Chapter 56: Unable to return to heaven

Based on the infants' symptoms and test results, the cause has been narrowed down to drug-resistant strains such as anti-methicillin Staphylococcus aureus infection, as evidenced by the effects of vancomycin and aztreonam in the early stages of treatment. Under normal circumstances, one of these two drugs has a therapeutic effect, and the other is damaging the baby's organs, so after stopping the drug, it should be a deterioration and an improvement, and there will never be a situation where both will deteriorate.

Li Yunjing looked at the content of the messages on her mobile phone and kept pulling her hair, these children are not patients of Korea University Hospital, it stands to reason that she is not responsible for them, but doctors save people regardless of the occasion, from the moment she puts on the white coat, she is responsible for all patients, "Our plan is the most suitable at the moment, which link went wrong." ”

"As long as someone is involved, there can be problems in every link, but this is not Mount Sinai Hospital, and I can't even supervise. When he was in New York, he disliked those nurses from community colleges, not because their families were poor enough to afford them to go to prestigious schools, but because he hated them for going to the hospital after half-baked studies.

"There's no point in saying that now, we have to go up there and see how bad it is. As long as there is a glimmer of hope, Li Yunjing will not give up easily, with Liang Baoguang by her side, she can always remain optimistic, "Since it has begun to deteriorate, we can't let the condition continue to deteriorate." ”

If it weren't for the desperate efforts of the hospital's security guards and doctors to stop it, Xin Yanhui would have led someone to rush in and take her grandson away. Jiang Yuying stood in the middle of the ward at a loss, Lin Zhilan blocked the door and tried hard to persuade the family members to calm down, and the scene was very chaotic.

"Director Lin, the monitor shows abnormal physical signs. The nurse in the ward suddenly exclaimed.

Lin Zhilan didn't care about confronting the family members anymore, and quickly rushed to the side of the hospital bed, "How long has this situation occurred?"

"Just appeared. "Nurse Cui is very calm, they are used to seeing life and death in the hospital, no matter how loud the trouble outside, she just does her job seriously.

"Report the pulse and give him a quick fluid...... Did you have an arteriosus catheter?" Lin Zhilan's heart kept falling, and it was the child of the Sun family who kept dropping his blood pressure, and he was already suffering from kidney failure, and it was very likely that he would not be able to survive this hurdle.

"Haven't plugged in yet. The nurse next to her shook her head and reported the reading, "Blood pressure 60/20, heart rate 180." ”

"What are you doing in a daze, give him artificial ventilation, right now!" Lin Zhilan saw that the two nurses were doing things slowly and methodically, and yelled in a hurry, "Inject Levophed Norepinephrine to boost his pressurization." ”

Jiang Yiying has been staying in the intensive care unit since the noon dressing change, and after reacting, she hurriedly helped Lin Zhilan, her hands and feet are much sharper than the two middle-aged nurses, "It has been injected, but his blood pressure is still dropping, and it is 50/10 now." ”

"The three pressors couldn't maintain his blood pressure, and he had no pulse. Lin Zhilan almost bit her lip and bleed, at this time she knew very well in her heart that no matter what she did, it was useless, but what she had to do had to be done, "Ventricular fibrillation, defibrillate him, Nurse Liu, you go and close the curtains." ”

After the curtains were closed, there was a cry outside, but Lin Zhilan calmed down, "Charge." ”

"It's useless, it's still ventricular fibrillation. Jiang Yuying looked at the monitor, her voice full of despair.

"Charge. Regardless of the outcome, Lin Zhilan continued to defibrillate the baby.

"We can't save him. Nurse Choi persuaded on the side.

"I said recharge!" Lin Zhilan thought back to the 20 hours from yesterday afternoon to now, feeling like an idiot who had accomplished nothing, and she finally agreed with what Liang Baoguang often said: A person with no talent is more unsuitable for being a doctor than a person without ethics.

"Recorded, time of death at 2:11 p.m. Silently, he put down the defibrillator in his hand, and this short sentence used up the strength of Lin Zhilan's whole body.

When Li Yunjing and Liang Baoguang arrived, it was when Lin Zhilan entered the intensive care unit, they watched the whole process almost outside the glass window, she hugged her head helplessly and whispered, "What the hell is going on, what the hell is this, why are vancomycin and aztreonam useless?"

"Superbugs, it should be vancomycin-resistant Staphylococcus aureus. Liang Baoguang said.

"There are only two cases recorded in the United States, and there have never been cases in Asia. "When Liang Baoguang was in New York, Li Yujing was in charge of all the paperwork, so she knew these things very well.

"Do you remember the baby boy of the Luo family, he had a rash on his body, at the time I thought it was a rose-like rash, and now I think it should be burn-like skin syndrome. "Less, doesn't mean no, Luo Shanen has been going back and forth between the United States and South Korea for many years because of business, and her wife also often goes to the United States," which happens to be one of the symptoms of vancomycin-resistant Staphylococcus aureus. ”

"If it's really Cornvancomycin Staphylococcus aureus infection, then none of these children will survive. Li Yunjing felt even more sad, it was already uncomfortable enough for a child to die in front of her, not to mention that the rest of the dozen or so children were going to die?

"It's all our fault, prescribe some penicillin for a cold, use azithromycin for nasal congestion, and if it doesn't work, we can use some levofloxacin, and even use antibacterial soap to wash our hands, doctors prescribe too many antibiotics to patients, and the so-called superbugs are all cultivated by us. "Antibiotics work quickly, the treatment process is simple and direct, many doctors who are not good at medical skills or lack of medical ethics will not treat and save people without antibiotics, and the consequences of misuse of antibiotics are obvious, once infected with superbugs, there is no cure, can only wait for death.

"Yes, it's just that I pity the nine innocent children, who have just been born. Li Yunjing said bitterly.

"Wait, nine ......" A flash of light suddenly flashed in Liang Baoguang's mind, it seemed that only eight babies had symptoms of infection when he first arrived, and the ninth baby only showed early symptoms in the morning when they were discussing countermeasures in Lin Zhilan's office. Because isolation measures were taken as soon as the large-scale infection was discovered yesterday afternoon, the possibility of infection after entering the intensive care unit can basically be ruled out, so the ninth baby was infected with eight other babies and showed symptoms so late, which can only show one problem: his body is resisting!

If it is vancomycin-resistant Staphylococcus aureus, the baby will definitely not be able to resist, Liang Baoguang was so excited that he jumped up from the chair again and again, "Bastards, this group of imbecile mentally retarded almost killed eight young lives, this is not a bacterial infection at all, we must stop the antibiotics quickly!"