Mouse clicks down, and a new page pops up.

But it's just a page, and the screen of the previous page is still there.

The computers in the ICU ward are slow, which is said to be a problem with line occupancy.

But after staying here for two days, Zhang Tianyang calmly waited for the picture to load.

Next to him, the director of the ICU has reached an agreement with the attending doctor.

Because he wanted to make things difficult for Zhang Tianyang, he had already come to the director for a ward round yesterday, so today he only checked the new patients who arrived yesterday and the patients who were seriously ill and dying.

The rest, waiting for the attending doctor to check with the little doctors.

While waiting for the picture, Zhang Tianyang listened distractedly to the muttering of the two, and by the way, he glanced at the little yellow chicken man who was obviously much more lively on the hospital bed next door.

After getting rid of the psychological negativity, this thing actually began to stare at the best-looking little nurse in the ICU ward!

He moved under his feet, and even the person with the computer moved ten centimeters horizontally, just in the middle of the sight of the little yellow chicken man.

Do a good deed every day, Amitabha!

After a full half a minute of delay, the picture was refreshed little by little in front of his eyes.

Zhang Tianyang glanced carelessly, but after only one glance, his brows furrowed.

The little nurse who had just been trained by the head nurse passed behind him sullenly, looked up by the way, and then was stunned for a moment.

Although the little nurse is not studying medicine, and she has not been in clinical practice for a long time, she has seen a lot of various films.

Black and white, although I don't understand the details, but I can also see a rough idea.

But now, images like I've never seen before are in front of me.

She recognized the image as the patient's lungs, because the outline was still there.

Other people's lungs are all black, with some white in the middle, and at most black and white.

When the doctors discussed, they would say that the white one was oozing, the white one was standing, and the black one next to it was normal.

But in this film, all the lungs on both sides have turned white, and there is no black at all.

She subconsciously spoke.

"Is this overexposure?"

After all, no matter how seriously infected the film was, it was not all white!

"It's not. ”

Zhang Tianyang's face had sunk.

"This is, white lung. ”

Zhang Tianyang exhaled a breath of turbid air and began to call the attending doctor and the director of the ICU.

"Teacher, Director, please take a look, the 69th bed of yesterday's lung CT came out. ”

The attending physician and the director of the ICU quickly responded and walked over quickly.

After two days of getting along, they probably also have a certain understanding of Zhang Tianyang.

Xiao Zhang, a young classmate, is still very capable and psychologically strong.

There is quite a bit of the meaning that Mount Tai collapses in front and does not change color.

Therefore, Zhang Tianyang's gloomy face and low tone gave them a bad premonition.

"Let's take a look, the image that just came out. ”

Zhang Tianyang took the initiative to give up his position.

In addition to the attending doctor and the director of the ICU, the two little fan brothers and sisters also spontaneously came up, and Song Changkong didn't know when he wandered nearby, poking his head out and watching.

Then, a group of white coats fell silent in unison.

On the film, the patient's lungs have become completely white.

It's white on both sides.

It is mixed with the white color of the muscles and other tissues of the upper limbs, and it is not distinguishable from each other.

Let them be in a trance for a while.

It seems that this film is not a CT that can clearly see various organs in the body, but a stroke machine.

The outline of the human body is outlined, and then the inside is all filled with white.

It took half a minute to react before the attending doctor suddenly shook his whole body and subconsciously spoke.

"Holy!"

No one dwelled on him swearing.

Because they may have said a lot in their hearts.

"White lung!"

As the chief physician of a lower-level hospital, Song Changkong has watched a lot of various films on his lungs over the years, but he has to admit it.

"This is the first time I've seen such an image outside of a textbook. ”

The two little fan sisters who were fortunate enough to witness history looked at the shocked attending doctor, looked at the sighing Song Changkong, and looked at the ICU director who frowned, and they didn't dare to speak cautiously.

Not long after I got out of the clinic, I met a patient with "white lung", and I don't know if it was lucky or unlucky.

The movement here quickly attracted the attention of the white coats around them, and they all touched them one by two, wanting to take a casual look.

As a result, they were stunned together.

