if they do not contact the unit that receives the patient first, they are acting rogue.
Song Xuelin stood up and took another breath. He needed to continue to adjust his mood. He was almost mad to death.
It’s very troublesome without CT films. Only CT films can clearly show where the specific obstruction is.
