"Is it really acute pancreatitis?" At this moment, Zeng Feng's hand holding the results of the examination was a little trembling, his eyes were full of emotion, and his face was full of excitement.

Just by asking and examining the disease, you can judge what kind of disease the patient has, and Zeng Feng has more admiration for Xia Yiwei.

"Dr. Xia, it's acute pancreatitis. He ran to the doctor's office with the test report and said breathlessly, "Brother, it's really pancreatitis!"

"Otherwise?" Xia Yiwei took the report after giving him a blank look, everything was under control, and then picked up the doctor-patient communication sheet, serious illness notice and power of attorney on the table and handed it to Zeng Feng, "I just communicated with the patient's family, let them sign, and I will give a doctor's order." ”

"Okay!" Zeng Feng took it sincerely, a little happy in his heart, because he had a good teacher, and he made up his mind in his heart that he must study hard and be able to diagnose and treat some acute and critical diseases in the future.

Xia Yiwei didn't turn his head, staring intently at the screen, which was naturally the system interface.

Chen Erzhu, male, 30 years old, BMI 30.

He was admitted to the hospital with "persistent vague pain in the middle and upper abdomen for 18 hours......

Physical examination:...... mid-upper quadrant tenderness, decreased bowel sounds, mild dehydration......

Ancillary tests - blood amylase 500 U/L, urine amylase 1400 U/L, blood glucose 12.5 mmol/L, blood routine .......

Medical Eye Scan Results: Mild Enlargement of Pancreas...... The head of the pancreas is 21 mm, the body of the pancreas is 16 mm, and the tail of the pancreas is 25 mm......

Ranson score: 3, case fatality rate 16%.

APACHE-II score: <8

Current diagnosis: acute pancreatitis

Graded diagnosis: MAP/mild acute pancreatitis

Clinicopathologic classification: edematous acute pancreatitis

Clinical stage: acute reaction stage, the onset of the disease is about 2 weeks, and it is necessary to be vigilant for complications such as SIRS and MOF.

Recommended current treatment regimens:

1. Serious illness, fasting, water, first-level nursing, ECG monitoring, nasal oxygen, gastrointestinal decompression;

2. Fluid resuscitation: 250ml/h, 6L/d, about 60 drops/min within 48h;

3. Inhibition of pancreatic secretion: PPI inhibits gastric acid secretion, somatostatin/octreotide;

4. Nutritional support: parenteral nutrition, sugar, amino acids, fat emulsion, electrolytes......

5. Prevention and anti-infection: quinolones

6. Others: monitoring urine output, blood glucose, analgesic symptoms, follow-up electrolytes, blood and urine amylase......

The doctor's instructions are as follows:

.......

Xia Yiwei was stunned, he didn't expect the system to be so user-friendly.

Consciousness input into the patient's condition can lead to a series of judgments and treatment options.

In addition, the daily infusion volume, infusion speed, electrolyte ratio, the ratio of the three major nutrients and the specific values required are all available.

It's just a one-click solution.

Although this hundred yuan is worth it, Xia Yiwei still feels very lost.

￥&！

With you, what do you want me to do!

Xia Yiwei despised the behavior that the system gave him to stretch out his hands and open his mouth with food.

"If it weren't for the medical advice you gave and I agreed, I would never have looked at you at all, and human life is at stake, so I wouldn't care about you in general. Xia Yiwei muttered as he quickly typed on the keyboard and moved the mouse to copy the advice given by the system.

"It's very skilled!" Lin Han, who had been watching behind him for a long time, couldn't help but speak when he saw Xia Yiwei's smooth operation.

"Forehead......" Xia Yiwei got up and said with a smile: "It's all the fur that I learned from you, Dean, please take a seat!"

"You kid!" Lin Han smiled, sat down at the desk and looked at Xia Yiwei's doctor's order, and said, "This is the acute pancreatitis patient you received, are you sure?"

"I never lie to the dean, this is MAP, I dare not say that I am 100% sure, 9 percent should be fine. Xia Yi did not hand over the written prescription and pen for Jing Er, "Dean, please." ”

Lin Han looked at the prescription list, it was very standardized, it was a pen and a snake, but this was not the key, the key was to be able to cure the disease.

After Lin Han signed it, he handed it to Xia Yiwei and said, "What's that, you will have a prescription like this in the future...... Understand?"

"Dean, don't worry, I will be cautious and cautious again and again. Xia Yiwei didn't dare to be careless.

