"Wait a minute!" Seeing this, Su Ziyun hurriedly stopped in front of Lin Xiaoming with a cane, "Doctor Lin, don't mess around, this is no joke!"
Lin Xiaoming said: "I didn't mess around!"
Su Ziyun said anxiously: "I have just asked her. Her situation is very complicated. It is not as simple as a common cold or fever. She had an abdominal surgery not long ago. Her current condition is obviously septic shock. This disease
The mortality rate is as high as 30~80%. You don’t have the conditions to rescue her at all. You must send her to the hospital quickly..."
Lin Xiaoming interrupted her and said, "But looking at her current condition, can she survive to the hospital?"
Su Ziyun was asked. He had to walk several miles of rugged and steep mountain roads to get out of the village. Even if he went at full speed, it would take almost an hour to reach the road outside!
Even if there is a car waiting on the highway, it will still take an hour to be sent to the county hospital, and it will take another two or three hours before the doctor understands the situation, conducts various examinations, and finally provides treatment.
The little girl's current condition has gone from bad to worse, and there is no way it can last that long.
"Doctor Lin..." Su Ziyun lowered his voice and said, "Even if she doesn't survive to go to the hospital, it's better than if the whole thing is your fault. If you pick her up now, and something happens, it will be your responsibility!"
Lin Xiaoming shook his head, "But if I let them take her away now, it would be equivalent to watching her die!"
Su Ziyun said anxiously: "Why don't you understand what I mean..."
"I understand what you mean! You don't want me to take responsibility!" Lin Xiaoming said resolutely: "But human life is more important than heaven, and I can't just ignore it!"
Su Ziyun said: "I am also a medical staff, and I also respect life. If there is hope, why would I stop you, but she has obviously..."
Lin Xiaoming shook his head and said: "In my opinion, she still has a glimmer of hope! I want to save her."
Su Ziyun was so anxious that she almost jumped, "Dr. Lin, if something happens, you will be in trouble."
Lin Xiaoming said in a slow and deep voice: "I'm not afraid of trouble, what I'm afraid of is a lifetime of uneasy conscience!"
Su Ziyun wanted to say something else, but Lin Xiaoming had already carried the little girl in.
Su Ziyun was made anxious and angry. This guy was completely different from the doctors in her hospital. He was emotional and devoid of any sense. He would not listen to a single word of advice!
Lin Xiaoming didn't care about anything else. He just wanted to do his best to save this little girl's life.
The treatment of shock must be carried out against the clock and must be comprehensive and comprehensive.
The conditions of the clinic are indeed very simple, but commonly used Western medicines are available. When it comes to rescuing septic shock, Western medicines are obviously more immediate than Chinese medicines!
He gave the little girl adrenocortical hormones, supplemented hemolytic capacity, corrected acidosis, and used antibiotics in large doses.
After taking all the available medicines, although the little girl's symptoms improved, the increase in blood pressure was not obvious!
In other words, Lin Xiaoming did not rescue her from death!
Su Ziyun had already come in at this time, and she was very surprised when she saw Lin Xiaoming carrying out emergency rescue in an orderly manner. Not only was the medication sufficient, but it was also extremely effective. Because the director of the emergency department where she worked was only at this level.
But when she saw that the little girl's symptoms had not improved much, she couldn't help but speak again, "I have already said that her situation is very complicated. Ordinary treatment will not be effective."
Lin Xiaoming nodded and said: "I know, I just want to stabilize her life first and then find a way to solve it."
"The best way is to ask her family to send her to the hospital as soon as she still has vital signs!" After Su Ziyun hesitated, he added seriously, "Dr. Lin, as a doctor, you can't
It’s so emotional.”
Lin Xiaoming did not answer, but just walked out and asked the family, "Where are her previous cases?"
Xia Daren quickly handed over the case information he had brought.
After checking, Lin Xiaoming found that she had undergone appendicectomy at a private hospital in the county five days ago. Although the preoperative condition was clearly described and there were indeed indications for surgery, the postoperative condition was only recorded for one day.
"Where are the records for the next few days after the operation?"
Xia's father said: "We have been here for one day and want to transfer to another hospital."
Lin Xiaoming asked puzzledly: "Why?"
Xia's mother said: "My daughter kept complaining of stomachache after the operation. But the doctors came and said that it was a normal reaction after the operation and it was just a minor problem!"
