Chapter 10 The real cause of infection!
Zhang Yang then remembered that this little boy of twelve or thirteen years old was the little boy who stood at the door every time.
After hesitating for a moment, he nodded:
“Yes, you can go to the hospital with me.”
“However, you will be the only one to take care of your sister when you get to the hospital. , are you afraid?”
"Don't be afraid!"
"Let's go."
Although the little boy joined them, the two of them went downstairs at a slow pace. When they arrived at the ambulance, the girl had just been Transfer to the car.
Everyone got on the bus, the siren sounded for the return journey, and Ding Shishi quickly strapped the patient to an ECG monitor.
Director Song looked at the patient, then turned to look at Zhang Yang:
"Zhang Yang, when you were interning in the Department of Neurology, you never encountered such a clinical case of cerebral hemorrhage in a patient with severe aplastic anemia."
"Today, the teacher will teach you how to deal with it."
Teacher?
Zhang Yang understood immediately. It turned out to be a master-disciple relationship. No wonder Director Song was so kind to him.
Before he could think about it, the patient’s blood pressure data came out at this moment.
"Director, the patient's high pressure is 80, low pressure is 50, and the patient has symptoms of hypotension. How should we deal with it now?"
Director Song confirmed the data on the instrument, his expression became serious, and he was fully at work, and said in a low voice:< br>
“Establish intravenous access immediately and start rehydration.”
"'Norepinephrine' preparation... Instill at a rate of 10 μg per minute. Pay attention to the infusion speed to be reduced to 4 μg per minute after the blood pressure reaches 100. Maintain the high pressure at 100 and do not exceed 105."
After speaking, he explained:
"Zhang Yang, under normal circumstances, our standard blood pressure should be controlled between 110-120 for high pressure and 70-80 for low pressure."
"But considering that the blood pressure of current patients is too low, raising blood pressure quickly can easily cause other adverse reactions. ; Furthermore, the patient now has intracranial Bleeding, it is not a bad thing to control the blood pressure a little lower."
Zhang Yang hummed, and Director Song continued:
"Prepare to...inject 0.75g of ethylamine intramuscularly." br>
“Received!”
After speaking this time, he explained as he did last time:
“Like other hemostatic drugs, you must pay attention to the risk of thrombosis when using it.”
“ However, the patient is an aplastic patient, has low platelets, and is very young, so The probability of causing blood clots is very small, and we can use a slightly larger dose during rescue.”
“However, if you encounter older patients, you must pay special attention to the dosage!”
Zhang Yang nodded again and had to say, what is professional? This is professional!
There is no script, and the dosage is flexibly adjusted based on the patient's actual situation, symptoms, and even age!
Thinking of this, he breathed a sigh of relief. This time the patient should not need a craniotomy, right? !
However,
When he looked at Director Song again, he found that Director Song's expression was still solemn.
He felt a thump in his heart and asked in a low voice:
"Director, what are you still worried about?"
Director Song sighed slightly and his eyes fell on the patient:
"Infection."
"Infection?! "
"Well, now I have done everything I can, but what patients with blood diseases fear most is actually infection."
"I'm worried that when I get to the emergency department, there will be many people and viruses. If it causes infection, it will be troublesome."
Zhang Yang trembled all over, and a chill went straight to his forehead.
He always thought that the patient's intracranial infection was caused by the craniotomy, but Director Song reminded him that the real cause of the infection was not the craniotomy!
Instead,
Emergency Department? !
That’s right!
He couldn't help but take a breath. The emergency center has a dense flow of people every day and receives patients with various diseases at any time. It can be said that the emergency department is the place with the most bacteria and viruses in the hospital!
Patients with aplastic anemia have low immunity. If they stay in the emergency department, they may be infected with bacteria and viruses!
Thinking of this, he became a little anxious!
If the patient continues to be sent to the emergency center, there is a high probability that it will still cause various infections and eventually lead to the patient's death again!
"Director, you are well-informed. Can you think of a way to avoid this situation?" Director Song shook his head.
Zhang Yang was even more anxious. At this moment, he suddenly thought of a compromise.
"Director, can we send the patient directly to the inpatient department of the hematology department for rescue?"
Director Song was also stunned for a moment, but shook his head after a moment.
"You also know the hospital's regulations. Emergency patients must be sent to the emergency center first, and then the emergency center can rescue or confirm their condition before they can be transferred to the inpatient department."
"And..."
He paused:
"And now the patient has not done any examination and has no medical history. Which doctor dares to take over the patient if he goes to the hematology department? Who will be responsible if something goes wrong?"
Zhang Yang is desperate!
He knew that what Director Song said was true, and that was the hospital's procedure!
But!
Are we just going to watch the patients repeat the same mistakes and get infected and die again?
No!
He raised his head, but at this moment, the little boy who had been silent in the carriage suddenly knelt on the floor with a plop and kowtowed heavily.
"Doctor, please, save my sister!"
The sudden turn of events caught Zhang Yang and Director Song off guard. They subconsciously wanted to help the little boy up, but found that the little boy was kneeling so hard. I'm so determined that I can't even pull it up.
“Doctor, I know that my sister got sick because of me!”
“In order to support me in studying, she felt uncomfortable for a long time and was reluctant to go to the hospital.”
"Please, save my sister, she is my only relative!"
"Please..."
Zhang Yang was stunned.
Looking at the tears on the boy's face, an unspeakable sadness surged into his heart.
Not only him, but everyone in the ambulance couldn't help but be moved.
"Teacher, save her."
Director Song sighed heavily. Even though he was used to seeing separation between life and death, he still couldn't help himself at this moment.
"Let me call Director Feng of the Department of Hematology..."
Soon, the call was connected.
When Director Song proposed to send the patient directly to the inpatient department of the hematology department, Director Feng on the other end of the phone was obviously hesitant.
"Old Song, this is a completely illegal process. Who will be responsible if something happens to the patient?"
Director Song was silent for a moment.
Then he said slowly but firmly:
"Old Feng, the patient is a girl who is only 20 years old, and she has a younger brother who has just entered junior high school to be raised by her..."
< br>"You are 20 years old, can we not save him?"
"If something really goes wrong..."
"I'm responsible."
The other end of the phone was also silent.
After a while, a deep voice came.
"Old Song, you are forcing me to make a mistake!"
"That's it! Send it directly to the inpatient department, and I will immediately notify the doctor on duty to fully cooperate with you."
< br>
"No...I'll come in person! I'll rush to the hospital right away!"
Zhang Yang breathed a heavy sigh of relief, couldn't help but touched the boy's head, and whispered:
" You are very brave! It was you who saved your sister."
As the words fell, the picture gradually became blurry.
(End of this chapter)