Chapter 863: Edema (Part II)
"What's the patient's condition?"
The patient was sent to the emergency department, and Qian Xiaolin arrived just after settling down.
"Nephritis edema. ”
Wang Haobo handed the thick pile of inspection reports in his hand to Qian Xiaolin, and Qian Xiaolin was startled when he took it: "So much?"
"These are the results of the patient's previous examinations and diagnoses in other hospitals, some diagnoses are pyelonephritis, some diagnoses are nephrotic syndrome, and some diagnoses are chronic nephritis......."
"We also examined the patient just now, with 4+ proteins, red blood cells, white blood cells and casts on microscopic examination........ Blood pressure 140/96 mmHg ......"
Wang Haobo introduced on the side.
Qian Xiaolin probably looked at it, and then handed it back to Wang Haobo, the patient's condition is quite serious.
After reading the patient's examination report and combining the patient's symptoms, Qian Xiaolin guessed that the patient may have been kicked by doctors from other hospitals, so he came to Yanjing Hospital for treatment.
The patient's condition is already quite critical, perhaps other hospitals feel that there is no way, so they persuade the patient to come to Yenching Hospital for treatment.
While thinking about Qian Xiaolin, he looked at Fang Han: "Xiao Fang, do you need to ask for a urology consultation?"
Now, as long as Fang Han is involved in the treatment, even Qian Xiaolin will first seek Fang Han's opinion and then take the next step.
Fang Han checked the patient's tongue coating just now, and then gave the patient a comprehensive physical examination.
The whole body is edematous, the abdomen is swollen, and the patient was pumped with ascites in a hospital in Jiangzhong before.
After doing the examination, Fang Han stood up and did not communicate, but nodded to Qian Xiaolin and walked out of the ward, and the others followed, Qian Xiaolin and Fang Han walked side by side.
"What does Director Qian think?"
"From the current situation, the patient's situation is quite tricky, even at the level of our hospital, the risk is quite large. ”
Although Qian Xiaolin is not a specialist, he has seen too much, and judging from the current situation of the patient, it is a very difficult situation.
"Xiao Fang, do you already have a way?"
"Nephritis edema, critical but not urgent, fortunately did not continue to delay. ”
Fang Han said slowly: "Although the situation is complicated, you always have to give it a try. ”
The so-called critical but not urgent means that the patient's condition is critical, but it will not be too dangerous in a short period of time, it is not an emergency, and there is no need to take first aid measures immediately.
However, such a situation cannot be let go, although there is no need to take rescue, but the condition must be controlled immediately, if it continues to be delayed, the patient's condition will be out of control, and then it will be troublesome.
So after learning about the patient's situation in the hotel just now, Fang Han still felt relatively lucky, with the patient's condition, if it was delayed for another three or two days, it would be quite bad.
When the patient was sent to the hospital just now, Wang Haobo was shocked, the patient's abdomen was as thick as a big urn, and the body was depressed, and he couldn't recover for a long time, his whole body was swollen, and it was difficult to urinate.
Fang Han and Qian Xiaolin were talking here, and Zhang Weiwei had already chased them out.
"Brother Fang, is my father's illness very serious, is it impossible to treat?"
The little girl has been dealing with the doctors in major hospitals for most of the year, although Fang Han didn't say anything in the ward just now, but the little girl saw the clue that his father's illness should not be easy to treat.
"Don't worry, Brother Fang will definitely cure your father. ”
Fang Han reached out and touched Zhang Weiwei's head.
As a doctor, Fang Han rarely promises anything to the patient's family so firmly, and rarely assures anything in an affirmative tone, but this time, Fang Han really feels a little sorry for this little girl.
is about the same age as Fang Tian, if it weren't for her father's illness, Zhang Weiwei would be in the classroom like Fang Tian now.
Qian Xiaolin opened his mouth, originally planning to say something, but finally held back.
This little girl was carrying all the pressure alone for a while, and today she was cheated out of 5,000 yuan by a liar, which was really a little unbearable, but fortunately she met Fang Han and Xian Fen.
If it weren't for Fang Han and Xian Fen, it's really hard to say whether this little girl would be able to hold on.
Now this little girl has put all her hopes and hopes on these doctors, and if they can't give this little girl confidence, then this little girl will really collapse.
"Well, Brother Fang, thank you. Tian Tian seemed to trust Fang Han very much, and nodded lightly.
"Go take care of your father, there's Big Brother Fang here. Fang Han patted Zhang Weiwei's shoulder.
"Hmm. ”
Zhang Weiwei nodded, then turned around and went back to the ward.
Seeing Zhang Weiwei go away, Qian Xiaolin said: "Xiao Fang, if there is any accident, how will you explain it then?"
