Chapter 1089 [1089] It's Not Easy to Clean up the Mess of the Peers
Geng Lingfei moved a chair for her, helped her to sit on the chair and 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. Explain to yourself and her that you need to keep exercising. Don't blame Teacher Xie for telling him to do physical exercise.
"Suddenly." The nurse explained to Xie Wanying and Song Xuelin, "The patient may be unconscious and doesn't know what he is doing."
The brain can't resist the high fever to a certain extent, and now the patient's body temperature is 40 degrees. Xie Wanying speculated that the patient was likely to develop severe acute obstructive suppurative cholangitis. If this continues, systemic toxemia and toxic shock will cause death.
Simply using physical medicine to reduce fever or taking antipyretic injections will treat the symptoms but not the root cause. Fever is only the exposure of a disease, and obstruction is the most terrifying and fatal.
Have to figure out where the blockage is.
It was written in the medical records that the T-shaped drainage tube could not be removed after the operation, and the patient's drainage fluid could not reach the extubation index.
Normal postoperative drainage fluid should be clear and transparent yellow or yellow-green, without pus, sediment, floc, and turbidity, and the drainage volume gradually decreases. According to a biliary photogram, the bile duct is unobstructed. Try clamping the tube. If the patient has no symptoms such as fever, it can be pulled out.
Now, this patient can't reach any of the indicators, and the tube cannot be removed. Patients and their families who cannot be removed are very upset. Patients can't live and work with drainage tubes all the time, so the technology of the original hospital has reached the limit of tolerance.
It stands to reason that there are several infectious disease hospitals in the capital, and the one the patient went to was not the most famous one, but the reputation of the technology would not be too bad. It can only be said that this obstruction is very difficult.
If there is another obstruction after the operation, if the situation is not correct, it will be processed in the operating room again. It just so happens that this patient is HIV-infected and has low immunity. It is estimated that the doctors at the hospital over there took this into consideration and did not dare to send the patient to the operating room for another laparotomy. They were afraid that the patient would die on the operating table and could not get up and down, and the problem would be even bigger.
The experienced nurse frowned at the side, knowing that the current situation might lead to the collection of the corpse. Who made the night shift tonight be two newcomers to the rotation department, so there is no way to count on it.
"Do you want to call Dr. Tao?" the nurse asked the doctor on duty.
Both Song Xuelin and Xie Wanying didn't hear her talking, they were concentrating on palpating the patient's abdomen and checking the drainage tube. The patient has no conditions to go to the operating table to perform an emergency operation, so he can only think about it with the drainage tube.
"Didn't you bring the CT scan that the patient took in the previous hospital?" Xie Wanying turned her head and asked the servants.
"Probably not," the nurse said. If there is, it will be given together when the medical records are just submitted to the doctor.
When Geng Lingfei heard this, he ran out to help the teacher and ask the patient's family.
Really not. The doctor over there may have forgotten to give the patient. The patient's family members did not ask for it from the previous hospital. If they were transferred to another hospital, the doctors in the hospital should have been more responsible and handled these details so that the patient could be transferred safely. The only possibility is that there is too much conflict between the doctor and the patient's family. If the patient wants to leave, let him go quickly. The mentality is equivalent to getting rid of a burden, and these small details will not be remembered to do.
Colleagues who shed the burden will not take into account the medical units and doctors who take over, so it is hooliganism to say that they did not contact the units that received patients first.
Song Xuelin got up and took another breath. He needed to continue to adjust his mood, and he was a little bit pissed off.
It is very troublesome without ct film. Only ct films can clearly show where the specific obstruction is.