Chapter 890 Unexplained cardiac arrest
But now they really can't stand it anymore!
Daxia was not in a hurry at all.
On the contrary, countless pregnant women in China launched protests.
One hundred berries is not too high for them, but it can eliminate the one percent miscarriage rate and increase the diagnosis rate, which is more important than anything else!
There are even some female celebrities who are expecting to give birth and have quietly planned to go to Daxia for prenatal check-ups.
Since Berry Country doesn’t have this technology, then fly to Daxia!
Although they didn't express their opinions publicly, their bodies were honest.
Under this situation, Berry Country had no qualifications to be at the negotiating table and had no choice but to accept Daxia's conditions.
In the middle of the month, Berry Country and other countries signed a contract with Daxia to officially introduce plasma non-invasive technology!
By the end of the month, this technology began to take root in various countries, and amniotic fluid testing, which had been used for more than 50 years, began to withdraw from the stage, and a new era of prenatal care came.
"It turns out that this is what it feels like to lie down and collect money..."
Officials, including the Minister of Health, Director of the National Health Commission, and the Ministry of Finance, were almost in tears.
No wonder Berry Country likes to collect patent fees from all over the world.
It’s really cool!
…
Jingle Bell--
In the clinical doctor's office, the emergency phone rang again.
Shi Lian jumped up and took it skillfully: "Director Xu's office!"
"Quickly inform Dr. Xu, bed 24 has suffered a cardiac arrest again!"
"Twenty-four beds?!"
A name quickly appeared in Shi Lian's mind.
Pang Honggu!
This week, Pang Honggu's recovery speed is quite gratifying.
The implanted vascular graft worked well.
The wound on the abdomen no longer continued to fester, and the skin on the thighs was stretched and covered together.
Although the stitching in both places does not look good, there is nothing that can be done about it.
For patients with such repeated infections, appearance has long been an unimportant factor. The key is to restore the patient to health and escape life danger.
In addition, the orthopedic surgery department also performed a femoral head replacement surgery last weekend, which ended smoothly. Now I can go to the ground for preliminary rehabilitation training.
For this operation, the orthopedics department asked Xu Qiu several times for instructions.
After all, according to the medical insurance reimbursement regulations, Pang Honggu only had a fracture of the femoral neck, and she should have undergone internal reduction and fixation. After lying down for several months, she could not recover and the femoral head was necrotic, and then she could have a femoral head replacement.
simply put.
Femoral neck fracture equals internal reduction and fixation.
Femoral neck necrosis equals hemiarthroplasty.
Or, the femoral neck fracture + internal reduction and fixation are ineffective, leading to necrosis, so replacement can be done.
This is the prescribed procedure.
Of course, clinical practice is very complex and cannot be summarized in just a few words. In fact, it is impossible for Pang Honggu to undergo femoral head replacement surgery. She already has pressure sores. If she lies down for several months, femoral head necrosis will be minor, but pressure sores will occur repeatedly. Killed her.
For Pang Honggu, she did not have the option of internal reduction and fixation.
Only death and hemiarthroplasty.
This is clinically true, but the Medical Insurance Bureau will not care about these twists and turns...
Therefore, although orthopedic surgery clinicians are all aware of the process, they are still divided into two groups.
A small number of people support internal reduction and fixation, hoping to ensure that the procedure is correct. Even if the final outcome is a new replacement surgery, the intermediate process cannot be omitted.
Their reason is simple - there is no fault in the diagnosis and treatment process, and even if something goes wrong in the end, the hospital is not responsible at all.
However, if you undergo hemiarthroplasty, the disease and the treatment measures are actually inconsistent. If you check it out above, or there are other accidents, you will be informed immediately.
However, most people still sided with Xu Qiu.
Xu Qiu did not criticize those who held different opinions.
There's only one voice, and that's the sad thing.
Some people adhere to clinical practice, while others respect dogma and rules. This is the basis for the healthy operation of a hospital.
In the end, Xu Qiu complied with her wishes and asked the surgeon to perform a femoral head replacement.
Although there were some twists and turns in the process, the result is good. Currently, Pang Honggu is able to walk.
It’s just... why did you have a cardiac arrest again?
Since being admitted to the hospital, Pang Honggu has suffered three cardiac arrests. One was when she was sent to the hospital, but it was the third day after the operation. It happened again late at night the next week. This time, it was the fourth cardiac arrest. .
"It's her again?" Xu Qiu also came to her senses from the simulated operating room.
He also didn't expect it.
He had a fairly deep impression of Pang Honggu.
After the patient regained consciousness, he mentioned several times that he had headaches.
Xu Qiu had previously suspected that she had meningitis, but found that the patient's cerebrospinal fluid routine and cerebrospinal fluid biochemistry were normal, so he ruled it out.
Later, mannitol, diazepam and neurotrophic drugs can only be given for symptomatic treatment.
The epilepsy did not occur again, and the headaches were relieved a lot.
The indicators are all normal, and symptomatic treatment is effective——
After ruling out common viral, bacterial and fungal infections, the most likely cause is autoimmune encephalitis.
"Let's go take a look first." Xu Qiu didn't have time to think too much.
When they arrived at the ward, Wang Fan, Jiang Mai and others were already taking turns performing chest compressions.
As soon as Xu Qiu took the first step, the alarm monitor stopped.
"Has your heart rate returned?"
He looked at the life monitor. The patient's heart rate slowly rose to around 20, and was still rising.
Finally, it stopped at around 42.
Still bradycardia.
However, this is an old problem for Pang Honggu. Her heart rate was too slow when she was admitted to the hospital, and the cause has not been found until now.
"Doctor Xu."
"Brother Xu!"
Seeing Xu Qiu coming in, the medical staff in the ward all breathed a sigh of relief.
It's stable now. There's no need to worry about the patient having another cardiac arrest.
Wang Fan wiped the sweat off his face and stood beside Xu Qiu with a proud look, "How is my compression?"
"I didn't see it."
Wang Fan was stunned for a moment, and then looked at Pang Honggu on the bed with some expectation.
Honggu, give me some strength, let Doctor Xu see how powerful I am.
However, the patient did not have a fifth cardiac arrest after all.
Xu Qiu came to the bed and examined him carefully.
The nurse asked him to come over, not to do cardiopulmonary resuscitation.
This simple operation can be done by any Wang Fan.
The key point is - why did the heart stop repeatedly!
Once or twice is not a big deal, it can be regarded as an accident.
But this is the fourth time the patient has stopped beating in a short period of time!
Every time the heart stops beating, it is like walking through the gates of hell.
If Xu Qiu had not had perfect cardiopulmonary resuscitation skills and trained all the doctors in the clinic, Pang Honggu would have died many times.
However, Xu Qiu still did not find any new signs in this examination.
The patient had no abnormal symptoms except pale face and thin body.
Xu Qiu fell into deep thought.
If it was just immune encephalitis, it could explain headaches and epilepsy, but immune encephalitis could not cause the patient to have multiple cardiac arrests!
