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Chapter six hundred and thirty fifth acute pancreatitis

At nearly seven o'clock in the evening, an ambulance roared over, rushed into the gate of Jiang Intermediate People's Court, and stopped at the door of the emergency department outpatient building.

The ambulance was an ambulance from Dingjiang City Hospital. It took seven hours to drive along the way, and there were doctors from Dingjiang City Hospital on the bus.

Dingjiang City is not under the jurisdiction of Jiangzhou Province. It has been praised by the province this way, but the patient has acute pancreatitis, which is quite dangerous. The patient needs to be transferred to the hospital. Dingjiang City Hospital must arrange medical staff to accompany him all the way to prevent patients from having accidents on the road.

The ambulance stopped and Fang Han was already waiting at the door with the doctors from the emergency department. The nurses quickly pushed the flat car forward and lifted a woman in her thirty-five or sixty from the car. A woman in her early sixties was accompanied by Chen Yuan's former mother-in-law.

"Send the patient to the observation room first." Fang Han checked the situation and told the nurses.

Chen Yuan followed the flat car and planned to go in, but was grabbed by his ex-mother-in-law.

"That Xiaoyuan, we haven't paid the ambulance fare yet."

Chen Yuan's face was gloomy and it took him a long time to grit his teeth and said, "You go in first, don't worry about the rest."

The doctor who was following the car stared at Chen Yuan's former mother-in-law. When he saw that his ex-mother-in-law had an explanation, he instantly stared at Chen Yuan.

"Hello."

The doctors who followed the car were quite polite. After all, this is Jiang Intermediate People's Court. Jiang Intermediate People's Court is very famous in several surrounding provinces. Generally, doctors from first-level hospitals or third-level hospitals with less famous reputations have to give some face when they see the doctors from Jiang Intermediate People's Court.

Chen Yuan's face was not very good: "How much does it cost."

The doctor took out a list and handed it to Chen Yuan, and said with a smile: "Four thousand two."

"Four thousand two?" Chen Yuan frowned.

"Doctor Chen!"

The other party had already read Chen Yuan's badge and knew Chen Yuan's name. He smiled bitterly: "Doctor Chen, everyone is a doctor. We don't charge random fees. It's hundreds of kilometers along the way, and the bridge fee is quite a lot. You just hire a car, and it's not cheap if we don't count our nursing fees."

Chen Yuan didn't say anything. In fact, he knew that Dingjiang City was not close to Jiangzhou Province, and ambulances were not free. The way was not considered nursing fees, stretcher fees, or medical staff fees. The bicycle fee and bridge fees alone were not considered.

As we walked along, Dingjiang City Hospital sent a driver, a doctor, two medical staff, and various first aid methods to prevent accidents on the road. How could it be possible that no charges would be charged?

"You wait a moment."

Chen Yuan reached out and touched his cell phone. He really didn't have that much money now.

After all, Chen Yuan has been to Jiang Intermediate People's Court for almost a year and has saved some money, but he has bound a bank card to his mobile phone, which usually only takes a meal and buys daily necessities.

"Dr. Fang!"

Seeing Fang Han walking in, Chen Yuan hurriedly chased after him in two steps.

"Doctor Fang, can you lend me some money first? I will pay it back to you tomorrow." Chen Yuan's face looked quite embarrassed and he felt a little embarrassed.

"Didn't you pay the fare?" Fang Han asked.

"Yes." Chen Yuan nodded.

"How many?"

"You lend me five thousand first, and I will give it to you tomorrow."

"I will transfer to your WeChat, don't worry, just give it to me when I am rich."

Fang Han took out his cell phone and transferred five thousand yuan to Chen Yuan. Chen Yuan went over to pay the fare, and the ambulance left Jiang Intermediate People's Court.

"Dr. Chen's ex-wife?"

A resident doctor was whispering along the way.

"It seems."

"It's too much to ask Dr. Chen to pay the fare."

"Yes, Dr. Chen's former mother-in-law is really the case. She can do this. Dr. Chen introduced the hospital and introduced the doctor, and he was already in love and asked Dr. Chen to pay the money."

"Who said no, Dr. Chen is also kind-hearted."

"A kind heart is not just kind heart, right?" A doctor hummed and laughed at the doctor, but didn't say the words afterwards. In his opinion, this was not kind heart, it was a bad pen.

Several people were not talking loudly, but Fang Han still heard it. He glanced at several hospitalized doctors, and several hospitalized doctors hurriedly shut up.

Chen Yuan and the others may not care, but Fang Han and the others dare not offend him. Now who doesn’t know that Chen Yuan is Dr. Fang’s capable leader?

A group of hospitalized doctors said, but in fact they still envied Chen Yuan. Chen Yuan was highly valued by Fang Han and his status in the emergency department is not low. Jiang Intermediate Hospital's emergency department will have the surname Fang for many years in the future, so Chen Yuan naturally has a bright future.

Many people even vaguely speculated that Dr. Fang would probably hand over the bone injury division to Chen Yuan in the future.

"Dr. Fang!"

Fang Han entered the observation room, and Ye Kai hurriedly greeted him.

"How is the patient's condition?" Fang Han asked.

