"Doctor Wei, inform the operating room that emergency surgery is needed, and you come with me. Liu Banxia shouted as he cleaned up the broken area of the patient.

"Doctor, what's wrong?" the patient asked, enduring the pain, he was about to have surgery, something must be wrong.

"You have a certificate of lax toxic epidermal necrosis, and if you don't rush to the hospital, I'm afraid you won't last 72 hours. And depending on the extent of your illness now, we don't have much time left. Wang Huan said.

"We need to remove the necrotic tissue and adjust and treat it with medication, so you should contact your family now. No kidding, serious. ”

Hearing Wang Huan's words, the patient was frightened and did not react for a long time.

"The disease is developing very rapidly, and although it is now showing the location of these large bubbles, in fact, these rashes around it need to be removed. Liu Banxia said while carefully collecting blood from the patient.

"If you're lucky, you might be able to remove all the dead tissue after two or three surgeries. And we need to deal with it now, or it may be too late. ”

"Su Wenhao, contact the isolation ward. We have a patient with toxic epidermal necrosis who needs to be isolated after surgery. Liu Yiqing opened the intravenous access and injected with gamma globulin and methylprednisolone injection. ”

Liu Banxia's voice lost its previous composure, which was enough to represent the panic in his heart.

He couldn't scare the patient at this time, but now with this symptom, he really didn't know if he could save the patient.

Because the onset of toxic epidermal necrosis laxity syndrome is really too fast, and the mortality rate is very high. If the patient comes to the doctor at the beginning of the rash, the chances are even greater.

There are also many factors that can cause this disease, but these factors are caused by drug reactions. For example, sulfonamides, quinolones, barbiturates, and so on.

He still doesn't know if it was because the patient ate metronidazole that caused such a reaction. Because in previous cases, metronidazoles have also been able to cause it.

Whatever the reason, the focus is now on saving the lives of patients.

"Doctor, you...... You're not trying to scare me, are you? Aren't you just a few blisters?" the patient asked.

"There's no need to scare you, this disease is a drug reaction, similar to a drug allergy. You understand that way, right?" Liu Banxia said.

"But I just took metronidazole, I didn't take any other medicine, and I didn't drink alcohol, how could I be allergic?" asked the patient very incomprehensibly.

"The specific pathological causes are also somewhat unclear in medicine, but allergic reactions do not mean that if you are not allergic to a certain medicine once, you will not be allergic in the future. Liu Banxia said.

"Normally, if you find something abnormal, you need to ask your attending physician about it. Even if there are some problems, they can be corrected in time. ”

"You've had symptoms for a few days now, and I'm not sure if I'll be able to control your condition after it's cleared. And after the necrotic tissue is removed, you can only stay in an isolation ward for treatment to avoid external bacterial infection. ”

"Don't delay, contact your family and ask them to come over quickly. The mortality rate of this disease is very high, more than 60%, otherwise we can be so anxious. ”

What he didn't say was that although it didn't seem like there were a lot of red spots and blisters now, the skin had become so loose that it would fall off as soon as it was wiped, which proved that the condition had begun to worsen.

Although the illness is urgent, it is somewhat different from those who need to be resuscitated by trauma.

Now the patient is conscious, and he must sign for the operation. And because the mortality rate of this disease is very high, it is necessary to explain each article clearly in the process of explanation.

And what about the patient, after his family arrived at the hospital, they still didn't sign it.

Liu Banxia really dried up his saliva, but this patient still chose to consult Qin Hai. But after calling for a long time, taking pictures and sending messages, Qin Hai did not reply.

"You are his family, and now that he is only 43 years old, do you really want to give up?" Liu Banxia was also anxious.

"More than 50 minutes have passed since the diagnosis was made, and every minute of delay is more threatening to his life. Don't you feel scared when you look at these bubbles on him?"

"Doctor, can't you use other anti-allergy medicines?" the patient insisted.

"Huh......" Liu Banxia exhaled, "If you choose to give up, you are giving up the little life you already have left." In fact, even if it is surgery, it is a half-and-a-half chance at most, and I don't care. ”

After finishing speaking, Liu Banxia walked out of the internal medicine clinic.

He really couldn't say that he couldn't move, even if there was Peiyuan Mixture that could restore his physical strength, it wouldn't solve his dry throat.

Next, it's up to Wei Yuan and Wang Huan, he is really powerless.

At this time, the patient's mobile phone rang, and the patient saw that it was Qin Hai calling, so he hurriedly connected the phone, "Director Qin......"

"Hurry up and do the operation, I can't delay, I'll rush to the second hospital. ”

He had just said half of his words when he was interrupted by Qin Hai.

"Do, do, I do surgery, doctors I do. Seeing that Qin Hai said this, the patient was really panicked.

