Send a rabbit to welcome a dragon to make the festival happy, double the good luck to take care of it, be like a swimming dragon and be in good health, a fish leaping through the dragon gate is a good omen, the finishing touch is good, the dragon is flying and the phoenix is dancing, and you are in a good mood.
"The Miracle Doctor" is here to send you blessings. I wish all the handsome guys and beauties and their families a happy New Year and a new outlook.
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Pulmonary hypertension is a group of clinical pathophysiological syndromes in which the mean pulmonary artery pressure measured by the right heart catheter at rest is ≥25mmHg due to various reasons. Pulmonary hypertension can exist as a disease, but more commonly,
It is the pathophysiological manifestation of many diseases that have progressed to a certain stage.
"Director Ye, you blame me for being too careless. I only thought it was coronary heart disease. Who would have expected that it turned out to be the extremely rare neonatal pulmonary hypertension," Jin Zhexi, the pediatrician in charge, said with a look of shame.
Ye Qing waved his hand: "It's meaningless to talk about this now, the key is to rescue him."
He knew that the average age of onset of this disease is around 36 years old, 75% of the patients are concentrated in the age group of 20 to 40 years old, and 15% of the patients are under the age of 20. Children of several years old can also develop the disease, but newborns
Very rare
Due to the lack of specificity of clinical symptoms, it is easy to be misdiagnosed. If the treating physician is not clear about the diagnostic procedures of pulmonary hypertension and is not familiar with the classification of pulmonary hypertension, it is easy to be misdiagnosed as a general heart disease or asthma.
Obviously, Kim Cheol Hee made this mistake. Although the circumstances are excusable, since he made a mistake, he must bear responsibility. It is impossible to say "I didn't mean it" or "I was careless" to get over it. After all,
This is about a human life. Human life is no small matter.
"The baby's sepsis has been initially controlled, and now it's just persistent high blood pressure in the pulmonary arteries..."
Jin Zhexi bit the bullet and wanted to explain, but Ye Qing waved his hand impatiently and said calmly: "Doctor Jin, your bonus this month will be deducted, and the whole hospital will be criticized. In addition, it will be recorded as a serious offense. You should go back and reflect on it."
Zhexi was very ashamed, but he had no objection. He just looked at Ye Qing deeply and bowed sincerely, "Director Ye, I'll leave the child to you. I'm very confused right now, and I can't help you much."
Ye Qing nodded: "Well, you go ahead." Then he closed his eyes and carefully felt the child's pulse.
Jin Zhe was about to say something but stopped, and left sadly.
On the side, the medical staff all shrank their necks and thought to themselves, even though Director Ye is smiling all day long, he is also very careless when it comes to critical moments. It doesn't sound like he is too angry, but he is so intimidating.
His aura was so intense that he could hardly breathe. Even a veteran doctor like Dr. Jin was said to have no temper at all.
If it were Huang Xujun who came here, he would definitely yell and make a fuss and delay the rescue. How can Dr. Ye be so decisive and set the tone in just a few words?
This person is just different from other people
Ye Qing's high-tech watch took a quick look and immediately knew that the pulmonary hypertension suffered by this newborn was indeed caused by sepsis. Even though he was put on a ventilator and high-concentration oxygen was delivered, his whole body was still cyanotic, resembling a bruise.
congenital heart disease
Upon physical examination, it was immediately discovered that the newborn had obvious precordial beats, a single and loud second heart sound, and a tricuspid regurgitation systolic murmur could be heard at the lower right edge of the sternum.
Ye Qing thought about it for a moment and then gave the order: prepare Tolasulin, the first dose is 2mg/kg, infuse it from the scalp vein within 20 minutes, and then maintain it at 0.15mg/kg?h. In addition, monitor blood pressure closely and use multiple doses.
Continuous intravenous infusion of butamine 5μg/kg?min to maintain blood pressure above 6.65KPa.
The medical staff heard the words and took action immediately, while Ye Qing continued to check the pulse and strictly monitored the changes in the newborn's vital signs. The Cangli Magic Needle was ready to take action at any time.
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In the elevator outside, the child's father and grandparents who came after hearing the news were anxious and asked the nurse repeatedly:
"Where is my son now?"
"How is my grandson doing now?"
"Can you help me? What can I tell you?"
Xiao He, the nurse on duty, quickly comforted him: "Don't worry, don't worry, the doctor is rescuing you. Sit down and wait patiently. Don't worry, our Director Ye has great medical skills. He is doing the rescue himself. Everything will be fine."
"Ms. Nurse, please tell the truth," the child's father said angrily, not believing it.
The child's grandfather also yelled: "They keep asking us to wait. We have been waiting for seven or eight hours. Why are there still no news at all? It's really annoying."
The child's grandmother was also restless and walked around impatiently.
"Oh, are you Liu Xiaowei's family members?" Huang Xujun came over with an apologetic expression and greeted the parents of the three children.
"Who are you?" the child's father asked.
Nurse Xiao He immediately introduced: "This is Director Huang of our pediatric department."
Huang Xujun chuckled and said: "You three, come and sit in my office, have a sip of tea, and I will explain it to you three in detail."
The child's father and grandparents could not see their precious son (grandson), and seeing that Director Huang was so friendly, they followed him. It would be good if they could get some information about their son (grandson) from him.
of
Nurse Xiao He looked at the retreating figures of the four people and was extremely surprised. He thought to himself, what happened today? Director Huang actually took the initiative to get close to the child's parents? Usually, Director Huang can do it unless he has no other choice.