"Do your best. ”
Fang Han glanced back, and then said: "Although the patient's condition is serious, this little girl's situation cannot be ignored, don't look at her running around now, it is all supported by a stream of faith, once there is no hope on our side, her belief collapses, and the situation is even more serious than that of the patient." ”
Spirit and spirit are the most critical support for a person, Zhang Weiwei has not eaten well or slept well for most of the past six months, her body is actually quite poor, and the little girl is already skinny.
If faith collapses, and when the time comes, when you can't afford to get sick, all kinds of problems will ensue.
Heart illness is sometimes much more terrible than physical illness.
Qian Xiaolin nodded, he knew that what Fang Han said was the truth, but the patient's condition was complicated, if it could be cured, then everything was easy to say, but what if there was any accident?
At that time, the patient could not be saved, and this little girl named Zhang Weiwei would not be able to afford to be sick, and Fang Han would be in trouble at that time.
In any case, Zhang Weiwei is an adult, over 18 years old, and as a family member of the patient, she has the right to know.
This is the case with the domestic medical system, if the risks are not explained in advance, whether it is good or bad, once something happens, the responsibility on the doctor's side is greater.
"Director Qian, I'll be alone and think about it. ”
Fang Han didn't say much to Qian Xiaolin, but found a lounge to go into, closed the door and sat in it by himself.
"System!"
Entering the lounge, Fang Han's consciousness entered the system, and first looked at the backstage details, the balance of worship points, 170 million 869 points, and this value is still changing.
The last time the worship points exceeded 100 million, after the system opened the prop mall, Fang Han's biggest worship point expenditure was to exchange for a high-level simulation card for Long Yaxin when he was operating, spending 25 million worship points.
Following the Wanbao incident, Wanbao's Weibo was on the hot search, and many people were curious about Dr. Fang in Wanbao's article, envious, admired, jealous, and hated, which also led to Fang Han's worship points winning the first blowout growth after obtaining the system, and the worship points increased by about 90 million in less than a month, and now the worship points are close to 180 million.
In response to Zhang Weiwei's father's situation, Fang Han already had a countermeasure in his heart.
The patient is obviously deficient in yang and yin, and in response to this condition, Fang Han decided to treat it with aconite Li Zhongzhong Tang Jia Wei.
Aconite helps yang and water, which is very effective in treating kidney yang weakness and body edema.
However, the patient's condition is serious, and it is difficult to work with conventional doses, so it is necessary to use large doses of aconite Lizhong decoction.
The effect of aconite is undoubted, but at the same time, aconite is hot and poisonous, and this dose should be strictly controlled when treating the disease.
Whether in history or in modern times, the doctors who dare to use large doses of aconite are all masters of the arts, and few ordinary doctors dare to use it.
To borrow a sentence from the previous article, when doctors treat patients, they often have half of their own feet already stepped into the ghost gate.
This sentence is used in some Chinese doctors, and it is very true.
For critically ill patients, no doctor dares to say that he is 100% sure, and the treatment of famous patients is dangerous and dangerous.
In addition to being bold and careful, every famous person is putting his reputation and life and death on the line.
As Qian Xiaolin was worried about just now, everyone was happy to be cured, but once something happened, then the result can be imagined.
Especially in the current medical system, it is illegal to use large doses.
Of course, when the famous family uses the drug, it is naturally repeatedly considered, on the surface it seems bold, but in fact it is cautious, but no matter how cautious, who can guarantee that there will be no accidents?
Now Zhang Weiwei's father's situation is that it is not a heavy drug and cannot be treated.
Aconite Lizhong Tang is from "Three Causes and Extremes - Illness Syndrome Formula", which is a classic prescription, but this time for Zhang Weiwei's father, the ordinary dose is not enough to be effective, increase the dose, even Fang Han is not very sure, how to control this dose, what doctors can do is only speculate based on experience, but they can't be foolproof.
Therefore, Fang Han decided to exchange for a high-level simulation card again, and experiment in the simulation space first, and then use the formula, trying to be as foolproof as possible.
Don't have a doctor who doesn't have a system, so there is no way to confirm it in advance, but for Fang Han, with a system, he can grasp the dosage in advance and know it in his heart.
"Redeem Premium Simulation Cards. ”
Fang Han gave instructions to the system.
After the system's routine inquiry, the system's inventory has an additional golden card.
Fang Han did not hesitate, he used it directly, and after selecting the simulation object, he appeared in the ward scene.
Simulated scene, the patient is a complete simulation of the situation of a real patient, as soon as Fang Han's consciousness moved, a ready-made decoction appeared in his hand.......
: This chapter is from yesterday, squinted for a while, slept, sorry......