Chapter 1055: Life and death! After a dead end, there is another dead end!

"What's going on?"

"What's wrong with the patient?"

Everyone was speculating.

Xu Qiu didn't say much.

After the morning shift ended and most of the people in the emergency department left to do their own ward rounds or go to surgery or outpatient clinics, Xu Qiu glanced at Shi Lian.

Shi Lian was not afraid of the stage and reported on Tian Ling's situation yesterday.

Since the introduction of artificial hibernation therapy, patients have been sent to the ICU ward. The clinic has specially deployed medical staff to guard the ward 24 hours a day.

This is destined to be a protracted battle, so giving this medical treatment is nothing.

"But just after eleven o'clock last night, the patient suddenly became insane and had hallucinations..."

When Shi Lian mentioned this, Kong Lan and others all looked a little solemn.

But the next moment I heard the young female doctor say: "But Director Xu has already explained it. The medical staff followed the plan given by Director Xu and mixed Hibernation No. 1 with normal saline into an 18-ml injection. When it appeared, Immediately after the mental problem, six milliliters were injected intravenously, but the effect was not obvious. After another six milliliters were injected, the patient returned to sleep..."

This is considered artificially forced deep hibernation.

Compared with intravenous drip, it is much faster and cannot be used to maintain hibernation for a long time, but it is quite useful for solving emergencies.

Hearing this, everyone breathed a sigh of relief.

At the same time, it is somewhat incredible. It is impossible for clinical patients to get sick according to the textbooks, and it is impossible for them to have accidents according to the key points.

However, in this case, Xu Qiu was able to provide a solution in advance, and it really worked. This is really awesome.

"However, something happened to the patient again at four o'clock in the morning."

Shi Lian's voice sounded at this moment, and everyone's attention was attracted again.

She frowned slightly and said: "The patient began to have gross hematuria, and the urine routine showed positive results for hematuria and proteinuria.

"Moreover, the serum creatinine was as high as 200 micromoles per liter! Post-infectious glomerulonephritis is highly suspected!

"After Director Xu arrived, he performed a renal biopsy. Pathology has been arranged. The results will be available in three days. I guess the situation is not optimistic!"

After hearing this, Kong Lan, Cheng Pingsheng and others finally couldn't sit still.

Tian Ling's condition was already critical, and now he had glomerulonephritis... This game wasn't a high-end game anymore, it was a professional game or the finals!

and.

The patient's serum creatinine was too high, indicating severe kidney damage.

The conference room fell into a brief silence.

If the blood creatinine of an ordinary patient is high, it may be necessary to determine the cause of the increase and identify chronic kidney disease, acute kidney injury, nephrotic syndrome, nephritic syndrome, etc.

But in Tian Ling's case, there were almost only two causes: acute kidney injury and nephritic syndrome.

In the former case, the treatment method is to remove the cause.

But the cause of Tian Ling's illness was a severe burn... How could it be removed?

Even skin grafting is definitely not possible at this stage.

Burn patients are not sent to the hospital, just tear off a piece of skin and stick it on, and that's it.

It is necessary to go through a series of preliminary preparations and adjust the body to a suitable state before it is possible to survive the skin grafting stage.

Looking at it now, Tian Ling has to at least survive the shock period to save his life, and he has to survive the almost inevitable subsequent infection before he can start skin grafting.

As for nephritis...

At present, only anti-infective treatment can be given, and there is no good way.

Moreover, you must know that Tian Ling's condition is like walking on a tightrope on a cliff, teetering on the verge of collapse at any time, and ordinary treatment measures are really not dared to be used on her.

"besides……"

Suddenly, Shi Lian's voice sounded again.

Everyone was startled... No, why is it still there!

This has almost become the last straw for Tian Ling. The result is not over yet, can it be worse? !

Shi Lian pressed his temples with a headache and showed a wry smile.

If not, why would she be in such a difficult situation? In fact, Tian Ling's condition was far worse than the lowest expectation.

The faces of everyone present became extremely ugly, even Kong Lan and Cheng Pingsheng looked at each other.

I have lived so long, what kind of scene have I not seen?

I’ve never seen this before!

"Don't waste time, let's hold a multidisciplinary consultation." Xu Qiu said.

Only MDT is qualified to handle this situation.

And it's just "qualified". As for whether you can control this disease, it still depends on luck.

…

At 7:30, when most departments have just finished their morning shift, the emergency department conference room is already full of doctors.

At a glance, most of the people on the conference table started with senior professional titles.

At the back, there was also a circle of doctors. These were all here to observe and study, and were not qualified to express opinions.

But even so, not everyone has this eye-opening qualification. Only elite young people trained by various relevant departments have the opportunity to come in.

Just after the hour, everyone arrived, and Xu Qiu quickly started the meeting.

After going through Tian Ling's situation, the topic came to two key points this time. The first one was glomerulonephritis that Shi Lian had mentioned before, and the second one was melena.

The results of the routine stool test have come out. The patient's stool was positive for occult blood, with bloody and watery stool, and more white necrotic intestinal mucosal tissue was found in it.

The test results showed that the fibrinogen degradation products were as high as 48.40 μg/ml plasma D-dimer, 23.6s PT, 63.1s APTT, 69g/L HGB, 441×10^9/L PLT...

The stool bacteria analysis was even clearer, with 10% Gram-positive cocci and 10% Gram-negative cocci. And 60% Gram-positive bacilli!

And Clostridium difficile was directly found.

The doctors present were all experienced. The moment they read the checklist, they thought of the most likely disease - severe enteritis.

And there might be DIC!

That is, diffuse intravascular coagulation. This disease consumes a large amount of coagulation factors and platelets in the body, leading to enhanced secondary fibrinolysis, followed by hemostasis and coagulation disorders, and massive bleeding all over the body, which cannot be controlled.

What's worse for Tian Ling is that DIC will increase the risk of thrombosis to an unprecedented level.

Pulmonary embolism, cerebral embolism, deep vein thrombosis of the lower limbs, any one of them could kill Tian Ling instantly, and it is the kind that cannot be saved.

After all, in the hibernation state, coupled with Tian Ling's current physical condition, she really can't withstand a major rescue.

Once a blood clot occurs, it is basically certain to die.

Knock knock knock -

At this time, Xu Qiu knocked on the table, attracting everyone's attention to the big screen.

The screen lists several major difficulties today.

First: glomerulonephritis.

The second is severe enteritis and DIC.

It can be said that Tian Ling's most important life and death level has come. If she can't survive these three levels, she won't even survive today in a few days.

And only after surviving these three levels, she will be qualified to embark on the arduous road of survival again!

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