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Chapter 766 One million cannot save this life

With Wang Ping in charge, the patient can save at least one life.

When they arrived at the rescue room, they were surrounded by a group of family members.

Xu Qiu asked: "Is the patient a woman?"

"Yes!"

Xu Qiuran... Four older men from the previous generation came. It seemed that they were the patient's parents and in-laws. In this case, either the patient was a pregnant woman or was in confinement.

He quickly walked to the door of the emergency room. Wang Ping inside received news and took a group of doctors to separate the crowd and invited Xu Qiu in.

After a while, Xu Qiu walked out of the rescue room with a heavy expression.

"Who is in charge?"

As soon as the voice started, the rioters calmed down, and all their eyes looked at the man in front.

He is the patient's husband.

"It's me, the doctor, how is my wife?" The man's eyes conveyed an anxious mood, but he still tried his best to keep himself calm.

Xu Qiu spoke slowly: "The patient's condition is very bad. Invasive rescue will be carried out later. Will we continue?"

"Do, why not do it? You must save my wife!"

Xu Qiu paused for a moment.

It's also my fault that he didn't say this straightforwardly enough...

He sorted out his thoughts and asked again: "If you continue to treat, there may be no limit on the money you spend."

"Don't worry, we bought insurance and have major medical insurance for urban and rural residents!"

"Just bought this?"

The maximum compensation for medical insurance for major diseases for urban and rural residents is 400,000 yuan, and the patient's acidosis is very serious and he is likely to have to go to the ICU. If he is not sure, he will have to pay a million-level rescue fee. 400,000 yuan is really not enough to see.

The man finally understood Xu Qiu's implication, and his face suddenly turned extremely white.

The next moment, he trembled and said, "Save, save, let's save us!"

Xu Qiu nodded and turned back to the rescue room.

At the same time, Wang Ping handed over the inspection report that had just been released.

Xu Qiu glanced at him and was shocked.

The patient's pH value is only 7.13, which is far lower than the 7.35 to 7.45 of normal people, which is already an extremely critical acidosis.

In addition, lactic acid is 27.1 units, and the normal value is 1~1.8.

The most amazing thing is hemoglobin...

The hemoglobin of normal adult women is between 110 and 150, and severe anemia is greater than 30 and less than 60, but the patient's hemoglobin is only 15, which is only half of severe anemia. In extremely severe anemia, they are all at the level of death at any time.

"Two units of red blood cells have been lost..." Wang Ping added.

Xu Qiu shook his head: "Not enough."

It also said: "Quickly infusion of 6u red blood cells, add 400 ml of plasma. Another 10 l of electrolyte and potassium chloride are infused."

After deciding the infusion plan, Xu Qiu paused and said: "Issuing a critical illness notice to prepare the family members, and also - go back to raise money."

...

Xu Qiu's rescue efforts, and another examination resulted in the results.

The patient's name is Ding Tao, who is twenty-seven years old. He gave birth to a baby boy in Linyishun half a month ago and is now in confinement.

The second blood routine was normal, and the patient's hemoglobin had increased to 36. Although he was still severely anemia and was still wandering around the gates of hell, it had improved too much compared to before.

There are not many other indicators that are normal.

The increase in white blood cell count, the increase in neutrophil count, the increase in neutrophil percentage, the decrease in lymph and monocyte counts, and the red blood cell, the red blood cell pack, the average red blood cell volume, etc. are all on the verge of danger.

In addition, there is a critical value.

Platelets!

Generally, people have platelets between 100 and 300, but the patient has only 27 platelets left, which is severe thrombocytopenia. If no intervention is performed, spontaneous bleeding will occur throughout the patient's body, such as nose bleeding, gum bleeding, intracranial bleeding, etc. The patient is very likely to die because he cannot stop the bleeding and lose blood.

"Check, the patient should have internal bleeding." Xu Qiu immediately made a judgment.

Low hemoglobin is likely to cause low platelets.

In this case, only blood is replenished, but the patient is still losing blood and hemoglobin will never be able to raise it.

Xu Qiu continued to check the inspection report, his expression becoming more and more serious.

Data on the second page show that the patient has four other critical values, namely severe low potassium, extremely long prothrombin time and extremely high and activated prothrombin time, and extremely high type b natriuretic peptide.

Any critical value can be used to give the patient a critical illness notification.

But this acidosis patient named Ding Tao is extremely critical and can make the emergency doctor sit up in a dying state.

"There is also liver function, and there are also big problems!"

Xu Qiu frowned deeply.

Dingtao's alanine aminotransferase has exceeded one thousand, while the alanine aminotransferase has reached about 500, which is more than twenty times that of normal people. Combined with abnormalities such as bilirubin, it can basically be determined that it is acute liver injury.

And it is also severe acute liver damage.

"CT has also been released, chronic heart failure and liver damage is not obvious." Wang Ping said, handing over the video.

Xu Qiu raised the ct piece to the light and looked carefully.

Wang Ping is right. The liver damage that cannot be caused is not obvious. Most of the liver is not damaged significantly, and the bile ducts inside and outside the liver do not dilate.

"The liver density has decreased." Xu Qiu's eyes seemed to be a sophisticated instrument, and he could see this seemingly normal problem at a glance.

He took out another CT tablet from his chest cavity.

The above shows that Ding Tao's heart shadow enlarges, typical chronic heart failure and chronic anemia.

"The patient has woken up!" At this time, news came from the rescue room.

Xu Qiu put down the inspection report and said, "It's just right, go and learn about the situation."

When observing the outdoors, the family had already surrounded Ding Tao's hospital bed.

Xu Qiu finally squeezed in and took a look at the patient.

Ding Tao's face was still very bad, but it was much better than his pale face before.

"Have you taken any medicine?" Xu Qiu asked.

Such severe liver damage also leads to thrombin problems. Combined with this point of young women, the most common thing is to take weight loss pills.

Most of the weight loss pills praised on the market are purely deceptive IQ tax, and can only play the role of a laxative, which is quite conscientious. Some weight loss pills even add banned drugs. Once taken for a long time, they will cause serious damage to the liver and kidneys and other organs, which can be irreversible when discovered.

"No..." Ding Tao's thin lips moved, his voice so weak that it seemed to fall apart at any time.

"Weight loss pills, or any other medication?"

"I haven't eaten these things..."

Xu Qiu nodded and said he knew.

It seems that if you want a few words to lock in the culprit of the disease, it is simply a delusion...

While thinking, Xu Qiu issued the second phase of infusion plan.

"Continue infusion of 4u red blood cells, 400ml of plasma."

"In addition, intravenous reduction of glutathione, 1.8g."

Shi Lian and others quickly remembered it, and someone immediately went to change the medicine liquid.

After giving the doctor's advice, Xu Qiu stood there. He carefully recalled the patient's status during the rescue and tried to analyze important symptoms from it.

——
Chapter completed!
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