"Don't worry, Brother Yun, don't scare me." Zhou Litao also felt guilty.
"Mr. Zhou, let me introduce you to a girlfriend." Su Yun suddenly raised a huge topic.
Zheng Ren was stunned for a moment. This kind of matchmaker role really didn't fit with Su Yun.
"Uh..." Zhou Litao was also stunned for a moment.
"It depends on what I'm doing. I'm just asking casually." Su Yundao said, "A friend from long ago is coming to the imperial capital to work as a drifter in the north. He is quite a nice person. How about it?"
"I... don't want to look for it at the moment." Zhou Litao sighed, "I think that when I don't want to be the hospital manager, my first thought is to have a good rest. When I was the hospital manager, I was so tired. I had no private life at all. I couldn't even watch a drama. I feel uneasy."
"Tsk, tsk, come on." Seeing Zhou Litao's objection, Su Yun didn't say much and just patted his shoulder hard.
Zhou Litao's cell phone rang. He took it out, took a look and said, "The filming is over."
The three of them came to Zhou Litao's duty room, clicked on the workstation, and called up the image data they had just uploaded.
The patient's chest X-ray showed that the texture of both lungs was disordered, thickened, and the texture of the two lower lung fields was blurred. Zhou Litao's judgment was reasonable. This diagnosis of accumulation pneumonia was indispensable.
But accumulating pneumonia is not the only diagnosis, because this disease develops over time, and even if breathing difficulties occur, it will not appear suddenly.
Aspiration was Zheng Ren's judgment. But Zhou Litao's narrative has ruled out this. After all, no food residue was sucked out during the suction, and no metal foreign matter was found in the X-ray.
"Where is the patient?"
"He was sent directly to the ICU." Zhou Litao said, "The blood oxygen is normal. I judge that a ventilator may be needed to assist breathing. If there is no improvement, a tracheotomy is likely to be required. Once an old man of this age gets sick, it will be a serious illness, and there is no good way."
"Then let's go to the ICU and take a look." Zheng Ren felt that it would be better to finish this matter. At least go home and have an explanation with Xiaoyi.
Yiren is very concerned about people she knows. Last time she ate grilled fish that smelled of diesel at that store, she didn't allow herself to talk to the boss.
If he went home with just this little information, Zheng Ren would still be afraid that his wife would be worried.
"A very ordinary patient." Zhou Litao said.
"Is it normal?" Su Yun smiled, "A sudden convulsion, what do you think it is?"
"Hypoxia, I did a neurological examination, and there were no other problems. After the sputum was sucked out, the patient's convulsions also improved." Zhou Litao said.
Su Yun smiled and said nothing. Zhou Litao only found the final result, but not the previous cause. Sudden, why does it happen suddenly? This is what matters.
"Let's take a look." Zheng Ren said, "Mr. Zhou, let's go."
Zhou Litao was a little reluctant to leave. Boss Zheng and Brother Yun had not been to the emergency department for a while. They were busy, Zhou Litao knew. But they don't come here often, and I always feel like I'm missing something.
Life has become boring...even more boring.
Zheng Ren and Su Yun left the emergency room and went to the ICU to take a look at the patient's condition. Su Yun kept holding his mobile phone to contact the hospital director in the ICU.
"Boss, he said the patient has a lot of phlegm and is already undergoing endotracheal intubation," Su Yundao said.
"Well, it's caused by long-term bed rest."
Accumulating pneumonia is one of the complications of long-term bed rest, and it is also a very troublesome complication. Apart from taking more careful care, there is nothing easy to solve by turning over regularly every day, buckling the back and coughing up phlegm.
If he is put on a ventilator, the cost is second to none. Judging from Zheng Ren's experience, it is estimated that there is a high probability that he will not be able to get off the ventilator again.
Finally, when the patient's family accepts the fact, the tube is extubated and awaits death, or if it is used like this, the end point will be when multiple organ failure occurs.
Although I have seen this situation countless times, I always feel a little uncomfortable when I think about it.
After entering the ICU, Zheng Ren changed clothes and slippers and walked through the corridor to the patient's bed.
The patient is easy to identify. Doctors and nurses are gathered around the bed and are rescuing him.
The patient's system panel was red. In addition to some geriatric diseases and cerebral infarction that caused long-term bed rest, Zheng Ren also saw a diagnosis - foreign body in the respiratory tract.
What's this? Zheng Ren was stunned for a moment.
As expected, is there something in the airway
If there is any foreign body, suction should be able to suck it out. If the foreign body is too large and blocks the airway, problems can also be found when suctioning sputum.
Zheng Ren stood silently behind the doctor and nurse, carefully observing the nurse's suctioning action.
When the sputum suction tube is lowered along the tracheal intubation, there is no resistance from the huge foreign body on the left and right sides.
strangeness.
"Boss Zheng, Brother Yun, you are here." The resident manager of the ICU turned around after finishing his work. When he saw Zheng Ren and Su Yun, he said hello and went to the computer to search for inspection reports.
"How is the patient's condition?" Su Yun asked.
"The blood oxygen is fine, but there is too much phlegm in the airway." The ICU resident said, "Arterial blood gas analysis results: pH: 7.104, PHg, PO2: 47mmHg, BE: -2mmol/L, Hol/L?"
"The patient is sweating profusely and has poor ability to cough up sputum on his own. He is expected to need a ventilator for a period of time."
"Then what?" Zheng Ren asked.
"Huh?" The ICU resident was stunned for a moment, then? Is Boss Zheng testing his own treatment? She thought for a while and said immediately, "The test results will be reported in a few minutes. Let's take a look at the situation. The sputum has been sent for bacterial culture. Anti-inflammatory and symptomatic treatment is mainly sputum suction."
"Alveolar lavage may be more effective," Zheng Ren said.
The alveolar lavage that Zheng Ren mentioned is also called bronchoalveolar lavage. It is a new technology developed on the basis of fiberoptic bronchoscopy.
A method that uses a bronchoscope to inject normal saline into the bronchoalveoli and then aspirate it out to collect the effective liquid on the alveolar surface and check its cellular components and soluble substances.
"Do you suspect there is a foreign body in the airway?" Su Yun guessed the true intention of his boss as soon as he read the paper.
"Well, patients who have been bedridden for a long time may suffer from aspiration." Zheng Ren said.
"It's unlikely. There's no food residue sucked out." The total consideration for hospitalization in the ICU was the same as what Zheng Ren was thinking about when he didn't see the system panel.
But Boss Zheng... was the one who did it after all. He shook his head and said nothing.
"Let's give it a try. Anyway, let him do it by himself while you do your thing." Su Yun said to the ICU's resident general manager.
Being hospitalized in the ICU was always a bit helpless. Whether it was Su Yun's words or Boss Zheng's request, she couldn't refuse.
It's not because of Boss Zheng's high academic status, but using a bronchoscope and performing alveolar lavage is within the scope of normal treatment.
"Then I'll prepare things." After the ICU resident said this, he started talking.