"By the way, Sister Susu, what did you stuff into the patient?"

"A note."

"Note?"

"Yes. I just happened to write down these three happy events that Director Xiao mentioned: promotion, fortune, death of my wife."

Liu Susu sighed.

She has worked in the emergency department for so many years, and her experience is definitely not comparable to that of Wang Fan.

According to her, the couple may have been in a relationship for a long time, possibly starting in middle school or high school.

But now, the man has become the director, and he is surrounded by young and beautiful female subordinates, young nurses, and young and energetic graduate students and interns.

Looking at his wife beside him who was working hard with him, he suddenly couldn't stand the white hair on the temples and the wrinkles hanging down.

But he probably forgot.

During the seven or eight years when he was a graduate student and doctoral student with almost no income, and during the seven or eight years when he was a resident doctor and an attending physician, which was the most miserable and tiring period, the person who accompanied him through it all was this thorn in his side that stood between him and other women.

…

After handling this matter, Xu Qiu completed two more surgeries in the afternoon.

Before leaving get off work, he habitually looked at the hospitalized patients.

One was brought in in the afternoon, with a hemoglobin level of over 200 and a red "Critical" mark on the front.

The critical value has been reached.

Then see the first doctor for a physical examination, etc.

It was the pancreatitis patient Liu Susu asked Wang Fan to admit.

first.

No diarrhea, nausea, or vomiting.

Colic can be ruled out directly.

Tenderness under the xiphoid process after eating, persistent abdominal pain, relief when sitting... are textbook signs of pancreatitis.

Wang Fan's diagnosis of pancreatitis is no problem.

Moreover, the laboratory department called specifically to remind them that the patient's blood samples are usually white, which means that the blood taken out is lipemia.

Serum lipase, amylase, etc. have reached about four times the normal value.

In theory, hyperlipidemia pancreatitis can be diagnosed.

However, Wang Fan also gained experience from the daily scoldings of many seniors in the emergency department. He did several more tests and found that the patient's blood sugar was also very high, and his urine sugar reached "".

Therefore, in the final diagnosis, he added a question mark after "hyperlipidemia pancreatitis" and "diabetic ketoacidosis".

I guess we have to wait for the gastroenterology department to come over for a joint consultation and further discussion.

Xu Qiu shook his head after reading the patient's reports.

In this case, the patient probably cannot wait too long.

He immediately dialed Wang Fan's phone number.

"Brother Xu?"

The sound of water came from Wang Fan's side, "I just pulled out the urinary catheter of a prostitute and sprayed it on my hand. Her urinary tract irritation symptoms are severe enough."

"..."

After Xu Qiu was silent for a moment, he asked: "Patient in bed 27, have you made an appointment for a consultation?"

"Oh, is that pancreatitis that I received today? Yes, I'm not sure whether it's ketoacidosis or high cholesterol. I'll wait until the gastroenterology department comes to check."

"Prescribe 5,000 ml of sodium chloride first, and drip it quickly in three directions." Xu Qiu said nonsense.

Wang Fan quickly wiped his hands dry and ran to the ward: "Okay, I'll make arrangements right now."

After saying that, he thought for a moment and said, "Brother Xu, I plan to check the blood gas to further see if it is ketoacidosis."

"No need."

Xu Qiu gave an explanation: “The patient’s indicators did meet the criteria for ketosis.

However, it is not considered ketoacidosis.

His carbon dioxide level was 20.8mmol/l, which was not enough for a blood gas test.

in addition……

Although ketoacidosis can also cause pancreatitis.

However, this kind of pancreatitis is caused by ketone bodies stimulating pancreatic leakage, and the abdominal pain is not obvious.

And its pathogenesis is generally due to an absolute lack of insulin, nausea and vomiting and the inability to eat.

However, this patient had severe abdominal pain and no nausea or vomiting.

Coupled with half a tube of lipemia, abnormal blood lipid metabolism is no longer present. Please hurry up with insulin and arrange for plasma exchange."

Wang Fan looked shocked after hearing this.

He was still wondering whether the pancreatitis was caused by the secretion of ketone bodies or abnormal blood lipids.

As a result, Xu Qiu pointed out the differences in details in just a few sentences and made the final decision!

These experiences are not included in the textbooks. If you don’t do clinical work for more than ten years and slowly summarize it, you may not be able to fully understand it!

"Got it, Brother Xu, we'll make arrangements now!"

Wang Fan sniffed his hand.

Well, it finally has no taste.

Now his status has risen a lot.

It was really miserable when I had to take out my bowels before.

There is also gas gangrene.

Even if I wear three or four layers of gloves, the smell won't go away for a few days.

Do you understand the value of the champion of the Famous Sword Competition?

Who dares to let him be a shit-picking boy!

…

…

Five o'clock in the afternoon.

Xu Qiu got off work early and rushed to Linhai University Research Institute.

After having money and equipment, he was able to completely let go.

All projects started simultaneously, and the electricity consumption at the institute increased by more than a hundred times.

Experts such as Yang Chenxi and Ren Chao, under the guidance of Xu Qiu's seemingly inexhaustible inspiration, have almost always maintained full-speed research and development progress.

Nowadays, these artificial blood vessels are moving towards the mechanism of bionic design.

The natural arterial wall is actually divided into three layers: outer, middle and inner layers.

The inner layer is mainly a single layer of endothelial cells.

It is anchored to a thin basal layer composed of type IV collagen, fibronectin and proteoglycans.

Functions by providing an anti-thrombotic surface to maintain blood vessels and control the diffusion of molecules through the wall.

The middle layer is composed of a circumferentially organized layer of smooth muscle cells, dominated by elastin and collagen sheets.

It has variable thickness, and the range of thickness change is proportional to the wall shear stress at the location of the blood vessel.

There is also a layer of adventitia on the outside, which connects blood vessels to other tissues and provides structural support.

These three layers are actually just the basic structure of natural blood vessels.

After all, who doesn’t know how to make a three-layer film?

What stumps countless scientific researchers, and even artificial blood vessel giants McVie and Terumo, are many important components that determine the physical properties of tissues.

For example, extracellular matrix.

The functions of this thing, which have been initially proven, include providing structural support, withstanding mechanical stress, regulating cell proliferation and differentiation, regulating growth factors, promoting blood vessel flexibility, etc...

Blood vessels made by humans can never do this.

We can only use structure, excellent design, sustained-release drugs, etc. to approximate or even replace the role of these important ingredients as much as possible.

This is the shackles that really plague the entire industry as it moves deeper into the 6mm restricted area.

But now,

As research and development becomes more intense, everyone involved in the research begins to believe that Xu Qiu's solution may really solve the key problems that have plagued artificial blood vessels for decades!

at this time.

In the office, cups of boiled water are filled with steam.

Bang.

The door was gently pushed open, and the white air was blown away.

Although his movements were restrained enough, who could tell that the person pushing the door was almost uncontrollably excited.

——
Chapter completed!