Hearing Shi Lei's call, Xu Hui also ran to the ICU with a smoke. Didn't wait to take the elevator, but ran the stairs.

"Now the patient's intracranial pressure is much higher, and I can't wait any longer, I just had the blood drawn. However, even if it is visual, the patient should have developed anemia. Zhang Xiao, who was in the ICU, said.

"What about body temperature and kidney function?" asked Liu Banxia.

"The body temperature has not come down, but it has not risen too much, it is 0.5 degrees Celsius higher than when I got off the operating table. The urine test should not have been checked yet. Zhang Xiao said.

"Then do an urgent urine test, and the blood test also focuses on kidney function. Liu Banxia said.

"Now I suspect that the patient's current condition is TTP, and if the diagnosis can be confirmed, we can do plasmapheresis, and when the platelets rise, we can do decompression surgery. ”

"TTP? No, would it be? If that were the case, I would have almost killed the patient. Zhang Xiao said with some surprise.

"Now is not the time to discuss this, let's check it first. If the pentadic disease can match four, it should be about the same, and we have to hurry up and treat it. Liu Banxia said.

Zhang Xiao nodded and communicated directly with the ICU.

Now I really dare not delay, because TTP is thrombotic thrombocytopenic purpura, the course of the disease is very short, and the mortality rate is very high.

This is not a question of moving surgery, but a symptom that can directly threaten the patient's life. The detailed examination methods are cumbersome, but in clinical terms, it is basically judged by "pentagram".

Thrombocytopenia, elevated body temperature, anemia, acute renal insufficiency, and neurological symptoms are the "pentadics" of TTP.

At present, the patient is in a coma, so the central nervous system is not easy to detect, but the rest of the situation is still very easy to get the results. Now the difference is only anemia and acute kidney failure, and then you can let the laboratory do a special analysis.

The four of them guarded the test results, which made everyone in the laboratory very nervous.

"It's true that there is kidney failure, right?" After the results came out, the doctors in charge of the test shouted excitedly.

Ding! Diagnostic task completed

Gain 300 XP, 200 Diagnostics Skill Mastery, and 5 Glory

"Alright, thank you. ”

Liu Banxia said a word, and then the four of them turned around and ran, and even forgot to take the test sheet.

The treatment for TTP is very simple, that is, plasma exchange.

The method is to draw the patient's whole blood out of the body, separate it into plasma and cellular components, and then discard the patient's plasma, and replace the separated plasma with plasma substitutes such as fresh plasma and albumin solution at the same speed, and infuse it back into the patient's body.

This method is currently very commonly used and is already a well-established extracorporeal blood purification therapy.

Although it takes time, for current patients, even elevated cranial pressure has to be ranked behind. TTP symptoms are the most urgent at present.

"Mr. Liu, how did you come up with that?" Xu Hui asked curiously.

"After all, TTP and DIC are often confused in clinical practice. Liu Banxia said with a smile.

"At the beginning, you must have thought about whether it was diffuse intravascular coagulation, and then felt that some symptoms did not match, so you could only continue to hang plasma and platelets to the patient. ”

"I think that since these two diseases are so easy to confuse, what if you think about it the other way around? If you exclude that one, will it be the other?"

"Actually, the most important thing is these platelets, and we only thought that the reason for the reduction was that the patient's condition reduced platelet production. But the way to reduce it can also be destroyed? That's what I thought. ”

Shi Lei and the three of them glanced at each other and smiled wryly.

If this thing is pushed forward from the result, everything is so simple. But in many cases, diagnosing a condition is like magic, even if it's just a piece of paper, you can't see what the details are.

Three people have been discussing together for so long? It is not as good as Liu Banxia going back to the office to figure it out for himself.

What is the most crucial question? Liu Banxia was brought out by Shi Lei, and he is only a resident doctor who has just finished regular training. All three of them are the best in their respective departments? It is the main treatment of high seniority.

"There's nothing wrong with me here, right? Go back and wait for the patient's platelets to rise? You can arrange the surgery. I'll go back downstairs first, I'm a little busy today. After finishing speaking, Liu Banxia walked away.

"Shi Lei? You have been with Mr. Liu for the longest time, what do you want to say no?" Xu Hui asked with a smile.

Shi Lei smiled bitterly and shook his head? "Don't have anything to say? I don't even know what to say. You don't have anything to say? You're an internist. ”

Xu Hui rolled his eyes, "We're going to be waves?" has been slapped to death by the back waves, and he can't turn over. ”

"Haha? It has nothing to do with me, I'm just a doctor outside the gods. Zhang Xiao said with a smile.