"The child can be taught. Lin Han got up, "Let's go, let's see the patient." ”

As soon as the two of them walked out of the office door, they saw Zeng Feng running in a hurry. Lin Han secretly wondered if something was wrong, and hurriedly stepped forward and asked, "What's the matter?"

"Dean, Doctor Xia, how to insert the gastric tube?" Zeng Feng said urgently.

"What should I do?" Lin Han rolled his eyes and said, "Doctor Zeng, you have to remember, don't be in a hurry about anything, if you let the patient see your panicked appearance, wouldn't it make them shiver, isn't the stomach tube the nurse's safe?

Liu ...... Nurse Liu Jie. Zeng Feng was a little stumbling, "She said she hadn't been safe, a little ......"

"Who are these people?Doctor Zeng, you have to remember that we all know how to nurses, and you must also know how to ...... nurses," Lin Han taught Zeng Feng with painstaking words.

Xia Yiwei's back was a little cold, and he only did it on simulated people during regular training, and he did not practice it on patients. Unstable, and even more inconsistent with his title of appendix killer.

Sure enough, Lin Han said that he was tired: "Then leave it to Yiwei, you have to open your eyes and learn." ”

"Yes, yes, I won't blink. Zeng Feng saw Lin Han walking towards the ward, and patted Xia Yiwei, who was stunned, "Brother, please-"

"Hmm!" Xia Yiwei was absent-minded, regretting, why hadn't he practiced some basic clinical skills in the simulated operating room before, and now he didn't have a peak experience card, so it seemed that he could only bite the bullet.

Drip!

- The host consumes 1000 points.

- Start the draw.

- Congratulations to the host for obtaining Energy Liquid x1!

- The host's current lottery points are 5000, do you want to continue the lottery?

[Yes] [No]

.....

- Congratulations to the host for obtaining Energy Liquid x1!

.......

- The host currently has 1000 lottery points, do you want to continue the lottery?

[Yes] [No]

A series of 05 bottles of energy liquid made Xia Yi exhausted, and he clicked [Yes] with apprehension.

The turntable spun rapidly, and Xia Yiwei prayed: The sky, the earth, give me a pinnacle experience card! If I can, I am willing to sacrifice ten years of life......

Drip!

- Congratulations to the host for obtaining the Medical Time Linger Card x1.

What's that?

Medical Hour Stuck Card?

Xia Yi did not click on the red medical time detention card.

Medical time stagnation card - the current space time stagnation, surgical technology invention, at first used for intraoperative surgeons to relieve urine and urine and other emergency affairs, and then widely used in clinical practice, the grade is red orange, yellow green, blue and purple, red time limit 10 minutes......

Xia Yiwei finally experienced the goodness of the system, and with it, he could do big things in the future, such as taking a break from the operation if he was addicted to smoking.

Unconsciously, he had followed the two to the ward where Chen Erhammer was.

At this time, Chen Erzhu was lying on the bed without moving, and when he saw Lin Han coming, he asked, "Dean Lin, Doctor Gao, she saw me when I was sick before?"

"She took a leave of absence. Lin Han saw that Xia Yiwei was not worried about the second hammer, so he said: "Second hammer!

"I know! I went to the county hospital to see him a few days ago, and I guess he will be discharged from the hospital in the next few days, and he should come back when he comes back. ”

Lin Han rolled his eyes, "Then do you know who saved him after he almost lost his back after he fell ill that day!"

"It's a doctor called the next one, not to mention handsome, I heard Xiaomei say that this doctor is still smart, and he will save her father with a needle, by the way, Dr. Xia is someone else. ”

"He's Dr. Xia Yiwei. Lin Han gave Xia Yiwei a place and asked, "Yiwei, why didn't you tell the patient what your name was?"

"Said it! Xia Yiwei!" said Xia Yiwei and flashed his badge.

"It turned out to be this Xia Yiwei! I just said why is there still someone with the surname? I'm sorry I was in a lot of pain before, so I didn't pay attention to it. ”

"It's okay! But when the painkiller is over, you will still be in pain, if you can bear it, we will not give you painkillers, so that you can observe your condition." Xia Yi didn't explain.

"Okay, I'll cooperate with the treatment. ”

"According to what you said, now that Dr. Xia is going to give you a stomach tube, you have to endure it, your throat will feel uncomfortable, and you will even feel angry. After Lin Han finished speaking, Chen Erhammer nodded and said okay, and Liu Jie handed the equipment for gastric intubation to Xia Yiwei.

"I'll go to the toilet, first!" Xia Yi blurted out, leaning forward slightly when he crushed the doctor's sluggish card, he didn't notice the bewilderment on the faces of the others.