Chapter 2773

"Don't introduce, Brother Yun, don't scare me." Zhou Litao is also a little guilty.

"President Zhou, I'd like to introduce you to a girlfriend." Su Yun suddenly threw out a huge topic.

Zheng renleng said that the role of matchmaker was really out of tune with Su Yun.

"Er..." Zhou Litao was also stunned.

"Look what I do, I just ask." Su Yun said, "a friend from a long time ago is going to come to the imperial capital as a North drifter recently. He's a good man. How about it?"

"I... don't want to find it for the time being." Zhou Litao sighed, "I think it's not the general manager of hospitalization. The first idea is to have a good rest. When the general manager of hospitalization is too tired, he has no private life at all, and he can't feel at ease when brushing a play."

"Tut Tut, promising." Seeing Zhou Litao's opposition, Su Yun didn't say much. He just patted him on the shoulder.

Zhou Litao's cell phone rang. He took it out and said, "it's finished."

The three came to Zhou Litao's duty room, opened the workstation and called out the image data just uploaded.

Does the patient's chest film show two lung markings disorder? Thickened, blurred texture of two lower lung fields? Zhou Litao's judgment is reasonable. The diagnosis of accumulated pneumonia is essential.

However, cumulative pneumonia is not the only diagnosis, because the disease is accumulated over time, and even dyspnea will not appear suddenly.

Mistakenly sucking is Zheng Ren's judgment. However, this point has been excluded from Zhou Litao's description. After all, no food residue was sucked out during sputum suction, and no metal foreign matter was seen on the X-ray film.

"What about the patient?"

"Directly to the ICU." Zhou Litao said, "the blood oxygen is average. I judge that I may need a ventilator to assist breathing. If there is no improvement, I may need a tracheotomy. Once an old man of this age gets sick, he is seriously ill, and there is no good way."

"Let's go to the ICU." Zheng Ren thinks it's better to finish this thing. At least go home and explain to Xiao Yi.

Yi Ren is very concerned about people she knows. Last time she ate grilled fish with diesel smell in that store, she wouldn't let herself talk to the boss.

If he goes home with such a little information, Zheng Ren is still afraid of Iraqi people.

"A very common patient." Zhou Litao said.

"Ordinary?" Su Yun smiled, "sudden convulsions, what do you think?"

"Hypoxia, neurology physical examination, I checked, no other problems. Suck out the sputum, and the patient's convulsive symptoms also improved." Zhou Litao said.

Su Yun smiled but didn't speak. Zhou Litao only found the last fruit, but the reason in front was not found. Sudden, why sudden? That's what matters.

"Go and have a look." Zheng Ren said, "President Zhou, let's go."

Zhou Litao is reluctant. Boss Zheng and Brother Yun haven't come to the emergency department in a few days. They are busy, Zhou Litao knows. But they don't come here often. They always feel that they have something.

Life has become boring... More boring.

Zheng Renhe and Su Yun left the emergency department and went to the ICU to take a look at the patient. Su Yun kept in touch with the general hospital manager of ICU with his mobile phone.

"Boss, the patient has a lot of sputum and is already doing endotracheal intubation." Su yundao.

"Well, it's caused by being in bed for a long time."

Accumulation pneumonia is one of the complications of long-term bed rest, and it is also a very difficult complication. In addition to taking more careful care, there is nothing to solve by turning over regularly every day to buckle your back and expectoration.

If you get on the ventilator, the cost is second. Judging from Zheng Ren's experience, it is estimated that there is a great probability that you can't go offline again.

Finally, when the patient's family members accept the fact, extubate and wait for death, or just use it, when multiple organ failure comes to the end.

Although I have seen this situation countless times, I always feel a little uncomfortable when I think of it.

After entering the ICU, changing clothes and slippers, Zheng Ren walked through the corridor to the patient's bed.

The patient is easy to identify. Doctors and nurses are around the bed and are carrying out rescue.

The patient's system panel turned red. In addition to some senile diseases and cerebral infarction leading to long-term bed rest, Zheng Ren also saw a diagnosis - foreign body in the respiratory tract.

what is it? Zheng renleng.

Sure enough, as judged before, is there something in the airway?

If there is a foreign body, sputum suction should be able to suck it out. If the foreign body is too large and blocks the airway, problems can also be found during sputum suction.

Zheng Ren silently stood behind the doctor and nurse and carefully observed the nurse's sputum suction.

There is no resistance of huge foreign bodies on the left and right sides.

Strange.

"Boss Zheng, Brother Yun, you're here." The general manager of ICU turned around after busy. Seeing Zheng Ren and Su Yun, he said hello and came to the computer to find the inspection report.

"How is the patient?" Su Yun asked.

"The blood oxygen is OK, but there is too much sputum in the airway." General Hospital of ICU, "arterial blood gas analysis return: pH: 7.104, pCO2: 89.4mmhg, PO2: 47mmhg, be: - 2mmol / L, HCO3: 28.0 mmol / L?"

"The patient is sweating profusely and has a poor ability to expectorate on his own. It is estimated that he will have to use a ventilator for some time."

"And then?" Zheng Ren asked.

"Huh?" The inpatient in ICU was always stunned, and then? Is boss Zheng taking an examination of his own treatment? She thought about it and immediately said, "the examination results will be returned in a few minutes. Look at the situation. Sputum has been sent for examination for bacterial culture. Anti inflammatory and symptomatic treatment is mainly sputum suction."

"Alveolar lavage, the effect may be better." Zheng Rendao.

Zheng Ren said that alveolar lavage, also known as bronchoalveolar lavage, is a new technology developed on the basis of fiberoptic bronchoscopy.

It is a method to inject human normal saline into the bronchoalveolar by bronchoscope and then suck it out, collect the effective liquid on the alveolar surface, and check its cellular components and soluble substances.

"Do you suspect a foreign body in the airway?" Su Yun guessed the real intention of his boss at the first glance.

"Well, long-term bedridden patients may inhale by mistake." Zheng Rendao.

"It's unlikely. There's no food residue." The total consideration of ICU hospitalization is the same as that of Zheng Ren when he didn't see the system panel.

But boss Zheng... After all, he hung up. He shook his head and said nothing.

"Try it. Anyway, let him do it himself. You're busy." Su Yun and ICU's general hospital channel.

The hospitalization in ICU is always helpless. She can't refuse either Su Yun's words or boss Zheng's requirements.

It's not because of boss Zheng's high academic status, but to take a look at him through bronchoscope and do alveolar lavage, which also belongs to the scope of normal treatment.

"Then I'll prepare something." The inpatient in ICU always starts to talk about it.