Chapter 2772 Bronchial Foreign Body

"Don't tell me, Brother Yun, don't scare me." Zhou Litao was also a little guilty.

"Mr. Zhou, let me introduce you to a girlfriend." Su Yun suddenly threw out an extremely huge topic.

Zheng Ren was stunned for a moment, the role of this kind of matchmaker really didn't fit Su Yun very well.

"Uh..." Zhou Litao was also taken aback.

"Look at what I'm doing, I'm just asking casually." Su Yundao, "A friend from a long time ago, who is going to come to the capital to be a North drifter recently, he is not bad, how is it?"

"I...don't want to look for it for the time being." Zhou Litao sighed, "I don't think it's good to be the head of the hospital. My first thought is to take a good rest. When I'm the head of the hospital, I'm too tired. I have no private life at all. Watching a drama They are all uneasy."

"Tsk tsk, promising." Seeing Zhou Litao's objection, Su Yun didn't say much, but patted him on the shoulder vigorously.

Zhou Litao's cell phone rang, and he took it out to have a look and said, "The filming is over."

The three of them came to Zhou Litao's duty room, clicked on the workstation, and called up the video data just uploaded.

The patient's chest X-ray showed that the markings of both lungs were disordered and thickened, and the markings of the two lower lung fields were blurred.

But accretive pneumonia is not the only diagnosis, because this disease is accumulated over time, even if there is difficulty in breathing, it will not appear suddenly.

Aspiration is Zheng Ren's judgment. But Zhou Litao's narration has ruled out this point. After all, no food residue was sucked out during suctioning, and no metal foreign objects were seen on X-rays.

"What about the patient?"

"Sent directly to the ICU." Zhou Litao said, "The blood oxygen is average, and I judge that a ventilator may be needed to assist breathing. If there is no improvement, a tracheotomy is likely to be required. Once an elderly person of this age gets sick, it will be a serious illness, and there is no good way."

"Then let's go to the ICU to take a look." Zheng Ren felt that it would be better to finish this matter, at least he would go home and have an explanation with Xiao Yiren.

Yi Ren is very concerned about people she knows. Last time she ate grilled fish that smelled like diesel at that restaurant, she didn't let herself talk to the boss.

If he went home with just such a little information, Zheng Ren was still afraid that Yi Ren would be worried.

"A very ordinary patient." Zhou Litao said.

"Normal?" Su Yun smiled, "Sudden convulsions, what are you thinking about?"

"Lack of oxygen, I checked the neurological examination, and there is no other problem. The sputum was sucked out, and the patient's convulsions also improved." Zhou Litao said.

Su Yun smiled and said nothing, Zhou Litao only found the final result, but not the previous cause. Suddenly, why did it happen suddenly? That's what matters.

"Let's take a look." Zheng Ren said, "President Zhou, let's go."

Zhou Litao was a little bit reluctant, Boss Zheng and Brother Yun didn't come to the emergency department for a while. They are busy, Zhou Litao knows. But they don't come here often, and I always feel that something is missing.

Life got boring too... bored even more.

Zheng Ren and Su Yun left the emergency room and went to the ICU to take a look at the patient's condition. Su Yun kept holding his mobile phone, contacting the general manager of the ICU hospital.

"Boss, it is said that the patient has a lot of phlegm, and he is already intubating the trachea." Su Yun said.

"Well, it's caused by being bedridden for a long time."

Collapsing pneumonia is one of the complications of long-term bed rest, and it is also a very difficult complication. Apart from more careful care, turning over regularly every day and coughing up sputum is not easy to solve.

If he is put on a ventilator, the cost will be the second. Judging from Zheng Ren's experience, there is a high probability that he will not be able to go offline again.

Finally, when the patient's family members accept the facts, extubate and wait for death, or just use it like this, when will multiple organ failure be considered the end point.

Although I have seen this situation countless times, every time I think about it, I always feel a little uncomfortable.

After entering the ICU, he changed his clothes and slippers, and Zheng Ren walked through the corridor to the patient's bed.

The patient was easily recognizable, and doctors and nurses were surrounding the bed, doing rescue work.

The patient's system panel was red. In addition to some geriatric diseases and cerebral infarction that caused long-term bedridden, Zheng Ren also saw a diagnosis - a foreign body in the respiratory tract.

What's this? Zheng Ren was taken aback.

Sure enough, it is the same as before, is there something in the airway?

If there is a foreign body, suction should be able to suck it out. If the foreign body is too large and blocks the airway, problems can also be found when suctioning.

Zheng Ren stood silently behind the doctor and nurse, carefully observing the nurse's suctioning movements.

The suction tube was lowered along the endotracheal tube, and there was no resistance from the huge foreign bodies on the left and right sides.

strangeness.

"Boss Zheng, Brother Yun, you're here." The ICU hospital manager turned around after finishing his work, and when he saw Zheng Ren and Su Yun, he said hello and went to the computer to check the inspection report.

"How is the patient's condition?" Su Yun asked.

"Blood oxygen is okay, but there is too much phlegm in the airway." The general inpatient of the ICU said, "Arterial blood gas analysis returns: pH: 7.104, PCO2: 89.4mmHg, PO2: 47mmHg, BE: -2mmol/L, HCO3: 28.0 mmol/L”

"The patient is sweating profusely, and his ability to cough up sputum is relatively poor. It is estimated that he will need to use a ventilator for a period of time."

"And then?" Zheng Ren asked.

"Huh?" The ICU hospitalist froze for a moment, and then? Is Boss Zheng testing the school's own treatment? She thought for a while, and said immediately, "It will take a few minutes for the test results to be reported. Check the situation. The sputum has been sent for bacterial culture. The anti-inflammatory and symptomatic treatment is mainly sputum suction."

"Alveolar lavage, the effect may be better." Zheng Ren said.

The alveolar lavage mentioned by Zheng Ren is also called bronchoalveolar lavage, which is a new technology developed on the basis of fiberoptic bronchoscopy.

Using a bronchoscope to inject normal saline into the bronchoalveoli and then suck it out, collect the effective liquid on the surface of the alveoli, and check its cellular components and soluble substances.

"You suspect there is a foreign object in the airway?" Su Yun guessed the real intention of the boss with a glance.

"Well, patients who have been bedridden for a long time may have aspiration." Zheng Ren said.

"It shouldn't be very likely. No food residue was sucked out." The ICU hospitalization always thought about the same things that Zheng Ren thought about when he didn't see the system panel.

But Boss Zheng... After all, he was on the hook. He shook his head and didn't say anything.

"Give it a try, anyway, let him do it by himself, you are busy with your work." Su Yun communicated with the chief resident of the ICU.

Hospitalization in the ICU is always a bit helpless, no matter it is Su Yun's rhetoric or Boss Zheng's request, she cannot refuse.

It's not because of Boss Zheng's high academic status, but a bronchoscope and alveolar lavage are also within the scope of normal treatment.

"Then I'll go prepare things." The ICU hospital manager finished talking and started chattering.