Chapter 515: Critical! A crisis that could kill you several times!

The patient's lactate has even exceeded the maximum value.

And the hemoglobin is less than the minimum value!

"I gave him 2U of red blood cells." He Hai said quickly.

He was the director Wang Fan invited to rescue him, but He Hai was powerless.

The patient's hemoglobin was still fine during the day, but it suddenly dropped to 17g/L at this moment.

The normal value for adult men is 120~160!

Wei Ding only had one-tenth of the normal person!

"Quickly draw blood for matching, and infuse electrolytes and potassium chloride, 10 liters."

Xu Qiu made a quick decision.

Then, he arranged for a quick supplement of 4U of red blood cells and 400ml of plasma.

Ten minutes later, the young nurse Yang Meng ran in from outside, "The laboratory test is out!"

The busy rescue room paused for a moment.

Xu Qiu's eyes fell on the thick examination form.

Slightly surprised.

He still remembered that Wei Ding's previous examinations showed that there were not many abnormalities in infection indicators. Except for the softening foci in the brain and the thickening of the perirenal fascia, there were basically no abnormal indicators with clinical significance.

But it was completely different at this moment.

The patient's white blood cell count was very high, three times the normal value.

The neutrophil count exceeded two times.

Lymphocytes and monocytes were low.

The most fatal thing was hemoglobin. No one knew why Wei Ding's hemoglobin dropped to 17 in just a few hours!

After the emergency transfusion of red blood cells, the patient's hemoglobin rose slightly to 29, but it was still on the verge of extreme danger.

"And the platelet count..."

This value was also very low. Normal people had a count between 125 and 350, but the patient only had 31, which meant that even the basic hemostasis and coagulation functions were on the verge of collapse.

If the patient still had internal bleeding at this time, he would most likely die from the unstoppable blood loss.

"The prothrombin time is six times that of a normal person, and the thrombin activation is seven times that of a normal person..."

These two indicators further verified that the patient had a huge coagulation disorder.

"Encourage liver function and send him here immediately!" Xu Qiu said quickly.

The various abnormalities at the moment meant a life-or-death situation in the eyes of others, and even a sense of powerlessness that they had no idea where to start.

But Xu Qiu's mind directly jumped out of acute liver failure-

Liver damage must be the most likely culprit that can cause so many abnormalities.

After a while, Yang Meng hurried over with new test results.

"Doctor Xu, it's just as you expected!"

"BNP is as high as 1,400, and myoglobin, high-sensitivity troponin I and creatine kinase isoenzymes are all seriously exceeded, at least ten times the normal value!!"

"And the liver function is extremely damaged, alanine aminotransferase is as high as 1,100, and aspartate aminotransferase is also more than 500!"

Everyone changed color.

Such a high level of BNP indicates that the patient may have pulmonary embolism, renal insufficiency, heart insufficiency, etc.; while myoglobin, high-sensitivity troponin I, etc., directly point to myocardial damage!

Taken together, it is almost certain that the patient has heart damage such as myocardial infarction!

And the transaminase index also indicates that Vidin has serious hepatocellular damage.

"Did he secretly take any medicine?" Xu Qiu asked immediately.

In addition to taking a large amount of drugs, there is almost no other way to make a normal person's indicators so critical...

"No!"

Soon, Yang Meng brought the family's reply.

No? !

Xu Qiu's heart sank slightly.

It is also possible that the patient took certain drugs before being admitted to the hospital, but it was not until this moment that the liver was damaged.

"The first bag of blood has been transfused!" At this time, the nurse in the emergency room reminded.

Xu Qiu glanced at it and gave the next instruction: "1.8g of reduced glutathione intravenous drip."

After that, he added: "Continue to transfuse red blood cells and plasma!"

On the ECG monitoring, all indicators are gradually improving.

Beep, beep--

After about five minutes, under Xu Qiu's command, the rescue gradually came to an end, and the patient was finally pulled back from the edge of danger.

"Huh!"

Everyone breathed a sigh of relief.

Looking at the patient's face on the rescue bed, which had improved, and the values ​​on the ECG monitor, the medical staff had a strong sense of accomplishment.

Such a serious patient, whose condition could easily result in a death notice, was finally saved by them!

"The most important rescue measure is not alkali supplementation or reduced glutathione, but blood supplementation..." He Hai reviewed the entire rescue process and concluded.

Xu Qiu nodded.

The patient had a lot of problems, and there were four or five critical values ​​alone, and each one looked fatal.

But the most critical one was hemoglobin.

The normal hemoglobin level of an adult male should be around 120-160, but the patient only had 17, which is more serious than extremely severe anemia... Fortunately, the emergency room had prepared blood early, and completed the fluid infusion at the fastest speed, which raised the hemoglobin level.

That is, the rise in hemoglobin has improved the patient's condition a lot, at least he has woken up from the coma.

Although he is still a little drowsy and unable to respond, he has initially regained consciousness.

For the patient who was on the verge of death just a moment ago, this is undoubtedly a happy event.

"He's back, what's next?" He Hai sighed.

"Observe first, and send him back to the ward after the situation stabilizes, and do a toxicology test." Xu Qiu said.

If it's not taking medicine, then it's most likely taking poison.

Otherwise, how to explain this surging condition?

Unless it's a lupus crisis, it's impossible to destroy the patient's physical indicators in just a few hours.

But the patient is obviously not in a lupus crisis.

In fact, after experiencing the combined confrontation of glucocorticoids + immunosuppressants, Wei Ding's lupus erythematosus is already in a state of remission, general muscle weakness is recovering, and the frequency of epileptic tremors is also decreasing.

All symptoms related to lupus brain are moving in the direction of improvement.

It can't be a lupus crisis!

"That is to say... in addition to lupus brain, the patient has other problems?!" He Hai said in surprise.

According to Xu Qiu's speculation, these few checklists that are enough to kill a person two or three times, hide other diseases that have not been discovered?

Xu Qiu nodded.

There must be something that has been overlooked.

"Check another CT scan, focusing on the heart shadow and liver!" Xu Qiu said.

After making the arrangements, Xu Qiu found the patient's family.

The silent middle-aged couple stood up excitedly the moment they saw Xu Qiu.

The mother was a little embarrassed and wiped her hands again and again, and finally dared to carefully extend her hand to Xu Qiu.

"Hello." Xu Qiu's expression did not change, and he shook hands naturally.

This move brought the two closer.

Wei's mother's eyes immediately turned red again. She covered her chest and begged painfully: "Doctor, you must save my child... He is the only college student in our village, and he is the only one in our family who is good at studying..."