"Then don't wait, let's go to the operating room. The family went through the formalities and paid the fee here, and then waited outside the operating room. Liu Banxia said.

"Brother Wang, because it is still unclear how many pieces there are on the patient's body, I can only go on stage with Brother Wei, and you can keep an eye on it here. Sister Li, if there is a patient who needs first aid, call us in advance, and we will come out immediately. ”

"Don't worry. Zhou Li nodded vigorously.

I can't care so much about it now, even if there is no surgeon in the emergency room for the time being, I have to hold on first. As Liu Banxia said, missing a place may bring new dangers to patients.

"Doctor Liu, why did you come here after waiting for so long?" asked anesthesiologist Zhao Feng after seeing Liu Banxia and them come in.

"Hey...... Isn't that just agreeing? There is no history of hypertension or diabetes, but it is toxic epidermal necrosis laxity, and I will have to carefully examine each part with Dr. Wei later. Liu Banxia sighed.

Zhao Feng nodded, she also knew this disease very well, in fact, surgical treatment was only the most basic treatment. Whether you survive or not depends on the next treatment.

"Six necrotic plaques were visible on the chest and three on the outside of the left arm. There were no abnormalities in the oral mucosa or mucosa at the corners of the eyes. Liu Banxia said after the inspection.

"Agreed. Banxia, you have a quick hand, deal with the chest, and I deal with the arm. Wei Yuan, who had also finished the inspection, said.

"That's it, Sister Zhao, let's start anesthesia. Liu Banxia nodded.

This surgery is actually too simple, it is the process of excision of epidermal necrotic tissue. However, it is also necessary to rush for time, because the debridement area is large and it is easy to infect.

And this is only the first time, and in the next 24 hours, it may take a second and third time. This is still if the disease progresses allows, and if it progresses too quickly, the end result is that it spreads throughout the body.

Liu Banxia's speed was very fast, and Wei Yuan's hand was not slow. The two of them were also very careful when dealing with it, and after Liu Banxia finished dealing with the fifth plaque on his chest, Wei Yuan had already finished dealing with his arm.

However, Wei Yuan did not leave directly, but carefully examined the patient again to see if there were any new plaques.

The current patient is in the stage of toxic epidermal necrosis laxity, and new plaques may appear at any time.

"I guess there isn't, you can check it again. I'll go back to the emergency department first in case there is an emergency. After the inspection, Wei Yuan said.

"Cheng, hard work Brother Wei. Liu Banxia said.

"Doctor Liu, do you think this patient has much hope?" asked Zhao Feng.

"It's hard to say, the mortality rate of this disease is too high. Although early detection can lead to some opportunities, it is not so decisive. Liu Banxia said.

"When I first came, I didn't want to let him do a check-up, he still has diverticulitis, so let's deal with this first. Sister Zhao, I've taken care of it, and I'm ready to wake up. ”

Debridement is complete

Gain 20 XP, 1 Diagnostic Skill Proficiency, and 5 Dressing Change Skill Proficiency

Upon completion of the consultation, you will receive 50 XP points and 30 diagnostic skill proficiency points

Looking at this poor reward, Liu Banxia no longer had any idea. Don't look at this as a very serious illness, it can be life-threatening, but the signs are too obvious, so there are not many rewards given.

When he came outside, not only the patient's family was there, but Qin Hai was also there.

Liu Banxia just glanced at him, "The debridement has been completed, and he will be sent to the isolation ward next to prevent him from being infected." The next 24 hours will be crucial, and if there are no new changes in the symptoms, he will be able to get through. ”

"Director Qin, can you help tell the hospital that they can use good medicine?" the patient's family looked at Qin Hai.

Qin Hai looked embarrassed, because he knew that what Liu Banxia said was correct. I also know that there is no specific drug for this disease, and the current treatment method is to use a combination of gamma globulin and glucocorticoids, so there is no good or bad.

As for the electrolyte imbalance, it is good to adjust it accordingly. Now that there are several infusion bags hanging on his body, Liu Banxia must have also made adjustments.

Liu Banxia didn't say anything, and after letting the nurse send him away, he also returned directly to the emergency department.

"Banxia, Qin Hai may be going to be corrupt this time. Zhou Li came to his side.

"I listened to it, as if I didn't come to the hospital that time, it was Qin Hai who guided the medication. Then the patient said that there was some skin reaction, and Qin Hai said that it was fine. ”

Liu Banxia shook his head helplessly, neither happy nor disappointed, on the contrary, very calm.

Qin Hai should also be kind, but he didn't pay too much attention. But now, whether or not the patient can be rescued depends on what their family thinks. As soon as this matter is reported, it is impossible to say whether it can implicate the hospital.