"It's not dangerous to get sick yet, but the situation is not optimistic, and the abdominal pain is severe."

"What do you think about Dr. Miao?" Fang Han asked Miao Dalong.

"I suggest giving the patient a check first and then checking the situation."

"Then check the patient first and then send it."

Fang Han gave the patient an examination, then said it and walked out of the observation room, waved to Chen Yuan: "Did the patient bring the examination report from Dingjiang City Hospital?"

"Take it." Chen Yuan handed a bag to Fang Han.

Fang Han took the bag and looked carefully. Miao Dalong and Ye Kai also stood beside him and looked around.

"This is so high amylase?" Miao Dalong was shocked.

As a senior hospitalization, although Miao Dalong is not from a Western medicine background, he can still understand some simple examination sheets. Not only Miao Dalong knows what this amylase means, but also Ye Kai clearly knows what it means.

Amylase is an enzyme that decomposes starch. When food enters the esophagus, amylase will decompose and digest the food. Under normal circumstances, amylase appears in the digestive tract and only a small amount exists in the blood. Now the patient's blood has more than 1,000 units, which is ten times the normal value, which means that there is a very serious problem with the patient's pancreas.

"The patient was treated in Dingjiang City and County Hospital for two days and was diagnosed with acute pancreatitis." Fang Han said softly after reading the report.

"Dr. Fang, can I remove it surgically?" Chen Yuan asked hurriedly.

Fang Han could see that Chen Yuan was still very concerned about his ex-wife.

"Acute pancreatitis is acute fulminant. Judging from the examination results, the patient's mesenteric artery infarction had already undergone large-scale intestinal necrosis, and this operation could not be performed at all." Fang Han explained.

Although Dingjiang City is not a provincial capital, it is also a second-tier city. Dingjiang City Hospital is also a third-grade hospital. If it weren’t for the patient’s situation and the Dingjiang City Hospital could not get it, how could Dingjiang City Hospital so easily agree to the patient’s transfer, or even send a car to Jiang Intermediate Hospital all the way?

All hospitals attach great importance to some serious illness resources. If their own hospitals can obtain them, if it is not for the strong request of the patient's family, the hospital will not easily transfer patients to hospitals.

If Dingjiang City Hospital can get this disease, even if the patient's family wants to be transferred to the hospital, Dingjiang City Hospital will persuade the patient.

Fang Han had met Chen Yuan's former mother-in-law, but he didn't seem to have any ideas. The family members of such patients, and the doctor said two or three words of seriousness that could scare the family members of the patient to give up.

Our hospital is not responsible for any patient's accident, and what to do if the patient is in serious condition and an accident occurs on the road is afraid of it.

Generally speaking, the hospital agrees to transfer the hospital very happily, which means that the hospital cannot be taken down and there is no way for it. If you cannot let the patient have an accident in your hospital, the patient's family members do not want to transfer the hospital, and the hospital may persuade him.

The mortality rate of acute pancreatitis is very high. This disease is acute and critical. Even if it is surgery, it faces a mortality rate of 60%.

Although Fang Han did not understand pancreatic resection surgery, he was proficient in left and right hepatic resection, and also knew some risks and remembers pancreatic resections, so he directly denied the operation.

"Director Kuang."

Fang Han was talking, and Kuang Mingzhuo was also here. Kuang Mingzhuo had just received the surgery and informed him. Fang Han specially asked him to notify him.

Although Kuang Mingzhuo is also an expert in extrahepatic aspects, compared to the skills Fang Han copied from Tian Yitao, Kuang Mingzhuo learned it himself, so he also knew something about the pancreas.

"What's the patient?"

Fang Han explained briefly, and then handed the information to Kuang Mingzhuo.

Kuang Mingzhuo took a deep breath after seeing it: "The patient's condition is quite serious, and there is no way to operate. First, use a large dose of antibiotic treatment, and then notify the internal medicine for consultation?"

"I have notified the internal medicine department, Director Liao will be here soon?" Ye Kai interrupted.

As he was talking, Liao Yunsheng had already arrived. Fang Han told Liao Yunsheng about the situation, and then accompanied Liao Yunsheng and Kuang Mingzhuo to check the patient. Then several people entered the consultation room.

"Dr. Fang's examination results are out." The nurse sent some of the examination results over.

"One-third of the patient's front line has died." Fang Han saw the result and frowned.

"The situation is very serious." Liao Yunsheng also looked serious.

"The patient has been more than 30 hours since the onset of the disease. Acute pancreatitis is in an emergency and critical condition. Measures must be taken as soon as possible, otherwise the patient's pancreas will continue to die." Kuang Mingzhuo glanced at Fang Han.

In Kuang Mingzhuo's opinion, Fang Han was completely irrational to accept such a patient, acute pancreatitis, and this situation has come to this. Such patients are now a hot potato for major hospitals.

When the patient comes, it is impossible to push, but treatment is also difficult. If the patient dies in the hospital, this is not a trivial matter.

Fang Han frowned. He also underestimated the progress of the patient's condition. Unexpectedly, the patient's condition had reached such a severe level.

"Director Liao has any suggestions?" Fang Han asked Liao Yunsheng.
Chapter completed!
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