The next day, the night shift.

The shift was handed over at 6 o'clock sharp.

At this time, there are not many patients in the hotel time.

Ruan Bin also stole a little free time to read a book for a while.

In fact, as a doctor, I am usually very busy, not only need to be busy with work, but also have to read books, brush questions, take various exams in the hospital, and prepare for various certificates. Otherwise, how can you get promoted?

Fortunately, Ruan Bin has a system, and a lot of basic knowledge comes with the knowledge points that come with the upgrade surgery, so he doesn't need to read much. Now he's just looking at a few things that he's not too familiar with.

At seven o'clock in the evening, the number of patients finally increased one after another.

Suddenly, a middle-aged man outside the emergency department walked in with a woman in his arms, "Doctor, look at my wife, she is almost out of breath!"

At this time, Ruan Bin happened to be in the hall, and hurriedly pushed a flat car to meet it: "Put it on the flat car!"

"Good, good!" the middle-aged man sweated profusely as he put the woman on it.

Ruan Bin saw that this middle-aged woman in her thirties was a little pale at this time, her breathing was short, and she looked very difficult to breathe!

But it's not so exaggerated that you can't breathe!

No laryngeal intubation required!

"What's the situation?" asked Ruan Bin as he did a quick and simple inspection.

"This morning my wife had a fever, and the temperature was high at noon, so she thought she had a fever, so she took some fever-reducing medicine that is always available at home. But in the afternoon, it didn't get better, and at the same time, I started to have a slight cough and chest pain, and at about 3 o'clock in the afternoon, I had a slight shortness of breath, and then it got worse and worse!" Tang Liang explained.

"Diagnosis!" Ruan Bin nodded as he directly threw a general diagnosis into the past.

Patient: Pan Juanjuan

Age: 36 years old

Medical records: pulmonary rejection (mild), pulmonary fungal infection with Acinetobacter baumannii infection (moderate), pulmonary edema (moderate).

？？？

After Ruan Bin saw it, his face suddenly became heavy, and the fungus in his lungs was infected with Acinetobacter baumannii.

This infection is tricky!

What surprised him even more was the lung rejection (mild)?

"Your wife has had a lung transplant?" Ruan Bin raised his head and asked Tang Liang.

"Yes, about half a year ago. Tang nodded and said.

"Doctor, what's the matter with my wife?" Tang Liang asked anxiously.

"It may be a lung infection, but this is my clinical analysis, and the final result will have to be tested to know! Ruan Bin said.

Infection can also cause fever and fever. It is said that the lungs are infected, so there must be pain in the chest position. The condition is very serious!

"Huh, infected?" Tang Liang's face turned pale after hearing this. Because after her wife had a lung transplant, the doctor told them to take their medicine and check up on time. Once a lung infection is detected, or lung rejection, the problem is troublesome!

Ruan Bin looked at the other party's expression, and estimated that the other party seemed to be aware of the seriousness of the problem.

But let's wait for the results to come out.

Soon, the couple was led by an intern to go for an emergency check-up.

Ruan Bin went to the computer in the office and investigated the patient's file.

I don't know if I check it, and I'm shocked when I check it!

This woman had a lung transplant at the First Affiliated Hospital of their Demon Capital, but before the lung transplant, she had given birth!

The other person had pulmonary hypertension before.

"But with pulmonary hypertension, how can the obstetrics department of our hospital let her give birth?" Ruan Bin's brows suddenly furrowed.

Because people with pulmonary hypertension are not allowed to have children!

Because the stakes are very high!

Pulmonary hypertension is an extremely serious condition that can progressively worsen and even shorten the life span of patients if left untreated. Most symptoms associated with pulmonary hypertension arise from right-sided heart failure.

Can women with pulmonary hypertension have children? The answer is a categorical no. This is because women with pulmonary hypertension are at risk of fatal pregnancy. From the first 3 months of pregnancy, blood flow through the pulmonary arteries increases, and the pressure in the pulmonary arteries also increases, increasing the burden on the heart. During pregnancy and childbirth, the condition may worsen. Although there have been reports of successful pregnancies and deliveries, pregnancy and childbirth often worsen the condition of patients with pulmonary hypertension and even lead to death. Among them, the case fatality rate of patients with severe pulmonary vascular disease is as high as 30%. Even in those who survive, pulmonary artery pressures that increase during pregnancy do not improve after delivery. In addition, drugs used to treat pulmonary hypertension, such as warfarin, vantavir, and all-corlis, can cause damage to the fetus.

"So there is only one answer, is this woman and her family insisting on giving birth?" Ruan Bin secretly analyzed in his heart.

"Go to the obstetrics department and ask!" Ruan Bin immediately walked to the obstetric department.

Soon, I found Liu Yuechan, an attending doctor who was on duty tonight.

Liu Yuechan is a female doctor in her early thirties, with short hair and capable.

"Doctor Liu, did this patient named Pan Juanjuan have a caesarean section in your obstetrics department most of the time ago?" asked Ruan Bin as he handed the medical record to the other party.

"Pan Juanjuan, I have a deep impression of this woman, she had pulmonary hypertension, and it was very serious, from the first month when she came to the pregnancy test, my obstetrics department advised her not to have children. But she stubbornly said that she must have a child, and life without children is not fulfilling! But we told her that if she insisted on having a child, she might die at any time! But she insisted on having a child!" Liu Yuechan said helplessly.

"But she suffered from severe pulmonary hypertension and was not suitable for childbirth, but she did not listen to our advice and insisted on giving birth, and as a result, she had very serious cardiopulmonary insufficiency in the middle and late stages of pregnancy. But luckily she survived the seven-and-a-half-month pregnancy, when she had a caesarean section in our obstetrics department, and a week later the respiratory and cardiovascular surgery teams took a huge risk to give her a lung transplant. The operation was successful, and it was a sensation at the time!"

"What's wrong? Could it be that this patient is in your emergency department now?" asked Liu Yuechan.

"Yes, fever, chest pain, difficulty breathing, I'm worried about a lung infection! or even rejection! But the exact situation will not be known until the result. Ruan Bin said.

"If it's a lung infection...... Then it's a big problem!" Li Yuechan's face changed.

"I'll go back first!"

"Good!"

Ruan Bin returned to the emergency room, and the test results came out, and it was indeed a lung infection and pulmonary edema!

He knew what the bacterial infection was, but the results needed to be further examined.

However, when Tang Liang heard that his wife had a lung infection and pulmonary edema, his whole face turned pale: "How is it possible! My wife took medicine on time and came for regular check-ups, how could there still be problems with the transplanted lungs?"

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