Chapter XXVII

"Damn, it's ...... night"

At about three o'clock in the morning, Zhang He was woken up by the phone ringing, and after muttering a complaining sentence, Zhang He picked up the phone, and when he looked at the name of the caller, Zhang He's sleepiness disappeared in an instant.

"Director Li, is there something wrong?" Picking up the phone, Zhang He asked politely.

On the other end of the phone, Li Qian's anxious voice came clearly, "Doctor Zhang, get up quickly, that girl is already waiting for you downstairs." ”

"Okay, I'll be right there."

Too late to be polite, Zhang He jumped out of bed, quickly dressed, and after a simple wash, he trotted all the way down to the seventh floor, and when Zhang He rushed downstairs, Wang Jingyan had already opened the car door. It is not difficult to imagine that Director Li must be in big trouble, and Zhang He didn't have the heart to follow Wang Jingyan*, so he quickly got into the BMW.

Fastening his seat belt, Zhang He asked impatiently, "Officer Wang, what's wrong?" ”

Wang Jingyan glanced at Zhang He, who was anxious, and said seriously, "Liu Yuehua, you should know, right?" ”

Zhang He heard Director Li mention Liu Yuehua, who is a frequent visitor to the high-level cadre ward in Jiangling Province, and Director Li has also participated in several expert consultations about her, if it weren't for Zhang He's qualifications and really can't be recognized by the experts of the Provincial First People's Hospital, Director Li probably asked Zhang He to go to her for diagnosis and treatment.

It can be said that this Liu Yuehua is a veritable medicine jar.

"Liu Yuehua, what's wrong with her?" Zhang He couldn't help but ask curiously.

"Acute appendicitis."

"Acute appendicitis?" Zhang He couldn't help but be curious.

Acute appendicitis is just a common disease, and with the strength of the First People's Hospital of Gangneung Province, it can be caught at your fingertips. Why did Director Li rush like that? Could it be ......

Just when Zhang He was about to speak, Wang Jingyan, who aimed at the opportunity and ran the red light directly, continued, "Doctor Zhang, you don't know, appendicitis is really simple, but the problem is that the current Liu Yuehua is already suffering from multiple organ dysfunction syndrome, if it is not handled well, my father will be really in trouble, because this patient has always been personally responsible for him, hey." ”

……

After listening to Wang Jingyan's brief introduction, Zhang He instantly became nervous.

Acute appendicitis is simple, but the problem is that once the patient is late in seeking medical attention, it can lead to serious infection, and once the patient is too weak, even if a large amount of antibiotics are used, there is still a possibility of serious infection after surgery. In the most severe, it can lead to sepsis.

Sepsis is a disease of blood poisoning, most of the patients are patients with poor immune system, the main reason is that bacteria in a certain part of the body spread to the blood, bacteria multiply in the blood, and produce toxins, so that the function of human organs is impaired, and eventually lead to organ dysfunction and even failure.

This kind of patient has poor immunity, and if there is another accident, the ** out of ten is nine deaths.

At present, it is precisely because of this sepsis that Liu Yuehua has caused multiple organ dysfunction, and she is only one step away from the dangerous organ failure.

Speaking of this Liu Yuehua, not too many people know about it; But if you talk about his son, Qian Zhong, in the Gangneung health system, then everyone knows about it, and everyone knows about it.

Qian Zhong, director of the Jiangling Provincial Health Department, is an absolute real power figure, once his mother has an accident, it will be as Wang Jingyan said, Director Li may have to take off his beloved white coat.

Wang Jingyan also knew the seriousness of the problem, and ran the red light all the way, and it didn't take long for the Provincial First People's Hospital to appear in front of him.

Changing into Director Li's white coat, Zhang He strode towards the intensive care unit.

In the aisle, which is more than twice as wide as the ordinary ward, Qian Zhong, director of the Department of Health, is walking around anxiously, and beside him, a bunch of subordinates are accompanied by smiling faces, trying to comfort Qian Zhong.

Pushing open the door of the ward, the tense state of emergency came to my face.

Oxygen machine, ECG monitoring, cardiac compression......

However, it was not Director Li who presided over the first aid this time, but an older doctor that Zhang He had never seen.

This old doctor is the retired director of the Department of General Surgery of the First People's Hospital of Jiangling Province, Li He.

Speaking of this Li He, in the Gangneung health system, he is a well-known figure. He is not a high-ranking official, but looking at the whole of Gangneung, in terms of the reputation of doctors alone, there are few people who can match him.

In the medical field of Gangneung, many of the first surgical surgeries were performed by him, and many of them were the first in the country. Although he has retired, this old director who has been away from clinical practice for many years is still an authoritative figure in general surgery. In Gangneung, he said that he was ranked second in Puwai, so no one dared to say that he was the first.

