"A real man!"

"There are few who can do this. Brother, we respect you as a man!"

Several doctors who knew the inside story gave thumbs up.

If they think from the perspective of others, they will definitely not be able to do this.

Xu Qiu patted the man on the shoulder and said, "The patient's current situation is not optimistic. He may enter the ICU at any time. The cost will not be small, and the mortality rate is not low. Contact the patient's parents as soon as possible."

"She has no parents anymore. In the third year of junior high school, several families in their village used pesticides together, but the wind direction changed. More than a dozen people were poisoned. Her parents were not rescued... We had been together for two years at that time. I didn't want my parents to raise her, otherwise what would it be, a child bride?

So I read and make money.

I didn’t ask for a penny for my family. I rented a small house for her by doing odd jobs, which helped her finish high school, get into a university, and then graduate school."

Speaking of this, the smile on the man's face became more and more bitter.

It is precisely because of this that he ended up only going to college and had a gap in education with his girlfriend. In those years, he was often ridiculed and implicated by his graduate girlfriend.

Many times when breaking up, the other party will regard "I can fall in love with you, a college student, why don't you rely on me?" as a killer weapon.

Later, my girlfriend's temper suddenly improved and her personality became well-behaved. She became more and more obedient to him as if she had become a different person. Only then did he finally make up his mind to get married. After his parents helped her for more than one million yuan, she settled down in Linhai.

Now that I think about it carefully, they haven't met for nearly a year during the period when their temper has improved...

And pregnancy and inducing labor may occur during this period.

The major change in personality was probably because she was abandoned by another man and could only catch him, the spare tire.

"I'm so stupid." The man laughed loudly. He felt like a clown, being played with by a woman.

For a moment, the ward fell silent.

No one expected that this man would do this for his girlfriend.

Xu Qiu's face did not change. He passively accepted various messages and maintained an indifferent attitude towards everything that had nothing to do with the condition. After a moment, he said, "Go and sign."

...

After the man signed the letter, Xu Qiu also gave new treatment measures.

The first is to connect the tracheal intubation to a ventilator to assist ventilation.

The second is the routine treatment of acute severe pancreatitis, and Xu Qiu also placed a nasal jejunal canal.

Generally, patients will place gastric tubes, but patients with pancreatitis cannot do so. They must use the nasal jejunal tube to bypass the duodenal nipple to avoid causing pancreatic secretion and allow nutrient solution to directly enter the small intestine.

Afterwards, Xu Qiu fell into deep thought.

Director Xiao and others were also hesitating. Should blood purification treatment be used in this situation?

The chance of rescue of acute severe pancreatitis is very low. Several cases admitted to the gastroenterology department have died before. Only Xu Qiu has rescued three or four of them after entering the clinic... It is precisely because of the extremely high mortality rate that once it encounters clinically, various treatment methods that can work will be added.

For example, blood purification.

The same principle as hemodialysis can filter out the inflammatory mediators in the patient's body to prevent infection from spreading through the blood tract to the whole body, which in theory can play an auxiliary role in controlling the disease.

However, this operation is risky, and requires puncture in the patient's femoral artery, then insert a catheter to draw out the blood, filter it and then return to infusion.

In clinical practice, an Occam razor is also emphasized. Unless it is necessary and expected to be considerable, additional treatment measures will generally not be given, especially invasive operations, and they are even more cautious.

Especially, there has been no clear guidelines for the treatment of acute severe pancreatitis, and there is no evidence-based medicine that can prove how much blood purification can play. In this case, it is not necessarily a good thing to puncture rashly.

"Wait a minute." Xu Qiu gave the final conclusion.

He has a lot of experience in treating acute severe pancreatitis.

Other doctors generally choose conservative treatment, fearing that surgery will cause pancreatic tissue necrosis, which will lead to internal environmental disorders and directly cause the patient's death.

But Xu Qiu didn't have this concern.

"Doctor Xu, what is the patient's breathing?" Director Xiao suddenly asked.

Since it is not ARDS, what is the cause of rapid hypoxia in patients?

Xu Qiu shook his head rarely. Clinical diagnosis is a process of finding evidence. He has several conjectures, but it still takes time to verify it.

Director Xiao started to ponder.

This type of patient usually has pancreatitis in the lungs, which then causes acute respiratory distress syndrome. He still doesn't understand why Xu Qiu dared to rule out ARDS so decisively.

"Let's go, go to the ICU to have a look." Xu Qiu said.

The patient has been sent to the ICU for oxygen therapy with intubation ventilator.

Until everyone came to the ICU, Director Xiao and others were still suspicious that they would not inhale oxygen from the mask, ventilate non-invasive positive pressure, and then slowly transition to the final ventilator. Instead, Xu Qiu went directly to the last layer of insurance. Is it really necessary?

However, when they saw the nurse's condition, their faces changed for a moment.

During the interval between the ICU and the connection between the ventilator, the patient's respiratory function further deteriorates, and the blood oxygen is at its worst, which is already a very dangerous signal in clinical practice.

"Luckily I'm on the ventilator..." Director Xiao breathed a sigh of relief and looked at Xu Qiu again, full of admiration.

It is indeed the ace of the doctor.

If they ask them to deal with it, they will definitely not have the courage to use the ventilator directly. When the patient's blood oxygen drops sharply, it will be one thing to be in a hurry. It is hard to say whether it can be rescued!

Fortunately, Xu Qiu predicted the changes in his condition in advance and connected the ventilator early to quickly pull the patient back from the brink of endangerment.

"It's almost dangerous!"

"The patient's lips were cyanotic. He was fine more than ten minutes ago. How could it develop so quickly..."

"It makes no sense. Even ARDS won't change so dramatically in a short period of time!"

"Generally speaking, this is the case that the lung damage is too serious."

The gastroenterologists present felt incomprehensible.

Director Jiang from the ICU also arrived. He looked at the patient's condition and said in surprise: "It's very rare. Even in the ICU, like her, I have never encountered a few cases where blood oxygen saturation is crazily lost within ten minutes."

After saying that, he looked at Xu Qiu, "Doctor Xu, are you sure this person has no ARDS?"

Xu Qiu did not answer. He looked through the patient's medical records again and stared at the life monitor for a while.

Heart rate, breathing, blood oxygen saturation, pulse, etc., numbers are beating on the screen, and the sounds are endless.

What's the problem?
Chapter completed!