After the visiting hours ended, the white coats that were active in the ICU ward suddenly increased.

After all, not everyone is used to being stared at.

Although most of the time people's eyes are not on the white coat when they visit, they are still unhappy to know that someone is watching from behind.

Zhang Tianyang is used to the feeling of being stared at.

Always do your own thing calmly.

"Looking at the medical records?"

Song Changkong didn't know where to come out, paced behind Zhang Tianyang, and looked at his computer screen.

"Aang, watching. ”

Since he had already made up his mind to befriend Zhang Tianyang, and even gave up an opportunity to go downstairs to learn technology for this reason, Song Changkong took the initiative to introduce Zhang Tianyang to the various situations of this patient.

The old lady with 76 beds stayed for 14 days, and the medical record was long enough to mop the floor.

The 78-bed young man stayed for 42 days, and his medical record was less than two-thirds as long as hers.

It seems that his condition is relatively stable.

Sure enough, Song Changkong introduced the condition of bed 78 to Zhang Tianyang in a few words, and his tone was relatively relaxed, which was completely different from the anxiety faintly revealed when he mentioned the old lady in bed 76.

"When I came in, it was because of an intracranial infection......

"After the intracranial infection improved, I was transferred to the orthopedic department for surgery, and then I was transferred back to ......"

"At the moment, the infection index is high......"

While listening to Song Changkong's introduction, Zhang Tianyang clicked on the patient's corresponding medical records and various examination results to view.

Indeed, as Director Song said, the patient's vital signs are relatively stable.

Bacteriochemical studies of cerebrospinal fluid removed from several lumbar punctures have also shown improvement in intracranial infection.

Although I haven't woken up yet, if I continue to be treated step by step, my eyes will eventually open.

The only problem may be this indicator of infection.

After admission, infection indicators showed a linear upward trend, even after the lumbar puncture showed that the intracranial infection was controlled, and the infection indicators on blood tests continued to rise.

Zhang Tianyang moved the mouse and clicked on the small curve chart behind the patient examination list.

This is a line chart that is automatically generated by the system to help doctors better see the trend of the patient's various test results.

As long as there have been two or more examinations of the same item within three months, the data will be turned into a line chart for the doctor to query.

And this young man, since he has been admitted to the ICU ward of the neurology department, naturally has his blood checked at least once every two days, and the data of many times are combined into a twisted line with ups and downs.

“PCT...... CRP......”

Zhang Tianyang frowned, and subconsciously muttered in his mouth.

Both of these indicators are specific for bacterial infection.

The full name of ProCT is procalcitonin, and the normal range is 0-0.05ng/ml.

The full name of CRP is C-reactive protein, and the normal range is 0-5mg/L.

These two data, elevated to more than three times the normal value, are specific and indicate a high suspicion of bacterial infection.

And now, the line representing these two data is floating high in the sky.

The patient's PCT also had a minimum of 5 and a maximum of 15, which was 600 times the normal high value!

CRP is also active between the teens and fifties, which is more than a dozen times the normal high value.

It was the first time Zhang Tianyang had seen such outrageous data in reality, and he was a little speechless for a while.

I haven't done this in the simulation in the system......

No wonder the patient never woke up.

Even if the intracranial infection is complete, he will have to lie down honestly based on this blood infection.

Lin Ke'an next to him also found an open space and came over, saw the data on the screen clearly, and grew his mouth under the mask.

What the hell is this......

If it weren't for the data in front of her, who told her that the test result was so high, her first reaction was that the other party was teasing her, and the second reaction was that the test result was wrong, and the decimal point was marked one place after it.

But the patient's blood was drawn every two days, and although the infection indicators fluctuated, the line looked fairly consistent.

The instructions are true.

For a moment, the two interns fell silent.

The knowledge in books is really only the majority, and in the real clinic, you can see any demons and monsters.

Song Changkong had been secretly observing Zhang Tianyang's reaction.

Seeing that he finally couldn't keep calm and fell into silence, I don't know why, Song Changkong's heart was relieved.

Although Zhang Tianyang still doesn't look like an intern who has just gotten out of clinical practice, he can barely react to the attending doctor when he sees the result.

But it's a bit like a normal person.

If you are a normal person, you will have seven emotions and six desires, and you will accept his love, and his little abacus will not be in vain.

Therefore, he hurriedly struck while the iron was hot and explained to Zhang Tianyang with a smile.

"The highest figure does look outrageous, but the second blood draw on the same day was just as high. ”

Then he also pointed to the up-and-down lines on the screen, explaining to Zhang Tianyang little by little.

"If you look at this data, there are several turning points. ”

"At first, it went straight up, and then we gave cephalosporin, and you can see that from here on, the infection indicators are still rising, but the trend has eased. ”

"Then two days later, although cephalosporin was still in use, it may have developed resistance, and the indicators that had been somewhat moderated rose sharply again. ”

With Song Changkong's explanation, Zhang Tianyang's mind gradually sketched out the entire treatment process of the 78-bed young male patient.

Although this process was not as fast as Song Changkong, the doctor who personally introduced him, and then compared it with the results of the examination, he could finally straighten it out, but it was not as fast as Song Changkong, the doctor who was in charge of the bed.

While listening to Song Changkong's introduction, the afterglow occasionally swept over Song Changkong's face, thoughtful.

"That's where we got his culture and resistance tested, and then we moved him to Zone C. ”

"There is also here, these two inflection points, are two consecutive antibiotic upgrades. ”

"In the end, here, we used Meiping Wangu, and now it should be under control, and the data has come down. ”

Zhang Tianyang looked at the inflection point that Song Changkong pointed at the end.

Five days ago.

Five days ago, the patient's infection index was still high in the sky, but since the use of Meiping Wangeong, the infection index has finally shown a downward trend.

Being able to stop rising and start falling indicates that the infection is under control.

Although the results of the blood test in the past few days still seem to be very high, there is always hope for landing.

It is estimated that it is because of this downward trend, so now when Song Changkong talks about 78 beds, his tone will not be in a hurry.

If the infection index continues to rise, I don't know what to do now.

Zhang Tianyang fell into deep thought.

Song Changkong didn't speak again, quietly waiting for him to think.

Lin Ke'an also frowned and pondered behind the two, but soon raised his head again, looked at this, looked at that, and didn't dare to speak.

After a full minute of silence, Zhang Tianyang suddenly raised his head.

Song Changkong raised his eyebrows.

"What, what's in mind?"