Severe bacillary dysentery, which is much more difficult than ordinary dysentery.

In charge of the patients, a young male doctor who has just been promoted to attending is a young man. Sun Lien had met him a few times before, and his understanding of the other party was limited to knowing that his name was Wang Baohe.

"Dr. Wang. Sun Lien nodded politely to Wang Baohe, and then picked up the case and began to look through it. As he looked, he glanced at the patient's head.

Lin Zheng, male, 27 years old. Bacillary dysentery (28.33.42), Mild sepsis (08.12.37), Moderate dehydration (06.51.23), Incontinence (01.00.51)"

"Lien, are you interested in this patient?" Wang Baohe was a little apprehensive about such a patient. It's not because of how terrible bacillary dysentery is, but mainly because patients with this severe bacillary dysentery often have symptoms of incontinence. Coupled with the fact that there is often pus, blood and even necrosis in the excretion, the intestinal mucosa will continue to deteriorate rapidly under the drag of dehydration and sepsis and even malnutrition. All in all, dirty and intractable.

"I'm just here to take a look. Sun Lien smiled at Dr. Wang, "After all, it's a ruthless character who washed Brother Cao's head......

Dr. Wang's treatment of Lin Zheng was standard, with a balance solution to replace lost water, antibiotics to fight bacterial infections, and a bottle of glucose to adjust the patient's blood sugar. Error-free response - of course, if the doctors in the emergency department of the Fourth Central Hospital don't know how to deal with a severe bacillary dysentery, then the four hospitals will still be closed.

"Shigella is resistant to quinolone antibiotics, right?" After reading the overall treatment plan, Sun Lien cautiously put forward his opinion, "Isn't it better to use ceftriaxone or amikacin?"

"The patient has a history of cephalosporin allergy, and amikacin needs to be used with caution when the patient is dehydrated. Wang Baohe took Sun Lien's questioning as a request for advice from Dr. Guipei, and he replied very patiently, "Now the main thing is to hydrate and expand his capacity, and after his urine output returns to normal levels, I am ready to change to amikacin - the ofloxacin used for him now is the quinolone antibiotic with the lowest probability of drug resistance." ”

Sun Lien nodded, "Don't you need to cool him down?"

"The level of 38 degrees and 4 is not needed for the time being. The fever reducer made him feel a little better, but the oral medication wasn't necessarily well absorbed right now — he was pulling too badly. Lysine injections and the like can cause gastrointestinal bleeding, but it is still avoidable for patients with this severe bacillary dysentery. Wang Baohe yawned, "Aren't you sleepy, little grandson?"

"Me?" Sun Lien blinked, it was already five o'clock in the morning, and he had already passed the most sleepy time. "I'm too sleepy......"

Wang Baohe sighed enviously, "Being young is good." I'm going to have to spend two or three days on my way through the night. He stretched, "Xiao Sun, if you don't feel sleepy, you can help me keep an eye on this patient first? I don't need to adjust the treatment plan anymore, if there is any movement, you can call me." ”

Sun Lien nodded and happily agreed to the other party's request. Anyway, he will definitely not be able to go back to rest tonight, and Zhou Jun will definitely not arrange for him to go to the emergency clinic today - if he dares to open this mouth, Sun Lien will dare to arrest Yuan Ping'an's strong man. "I don't have a day shift arrangement today, Brother Wang, go to sleep when you're sleepy. ”

The emergency room has gradually changed from a state of chaos to a normal state. Sun Lien occasionally stared at Lin Zheng's state, and from time to time he could chat with Dr. Cao Yanhua, who was a little depressed. By the way, Dr. Cao rejected Sun Lien's offer to "buy two eight-treasure chestnut pigeons to suppress the shock". Looking at his tangled expression, Sun Lien estimated that he would not be able to eat anything for at least a day or two.

Although the emergency department is usually dirty, tiring and bitter, it is not an anorectal department after all. This experience of being sprayed with a head...... Far fewer than the proctology doctors - people are the experts who observe up close.

Zheng Guoyou has already taken Wu Lian to do replantation. According to Lao Zheng's estimates, it would take seven or eight hours to complete the operation. And it's a multidisciplinary collaboration – at least microsurgery requires someone to help sutur the nerves. Of course, Zheng Guo can sew it himself, but for the sake of the old man's heart with two stents, and Director Xiao's unmistakable momentum, no one should agree to Director Zheng to finish the process by himself in a short period of time.

In fact, there is a high probability that Lao Zheng will not be the main knife from beginning to end. Since the heart was fitted with a stent, Zheng Guoyou has indeed begun to have some meaning of convergence. And after the age gradually increases, Lao Zheng will also start to think about the cultivation of successors - it is not impossible to leave all the departments in the hospital, and let the hospital or college send a new director. But after all, Lao Zheng has been in the Fourth Hospital for eight years, and he has brought out a vote of deputy chief physician and attending physician. If there is a sudden change of general, the new director will inevitably have his own team and team. When the time comes, it will be difficult for these old people to climb up again.

Every time he thinks of this, Lao Zheng will feel a little uncomfortable about his behavior of letting Zhou Jun go back then. Zhou Jun has only been studying with Liu Tangchun for a few years, and now he can lead the operation of the emergency department as the deputy director and chief physician of the emergency department. If he hadn't let people go back then and stayed by his side, where would he still have a headache about the successor now?

Then, Lao Zheng began to be even more dissatisfied with his group of big-shouldered and round-waisted orthopedic surgeons, "What are you doing? You can't screw an intramedullary nail in for half a day? You haven't eaten in the morning?"

"Director, I really haven't eaten. "Lao Zheng just talks a lot, but in fact, he never takes it seriously with his doctors. Therefore, when the doctors responded to the director's criticism, they also brought a rogue energy, "It's only five o......'clock" The doctor in charge of twisting the intramedullary nail glanced at the electronic clock next to him, "Five twenty, I usually sleep at this time, where can I have time to eat?"

"Just you talk a lot!" Seeing that the other party left the patient with both hands, and that there would be no equipment on the standing, Lao Zheng kicked him on the thigh - the strength was gentler than dusting, "Hurry up and work!"

After kicking his useless men, Zheng Guoyou sat back on the round stool, and then began to sigh. To say that Lao Liu's luck is really good, not to mention that he picked up a successor from himself, the new Gui Pei actually deceived him into a diagnostic center last year - why didn't it be my turn to be someone Zheng for this kind of good thing!

The same cannot be said either. Zheng Guoyou immediately began to comfort himself, Lao Zheng and I still took advantage of Xiaosun, and Lin Yanan will be able to report to the orthopedic department tomorrow. How good is this, the female doctor from the Tongxie is still a senior attending - I will see who dares to say that our orthopedics department is a monk's nest in the future!