Lin Xiaoming said: "Then which hospital did you transfer to? Where are the hospitalization records?"
Xia's father said bitterly: "As soon as I went to another hospital, the doctor said there might be something wrong with the operation. He wanted to do an abdominal exploration. He had to pay a deposit of 50,000 yuan first. But we had already spent a lot of money on the previous operation.
There is no money left, so I have no choice but to bring the child back first."
Lin Xiaoming frowned, "What will happen to her after she comes back?"
Xia's mother said: "My daughter has been complaining of stomach pain, unable to eat, vomiting, no bowel movements, and her stomach is getting more and more distended."
Lin Xiaoming asked: "Did you fart?"
Xia Daren hurriedly said: "Doctor Lin, we are not farting, what my parents said is true! I am not a human being to lie to you!"
Lin Xiaoming sweated: "I mean, did your sister fart after the operation and before she fell into coma?"
Xia Daren couldn't answer, so he had to look at his mother.
Xia's mother recalled it for a moment and then shook her head, "No! Never."
Lin Xiaoming said: "When I just examined her, I found that she had a mass in her abdomen and the abdominal distension was very obvious. In addition, she did not defecate or pass gas. It can be preliminarily determined that intussusception will cause intestinal obstruction. After such a long time,
It is very possible that intestinal necrosis has occurred!”
Father Xia hurriedly asked: "What should we do?"
Lin Xiaoming said: "If you came to me from the beginning, you could use conservative treatment, such as using various enema methods, but after it has been delayed for so long, the only way is surgery!"
Everyone in the Xia family looked at each other in shock, because they did not expect that the problem would return to its original point and that surgery would eventually be required.
At this moment, Lin Xiaoming added, "The operation must be done immediately and cannot be delayed."
"Do the surgery right away?" Su Ziyun, who was standing behind him, couldn't help but ask: "Dr. Lin, you mean here?"
Lin Xiaoming said: "Yes, right here."
Su Ziyun immediately shouted, "Dr. Lin, are you crazy? How can your small clinic have the conditions for surgery?"
Lin Xiaoming pointed to her leg and said: "It is said that the surgery on your leg cannot be done here, but didn't I do it anyway?"
"How can this be compared?"
Su Ziyun was grateful for Lin Xiaoming's treatment, but gratitude was gratitude. These were two different things. The principle could not be lost.
"The injuries on my legs were only external injuries, and no bones were injured! But now you are going to do an abdominal surgery, which requires a strict sterile environment, special surgical instruments, assistants, and nurses.
, you also need an anesthesiologist, you don’t have anything here, what should you do?”
Although Xia Daren doesn't understand medicine, he still has common sense and knows that what Su Ziyun said is the truth!
Such a small clinic really does not have the conditions for surgery.
After Xia's father thought for a moment, he said, "Doctor Lin, is it still too late for us to send the person to the hospital?"
Lin Xiaoming said: "If I had time, would I still say I would do the surgery here?"
Su Ziyun originally wanted to speak out, but thinking of the serious situation in which the little girl was in danger, she finally shut up!
It's really too late to send him to the hospital.
After Xia Daren's family discussed for a while, Xia's father asked: "Doctor Lin, are you confident in performing this operation?"
Lin Xiaoming said: "This is just a minor operation, it is not a problem for me at all..."
Su Ziyun immediately responded: "The problem is that the conditions here are really bad, and he can't guarantee whether there will be any complications after the operation."
Lin Xiaoming originally wanted to continue discussing with them, but he had been paying attention to the little girl's condition inside from time to time. Before he opened his mouth, he had already seen that something was wrong with the little girl's condition, so he quickly rushed in again. After checking,
It was discovered that her vital signs began to decline rapidly again.
Lin Xiaoming quickly added another dose of epinephrine to the little girl, and at the same time increased the infusion rate... After a thorough rescue operation, the situation was barely stabilized.
"You decide quickly, her situation cannot be delayed any longer!"
Xia Daren was frightened, so he ignored his hesitant parents and shouted to Lin Xiaoming: "Doctor Lin, please do the surgery on my sister, hurry up!"
Lin Xiaoming nodded, "Okay!"
"Lin Xiaoming, are you crazy? It is impossible to perform abdominal surgery here. If you do this, you will not only kill her, but you will also kill yourself..."
Su Ziyun couldn't help shouting, but before she could finish her words, Lin Xiaoming had already dragged her in and closed the door.