You can hide as far away as you want
"Come on, come on, you three, sit down and be patient." Huang Xujun led the three of them to his office, warmly greeted them to sit down, and made them three cups of steaming tea.
"Director Huang, we are not here to drink tea. Please tell us about my grandson." The child's grandfather couldn't wait any longer and went straight to the topic.
Huang Xujun sat down, sighed, and felt sad
The three of them suddenly became nervous, and their breathing was somewhat disordered.
"You said we can handle it," the child's father said.
Huang Xujun shook his head slightly and sighed: "This child, ugh... you have to be mentally prepared."
As soon as these words came out, the three of them were stunned. The child's grandfather almost fainted. Huang Xujun hurried up, pinched the person again, patted him on the back, and then managed to save him.
"My grandson, my grandson..." The old man burst into tears and was so excited that he couldn't speak clearly.
Huang Xujun said apologetically: "The person responsible for the rescue is our director of pediatrics, Ye Qing. His medical skills are well-known, but he is too young and a little proud, so he caused a misdiagnosis. Please forgive me."
"What, a misdiagnosis?" The child's father suddenly jumped up and shouted.
The child's grandfather was even more excited: "Is it your doctor who caused the injury? Did he diagnose the wrong disease?"
"How could you do this? Are you a doctor or an executioner?" The child's grandmother couldn't help but burst out and cursed.
Huang Xujun repeatedly comforted him and said, "Director Ye doesn't want to do that either. This disease is really difficult to treat, but we are still trying to save it. Please be patient and wait for a while."
"No wonder these idiots didn't tell me about their condition. It turns out they misdiagnosed me and I'm going to fight them desperately." The child's father jumped up with a slap in the face, his eyes were red and he was about to kill someone.
Huang Xujun was secretly happy in his heart and chuckled endlessly, but on the surface he showed an extremely distressed look and advised: "You should wait patiently for a while, wouldn't it delay the rescue if you go now? Wait for a while, the results will come out, and then make trouble...
, Oh, no, it’s not too late to settle the score with them, but don’t say it was me who said it, otherwise, I will be fired.” As he said this, he looked sad and couldn’t stand what the hospital did.
Pie look
The child's father was confused by this guy's sincere appearance. He couldn't help but hold Huang Xujun's hands gratefully and said: "Director Huang, you are a good person. If you hadn't secretly told us the truth, we would still have been kept in the dark. Don't worry, we will never do it."
Shake you out of these damn quacks, I will definitely sue them and put them in jail."
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In the ward, Ye Qing was trying his best to save the baby. On one hand, he was injecting Western medicine intravenously, and on the other hand, he was circulating Cangli Zhenqi. He used mysterious and unique acupuncture techniques to gently prick various large points on the newborn's body, hoping to alleviate his symptoms.
"Director Ye, why don't you take a rest?" Nurse Xiao Xiao saw beads of sweat oozing out from Ye Qing's forehead. He was stunned and thought, Director Ye's acupuncture may seem easy, but it is actually a laborious task. How much effort does it cost?
of effort
"Thank you." Ye Qing looked up at her, shook his head and said, "We can't rest. If this child is not out of danger for a moment, how can I rest?"
After another ten minutes of acupuncture, there was still no effect, so Ye Qing had to use the ultimate trump card, a low-level life-saving elixir.
In the past, there was also a newborn who was critically ill with acute heart failure. Just like this, a magic pill worked. As soon as it was taken into the body, it immediately stopped the deterioration of the condition.
However, the child's condition today is quite complex. It is an extremely malignant disease. It can be called cancer among cardiovascular diseases. He is not sure that low-level life-saving elixirs can save lives, so he has not taken action before.
I'm just afraid that I'll run out of options and lose confidence, but now I'm in a situation where I have to use it.
"Low-level life-saving elixir, exchange"
Immediately, a green, dripping, jade-like elixir appeared in Ye Qing's palm, with a fragrant fragrance. As soon as the child took it, he used Cangli Zhenqi to refine the potency in order to dissipate it faster.
The medical staff around him were watching nervously, and Ye Qing's heart was beating fast.
"It must be effective, it must be effective" Ye Qing blessed in his heart
Finally, the medicinal power was completely dissipated, and Ye Qing's heart suddenly went cold.
The low-level life-saving elixir failed for the first time and the newborn's vital signs continued to deteriorate without any slowdown.
"Director Ye, how are you?" Seeing Ye Qing's desolate expression, Xiao Xiao couldn't help but asked worriedly.
"Inform the family members and let them be mentally prepared," Ye Qing waved his hand and said.
"Ah?" Xiao Xiao was stunned. At the same time, a sense of sadness filled the ward.
"Director Ye, go and take a rest," a doctor said with concern when he saw that Ye Qing was extremely exhausted.
"No, I have to continue. The child is still alive, so I have to stick to my post. You can go and rest." Ye Qing knew that some of these doctors had been working continuously for more than ten hours.
After saying that, he continued to stir up his true energy and used cangli acupuncture to stimulate the major points all over the baby's body. He would not give up until the last moment.
"If Director Ye doesn't leave, neither will we." The medical staff all stayed behind and continued to cooperate with Ye Qing to monitor various vital signs, such as blood pressure, heart rate, etc.
Nurse Xiao Xiao went out silently, thinking about how to speak to the parents of the children...