277 There is no greater mourning than the death of the heart
Disease, especially this autoimmune disease, mood and living environment are very important for the patient. Although there is no data to reflect the importance of these factors, they do constitute the patient's motivation for treatment and desire to live.
Once there is no desire to live, or there is no hope for the future, the disease will progress very rapidly, and even if you take medication, it may not be feasible or effective.
Sister Li, after being diagnosed with systemic lupus erythematosus, her husband didn't say anything about comfort, and divorced directly. This is the fall of the well, and her hope for life has been cut off alive, and the ruthlessness is nothing more than that.
Sister Li was lying on the hospital bed, looking at the ceiling with her eyes blankly, not caring about her physical condition at all.
She was not very seriously ill, but as a result, she quickly developed into severe systemic lupus erythematosus. The first article in the textbook for the treatment of systemic lupus erythematosus is to establish an optimistic mood, but now her mood is not bad if she does not seek death or commit suicide.
Zhang Fan was sent to the hospital by Chen Bin's driver, and after getting out of the car, Zhang Fan began to trot, and when he arrived at the department, Zhang Fan looked at Sister Li's checklist, and secretly complained in his heart.
This disease can affect many organs and tissues, but it is generally controllable, but now Sister Li has thrombocytopenic purpura.
"I don't think it's very optimistic, tubular urine has appeared!" Hu Jun said as he looked at Zhang Fan, who was looking at the inspection list.
"The effect of the drug is not obvious!" Zhang Fan said with a sigh.
"Yes, I read her medical records, and your medication is good, methylprednisolone (hormone), gamma globulin, vincristine, and danazol are all used, but her platelets continue to decline. ”
"I'll take a look!" Zhang Fan put down the medical record and came to the ward.
Because Shao Hua knew each other, and her mood was very unstable, Zhang Fan specially found a single room. When Zhang Fan entered, the first thing he saw was a lifeless woman.
The lips are dry to the point that they are already peeling, and the eyes are glazed. "Sister Li, how is it, how do you feel. Zhang Fan walked to the hospital bed, she didn't react, Zhang Fan had to whisper.
"Oh, Doctor Zhang!" Sister Li slowly turned her head and found that it was Zhang Fan, so she opened her mouth to say hello.
At this moment, Zhang Fan found that there was bleeding between her gums, and the blood was stained red with the pressure groove, and with the movement of opening her mouth, it seemed to be slowly dripping!
As if she had discovered something, she wiped the blood from under her nose to her face and mouth.
Sister Li, looking at the blood on the back of her hand, raised her head, and laughed softly, Zhang Fan looked at the red spots on his face, his face was smeared with wiped blood, and the miserable smile, Zhang Fan actually had a creepy feeling, this is the breath of death.
"Sister Li, don't sit still, lie down slowly, and I'll check it for you. In fact, there is nothing wrong with this disease, as long as you take the medicine on time, you will gradually get better. Zhang Fan didn't dare to let her make any more big moves!
After Sister Li lay down, Zhang Fan simply did a physical examination, and there were already large areas of purple epilepsy on her arms, chest, abdomen, and lower limbs, which is a classic manifestation of thrombocytopenia, which is like a bomb.
Maybe a sneeze will cause massive bleeding! This kind of bleeding is very terrifying, directly like the kind of blood vessels in the whole body that are cracked, and the bleeding is particularly fierce. Once there is a heavy hemorrhage, there is no chance of rescue.
After Zhang Fan slowly helped her lie down, he turned around and went out, and immediately said to the nurse: "First-level nursing, if you are critically ill, contact your family." Now she is not allowed to get out of bed no matter what she does! ”
In less than half an hour, two gray-haired old men came. "Doctor, I'm Li Baibing's parents, what's wrong with her!" Sister Li's name is Li Baibing, she left two phone calls, one is her husband's, the other is her parents', her husband's phone is connected, and when she hears the hospital's phone, she hangs up without saying a word. If you call again, you won't answer it directly!
"You may be seated. Uncle and aunt, it's like that now. Zhang Fan groaned slightly, it's really not good to tell the two old men, Sister Li's condition is too serious now, if the two old people can't stand the blow, it will be a tragedy in the world!~
Seeing Zhang Fan's somewhat muttering appearance, Sister Li's father said: "Doctor, you say, no matter what Bing'er's situation is, we can stand it, I just hope you can save Bing'er, her life is miserable!"
As he spoke, cloudy tears fell from the cloudy eyes of the two old men. People are prepared, and Sister Li's husband is not coming, no matter how cruel she is, she has to explain the situation clearly to her family.
"Old man, it's like this, your daughter's situation is very dangerous now, maybe it will be hemorrhage at any time, once this happens, then it will be the time when you have no power to go back. So now, there are two options, one is to continue medical treatment, but it is quite dangerous. The second is surgical treatment, which is also dangerous, and the risk factor is less than that of internal medicine, but the spleen needs to be cut out. Hurry up and talk to the patient. There is no time to delay. ”
In this case, only surgery can be done to cut the spleen. Because the effect of medical treatment is still not obvious. The human body is so complex, this matter is not absolute, and family members need to make decisions through the advice of doctors.
Because, if the internal medicine treatment is not obvious now, it does not mean that there will be no effect tomorrow, nor does it mean that there will be an effect tomorrow, so this risk here must be clearly informed. And Zhang Fan tends to cut the spleen, no matter what, between death and cutting off the spleen, Zhang Fan chooses to cut off the spleen!
At this time, Sister Li is too dangerous, just like a full balloon parked on the tip of a needle, it may explode at any time, and this explosion is unpredictable, it cannot be protected, blood vessels are all over the body, and now there is a possibility of massive bleeding as long as there is a gap. I can only let her lie quietly on the bed, reduce her activity, and reduce the possibility of bleeding!
"Doctor, you help us persuade Bai Bing, she, she~" The two old men were originally in tears, but now they were a little embarrassed.
Zhang Fan felt that something was wrong, and then said: "This is a matter decided by the family and the patient, and I recommend the best surgical treatment." You'd better go and discuss, and sign it. ”
"Okay. The two old men helped one by one, and walked slowly and with difficulty to the ward. Zhang Fan felt a little strange, but he didn't take it to heart, and then began to prepare the operation signature form and contact the operating room.
Now Zhang Fan has the privilege, and this disease originally needed to be transferred to the surgery department, and then contact the operating room through the director of surgery.
Just when Zhang Fan was printing the surgical signature book on the computer, he heard the sound of "Bang!" Then I heard what seemed to be Sister Li's desperate voice: "Go!"
The sound was very loud! Zhang Fan immediately got up and hurried over!