(Thanks to my friend Lang Rutie 83 for his encouragement, thanks to my friend Jiangnan Yanfeng, Fat Liang, Poor Road You Guess, o0o Mao Mao Control, Book Friend 20180322232223210, Happy 1111, 115421429, zzj830606, Reading to Demolish, Halo 8888, Oriental Star, Qiang, Elf, Fearless Spring and Autumn Warring States, Wise Man Wuwei, Waves Turning the Clouds, wei85, Wind and Rain Meteor Monthly Pass Encouragement)

Although this was a test to make a promise, Liu Banxia did not really walk away, but went around behind the curtain.

"Sister, just check it out. There's no radiation to do a CT scan, can I help you go with me?"

"Doctor Xu, I'm really fine. It's been hurting for a long time, and if it's really serious, can I still walk around like this?" the patient said with a smile.

"But our teacher Liu is very powerful, although he seems to be very careless when he said it just now, but if he hadn't doubted it, he wouldn't have upgraded X-ray to CT. Xu Yinuo said.

Liu Banxia couldn't laugh or cry when he heard it, Teacher Liu is so powerful, is it the reason?

"Eldest sister, you broke your legs this time, and you are still wearing thin cotton pants, you must have fallen quite hard. The back is also pressed against the pedal of the electric car, so you might as well check it. He promised and continued to persuade.

"If there is no thing, everyone is happy, and if there is a situation, we can intervene early. You also said that the pain is worse now than the pain before, right?"

"Hey, okay, I'll just make one. "The patient finally spat out.

Liu Banxia let out a sigh of relief.

At first, he didn't feel anything, but the back pain and the sluggishness in his legs came at about the same time, and it was likely to be a problem.

In fact, this is often the case, the symptoms are interrelated, and the spinal injury is very likely to be related.

Of course, chemotherapy does cause neuropathic damage, most of which manifest as peripheral neuritis. There will be consequences now, but most of them will not have back pain.

He didn't care about this patient for the time being, and now he was more concerned about the college student. It's already a very serious heart failure, and I don't know if the next rescue will go well.

"The current surgery was successful, it was indeed viral myocarditis, and the attack was severe. Meng Qingfan, who walked out of the catheterization laboratory, said after seeing Liu Banxia.

"Let's push the ICU first and observe at any time. Hopefully, partial bypass will also relieve some of the pressure on the heart and give the medication enough time to work. ”

"Dr. Liu, I think we also need to set up a separate coronary heart care unit in our emergency center. There are many such patients at the turn of the season, and it would be better to have experienced medical staff to take care of them. ”

"Doctor Meng, the director and the dean have also discussed this matter? However, there is a real shortage of people in the hospital at present. When the staff is complete, it will definitely be opened first? That's for sure. Liu Banxia hurriedly said.

"Okay, then I've got the bottom? I'll keep an eye on this patient. Meng Qingfan smiled and nodded.

"And this patient is currently not accompanied by a family member? We've already had surgery, so don't forget to go through the formalities. Would it be better to contact her family as well? The current situation is still very dangerous. ”

"Okay, I'll arrange it. Liu Banxia responded.

He knew what Meng Qingfan said? It has been on behalf of the patient to reach a very high level of risk. Doesn't it sound good? It may not be saved.

He is also a little worried, as the number of patients who visit the hospital increases, and now the shortage of people in the emergency center has become more serious.

Now basically no matter where you go, you want people from yourself, how can you have that water? I guess the hospital is also having a headache now.

When you came back, you handed over the contact work to the dispatch nurse? He also had to help with the treatment. More patients are patients with real colds, and then some are debridement and sutures.

Although there are many patients treated, there are not many experience points and skill points gained, and they are all simple cases.

However, because of his participation, there are many fewer patients in the waiting hall. Don't look at can't have surgery? Debridement and suturing him is still fine.

"Teacher Liu, do you see? The CT film came out. "I just wanted to take a break, and Xu Yinuo ran in in a hurry.

Liu Banxia took a look? frowned, "Invite the orthopedic surgeon over for a consultation?" Also notify the patient to contact the family? Without surgery, the patient will be paraplegic. ”

"Okay? I'll go. Xu Yinuo ran out again.

Liu Banxia also followed, and he still had to supervise to see if Xu Yinuo could be objective in describing his symptoms.

"You used to have difficulty moving your legs, and chemotherapy wasn't the direct cause, but because you had some osteoporosis after chemotherapy. Do you see this crack? This is your twelfth thoracic vertebra, which has a slight fracture. ”

"You fell again today, and the fracture became severe. Look at this fragment, it's already pressed down on your spinal cord. We need surgery or you'll be paraplegic. ”

Liu Banxia nodded, it was not bad, and the description was very objective. And it can also be seen from this point that Xu Yinuo has also worked reading films, otherwise he would not have said it so comprehensively.