"What's there to be happy about? This thing might be going to steal your job at some point. Xu Hui said.

"Did he do extraneous work in the original emergency department? Now in the emergency center, a lot of orthopedic work is covered. Can you be sure he's not going to have an emergency craniotomy one day?"

Zhang Xiao also became very worried? It's really hard to say.

One of the most basic elements to consider an extranatural doctor? That is, the hand should be steady and fast enough. At this point, Liu Banxia is completely qualified, even stronger than him.

I really can't say when Liu Banxia will give you a hand, now he even does the work of internal medicine so slippery, and the work of general surgery and orthopedics is also very good, what else can he not do?

"Oops, I remembered. Zhang Xiao said coldly.

"Do you remember? There was a patient with progressive paralysis, and later Director Xiao personally operated on the hematoma found in the spinal cord?"

Shi Lei nodded, "How can you not remember, it's just that this kid doesn't know the depth of nonsense." At that time, Director Zhou was shocked, thinking that this kid's courage was already fat. ”

At that time, Director Xiao returned to the office and said that Liu Banxia should actually come to Shenwai. He is very careful and will be of great help during the process of extravagantic surgery. Zhang Xiao said with a wry smile.

"Hey...... , what else can you say?" Xu Hui said helplessly.

"Vice President Li outside the heart, Director Zhou outside the general department, Director Xiao outside the gods, and Director Xu from the Department of Orthopedics, these are all treasures of our hospital. That is, Director Zhou took the lead, which is really fragrant. ”

"The point is that he's still very young, and now I'm really convinced. Our second courtyard will really cultivate a cow man, but I don't know where his own boundaries are. ”

"Now there are restrictions on the scope of practice, if there were no restrictions, do you think he would register all the departments?"

Hearing Xu Hui's words, the big guys were happy, but there was also some envy behind the smile.

People's energy is limited, but what about Liu Banxia's here? It seems that this restriction has become a little weak. This product has shown great talent in many disciplines, and it really can't be compared.

Liu Banxia, who returned to the first floor, was in a very good mood, even if he didn't have much experience, he saved a life. It seems that in the judgment of the system, it is still very easy to diagnose, that is, to see how careful it is.

stretched a big lazy waist, and had to make a training plan for the six little ones. It's impossible to send them all at once, and the current volume of patients here has also risen, so everyone can be more relaxed with them.

And it can also give them more opportunities to practice, and it is impossible to achieve a fair distribution of resources, and now they are mainly based on receiving patients. Whoever receives the patient will have the opportunity to participate in the operation.

And he had to squeeze out as much time as possible to gather everyone for a case seminar.

It's not that easy to make up this time, it's not that you can bring everyone together at the first order, and you have to leave someone to take care of you.

For emergency centers, it can only be mobile at the moment, and it is impossible to determine which time of day and time. I can only come in a hurry to see when there are fewer patients.

Now he is somewhat tired, he never thought that he would have the opportunity to this kind of heart before. Not now, for the sake of future happiness, you have to work hard.

At this time, the sound of an ambulance came from outside, but no one came in to call him, which also proved that there were not many patients sent, and he could still do what he was doing with peace of mind.

Although he is said to be the general hospitalist, it does not mean that he needs to be present for the rescue of every emergency patient. There are so many doctors here, it's all possible.

After finishing the work at hand, he went outside.

"Mr. Liu, do you have time when you have a break tomorrow?" Wang Chao came over again.

"What are you doing?" asked Liu Banxia curiously.

"If I have time, I'll treat you to dinner. To be exact, my parents want to invite you to dinner and thank you for taking care of me. Wang Chao said.

"It's really not good tomorrow, so I promised Director Zhou to go to his house to eat in the evening. It's a serious acquaintance, and I haven't been there once. Liu Banxia said.

"Isn't it? You haven't been there for so long?" Wang Chao asked in surprise.

Liu Banxia nodded, "It's really that I haven't been there." I wanted to come and go when I was suspended last time, but the director never took a break, and I didn't dare to say anything about it. ”

"Alright then, your business matters. If someone else follows the mentor, they have to report at least once a week. You're good, it's like a free-range breeder. Wang Chao said helplessly.

There was also a little envy in my heart, Liu Banxia followed a good mentor. During this time, Zhou Shuwen arranged a systematic surgical internship for Liu Banxia, which many people can't compare.

However, it has to be said that Liu Banxia has this strength, and he can't keep up with others. Envy is no longer envious, and the matter of eating has to be pushed back.