In the upper right corner of Zheng Ren's field of vision, the red color appearing on the system panel looked like blood was about to drip.
Tetanus bacilli infection, this diagnosis is not wrong.
It's really... Zheng Ren finds it very difficult.
He has been practicing medicine for ten years, including apprenticeships and internships. I have never seen or even heard of Tetanus infection.
Although every trauma patient will receive intramuscular injection of tetanus antitoxin according to the medical procedures, this is the first time that an acute attack of Tetanus bacilli infection has occurred.
Trying to remember, Zheng Ren remembered that in an inconspicuous corner of the surgery book, there were dozens of words describing how to treat patients with tetanus infection.
But... Zheng Ren is still unwilling to take over, after all, he has no experience.
"Director Pan, have you ever treated him?" Zheng Ren asked.
Director Lao Pan shook his head and said, "I'm going to make a call and ask the whole hospital for consultation and find the relevant departments to pick up the patient."
After speaking, he went to contact the hospital for consultation procedures.
When the patient's family members heard the words between Zheng Ren and Director Pan, they felt even more unsure. They stood at the bedside at a loss, looking at their mother who looked like a legendary zombie, and then at Zheng Ren, who had a serious expression, and the corners of their mouths moved. , but couldn’t say a word.
An elderly nurse walked in quietly and took the patient's blood pressure and vital signs as calmly as possible.
There was no problem with his vital signs, he was as stable as a normal person.
Zheng Ren also knew all this. The fatal condition of the patient was not like an ordinary major rescue, such as hemorrhagic shock and so on.
This disease,
The most terrible thing is,
Muscles throughout the body are tense and spasmodic.
Especially after respiratory muscle spasm,
The patient will lose respiratory function,
soon…
die…
A few minutes later, the directors and deputy directors of relevant departments arrived one after another.
It is very difficult, even for these medical workers and professors with rich clinical experience.
No one wants to deal with the treatment of rare diseases.
This is responsible for yourself and your patients.
The diagnosis was clear and no one disputed it.
But when it came to treatment, no one had ever encountered or had experience in treating tetanus infection, so they all shook their heads, sighed, and left.
"Can you treat it?" Old Director Pan had no choice but to ask Zheng Ren.
"It's written in the book, you can give it a try." Zheng Ren said.
"If you need anything to send the patient to the emergency ward, just talk." Director Lao Pan finally made up his mind, "I will personally handle the communication with the patient's family."
Zheng Ren immediately called Su Yun and asked him to prepare a private room with thickened curtains and a quiet location.
Su Yun was very capable and did not ask why Zheng Ren had so many complicated needs.
In less than ten minutes, the call came and the ward was ready.
Zheng Ren escorted the patient, stacking several pieces of sterile gauze together as a thick towel to block the patient's eyes and try to prevent direct light sources.
Director Lao Pan cleared the road early and did everything possible to make the patients hear less noise along the way.
The elevator was ready long ago, and a family member was waiting at the elevator entrance. As long as the flat car arrived, there was no need to wait for the elevator and he could go directly to the emergency ward.
In three minutes, the patient was transferred from the emergency room to the ward.
"Patients infected with Tetanus bacilli should take 500ml of normal saline and add 3000u of tetanus antitoxin intravenously once a day. Do a skin test before intravenous infusion." Zheng Ren instructed.
Chang Yue was startled for a moment. She had never heard that tetanus antitoxin could be injected intravenously. Isn't it all a subcutaneous injection or intramuscular injection
But her good clinical qualities made her decide to obey.
"500 ml of normal saline, plus 8 million units of penicillin, intravenously once a day." Zheng Ren looked at the patient and continued.
Chang Yue recorded meticulously.
"Su Yun, if the patient is seriously ill, we need a backup ventilator. In addition, prepare a sterile bag for tracheotomy and use it at any time."
Su Yun nodded.
During the emergency rescue, Su Yun didn't talk so much nonsense.
"The curtains in the ward cannot be opened 24 hours a day, and the patients' eyes must be covered with towels. Try not to talk in the ward, and no noise is allowed outside the ward."
Patients infected with Tetanus bacilli are photophobic and phonophobic. Any light source stimulation or sound stimulation may cause the patient's muscle spasms to worsen, making the condition uncontrollable.
"Use hand straps to fix the patient's limbs. Be careful not to damage the limbs and avoid ischemia in the limbs."
"Ask the family members to leave one in the house and keep an eye on him 24 hours a day."
That's all he could think of. After Zheng Ren explained in a low voice, he left the ward.
For strange cases, Zheng Ren felt that he had done everything he could, and the rest... was left to fate.
Accurate diagnosis and appropriate treatment are only part of the treatment.
After working in clinical practice for a long time, doctors and nurses will have a sense of fate.
Life is indeed important.
Some patients seem to be dying, but they recover and recover like Xiaoqiang.
Some patients have no problems at all and can even go to the hospital for discharge in person, but they end up outside the discharge window.
Although these are rare situations, they definitely do not happen.
The patient in front of him was a rare case among the rare, so Zheng Ren could only do his best to treat it. As for the outcome, no one can say for sure.
Others left the ward and started busy. Zheng Ren stood quietly in front of the hospital bed in the darkness, observing the patient's condition.
The muscle tension is obviously relaxed as the light and sound sources are cut off.
As long as there is no respiratory muscle spasm, that would be a blessing, Zheng Ren thought.
The nurse prepared the tetanus antitoxin and hung it up. Because there is no light source, it is very laborious to insert the drip, and there is no line of sight at all.
Zheng Ren took the intravenous drip needle, felt for the vein on the back of his hand, blindly punctured it, inserted the needle, and the blood in the vein returned.
After being hooked up to the intravenous drip, Zheng Ren didn't know whether it was due to his own psychological effects or the effects of the medicine, but the patient's overall muscle spasm seemed to be getting better.
Half an hour later, the patient's condition was stable.
Su Yun pushed a ventilator over. There was also a white sterile bag on the ventilator. Zheng Ren knew that it was a tracheotomy instrument.
Even if the patient has respiratory muscle spasm, he can be rescued.
The most dangerous time was over, and Zheng Ren breathed a sigh of relief.
After leaving the ward and returning to the office, Chang Yue was explaining precautions to the patient's family.
Her explanation was very detailed and serious. After listening to a few sentences, Zheng Ren felt that there was no flaw, so he walked to the desk with confidence, turned on the computer, and began to think about what should be done if the patient's condition breaks through.
The phone rang, a little loudly.
"Turn down the tone on your phone." Zheng Ren discovered an omission and ordered.
"Mr. Zheng, Mr. Zheng, look outside." After answering the phone, the voice of the doctor on duty in the emergency department came from inside.
Um? What's there to see outside
Zheng Ren stood up and walked to the office window.
Many people gathered outside the emergency building of the No. 1 City Hospital, watching around one person.
The man in the middle held up a big red banner with both hands. There seemed to be a lot of words written on the banner. It was definitely not like the usual banners, which just said "Master of the Apricot Forest, Rejuvenate with Mighty Hands".
What's going on here
+++++++++
After struggling for a day and a half, I finally went home.
The patient with Tetanus infection that I wrote about was the only case that I encountered and treated in my nearly twenty-year career. It felt good to be successful.