Chapter 2774

"Boss, look how much trouble you've caused." Su Yun said contemptuously.

"Always feel that the patient has a problem." Zheng Ren can't say the systematic diagnosis of big pig hoof. He can only prevaricate.

"Too far fetched." Su Yun said, "the patient's performance is that there is too much phlegm, blocking the airway and causing hypoxia. Tell me how to think about the suspected foreign body."

"You also saw the performance of the patient's family when we ate the string." Zheng Rendao said, "it was obviously an accident. My feeling was that the old man was still well when he went out. As a result, convulsions and decreased blood oxygen saturation occurred a few hours later, and the family members were caught off guard."

"Er... It seems so, but don't you think it's the patient's family's own problem?" Su Yun looked at Zheng Ren suspiciously and said, "you seem to have guessed something."

Zheng Ren shrugged his shoulders, shook his head and said, "I think there's a problem. A doctor's intuition is to go in and have a look. It's not troublesome. By the way, he can suck up the deposited sputum as much as possible."

Su Yun accepted Zheng Ren's explanation. Although he was eating late at night and singing songs, he suddenly ran to the ICU to do tracheoscopy and bronchoalveolar lavage. It was strange.

Soon, the General Hospital of ICU prepared the equipment of tracheoscopy. Zheng Ren came to the patient, found a suitable angle and began to lower the pipeline.

When the patient is under anesthesia, if the ordinary tracheoscopy is done, there will be a feeling of suffocation, which is quite bad.

Zheng Ren held the lens of tracheoscopy in his left hand, looked carefully, and slowly sent the fiber pipe into the patient's airway with his right hand.

There is a lot of phlegm, but Zheng Ren didn't pay much attention to the sputum in the upper respiratory tract. This is the part that can be sucked out.

Put the tube into the right main bronchus and slowly suck out sputum while walking. Zheng Ren carefully observed the airway and sucked sputum patiently.

It seems that this is not the problem. After checking the right airway, Zheng Ren sent the pipeline to the left.

Just about 5cm into the left main bronchus, Zheng Ren saw two skeleton structures stuck on the tracheal wall.

"Gripper." Zheng Ren said in a deep voice.

"What do you see!" Su Yun hated the damn tracheoscope at this time because it had no screen and only the operator could see the situation inside.

The boss wants to grab the forceps, which means he sees a foreign body in the trachea. But there is a foreign body... This is illogical. The patient doesn't seem to have a blocked airway.

Thinking about it, Zheng Ren stepped aside from the camera, "take a look."

Su Yun immediately approached.

Two drug skeletons appeared in front of us.

"I'll... Worship Xintong's drug skeleton!" Su Yun immediately said in surprise.

"Hmm? How do you know it's Bai Xintong? Do you still have research on this?" Zheng renleng.

"Last time I saw director Lin explain this to a patient's family with an opinion in the medical office, I bought a box when I went back and studied it carefully. It's the skeleton mode of imported drugs. It turned out that the drugs were stuck!"

ICU's inpatient general manager installed the grasping forceps and other instruments and handed them to Zheng Ren.

Zheng Ren slowly sent it in, firmly grabbed a drug skeleton and took it out. This operation is not difficult, at least for Zheng Renlai.

The second drug skeleton was also taken out, and Zheng Ren did not end the inspection. Now that you have started to suck sputum under direct vision, suck more, so that the recovery period of patients can be shortened a lot.

After 10 minutes, Zheng Ren took out the fiber pipe and said with a smile, "it's all right. The amount of sputum sucked out is about 80ml, which is not small."

"Boss Zheng, how did you know there was a foreign body?" The hospitalization in ICU hasn't slowed down yet, she asked suspiciously.

"Because of the patient's symptoms." Zheng Ren began to talk nonsense. Anyway, it's just to solve the problem. How can you judge by telling her the truth?

"At the beginning, the patient showed spasms, convulsions and acute hypoxia. Later, it was good, but the amount of sputum was very large, which could not explain the sudden symptoms. I thought it might be that there was obstruction at the beginning, and then it gradually recovered. However, due to the existence of obstruction and stimulation, only bone frame accumulation sustained-release dosage form can perfectly explain it."

"Completely blocked, and then the drug is absorbed by the body, but there is still stimulation. Stimulation leads to increased sputum volume, which is also a side reason." Zheng Ren added that he wanted to say more clearly.

After knowing the answer, it became much easier to push back. Zheng Ren said his idea and bluffed the hospitalization of ICU.

Even Su Yun thought what his boss said was reasonable.

"Brother Yun, what is this? A toy for patients?" A little nurse asked when she saw the drug skeleton shell of baixintong taken out.

"No, it's the skeleton shell of nifedipine controlled release tablets."

"..." the little nurse was stunned.

"The new gel is made of film coated film and a layer of water gel that can be opened. This layer of gel contains polyethylene oxide and hydroxypropyl methyl cellulose. After being eroded, the principle of the membrane push-pull osmotic pump can release nifedipine at approximately constant speed in 24h, so that the drug can be released at zero rate."

"Well, you see, there are still drugs on it. This is a little less. It is estimated that the boss brought some down during the operation."

"Bai Xintong looks like this?!"

"Yes, many people don't know. Some time ago, there was a complaint from the medical department that the medicine prescribed by the doctor was fake. I think that means that the hospital may want to pay a hundred and eighty thousand. Finally, director Lin explained and ran away." Su Yun and the little nurse talked very well.

Zheng Ren looked at Su Yun helplessly. How can he live in the future? Do you want to see Chang Yue's black face every day?

Hurry up and get married and leave these two guys. Looking at Chang Yue's unhappy appearance every day, Zheng Ren feels bad.

"What else did the patient take?" Su Yun said, suddenly asked the general manager of ICU.

"And Devon and lode."

"Both of them can be absorbed, so they can't be seen." Su Yun said along the vein, "the patient has a history of cerebral infarction, is bedridden all year round, and has a certain degree of swallowing dysfunction? It is mainly because he is bedridden for a long time. If the care is improper, it is easy to inhale by mistake?"

"Try offline in 3 hours." Zheng Ren said with a smile, "if everything goes well, it is estimated that he will be transferred out of the ICU tomorrow."

"OK, OK." The general manager of ICU repeatedly said, "boss Zheng, do you and the patient's family members explain or should I explain?"

The patient sent it. Boss Zheng and Brother Yun came. It is estimated that they know each other. The inpatient in ICU always asked this question, but also thought not to interfere.

"You go, we're home." Zheng Rendao.

"OK." The inpatient of ICU always found a disposable container for sputum culture. Wearing gloves, he put the drug skeleton of baixintong into the container and prepared to take it to the patient's family.