In Sun Lien's view, Huang Bingxian no longer has the value of rescue and treatment. An HIV patient would have died under the severe infection caused by bacterial pneumonia, and the addition of fungal pneumonia can be regarded as "adding fuel to the fire" - it is not that it cannot be saved, but it just needs a good luck.

The mortality rate of fungal pneumonia is about 30 percent for the average person, while the average response rate for immunosuppressed patients, including those on immunosuppressants and those with acquired immune system deficiency syndrome, is about 80 percent, while the response rate for fungal infections in the lungs and liver is much lower. Taken together, the mortality rate of HIV patients with fungal pneumonia can soar to 60% or more.

And that's just the threat of fungal pneumonia. Bacterial pneumonia and high fever caused by bacterial infections, as well as sepsis, also have a mortality rate of at least 50%. Although this calculation is a bit nonsense, but simply adding up the probabilities, Huang Bingxian's death probability is at least 110%.

"How much CD4 does he have?" Sun asked about Wong's underlying condition, which is that CD4 cell levels determine the strength of a person's immune system. For patients with HIV and fungal infection, the higher the level of CD4 cells, the greater the probability of survival.

"This morning's result is 145. Yuan Ping'an glanced at the checklist in his hand, "Antiretroviral therapy is already being done, but I feel that it may be too late." He looked at Sun Lien and asked, "What do you think...... This person can't be saved?"

"It's a miracle to be able to save it, but it's normal to not be able to save it. Sun Lien rubbed his temples with a headache, Xiao Guo walked over with a white coat, he smiled and took the clothes and put them on, and then said helplessly, "HIV patients are seriously infected, and they have reached the point of sepsis......"

Yuan Ping'an probably guessed this answer a long time ago, but when he heard Sun Lien say it, he still looked a little disappointed, "I thought you could have any good solution." ”

"Big brother, I'm a Guipei, not a Da Luo Jinxian. Sun Lien was angrily rolled by Yuan Ping'an, "Now in his situation, even if he does mNGS to find out the infected pathogen, the treatment may not be able to catch up with the speed of his condition deteriorating." Speaking of this, Sun Lien nodded thoughtfully, "That's why Dean Song didn't agree to the application for mNGS, right? For this kind of dead person, there is no benefit at all in going to mNGS, and it is possible that he will have to pay for it himself." ”

Yuan Ping'an covered Sun Lien's mouth when he heard this, he looked around vigilantly, they were all his own people, and there were no patients' families or unrelated people, so he breathed a sigh of relief and took his hand away, "You can't talk nonsense, why do you seem that Dean Song deliberately wants to kill people?"

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"Anyway, this ...... The value of treatment for patients is already low. "But I still recommend doing a bronchial irrigation culture, so that at least we can have evidence that there were no mistakes in the treatment process." ”

"Instead of that, it's better to transfer to the hospital. Zhou Ce made a suggestion, "Anyway, he is an HIV patient, so it is okay to transfer to the third hospital for treatment, right?"

Zhou Ce's suggestion was rejected by Xu Yourong and Yuan Ping'an at the same time, "How is it possible!" Seeing Xu Yourong speak, Yuan Ping'an also closed his mouth, and cleaned up his high school classmates, Xu Yourong can be regarded as experienced, "What is the situation of this patient now? We are all terrified to send him to a CT scan, and if we want to send an ambulance to the third hospital, even if people are willing to accept it, he may not have the life to support the place." ”

Zhou Ce said helplessly, "Then what should I do?

"The treatment that should be done is still done. Sun Lien thought about it and made a decision, "Maintain the existing treatment content...... Give him a sputum smear and look at it. Before Yuan Ping'an spoke, Sun Lien hurriedly added, "I know that you have already done it when he was first admitted to the hospital." However, the disease has progressed too fast in the past few days, so it is good to have another smear to see. ”

Maintenance treatment with cefoperazone and sulbactam sodium should be enough to combat the canine-biting carbon dioxide fibrophilus infection that has not yet shown its tail. But the evidence for fungal infections isn't clear enough, at least Sun hasn't found a breakthrough – traditionally, the X-ray symptoms of fungal pneumonia are much more severe than the clinical symptoms, and doctors often consider it after a round of antibiotic treatment has failed.

However, Huang Bingxian obviously does not have this time. Although Huang Bingxian has been sentenced to death in his heart, Sun Lien still plans to be a dead horse doctor, try to clarify the type of infection, and then prescribe the right medicine. If he is saved, the police may be able to dig out a few more underworld forces or drug trafficking organizations from his mouth. This is equivalent to Sun Lien indirectly saving dozens of lives and saving hundreds of families.

"Okay, I'll keep an eye on the rest of the matter. Yuan Ping'an nodded, and began to urge Sun Lien to go back to rest, "Your wound hasn't healed yet, hurry up and go back to rest." Be careful that the wound liquefies. ”

Sun Lien nodded, "You guys are busy first, I'll find someone to help me change the medicine and leave." He said to Yuan Ping'an seriously, "You pay more attention to these two nights, and if there is any movement, quickly tell the police next to you." "Even if a patient like Huang Bingxian is already lying in bed and dying, the prison guards and armed police from the detention center have to send someone out to follow him.

On duty outside the rescue room were a prison guard and two armed police officers.

"Got it. Yuan Ping'an nodded solemnly.

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After Sun Lien's accident, Song Wen searched for seven or eight departments in a row, and finally started the hospital security improvement work yesterday. In addition to bidding for the installation of the face recognition system, President Song also invited an armed police special combat team to participate in the "resident training" of the four hospitals by taking advantage of the signboard of "military-civilian cooperation" of the four hospitals.

Residency training is a gimmick, but it's also a must-have. It is already difficult for the armed police to be mobilized at the local level, and the rotation of the armed police to patrol the four courtyards with guns is already the limit of what Dean Song can do. After Sun Lien finished changing the medicine, he found that there were several huge wooden boxes at the entrance of the hospital, and many staff members of the hospital office were busy nearby.

"Why are you back again?" Sun Lien was about to see the excitement before leaving, but was seen by Director Zang Fusheng on the side, Lao Zang dragged Sun Lien to his side and made way for the handling machine to start, "I heard that I didn't give you a holiday?"

Sun Lien nodded, "There is a patient admitted to the emergency room, and the situation is more troublesome, so I will come over to take a look at the situation." He looked at the huge wooden boxes and asked curiously, "Director Zang, what are these things?

"yes, newly bought equipment. Director Zang smiled, "The dean went through a special procurement channel to buy a new guy - a full set of security equipment. ”

"Security check?" Sun Lien was stunned, "Yes...... Is it the kind of high-speed rail station?"

Director Zang nodded and shook his head, "The security detector was bought according to the airport standards." Installed tonight, it will probably be installed tomorrow afternoon. The trial run will start tomorrow night – and it will be officially launched after a month of trial operation. ”