If the 30 per cent increase is made by the general standard, Rawls would have been anemic three days ago. If this state continues for a long time...... That's 100,000 hours of anemia!

"It's kind of interesting...... Sun said to himself, writing a parenthesis after the data from three days ago, "anemic."

"The question then is why his anaemia progresses so quickly. Sun Lien circled Rawls's hemoglobin level today with a pen, "Judging from today's results, he is now severely anemic, right?"

Yuan Ping'an nodded, "So I gave him four units of hemoglobin, which should be able to correct his anemia first." ”

"So...... What is the reason for his anemia?" Sun Lien squinted his eyes and asked himself, "The infection itself has the potential to cause anemia, especially pneumococcus. Adverse drug reactions may also lead to hemolytic anemia. ”

"Seeing him so thin and short, maybe he is already anemic. Yuan Ping'an followed Sun Lien's train of thought and replied, "Malnutrition can also lead to anemia, right?"

Long-term malnutrition leads to chronic anemia? Sun Lien thoughtfully that if this is the case, then Rawls's problem is simpler. He may have been suffering from unexplained malnutrition for a long time and continued anemia as a result. Anemia and malnutrition in turn led to low body resistance, so the cold could not heal itself, and was even dragged into pneumonia.

The hospital in the training ground where pneumonia was diagnosed was careless or inexperienced or simply did not expect to directly apply the physical health data standards of Chinese to black people. As a result, the hospital at the training ground failed to detect Rawls's anaemia in time. As for Rawls's current problem, it may be hemolytic anemia caused by adverse drug reactions, or it may be anemia caused by pneumonia itself, or even because of some unknown reason that has exacerbated Rawls's anemia symptoms that last for 100,000 hours. All in all, the inexperience of the training ground is certain, but it is not enough to make a decisive mistake - although the training ground hospitals have made mistakes, their mistakes are not serious.

The next question, then, is to find out what caused his anemia to worsen. After thinking for a while, Sun Lien put forward his own idea, "Take blood and let the people in the laboratory department do a smear to see, at least to clarify the type of anemia of the patient first." Although Sun Lien has learned that Rawls has "hemolytic anemia" through the status bar, it is still uncertain whether it is "intravascular hemolysis" or "extravascular hemolysis".

"I'm going to give him another check-up. Sun Lien looked at his watch, it was half past ten in the morning, and Hu Jia had been shopping in Sun City alone for more than two hours. According to the plan and arrangement of the two at the beginning, Hu Jia walked alone for about three and a half hours, and by about twelve o'clock, he should be able to wait until the end of the ward round.

But this kind of thing can be equated with a joke in the life of a doctor. Anyway, in Sun Lien's "career", as long as it is a plan that has nothing to do with his illness and treatment, basically no time can go on according to his initial vision and plan. Of course, Hu Jia is also mentally prepared for this kind of thing, she just sent a WeChat message, probably the content is that she is "tasting" milk tea and desserts one after another, so that Sun Lien can work hard, if she is very busy at noon, there is no problem for her to continue the tasting trip.

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How can it be okay!Sun Lien scratched his head vigorously, the only thing he wanted to do now was to appear next to Hu Jia, and then the two of them sprinkled dog food on the innocent people around him.

Young people always have an inexplicable drive. Even a tired young emergency physician can be filled with a lot of energy to spend a few more minutes with his girlfriend in love.

It doesn't matter what your problem is, solve it within two hours! Sun Lien moved his sore arm and walked towards the outside of the small conference room.

Although he thought that he would solve the problem in two hours, Sun Lien knew better than anyone that he would probably need more than two hours to solve this patient's problem - in addition to the help of the status bar, he might also need some excellent luck.

Unfortunately, however, Sun Lien's luck has never been good.

"Hemolysis continues......" Less than half an hour after arriving at the patient's bedside, he got an even more troublesome piece of information. After giving Rawls four units of suspended red blood cells, his haemoglobin level increased, but only to 11.2 g/dl. This is related to a certain error in Yuan Ping'an's calculation at the beginning, and the main reason for the error is probably that for some reason, the cause of Rawls's hemolytic anemia has not been resolved.

"Extract the sputum and blood, do a culture. Sun Lien frowned and said, after all, according to Rawls's state analysis, the biggest difference between him now and the past ten years is probably pneumonia and cefoperazone injected into the body for the treatment of pneumonia.

However, the problem is that for bacterial hemolysis caused by pneumonia, the first principle is to continue antimicrobial therapy with antibiotics. Drug-induced hemolysis, on the other hand, requires the use of hormones or even large doses of hormone pulses.

One cause requires fighting infection, while the other requires suppression of the immune system. This is why the same symptom needs to be carefully identified and different regimens are used - the use of hormones for pneumonia patients and the continuation of antibiotics for patients with drug hemolysis are basically no different from adding fuel to the fire.

The culture is done in order to deal with possible infections in advance, and Sun Lien's second doctor's order is to verify the possibility of "drug-induced hemolysis".

"Check liver function, urine routine ......," Sun Lien dictated the contents of the examination as he began to palpate Rawls's stomach. The liver is okay to the touch, but the spleen is slightly enlarged – but not moderately enlarged.

"Huh?" The moderately enlarged spleen surprised Sun Lien a little. It's a pity that Rawls's liver has no signs of enlargement, otherwise it can be directly determined as drug-induced hemolysis.

Sun Lien was "up and down" with Rawls, and the door of the closed rescue room was suddenly pushed open. Sun was too busy palpating to look up—he was looking down and wondering if he should add another abdominal CT to Rawls. It was then that he heard footsteps stop beside him.

Sun Lien looked up, a green military dress and two bars on his shoulders came into view, and the one who walked in front turned out to be a major general.