When everyone was puzzled, Xu Qiu stopped keeping it and said bluntly: "The problem lies in the patient's personality.

“He yelled several times when he checked the rounds.

"This is still the presence of several of us doctors, and he restrained a little.

"Last night, the doctor went to the duty room, and the nurse was also waiting at the nurse's desk to call. There was only one family of three left in the ward, and he should have cursed people a lot.

"He shouted loudly before his respiratory function could fully recover. With his personality, he would continue to show off his strength if he was suffocated... Therefore, he eventually caused respiratory alkalosis."

This explanation will be far-fetched when it comes to any patient.

However, when I thought of Wei Ding, the doctors present all thought that "it's definitely the case"...

This patient can really do such a thing.

No, no, it should be said that he does this every day.

"It should be like this, but how can I explain such a critical condition?" Director Shen still couldn't figure it out.

Xu Qiu said: "Two reasons.

"First, the patient has a history of chronic anemia, which will aggravate myocardial ischemia.

"2. Once respiratory alkalosis occurs, myocardial ischemia will reach the extreme. Combined with the harm of sibutramine to increase the cardiovascular risk, the patient will suffer from acute heart failure."

This was also discovered by Xu Qiu's physical examination last night. Angry jugular vein and other symptoms are manifestations of right heart failure.

If he hadn't noticed this, he wouldn't have thought about cardiovascular diseases, nor would he have considered that there were once popular products such as Sibutramine and now banned drugs.

With the connection between them, Xu Qiu finally revealed the truth.

Xu Qiu continued to explain: "As for why it is so serious, the reason is heart failure.

"Respiratory alkalosis causes the already ischemia to worsen myocardial situation. The occurrence of acute heart failure prompts the patient to hold his breath, which leads to the patient's acid-base imbalance worsening and fatal hypoxia.

This further leads to aggravation of respiratory alkalosis and also leads to the body's modern metabolic acidosis.

Immediately afterwards, the degree of myocardial ischemia continued to deepen..."

After Xu Qiu said that, everyone's expressions were a little dull. Under this vicious cycle of rapid progress, it was difficult for the gods to save them.

Who would have thought that Xu Qiu grabbed hemoglobin from countless critical values, took blood replenishment as the primary treatment measure, accurately cut off the chain of myocardial ischemia aggravation, completely interrupting the vicious cycle...

"Oh My God!"

"I only realized now that if I hadn't replenished blood without the risk of replenishing blood, adding hemoglobin, and changing it to any other treatment measure, the patient might have died of worsening circulation!"

"Doctor Xu didn't know the cause of the disease at that time, so he knew how to rescue him the most reasonable. How did he do this!"

After everyone sorted out the progress of the patient's disease, they were shocked and their admiration for Xu Qiu became several times more serious.

He Hai, Wang Fan and others who participated in the rescue at that time were scared.

Without Xu Qiu coming back to save the scene, they might have been busy for a few hours, and the patient could not escape death!

Respiratory alkalosis - worsening myocardial ischemia - heart failure leads to hold your breath - further aggravates respiratory alkalosis and develops modern metabolic acidosis - myocardial ischemia is more serious...

This is a disease-causing chain that is almost unsolvable and directly points to death.

However, within a few minutes after Xu Qiu arrived, he used clinical intuition alone to rule out other equally critical interference items. With the knife "blood replenishment", he terminated the vicious cycle in the "myocardial ischemia" in one go.

.

...

"Is it still time to hand over the shift? The discussion of demonstration cases in the province is nothing more than that." Wang Ping looked at Xu Qiu, and felt a sense of worship in his heart.

The doctor in the emergency department is honored.

Look, this is the level of our early transfer class.

"So that's what it is..."

"No wonder the condition progressed so quickly and could not be controlled at all, because all links were gradually aggravating!"

"This patient has been solved, it's too difficult!"

Everyone was deeply moved.

Just as he was about to have a relaxed expression on his face, Director Shen suddenly frowned: "No, the condition worsened so quickly, this can be explained.

"But why did it improve quickly again?"

This cannot be solved by blood transfusion. Blood transfusion can only curb the progress of the disease and slowly restore physical functions.

But the patient was safe and sound in just over half an hour and could even get out of bed and walk.

Moreover, his liver function almost reached the normal index. Half an hour ago, his aminotransferase was still thousands, dozens of times higher than the standard!

Everyone was in high spirits and thought that the medical record was finally over, but after hearing Director Shen's words, they suddenly realized that their doubts were not resolved.

Director Lin thought for a while and added: "When it comes to liver function, various documents do not mention the liver toxicity of sibutramine, and it is even less likely to cause acute liver damage. Even if the patient takes sibutramine for a long time, it will lead to

It's also chronic liver injury..."

Xu Qiu said: "Who said the patient had acute liver damage?"

"Isn't it..." Everyone was stunned.

Even Wang Ping, He Hai and others showed a shocked expression.

Such an exaggerated liver damage indicator, if it is not acute liver injury, what else can it be?

They thought this was an unquestionable truth and an obvious fact, but Xu Qiu's words made everyone doubt their clinical thinking.

Xu Qiu shook his head and said, "No, our direction is actually not wrong. The sharp increase in aminotransferase is also an indicator of acute liver damage."

Wang Ping immediately said: "Then what do you say..."

"Because it's not just acute liver damage that can cause liver damage."

This is a bit confusing.

Take the most sensitive liver function test indicator, alanine aminotransferase.

The concentration of alanine aminotransferase in normal people's blood is very low. Only when the liver cells are damaged or the permeability of the hepatocyte membrane increases, the enzymes in the liver cells are released into the blood will cause the concentration of alanine aminotransferase in the serum to increase rapidly.

It indicates liver damage.

However, these two reasons are not the only ones that can increase the indicators.

Xu Qiu gave the answer: "The patient is not acute liver injury in the conventional sense, but... blood-congested liver!"

Blood-congested liver?

Director Shen, Director Lin, Wang Ping and others looked at each other, their pupils suddenly contracted, and a lightning strike seemed to sound in their minds.

At this moment, the directors only felt that they were very familiar with each other.

The disease that had troubled them for a long time was revealed so clearly before them for the first time.

From the initial onset, to the subsequent acute deterioration, to the last time I walked through the gates of hell last night, everything was explained!

"Steat... blood congestion and liver? What's going on?" Several doctors in the gods looked confused.
Chapter completed!