Chapter 104 She spent her whole youth waiting for me, how could she die now?
Yunmei explained later: "Doctor Xu said he wanted to come to see Zhang Qiulan, Director Jiang, you just happened to call me."
Director Jiang suddenly realized.
He was a little shocked. Xu Qiu was too sensitive to the development of the disease!
"Doctor Xu, my family members have issued a notice of critical illness twice. You can go and have a look!"
Director Jiang led the way in front.
Soon, Xu Qiu and the other two arrived outside the intensive care unit.
Looking into the glass, Xu Qiu's pupils contracted slightly.
In the ward, several doctors and nurses were busy and rescued.
In the center, the snow-white bed sheets were dyed red, and there were incontinent excrement on the lower body.
Zhang Qiulan's eyes, nostrils and other parts were bleeding. Her red skin turned into ecchymns all over her body. The data on the monitor next to her were uneasy.
Director Jiang said worriedly: "The patient's coagulation index is too poor. Now that the dic occurs, the body cannot stop the bleeding by itself, and it is extremely difficult to treat it!"
Xu Qiu looked back and found that Zhang Qiulan's husband was waiting outside, with a pair of tough eyes, and was full of fatigue at this moment.
Panic was revealed in his eyes.
Xu Qiu withdrew his gaze and calculated in his mind.
Can it be saved?
How much hope is there?
DIC patients are very prone to bleeding, and blood swelling may occur throughout the body.
But the most terrifying thing is intracranial hemorrhage.
Like the boy who was born in the ITP (idiopathic thrombocytopenic purpura) a few days ago, once Zhang Qiulan had intracranial hemorrhage, she would have died on the spot, and she would have ascended to the next day.
It can be said that he will definitely die.
Except dic-
If the infection can be controlled, blood pressure will rise and blood volume will be replenished, there may be a glimmer of hope.
While pondering, Yunmei suddenly spoke and said, "Doctor Xu, Director Jiang, should you consider transferring the family? - The Seventh Military Medical Hospital in the next province is very experienced in DI-combined multi-organ failure..."
Xu Qiu directly denied it and said, "The cycle is too bad."
Director Jiang explained: "The patient's dic is too serious and the circulation is very unstable. If it is transferred, it will definitely die on the transfer truck."
Yunmei was silent.
At this time, Xu Qiu walked towards Zhang Fu who was waiting outside.
Director Jiang and Yunmei quickly followed.
Zhang Fu's pupils were trembling. He looked at Xu Qiu gratefully. Before Xu Qiu could speak, he spoke first and said, "Doctor Xu, you are a good doctor. I believe you. As long as you say the plan, I accept it.
——You must save my wife!”
Director Jiang and both were a little envious.
At the critical moment of life and death, the patient and family members’ unreserved trust in the doctor is extremely precious!
Many doctors, including Director Wang Ping and others, cannot do this.
More importantly, the family members are on the verge of despair and simply regard the doctor as the last straw.
There is still a long way from this pure trust.
But Xu Qiu truly won the respect and trust of his family!
Who can keep the condition of every patient in your heart like Xu Qiu?
There is no blood, go and ask for blood.
There are no beds, coordinate the beds.
Such a doctor - ask yourself, if the family is lying in the intensive care unit, Yunmei and Director Jiang would also choose to believe Xu Qiu!
...
“The chance of rescue is very small.”
Faced with Zhang Fu's gratitude, Xu Qiu also chose to be honest.
The other party is a soldier and has a scale in his heart. When the doctor communicates with such people, he doesn’t need to worry too much, just show the pros and cons.
Director Jiang sighed and said, "If the financial conditions are average, we recommend that you take her home and spend the last time with your family - if you want to rescue her, you must also be prepared to lose both people and money."
Mr. Zhang's eyes turned red, tears burst out from his eyes, and his voice was as low as a cow: "I'm not willing to give up!
She has been waiting for me for twelve years, waiting for my whole youth, waiting for my wrinkles...
My wife and I are planning to make up for a wedding trip, and then return to the snow-capped mountains where I am on duty to see the yaks and melt the snow, but we have always said that there is still a chance, and there is still a chance, last year, this year, next year-
But now, I don’t seem to have a chance again!!”
After he said that, he held Xu Qiu's hand tightly and said, "Doctor Xu, save my wife, let me take her out to see the snow-capped mountains, the place where I have been stationed for twelve years... Save her
,Next year - no, this year, as long as she gets better and can go out, I will take her to see the snow immediately!!"
Xu Qiu also held Zhang Qiulan's husband's hand, and his voice was filled with a reassuring force. He nodded and said, "Okay."
...
The moment he turned around, his expression became cold again, like a machine that would never make any mistakes.
He quickly analyzed Zhang Qiulan's situation.
1. Septic shock.
And it is severe septic shock!
There are a large number of infected bacteria and inflammatory mediators in her body. If you want to remove these things, you have to rely on blood purification to treat it.
It is similar to activated carbon adsorbing impurities.
It's just that blood purification is more complicated.
2.dic (diffuse intravascular coagulation)
Paralyzed by the coagulation system, extensive bleeding throughout the body, and unable to stop bleeding by itself,
At this time, various blood products, especially plasma, must be supplemented.
3. Hypotension...
...
In an instant, a complete rescue plan came to Xu Qiu's mind.
He glanced around him, and all the doctors were looking at him at this time, waiting for Xu Qiu's doctor's instructions.
Withdrew his gaze, Xu Qiu's calm and steady voice sounded at the same time:
"Purify the blood immediately."
"Using a large-scale antibiotic encirclement scheme, multiple antibiotics are widely covered!"
“Prepare high doses of norepinephrine.”
"Contact the blood bank and add two more bags of blood. Albumin, and prepare all the plasma!"
Xu Qiu's voice resounded in the deadly intensive care unit.
When every order landed, the invisible hands that fought for life with the god of death seemed to have more force out of thin air, pulling the patient back into the world...
...
More than twenty minutes later,
When Xu Qiu came out of the intensive care unit again, Zhang Qiulan's condition had improved a lot. She temporarily stabilized her condition and was saved.
Zhang Fu finally let go of his heart.
Director Jiang, who followed him, said: "It's useless to wait here. The most urgent task is to cooperate with the police to seal the clinic as soon as possible, find the drug for infusion at that time, and see if you can find any infected bacteria--"
There is nothing to do in the hospital.
To confirm the infected bacteria in Zhang Qiulan's blood, blood culture must be done.
This examination requires microscopic examination, inoculation on blood plates, and then bacterial growth and smear results are observed.
It will take four to five days to produce results.
No matter how anxious it is, it is useless!
After hearing this, Zhang Fu's expression changed and he said tremblingly: "If I leave, what should I do if she can't see me when she wakes up..."
Chapter completed!