Chapter 284

Disease, especially this autoimmune disease, mood and living environment are very important for patients. Although there is no data to reflect the importance of these factors, these factors constitute the treatment enthusiasm and survival desire of patients.

Once there is no desire for survival, or lose hope for the future, the disease will develop very rapidly, and even medication may not be feasible or effective.

Sister Li, after being diagnosed with systemic lupus erythematosus, her husband didn't say comfort and divorced directly. This is falling into a well and cutting off her hope for life. It's just so cruel.

Sister Li was lying on the hospital bed, staring at the ceiling with her eyes. She didn't care about her physical condition at all. The doctor asked her to take medicine and do whatever she asked, but she just didn't have a little fighting spirit.

Originally, her condition was not very serious. As a result, she rapidly developed into severe systemic lupus erythematosus. The first rule in the textbook for the treatment of systemic lupus erythematosus is to establish an optimistic mood, but now her mood is good not to seek death or commit suicide.

Zhang Fan was sent to the hospital by Chen Bin's driver. After getting off the bus, Zhang Fan began to trot to the Department. When Zhang Fan saw Sister Li's checklist, he secretly complained.

This disease can affect many organs and tissues, but it is generally controllable, but now Sister Li has thrombocytopenic purpura.

"I don't think it's very optimistic. Tubular urine has appeared!" Hu Jun looked at Zhang Fan who looked at the checklist and said.

"The drug effect is not obvious!" Zhang Fan sighed.

"Yes, I read her medical records. You used good drugs. Methylprednisolone (hormone), gamma globulin, vincristine and danazol were used, but her platelets continued to decline."

"I'll have a look!" Zhang Fan put down his medical record and came to the ward.

Because Shaohua knew her and her mood was very unstable, Zhang Fan specially found a single room. When Zhang Fan went in, the first thing he saw was a lifeless woman.

The lips are dry enough to be skinned, and the eyes are dull“ Sister Li, how are you? How do you feel? " Zhang Fan walked to the hospital bed. She didn't respond. Zhang Fan had to whisper.

"Oh, Doctor Zhang!" Sister Li slowly turned her head and found that it was Zhang Fan. She said hello.

At this moment, Zhang Fan found that there was bleeding between her gums, and the blood stained the groove. With the action of opening her mouth, it seemed to be dripping slowly! And didn't say a few words, because she got up and slowly shed black blood in her nasal cavity!

Slowly flowing and dripping on the bed! She seemed to find something. With a gentle wipe of her hand, she wiped the blood under her nose on her face and mouth.

Sister Li, looking at the blood on the back of her hand, raised her head and smiled gently. Zhang Fan looked at her face with red spots, wiped blood on her face and a sad smile. Zhang Fan even had a creepy feeling. This is the breath of death.

"Sister Li, don't sit down. Lie down slowly and I'll check it for you. In fact, there is nothing wrong with this disease. As long as you take medicine on time, you will gradually get better. " Zhang Fan dare not let her do any more big moves!

After Sister Li lay down, Zhang Fan simply did a physical examination. A large area of purple epilepsy has appeared in her arms, chest, abdomen and lower limbs. This is the classic manifestation of thrombocytopenia. This situation is like a bomb.

Maybe a sneeze will cause massive bleeding! This kind of bleeding is very terrible, just like the blood vessels in the whole body are cracked. The bleeding is particularly fierce. In case of massive bleeding, there is no chance of rescue.

Zhang Fan slowly helped her lie down, turned to go out and immediately said to the nurse, "first level nursing, next critically ill, contact your family. Now she can't get out of bed no matter what she does! Change the diet to semi liquid. "

In less than half an hour, two old men with white hair came“ Doctor, I'm Li Baibing's parents. What's wrong with her! " Sister Li's name is Li Baibing. She left two calls, one from her husband and the other from her parents. As soon as her husband's phone was connected, she heard the phone from the hospital and hung up without saying a word. Call again and you won't answer!

"Please sit down first. Uncle and aunt, it's like this now. " Zhang fanlue pondered. It's really bad to tell the two old people that Sister Li's condition is too serious now. If the two old people can't stand the blow, it's a human tragedy~

Looking at Zhang Fan who was a little pensive, Sister Li's father said, "doctor, say it. No matter what the situation is, we can stand it. I just hope you can save Bing er. Her life is hard!"

As they spoke, the two old people's muddy eyes shed muddy tears. People are prepared, and Sister Li's husband doesn't come. There's no way. No matter how cruel, you have to explain the situation to the family members.

"Old man, it's like this. Your daughter is in a very dangerous situation now. She can't tell when it will be massive bleeding. Once this happens, it's time to be unable to return to heaven. So now, there are two plans. One is to continue medical treatment, but it is quite dangerous. The second is surgical treatment, which is also dangerous. Compared with internal medicine, the risk coefficient is a little lower, but the spleen should be cut off. You should hurry up and discuss with the patient. There is no time to delay. "

In this case, we can only do surgery and cut the spleen. Because the effect of medical treatment is still not obvious. The human body is so complex. This matter is not absolute. Families need to make decisions through the advice of doctors.

Because the current medical treatment is not obvious, it does not mean that there will be no effect tomorrow, nor does it mean that there will be an effect tomorrow. Therefore, the risk here must be clearly informed to others. Zhang Fan tends to cut off the spleen. Anyway, between death and cutting off the spleen, Zhang Fan chooses to cut off the spleen!

At this time, Sister Li is too dangerous. It is like a full balloon parked on the tip of a needle. It may explode at any time. Moreover, this explosion is unpredictable and cannot be protected. Blood vessels are all over the body. Now there is the possibility of massive bleeding wherever there is a gap. Only let her lie quietly in bed, reduce activities and reduce the possibility of bleeding!

"Doctor, you help us to persuade Bai Bing, she, she ~" the two old men were originally in tears, but now there was a little embarrassment.

Zhang Fan felt something was wrong, and then said, "this is a matter decided by the family and the patient. I suggest surgery. You'd better go and discuss it quickly. After discussing it, come and sign it. "

"Ah! All right. " The two old people helped one by one and walked slowly and hard to the ward. Zhang Fan felt a little strange, but he didn't take it to heart. Then he began to be busy preparing the operation signature and contacting the operating room.

Now Zhang Fan has the privilege. This disease originally needs to be transferred to surgery, and then contact the operating room through the director of surgery.

When Zhang Fan was printing the operation signature on the computer, he heard "bang Dang!" A sound of broken glass. Then I heard what seemed to be Sister Li's desperate voice: "go!"

Loud voice! Zhang Fan immediately got up and hurried over!