Seeing that all the white coats were in shock, the only little nurse next to her who couldn't figure out the situation was a little stupid and turned her eyes to Zhang Tianyang for help.

"What is white lung?"

Zhang Tianyang paused, sighed, and introduced the key points a little.

"White lung does not refer to a specific disease, but refers to the appearance of the lungs of patients with severe pneumonia under X-ray or CT X-ray.

Now, just like this one, the whole lung is white.

The most common cause of white lung is infection, followed by diffuse alveolar hemorrhagic syndrome, acute respiratory distress syndrome (ARDS), etc. ”

Hearing Zhang Tianyang explaining to the little nurse, several white coats also came back to their senses.

The director of the ICU followed Zhang Tianyang's words, not knowing whether he was explaining to the little nurse or the little doctor present.

"White lung not only predicts severe infection of the whole lung, but also often accompanied by sepsis, septic shock, coagulation dysfunction and so on. ”

"So, in patients who have white lung, the mortality rate is very high. ”

The voice fell, and there was silence all around.

The attending doctor's face was now solemn after a slight gaffe just now.

This was the first white lung patient he had encountered in his medical career.

The other doctors also realized the seriousness of the problem, and one by one they quietly controlled their breathing, not daring to speak or attract attention.

But involuntarily, their eyes fell on Zhang Tianyang.

This patient seems to belong to this junior brother.

It's miserable......

Zhang Tianyang, who is once again in the center of everyone's focus, does not have such a tragic consciousness as himself.

He naturally followed the path that everyone had made way for him, walked in again, and stood next to the director of the ICU.

The director of the ICU glanced at him and asked cautiously, "What do you think?"

Zhang Tianyang paused and spoke.

"The first is the diagnosis, the patient has an acute onset, initially manifested only rapid breathing, and soon presents with progressive dyspnea, cyanosis of the lips and fingers when it is sent, accompanied by symptoms of extreme anxiety and altered consciousness, and assisted ventilation has not significantly improved the patient's symptoms.

I think it's okay to add 'respiratory distress syndrome' and a diagnosis of respiratory failure to the patient. ”

Zhang Tianyang's analysis was reasonable, and the director of the ICU nodded in agreement.

"Then there is the diagnosis, according to the patient's medical history, as well as the results of the examination in the emergency department two days ago, the infection indicators are rising rapidly, the bacterial infection is serious, and it is also necessary to be alert to the possibility of multiple bacterial and fungal co-infections. ”

As he spoke, he clicked on the doctor's order entry interface, "I think I can give him a few more sputum cultures." ”

"Yes. ”

The director of the ICU continued to nod.

"Then there is the treatment, and the anti-infective drugs are still maintained in the current regimen, along with protective ventilation strategies such as low tidal volume, low airway pressure, control of excessive respiratory rate, etc. ”

After a pause, he didn't see that the director of the ICU had any intention of refuting, and he continued.

"Secondly, if the patient's symptoms continue to progress, I think high-dose gamma globulin pulse therapy and continuous blood purification at the bedside can be considered. Try to avoid multi-organ failure. ”

"There are also airway management, respiratory support, nutritional support and nursing care, psychological counseling and ......"

In front of everyone's eyes, Zhang Tianyang said a lot.

As he spoke, he typed a new doctor's order on the screen.

The director of the ICU listened carefully throughout the whole process and did not say a word of rebuttal.

The onlookers in white coats were a little shocked when they looked at such a scene.

But thinking about Zhang Tianyang's performance two days ago, I think it's quite normal.

Only the attending doctor, while listening, secretly frightened.

With his qualifications, it was also the first time he had encountered a patient with white lung.

He believes that Zhang Tianyang's internship experience of several months must be the first time he has encountered it.

But when he subconsciously panicked, Zhang Tianyang was calm and gave a clear idea and diagnosis and treatment process.

The point is, it makes a lot of sense.

He glanced at Zhang Tianyang deeply, and then slowly, put away the little pride left in his heart.

Ten minutes later, Zhang Tianyang's babbling explanation was completed.

After ten minutes of frowning, the director of the ICU also unfolded for the first time.

He patted Zhang Tianyang on the shoulder.

"Well done!" 2k reading web