"One hundred and eighteen." Li He's tired voice sounded.

As the first deputy, Director Li did not dare to slack off and quickly adjusted the voltage.

Under the treatment of electric shock, the patient's electrocardiogram was almost straight and fluctuated instantly, and Director Li said quickly while electrocuting cardioversion, "Doctor Zhang, you can count it." ”

Having said that, Li Qian was still nervous, lest the patient's precarious electrocardiogram instantly turn into a straight line, although he knew that Zhang He's medical skills were superb, but he was only a doctor, not an immortal.

He tried to turn the tide, but he couldn't bring the dead back to life.

Zhang He didn't say anything more, as always, like an ordinary doctor, standing quietly beside the bed, but silently grabbed the patient's wrist.

……

On the hospital bed, Liu Yuehua was unconscious, her pulse was weak, and she was extremely confused, all vital signs were in a precarious state, and after quickly and meticulously checking the patient's condition, and reading the patient's course records and doctor's instructions in detail, Zhang He finally had some confidence.

Multi-organ dysfunction, progression of the disease, and in general, the pathogenesis process can be divided into three steps.

The first step, emergency response, the so-called emergency response, refers to the fact that when the patient is seriously injured, the human body will produce a series of changes to adapt to this new environment, such as high nerve excitement, serious endocrine disorders, cell metabolism interference, microcirculation obstruction and so on.

The second step is inflammatory response, and Liu Yuehua, it is precisely because of sepsis that it triggers a systemic inflammatory response, which is called "systemic inflammatory response syndrome" in Western medicine. In this state, the function of her already weak body organs was quickly disturbed, so she quickly entered the third step, inducing cardiopulmonary dysfunction, and her breathing circulation was greatly affected, and she entered a precarious state.

In Western medicine, the most important treatment methods are the treatment methods that Director Li is using, life support, respiratory support, circulatory support, removal of infectious lesions, a large amount of glucocorticoids, gamma globulin, and hemodialysis.

But the problem is that these Western medical methods treat the symptoms but not the root cause, and the ancient Chinese civilization, traditional Chinese medicine, which has been around for thousands of years, has long explained this in Chengqi Tang and fundamentally proposed solutions.

It's a pity that the warm-tonic type of traditional Chinese medicine, with the acceleration of the pace of life in modern society, has gradually been abandoned by impetuous people.

Of course, in the current situation, we can't wait for the warm tonic type of Chinese medicine, and taking care of the patient's life is the key.

His mind turned, and Zhang He immediately took out a few shiny silver needles.

But just as Zhang He had sterilized the silver needle and was about to give the patient the needle, Li He's majestic voice suddenly sounded, "Little doctor, what are you going to do?" ”

"Acupuncture saves people." Zhang He returned to the Tao without thinking.

"Nonsense." Hearing this, Li He was immediately furious, he glanced at Li Qian angrily, and asked sharply, "Director Li, who let this little doctor in?" ”

"Old director, I asked him to come in, Dr. Zhang, the level of acupuncture is extremely high, I asked him to come over to help." Li Qian said with some confidence.

Li Qian's words surprised Zhang He, and he finally knew who the old doctor in front of him was.

During his internship, he was in the First People's Hospital of Gangneung Province, and he heard about the legend of this old director, and in an instant, a strong admiration came to his heart.

He wanted to speak, but was interrupted by Li Qian.

Li Qian is Li He's proud protΓ©gΓ©, the hometown of the two is a village, his work is arranged by the fellow villagers of this uncle's generation, he can become the famous "Li Yidao", this uncle and master Li He, can be said to have a lot of credit.

No matter if he is Li Jidao, or what level he is now, but subconsciously, Li Qian still has a kind of awe for his father for this old director.

The most important thing is that this old director is still extremely rigorous, and it is absolutely impossible for anything that has not been recognized by the National Medical Code to come in handy in front of him.

Because of Director Qian, the old director was suddenly invited out of the mountain, which completely disrupted Director Li's plan, but in the face of the old director, he could only be respectful and respectful, and did not dare to refute it forcibly.

Under Li Qian's hint, Zhang He helplessly put away the silver needle, and couldn't help but sigh silently again.

When will the medical profession get rid of the shackles of academic qualifications and certificates, so that all people with unique skills can get a platform to show their abilities.

Fortunately, under the auspices of the old director Li He, the patient's vital signs gradually stabilized.

"Director Li, let's go, experts from other departments are still waiting for us."

……

Under the leadership of the old director Li He, everyone rushed to the expert consultation room.