"Mr. Liu, what's the situation?" At this time, Wu Mingyu from the Department of Orthopedics also rushed over.

"This patient inside, let's go inside. Liu Banxia said.

After coming inside, Wu Mingyu also took a look at the CT film first.

"The bone is very light, so you just feel a slight pain, and it affects your leg a little bit. Wu Mingyu said.

"But because I don't usually pay much attention to it and move a lot, I haven't healed yet. Today's fall made the fracture worse," Wu said.

"The way we were able to do it was decompression, where the debris was removed, the scaffold was implanted here, and the spinal ablation was done. You need to make a decision as soon as possible, or you may not be able to do it too late. ”

"I did, and I contacted my husband, and he will be able to come over in a moment. The patient hurriedly said.

Now she doesn't have any other ideas, even if she can't understand the film, Xu Yinuo explained it in detail. And she also found that her legs were much more "heavy" and disobedient than usual.

"Let's do a preoperative check-up, I'll make an appointment in the operating room. Dr. Xu explained the surgical process to the patient, as well as the complications. Wu Mingyu nodded.

"Make a promise, you will follow this operation. Liu Banxia said.

Xu Yinuo nodded and hurriedly called the nurse for a preoperative examination.

Although the patient is also in a state of emergency, the tests that should be done are indispensable.

This is a routine operation, Liu Banxia came to the ICU again, and sure enough, Meng Qingfan was also here.

"Doctor Meng, is there any improvement?" asked Liu Banxia.

Meng Qingfan shook his head, "The heartbeat is more and more dependent on external forces, and the drug may not have an effect. ”

"This method prevents the patient's immune system from attacking his heart muscle in order to destroy the infection, but it is very risky and should only be used as a last resort. ”

Liu Banxia frowned, and he didn't know what had happened in the past two days, the patient's situation had become so complicated. There is indeed a great risk that complications such as allergies, infections and other complications may occur.

The patient is originally a viral myocarditis, and if there is a little bit of a small condition, it will directly threaten the patient's life, and it is estimated that there will be no time for rescue at that time.

But there is no way, this patient has been delayed for too long. Treating myocarditis as a cold is dragging on, something went wrong.

"Doctor Meng, where is our tipping point?" asked Liu Banxia.

"The ability to have a body temperature and a heart beat, let's think about body temperature first, and the performance is also very straightforward. When it gets closer to 40 degrees Celsius, you have to take measures, or you may not be able to do so. Meng Qingfan said.

Liu Banxia glanced at it, "The patient's current body temperature is 39.6 degrees Celsius, let's set it at 39.8 degrees Celsius." In the absence of the patient's family members, measures can be taken directly. ”

"Okay, I'll keep an eye on me here, and I'll get ready. Meng Qingfan glanced at him and nodded seriously.

He knew that Liu Banxia was afraid that he would be embarrassed, so he made this decision.

Because this involves a lot of problems, now there is no family present, and if there is a situation, it can only be rescued first. However, the side effects of this rescue method are very large, and the patient's family may not be able to understand it in the future.

This is the helplessness of doctors, many times there are really not so many choices.

As soon as he walked out of the ICU, Liu Banxia saw Xu Yinuo waiting outside with an anxious face.

"Don't tell me there's something wrong with your patient. Liu Banxia said with a wry smile.

"Mr. Liu, the impact of chemotherapy is still very great, and the patient was found to have chemotherapy-induced cardiomyopathy during the preoperative examination. Mr. Xu's judgment is that the patient may not be able to persist in the operation. Xu Yinuo said with a bitter face.

Liu Banxia gritted his teeth, so that he could smash his fist against the wall.

These two patients today are much more tricky than yesterday's patients.

Yesterday's patient did not know what the disease was at first, so he could not be effectively diagnosed. Today, the symptoms of these two have been diagnosed and treated, but one is not effective, and the other is not supported by the body.

"What is Dr. Xu's opinion?" asked Liu Banxia after trying to suppress the anger in his heart.

"Mr. Xu's suggestion is to send the patient to the ICU for instillation of iodotamine first, adjust the patient's body in the shortest time, and strive for greater opportunities for the patient. Xu Yinuo hurriedly said.

"Okay, let's do what Dr. Xu thinks first, I'll think about it. Liu Banxia nodded.

Although his face was calm now, he was anxious. Because he knows that even instilling iostamine is a stopgap measure, and there really isn't much time left for him.

If the broken bone causes permanent damage to the spinal cord, the person is paraplegic. The patient's current physical condition seems to be the safest choice.

But the price to pay is too great.

Now that he is in the hospital, whenever there is a slight possibility, he must also help the patient and save the patient's leg.