Chapter 101 Multiple organ failure, dying
She smelled a strong stinking smell in the air.
When I looked down at the patient, the bed sheets turned into hot chocolate.
"Incontinence!"
Yunmei's erect nose wrinkled.
She quickly looked at the check results that had just come out, and her face looked even worse than before.
"Doctor Yun, the patient's condition has begun to deteriorate again!" At this time, the nurse shouted again.
Yunmei quickly looked at her blood pressure, and the patient's blood pressure began to fluctuate violently again, and she couldn't stabilize it at all.
"I told my family that I might have to be transferred, so I will call the director." Yunmei calmly divided the work.
The patient's condition is too critical, and the routine rescue process in the emergency department may not work anymore, so I can only rely on ICU.
...
Dongdongdongdongdong-
In the director's office, Yunmei knocked on the door for a long time without responding.
She felt a thrill in her heart: The director is likely to have surgery.
Just as she felt helpless, a figure suddenly appeared in front of her.
A trace of joy flashed in Yunmei's eyes. She ran to the office and shouted inside: "Doctor Xu, there is a patient in the emergency room. Can you go and see?"
Xu Qiu, who was reading the document, raised his head and said, "Well, lead the way."
...
On the way, Xu Qiu listened to Yunmei reporting on the patient's basic situation, examination reports, etc.
The patient's name is Zhang Qiulan.
Female, forty-seven years old;
Flexible employment personnel.
I suffered from liver cancer seven or eight years ago and had surgery. After all the reexaminations over the years, everything was normal.
This time I was admitted to the hospital, after fluid in the clinic, I suddenly felt chills and dizzy, and then I started to have high fever and my skin became red... After I got home, my family called 120.
He was admitted to the hospital urgently and was given a blood test.
"Aminase: 1800u/l (normal value 0~40u/l)
Bilirubin: 780.5μmol/l (normal value 5.1~19.0μmol/l)”
These two items are indicators of liver function, and excessive high means liver damage.
Renal index serum creatinine: 3200μmol/l (normal value 30-102μmol/l)
Brain natriuretic peptides: 12000pg/ml (normal value 0-100pg/ml)
The liver, kidney, heart, and every indicator is so high that it makes the scalp numb.
What's even more terrible is that
The patient's coagulation indicators completely collapsed!
pt, aptt, tt, etc. are extremely prolonged, which means that the patient's bleeding stop speed is extremely slow and almost loses the function of bleeding stop.
The fibrinogen is severely low...
With so many abnormal projects, Zhang Qiulan's system is on the verge of collapse, and a diagnosis is about to emerge-
Multi-organ failure!
Couple the out-of-control of the coagulation index:
Multi-organ failure combined with dic (dispersible intravascular coagulation)!
This is a fatal emergency at any time.
"Have you contacted ICU?" Xu Qiu asked.
Yunmei nodded quickly: "I've got some contact, and my family members should have had a good conversation."
Xu Qiu speeded up.
As soon as I arrived at the rescue room, the family stood up from the chair and said fearfully: "Doctor, we agree to transfer to the ICU. We must rescue my wife, and we must save it for as much as possible..."
Xu Qiu entered the rescue room and quickly glanced at the situation.
The blood pressure is lower than before, now it is only 72/38mmhg.
The patient's body temperature also rose to 40.2 degrees Celsius, which was high in fever.
In the ward filled with the foul smell, Zhang Qiulan twitched all over and applied evenly.
Her face was extremely distorted, and life was like a candle swaying in the wind, as if it was about to reach the end of its depleted life...
: : : : : : : : : : : : : : :
The blood war clerk shook his head: "If you want to bring the blood donation certificate, I only recognize the blood donation certificate."
Zhang Fu was silent for a long time. He nodded and went home to get the blood donation certificate.
More than an hour later, he came back with twenty or thirty free blood donation certificates. He said proudly: "Look, I didn't lie to you. I have been donating blood for almost twenty years. I donated blood almost twice a year - you should make two bags of blood for my wife!"
The clerk read out a few books and shook his head and said, "It's still not possible. Your blood was donated in other places, but the blood you gave you is consumed in the city's inventory."
Zhang Fu was stunned for a moment. He picked out a few of the latest ones from them and said, "These four books are all from Linhai City!"
The clerk shook his head again and said, "It's still not possible. Your wife wants to use blood and ask for your wife's blood donation certificate."
"It's okay, she has it too, look, here! My wife's blood donation certificate!"
Zhang Fu took out three or four blood donation certificates from his pocket and slapped them on the table.
The clerk opened the pages and looked at them for a few more pages, threw them to the side, knocked on the table and said, "This is not qualified, and it is necessary to have a blood donation record in the last six months!"
Zhang Fu was stunned. He gritted his teeth, and his eyes were about to burst out with anger.
Let your wife donate blood now?
Isn’t this bullying honest people?
He suppressed his anger and said, "I am a retired soldier, and my son is a soldier on the frontier. Both of me and my father and son have donated blood many times on the frontier. Now I need two bags of blood to save the woman at home. Why not? Didn't you say that blood is given priority if you donate blood for free!!"
The clerk laughed contemptuously and finally told the truth: "We don't approve many surgeries for blood. Now there is a blood shortage. There is no way! If you want to use blood, then exchange it. Your wife has type A blood. If you want to use two bags, you can call someone to offer two bags of type A blood, otherwise there will be no negotiation!"
Chapter completed!