2235 Postoperative airway foreign body
Back to 912, after getting off the classic car, Lin Yuan felt warmer.
"You're scared." Zheng Ren looked at Lin Yuan with a smile and asked.
"Yeah." Lin Yuan nodded, and just as his right hand was about to put it in his mouth and bit his nails, he was stopped by Boss Zheng's fierce gaze.
"Prosperity." Su Yun's face looked a little bad, and he didn't know whether he was talking about Lin Yuan or himself.
"Go and take a look at the patient." Zheng Ren said.
"Boss, are you sure you can find a way to treat congenital porphyria?" Su Yun asked.
Lin Yuan's ears suddenly stood up.
"Who knows," Zheng Ren said, "I think congenital porphyria is just a cover. Their congenital disease only has similar characteristics to porphyria, but in fact it is much more serious."
"Then do you agree?" Su Yun asked in confusion.
"Old Roche is here, are you sure you don't agree?" Zheng Ren replied coldly.
Su Yun knew too much. This guy is more beautiful than a monkey when he is tired of hair. Zheng Ren is preparing to end this topic.
"This is domestic!"
"I think it's still possible to research it." Zheng Ren strode towards the fire prevention channel, and Su Yun followed behind him.
"I just knew! What do you want to do?"
"I'll talk about it a few years later. I need to read the information for hundreds of years, but I don't have any ideas yet." Zheng Ren casually said perfunctorily.
"I really don't know how your inexplicable self-confidence comes from." Su Yun sighed.
Lin Yuan understood the truth, but she was a little dazed.
It involves the research of genetics, pathology, and physiology of diseases, which is a basic subject matter. How could that big shot find Boss Zheng?
Moreover, Boss Zheng did not refuse, but agreed confidently.
Ten or twenty years, such events are very long to ordinary people. But for a study of a disease, it is only a trivial time.
Lin Yuan thought, his steps were a little slow, and Zheng Ren and Su Yun quickly walked up the fire escape, and had already fallen to a floor.
"Boss Zheng, wait for me." Lin Yuan shouted and strode after him.
If there is an elevator, he has to climb the fire prevention passage. Lin Yuan complained.
"Why are you so slow?" Su Yun said contemptuously: "Why would you arrange a special elevator for you in the future?"
"I'm thinking about it." Lin Yuan made a weak argument.
"Boss, what does Roche mean in the last sentence?" Su Yun asked as he walked.
"Literally," Zheng Ren said, "I guess the Bruch family has always disliked clinical procedures, but this time they are not going to intervene."
"Is this a gift? What's the point of giving gifts from other people's things? It's so generous to others!" Su Yun said unhappily.
"Don't worry, go and see the patient. If the situation allows, you can be extubated." Zheng Ren instantly moved the topic back.
"At this time, do you still think about the postoperative patients? How big is the experience? The postoperative patient's condition must be very stable, and there are no flaws in the operation."
"In the end, I found that the patient was very agitated, so I'd better go and take a look." Zheng Ren said, "I feel that there is something wrong with it, so I'm not relieved if I don't take a look."
"You're just obsessive-compulsive disorder."
While speaking, he came to the gate of the icu. He rang the door bell and told to open the door. Zheng Ren, Su Yun and Lin Yuan walked in.
When Zheng Ren changed his clothes and went in, he was stunned when he saw the patient's system panel.
The red faded, which was expected. However, the diagnosis on the patient's system panel inexplicably added a foreign body in the tracheal system!
wipe!
Zheng Ren was angry. What was the ICU medical staff doing? How could it cause foreign objects in the trachea?
However, this was just a subconscious reaction in an instant. After a long time of cooperation, Zheng Ren also knew the power of 912 intensive care.
It is very powerful and meticulous. The possibility of foreign tracheal objects in the patient 2 hours after the operation does not exist at all!
But where did the foreign body in the trachea come from? Or did the big pig's hooves go down?
After a year of running-in, Zheng Ren rarely questioned the diagnosis of the big pig's hoof. Because he was slapped in the face too many times, can he learn from his mistakes?
But this diagnosis was too incredible, and Zheng Ren subconsciously began to feel that the big pig's hooves were joking again.
He strode to the patient's bed, looked at the airway resistance alarm sign on the ventilator, and began to stroke the place where there might be problems from scratch.
The airway resistance is increased after the operation, and the biggest possibility is that the tracheal secretion increases and sputum blocks the airway.
But if phlegm is not called a foreign object at all.
If there is too much liquid accumulated in the ventilator duct, airway reflux will occur? It should not be.
Zheng Ren instantly thought of more than ten possibilities, but none of them posted them with the patient's situation.
There is no nasal feeding and no stuttering food. How did the tracheal foreign body come from?!
The ventilator kept alarming, and the monitor showed that the patient's heart rate was also very fast and his blood oxygen saturation was not sufficient.
"Have you been agitated after the operation?" Su Yun asked.
"Well, the patient has woken up from general anesthesia after being sent. It may be because of impatience and is very restless." said the hospitalized icu.
"How long does it take to suction phlegm?" Zheng Ren asked.
"30 minutes, the last time was 26 minutes ago, the suction tube did not suck out the sputum."
"What are you dealing with?" Su Yun continued to ask.
"Considering that the patient is intolerant of tracheal intubation, he chased a propofol tube." ICU was always a little worried about being hospitalized, "The patient was so agitated that four or five people couldn't hold it down, so it would be impossible not to give it to me."
"Is it so impermanent?" Su Yun was puzzled, "It's rare."
"Yes, I'm very restless. I can't hold back even if I shouted the male nurse."
There are various reasons for patients with agitation after the operation, and ventilator tracheal intubation is one of them, which is also the main reason.
After all, a hard tube is inserted into the airway, and the patient will feel panic and panic after waking up with general anesthesia. Coupled with the uncomfortable feeling in the trachea, a small number of patients will feel a sense of dying.
When various feelings are combined together, patients will develop a strong desire to survive and then become restless.
However, 50 mg propofol was intravenously administered, and the patient's intolerance to tracheal intubation should be alleviated.
However, the pressure monitoring of the ventilator was alarming, and the patient's condition did not improve with intravenous injection of propofol.
It is not caused by impotence, but is diagnosed with foreign objects in the trachea given by the big pig's hooves.
Although Zheng Ren couldn't understand where the foreign objects in the trachea came from, this is the most basic logical judgment.
Su Yun frowned and looked at the ventilator. He was about to change the pressure mode, but Zheng Ren immediately stopped him, "Wait a moment."
"Hmm? What do you have any comments?" Su Yun asked.
Chapter completed!