"cough……"

Wang Shengde coughed, and the expression of pain and enjoyment here was indeed not very elegant. He didn't care about the reputation of Joseph and others, but the key was not to spread gossip about visiting the doctor.

For example, "When you come to the doctor, you will become a psychopath."

Otherwise, if famous doctors around the world are prepared for their precautions, they will have more obstacles to the collection of illustrations.

"Doctor, how is my husband?"

"Doctor, is the operation still going well?"

Before Wang Shengde, Wang Ping and others came forward to greet him, the family members took the lead in recharging, snot and tears, trembling hands, and their expressions were nervous and fearful.

"The operation went smoothly. After awakening, I was transferred to ICU for testing and observed for about two days. If there was no problem, you could go back to the general ward."

As soon as Xu Qiu finished speaking, several family members softened their bodies and tears flowed out of their eyes.

Several people each held Xu Qiu's hand tightly:

"He just had a second child. If it weren't for you, we really wouldn't know what to do!"

"Doctor, you saved our family... We will remember your kindness in our lives..."

The family members talked and seemed to be endless, and they all prayed for Xu Qiu's son, Jackie Chan, and Cheng Feng.

"Okay, okay, let's talk about it. Doctor Xu's grandchildren will be blessed by you. He only experienced a car accident last night. He came to help you with surgery in the early morning. Let him go back and rest first." Wang Shengde walked over and said.

"Ah, I remembered that there was a doctor at the car accident last night. He saved many people, and it was you!" The family members were shocked.

They never expected that Xu Qiu had also experienced a car accident. He had saved the patient once at the scene. Now he rushed to the hospital and rescued him again...

For a moment, the family members felt mixed feelings and their gratitude for Xu Qiu was hard to express in words.

"Congratulations, for receiving the patient's sincere thanks!"

The subsequent system prompt sound also proves this.

Xu Qiu was a little surprised.

The system's judgment standard for the patient's sincere thanks is very, very high. Since his rebirth, he has obtained it twice in total.

The last time was Shen’s mother and Shen Ning, who are now opening a shared kitchen opposite the Lin Medical Hospital.

The second time was Niu Niu with mitral valve prolapse. Niu Niu's parents' complex family relationships, and the fair woman who values ​​love and friendship have made everyone in the emergency department feel very moved.

And this third time is now.

Thank you for the system rewards you have brought are very generous.

Medical skills are 5%, physical strength is 10%, energy is 10%, and of course there are more specific bonuses, such as the ability to perform on-site surgery has also been slightly improved.

It can be said that every sincere thank you makes Xu Qiu take a step further towards the legendary doctor.

...

Shortly after the operation, Xu Qiu did not go back to the office directly, but went to the rescue room and took a walk around the ICU.

The car accident last night was a big deal, and a total of seven cars were directly affected, one died on the spot and sixteen were injured to varying degrees.

On the contrary, the initiator, the dump truck driver was unscathed. In the face of such working vehicles, the private car was as crisp as paper.

"Doctor Xu!"

"Doctor Xu is here, please help me see this!"

On the side of the icu, when they saw Xu Qiu, the doctors were energetic, and Director Jiang rushed over with a medical record.

"I was just about to go there to see you. This patient drank Dibaicheng and had more than 180 units of cholinesterase!"

The indicators for normal people are between 4.3 and 10.5, which is nearly twenty times higher.

Xu Qiu glanced at the rescue record.

After admission, I was unconscious, sweated profusely, vomited several times, and had incontinence.

After being sent to the hospital, the trachea was immediately intubated and gastric laxative was laxative. Then, it was collected from Eicu with "organophosphorus poisoning". The treatment measures were taken in three ways: atropine and ventilator assisted ventilation and bedside blood perfusion.

Director Jiang looked solemn, "I have given one thousand atropines. The patient's condition is still very bad, but he has woken up. We are considering whether to reduce the dose of atropine."

"Go and have a look."

When Xu Qiu came to the bedside, he felt a strong garlic smell coming to his face, which was a typical manifestation of organophosphorus poisoning.

In addition, due to the formation of phosphorus and cholinesterase, the cholinesterase activity of the patient is inhibited and the effect of decomposing acetylcholine is lost, resulting in excessive accumulation of acetylcholine in the tissue...

The result is excessive excitement of the parasympathetic nerve, continuous stimulation of the sympathetic nerve and motor nerves, and patients often die of respiratory muscle paralysis and respiratory failure.

Fortunately, the patient was sent to the hospital in time. After mechanical ventilation, the respiratory problem was temporarily solved. The next step was to use atropine to quickly reduce muscarinic symptoms, nicotine-like symptoms, etc. caused by organophosphorus poisoning.

"A thousand atropines have been used, and the patient's symptoms have improved a lot, and muscle tremors have almost disappeared. Should I reduce the amount?" Director Jiang asked.

After careful examination of the body, Xu Qiu shook his head: "Continue to take the medicine and maintain it for at least two days."

One thousand atropines sound terrible, but in clinical practice, it is necessary to accumulate amounts.

This kind of poisoning is prone to rebound, and temporary improvement is often just an appearance. When the patient's various symptoms disappear, he can't wait to reduce the amount. The patient will eventually suddenly develop various nerve central symptoms and die.

Therefore, there are many cases where an organophosphorus poisoning consumes atropine reserve in a hospital.

What can a thousand pieces be considered? There are even clinical records that precedents of using up atropine from a hospital pharmacy in a small city in order to rescue a patient with organophosphate poisoning.

Even Xu Qiu, among the patients he had rescued in his previous life, some of them were rescued after using tens of thousands of milligrams.

The usage and dosage in textbooks are sometimes useless in clinical practice.

"Did the patient come this morning?" Xu Qiu continued to ask.

Director Jiang said: "It was past eight o'clock in the morning, and it should have been more than half an hour at that time, according to his medication."

"How many times have you washed your stomach?"

"three times."

Xu Qiu shook his head: "It's too little. Do a 24-hour stomach washing and rinse the stomach with 500 ml of ice saline every half hour."

Everyone present was stunned.

Organophosphate poisoning is common in rural areas, but it is rare to see urban tertiary medicine such as Minyu.

Therefore, whether it is Wang Ping or Director Jiang, there is no rich experience in this kind of patient, and the patient can be saved, but there is only a little understanding of these detailed special treatments proposed by Xu Qiu.

"I remember that in clinical guidelines, the most important thing in treating patients with organophosphorus poisoning is to reduce gastrointestinal absorption. The core is gastric lavage and diarrhea. However, I rarely have gastric lavage for 24 hours." Wang Ping

It feels a bit strange.

Director Jiang thought for a while and said, "The key is not a 24-hour stomach washing..."
Chapter completed!