Chapter 50

At this time, the eight rescue beds were full of patients in the rescue room!

One by one lying in bed moaning!

"Doctor, help!"

"Doctor... I feel so bad. My head hurts!"

"Where am I... Help me, I'm dying, why can't I see!"

As soon as I entered the rescue room, bursts of wailing came, with a low and weak voice.

Zhang Shu saw Li Baoshan coming in and hurriedly greeted him: "director, you're coming!"

Li Baoshan asked anxiously, "what's the situation?"

Zhang Shu said solemnly, "the situation... Is not optimistic!"

"After detailed examination, these poisoned patients had tachycardia, even accompanied by varying degrees of myocarditis, S-T segment abnormalities, and some severe renal failure. Three of them were accompanied by varying degrees of optic galactic congestion, optic galactic retinal edema, visual field defect, and severe metabolic acidosis!"

After hearing this, Li Baoshan's heart was half cold, and all kinds of signs were moving closer to an answer!

Li Baoshan: "methanol poisoning?"

Zhang Shu nodded: "Hmm! Methanol poisoning, and several of them are severe poisoning!"

Li Baoshan turned and began to examine the patient: "give me the test sheet."

The doctor handed over the medical record. Li Baoshan became more and more worried!

After about ten minutes, Li Baoshan examined each patient next to him and said, "did you wash your stomach? Did you use those drugs later?"

Zhang Shu nodded: "everyone washed! 1% sodium bicarbonate was used. After washing, 250ml of 4% sodium bicarbonate was used to correct acidosis, and 250ml of 20% mannitol plus dexamethasone plus 10mg intravenous drip was used to prevent brain edema."

"But... Six of them are in a dangerous situation and may need dialysis. They have been sent to the hemodialysis room now, but I am worried about these three and seven beds. They have fallen into a shallow coma."

Li Baoshan: "I'll ask other hospitals if the dialysis machine is available!"

With that, Li Baoshan picked up the phone and began to contact: "Lao Chen, I, Li Baoshan, are there any dialysis machines idle in your hospital? No! OK, that's it..."

I made four or five calls, but several hospitals that can do dialysis are now in use!

What should I do?

Li Baoshan was a little worried. Suddenly he remembered something.

"Didn't the hospital just buy some peritoneal dialysis machines?"

Thinking of this, he directly picked up the phone and dialed the competent Dean Hao: "Dean Hao, I, Li Baoshan, can the current peritoneal dialysis machine in our hospital be used? Now the poisoning patients are too serious and must be dialyzed, but now the hemodialysis is full, and the patients can't afford to delay!"

Hao Xuliang sighed: "the peritoneal dialysis machine is back, and it can also be used. I tried it, but it hasn't been officially used, and the doctors have sent it out for training."

Hearing this, Li Baoshan covered the phone, looked at Zhang Shu and asked, "can you do peritoneal dialysis?"

Zhang Shu blushed for a while and shook her head: "I've only seen others do it, but I haven't done it myself."

Hao Xuliang's voice rang out: "Baoshan, don't worry, or you can ask other hospitals if there are redundant people and send two."

Li Baoshan said, "I just called other hospitals. Now they are all busy. There are a lot of people poisoned this time."

"Why don't you do that! Dean Hao, I'll try. Although I haven't studied it specially, I've seen a lot. Why don't I try and see if I can do it?"

Upon hearing this, Hao Xuliang was startled: "Baoshan, don't fool around! You were joking? You had to ask your family members to sign! Who is responsible for the problem!"

For a moment, the room fell into silence!

Everyone is tangled!

Li Baoshan felt a sense of powerlessness!

What is less hate when books are used?

This feeling is most obvious when studying medicine!

When a fresh patient is in front of you, but you find that your level is not enough to provide effective diagnosis and treatment for patients, this sense of powerlessness and frustration is unparalleled at any time.

Therefore, the real learning of medical students is not during the period of University and graduate students or even doctors, but during the clinical period!

Although Chen Cang has never been a graduate student, his clinical ability is no worse than those graduate students!

After all, clinical is the best teacher!

What should I do?

The students on one side were crying.

Finally found the peritoneal dialysis machine, and no one could use it!

Li Baoshan's green tendons on his hands holding the phone are exposed and his eyebrows are tight. What should I do! What should I do?

Hao Xuliang heard Li Baoshan's silence and couldn't help saying, "Baoshan, I really don't want you to use it, but I think about it for you. You're an old doctor. I understand these principles better than me. I don't want you to use it. In this way, if you can find someone who can do peritoneal dialysis, I'll take responsibility for you!"

Li Baoshan was silent!

Where can I find someone who can do peritoneal dialysis?

Peritoneal dialysis technology was originally developed in the 1990s, and it was only in the 1990s that the world accepted this technology!

It has not been long since it was introduced into China, and many hospitals still do not popularize peritoneal dialysis technology!

Peritoneal dialysis is generally used in nephrology to treat uremia, renal failure and other diseases.

However, peritoneal dialysis can also be used to treat severe patients with methanol poisoning. Dialysis has an intuitive effect!

Moreover, there is a big difference between peritoneal dialysis and hemodialysis!

That is, the risk of peritoneal dialysis is greater!

Peritoneal dialysis is easy to infect and cause peritonitis. During peritoneal dialysis treatment, patients are easy to cause gastrointestinal inflammation, catheter-related infection and iatrogenic operation due to contact pollution, resulting in acute infectious inflammation in the abdominal cavity caused by pathogen invasion into the abdominal cavity.

So, this is different from infusion and injection!

You will be!

No, no!

At this time, Chen Cang suddenly said, "director, I will peritoneal dialysis!"

Chen Cang's voice was not loud, but like thunder, it attracted everyone's attention in the quiet rescue room!

Li Baoshan turned around, his eyes full of eagerness, as if he had seen the Savior!

"What are you talking about?"

Chen Cang said slowly, "I said I would have peritoneal dialysis."

Li Baoshan's eyes were burning: "are you sure?"

Chen Cang: "I'm sure!"

Li Baoshan turned to pick up the phone and said to Hao Xuliang, "Dean Hao, I've found someone who can do peritoneal dialysis!"

Hao Xuliang Listened: "wait for me! I'll go downstairs and I'll take you to the dialysis room."

Hang up and everyone looks at Chen Cang with incredible eyes!

Because Chen Cang is just an ordinary humble little doctor and temporary worker. He can't stand any storm and attraction in a big hospital such as the second provincial hospital.

Zhang Shu was a little uneasy. She looked at Chen Cang: "Xiao Chen, this is not a joke. How sure are you?"

Chen Cang: "one hundred percent!"

Li Baoshan: "good!"