There is a problem!

There is a problem with the patient's blood oxygen saturation!

He looked at Director Jiang: "After getting on the ventilator, has the patient's blood oxygen risen?"

Director Jiang quickly replied: "Yes, it was originally eighty-one, and the tracheal intubation rose rapidly after ventilation, and it reached about ninety. Now it is basically stable at 92."

“How long has it been maintained?”

"How long? I really didn't pay attention to this." Director Jiang shook his head.

He called the bed doctor and bed nurse. After inquiring, the other party gave the answer.

"It's been almost ten minutes."

Ten minutes...

Xu Qiu shook his head, something was wrong.

The ventilator is on, and the blood oxygen should rise quickly to the normal range. Stabilizing at 92 is not good news.

Although the blood oxygen is much better than that of 81 at that time, it is still within the scope of hypoxia.

"Increase the inhalation concentration." Xu Qiu ordered.

Director Jiang did not dare to be vague and quickly did as he did.

Everyone just waited for more than ten minutes.

Director Xiao, Director Jiang and others were more and more shocked.

"how so?"

"The inhalation concentration has been increased several times, but the patient's blood oxygen remains motionless, and it is still 92!"

"After lowering the blood oxygen will drop immediately, but the concentration will not change!"

Everyone felt that they couldn't understand.

In this case, it is obviously unreliable to say that the patient has no problems with his lungs.

"pneumothorax?"

"Or there is atelectasis?"

"If the lungs are not damaged, the blood oxygen should not be unable to rise. The patient's respiratory system must have lesions!"

At this moment, after Xu Qiu discovered the fixed 92 blood oxygen, all the digestive doctors realized the problem.

"Do you want to ask for a consultation in the respiratory department?" Director Xiao was a little unconfident.

Pancreatitis is their strength, but when it comes to respiratory system, you have to ask a specialist to come.

Everyone's expressions were very serious.

Whether it is pneumothorax or atelectasis, it will cause the patient to be unable to breathe normally on one or even both sides of the lungs, which will lead to severe hypoxia in the patient.

It’s better to say that if the lungs are atelectasis, there will be no side effects when you go on the ventilator. At most, it will delay the condition.

But if it is pneumothorax and continues to operate the ventilator, the pneumothorax will become more and more serious, resulting in more serious consequences.

While everyone was hesitating, Xu Qiu took out the stethoscope.

At this moment, Xu Qiu dared to do this.

None of the other doctors are in respiratory specialties and are not sure.

After auscultation, Xu Qiu shook his head: "It's not pneumothorax, nor is it inactose."

"Add a CT?" The primary attending agent of respiratory department made suggestions.

Director Xiao shook his head: "Are you stupid? You did a routine CT last night and didn't find any abnormalities. Now you have to do it to enhance it, but can the patient's physical condition bear it?"

Xu Qiu nodded: "There is indeed no conditions to do CT."

When the patient's oxygen concentration drops slightly, the blood oxygen will fall. At this time, sending the patient to the imaging department for at least half an hour to enhance CT is too high, and it is no different from sending him to death.

Xu Qiu stood beside the bed, thinking silently.

The patient's condition is also listed in front of you.

Acute severe pancreatitis...

Deficiency of oxygen...

The blood oxygen is fixed at 92, and it cannot be improved no matter what...

Will it be related to the patient's previous pregnancy history?

Xu Qiu quickly shook his head.

Although the other party's rectus abdominal muscle was separated and had given birth to a late-stage fetus without telling her husband, this is different from the current condition.

No matter how you look at it, you can't get in touch.

Back to the patient—

When various indicators are combined together, the conclusion drawn is similar to Director Xiao and others, which is a lung injury.

Besides damage, what else can cause the blood oxygen to have no complexion under such high concentrations of oxygen?

"It's a pity that there are no detailed cases of the patient's pregnancy history..."

Xu Qiu felt a little regretful.

This is also why it is necessary to ask various medical history in clinical practice. Sometimes things that are concealed are the key to life-saving.

But now there is nothing to do. The patient is already confused and cannot answer any questions.

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Xu Qiu read a few pages of medical records that were only a few of the patients.

There are not many records above, and it was only three years ago. Recently, three months ago, I had an prenatal consultation in the reproductive department of the doctor.

Director Jiang, Director Xiao and others sighed.

They have also read this medical record, and there is no valuable content on it.

In the past half an hour, Xu Qiu had been reading it for more than a dozen times, but still couldn't see anything.

"If it really doesn't work, just take the risk of enhancing it. It's better than waiting..." Director Jiang glanced at the life monitor, and the patient's blood oxygen actually dropped to 90!

Others also noticed this and their pupils contracted.

The oxygen supply concentration has been maintained at a very high level, so why did the patient's blood oxygen saturation decrease again?

"Wait a minute!"

Suddenly, Xu Qiu stopped.

Everyone's hearts were hanging, and they looked at Xu Qiu in surprise.

That medical record...has it really found some clues?

The above content is basically a clinically applied medical record template, what can you tell!

"blood pressure."

Xu Qiu was concise and immediately pointed out the abnormalities in the medical record.

"The patient's health test for blood pressure three years ago, 131/82mmHg.

Later, she basically maintained the frequency of physical examinations once a year.

But just one and a half years ago, within two months, she had two consecutive checks!

The blood pressure of the previous time was about 176/107mmHg; the one after a month, it was reduced to 128/84mmHg!

"Extravaginous hypertension?"

Xu Qiu immediately guessed the cause of the disease.

If this is the case, perhaps the other party really did not give birth to the child, but because of idiopathic hypertension of pregnancy, the pregnancy was terminated and the induction surgery was performed...

As for the latter examination, it is likely to be a physical examination after the operation.

He found out the patient's admission test yesterday.

Blood pressure 120/79mmHg.

The blood pressure of a normal person is between 90 and 140/60 and 90. Of course, if the systolic blood pressure exceeds 120 and diastolic blood pressure exceeds 80, it is already abnormal. The so-called normal blood pressure and hypertension indicators in clinical practice are all formulated by the medical community and have great variables.

For example, in the country of Berry, the standard for hypertension is that systolic blood pressure is greater than 130 and diastolic blood pressure is greater than 80.

Daxia was actually considering lowering the standards before, because in fact, the blood pressure range of healthy people should be between 90 and 120/60 and 80.

But it was not executed in the end.

One of the reasons is that once the standards are modified, countless hypertensive patients will emerge instantly, and this group of people will have a great impact on medical insurance...

Anyway.

The patient's blood pressure is not normal no matter how you look at it.

"And, her blood pressure during pregnancy reached 176/107mmHg... Is this an idiopathic high pressure during pregnancy or other reasons?"

At this moment, Xu Qiu felt that the truth seemed to be right in front of him.
Chapter completed!