Chapter 465: Acute pancreatitis
The place to eat is in the big cafeteria of Shanghang Medical College, Ning Yuan and a few people are in a single room in the canteen, the food is not bad, Zhou Bowen poured wine for Ning Yuan and a few people, and said with a smile: "Dean Ning, we will make do with food at noon, drink as much as you like, and give a few more people a good reception in the evening." â
"Dean Zhou is welcome, this food is much better than our Fuhai University." Ning Yuan said with a smile.
"Dean Ning is humble, come, I will give you a drink." Zhou Bowen smiled and picked up the wine glass and gestured to Ning Yuan and the others: "I'll do it first as respect." He drank it all down.
Because it was noon, a group of people didn't drink much, they all tasted it lightly, and Zhou Bowen and Zhu Bingxun of Shanghang Medical College personally accompanied them, which could be regarded as a very face-saving group of people in Ningyuan.
After eating, a group of people returned to the reception room again, re-brewed tea, Zhou Bowen said with a smile: "Dean Ning, our arrangement for the afternoon is that you and a few tutors will listen to the class first, and tomorrow morning, we will arrange a few classes for Dean Ning and several teachers, everyone will learn from each other, I wonder if Dean Ning has any opinions?" â
"We don't have any opinions, it's all up to Dean Zhou's arrangement." Ning Yuan said with a smile.
The class started at two o'clock in the afternoon, and Ning Yuan and a few people rested in the reception room until two o'clock, and then followed Zhou Bowen to the classroom of Shanghang Medical College.
This time, Ning Yuan came for the purpose of valuing peace, and he didn't plan to find Shanghang Medical College to pick thorns, so it was all up to Shanghang Medical College to arrange, as for whether they had made any preparations, Ning Yuan didn't bother to care.
The afternoon passed quietly, and when it was time to finish eating in the afternoon, Zhu Bingxun was accompanying Ning Yuan and a group of people into the private room. I got a phone call. An emergency room came from the affiliated hospital. The situation is very critical, and I hope Zhu Bingxun will go over and take a look.
Zhu Bingxun himself is a famous doctor in Shanghang, although he is the dean of Shanghang Medical College, he is not a simple lecturer, and he has rich clinical experience.
After hanging up the phone, Zhu Bingxun said apologetically: "Ning Yuan, I'm sorry, there is an emergency department from the affiliated hospital." The situation is a bit complicated, the doctors in the hospital are not sure, I want to go over and have a look, and Lao Zhou will accompany me here. â
"Since it's an emergency, then you don't have to pay, do you want me to go over with you to have a look?" Ning Yuan said with a smile.
"It's okay, your acupuncture is very powerful, I can't say I can help, so let's go together." Zhu Bingxun nodded.
Ning Yuan was originally just polite, but he didn't expect Zhu Bingxun to respond directly. But since he said it, Ning Yuan didn't shirk it. After all, it was to treat the disease and save people, so after explaining to Xu Xiaojiao and the others, he followed Zhu Bingxun to the affiliated hospital.
The place where a few people ate was not far from the academy, and the affiliated hospital was not very far from the academy, and Ning Yuan and Zhu Bingxun arrived at the affiliated hospital in only twenty minutes.
After entering the hospital, a middle-aged man in his fifties wearing a white coat hurriedly greeted him and said, "Dean Zhu, I'm really sorry to trouble you at this time." â
"You're welcome, let me introduce you, this is Ning Yuan from Fuhai Medical College, Dean Ning, let's talk about the condition first." Zhu Bingxun said, and at the same time introduced the middle-aged man to Ning Yuan: "This is Director Xue Mingxue of the hospital's emergency department. â
Ning Yuan and Xue Ming simply greeted each other, and Xue Ming began to introduce the condition: "The patient was transferred from the central hospital, fifty years old, mainly due to abdominal pain, after being sent, we have done various examinations for him, and at the same time aimed at the causes of abdominal pain, such as coronary heart disease. Gastric ulcer, gastric perforation. Enteritis, cholangitis, and even kidney stones, etc., have been investigated, but no cause has been found, just now, a new examination report came out, and the amylase base on it is ten times that of a normal person. â
"Pancreas other than problems?" Ning Yuan opened his mouth and said, amylase is an enzyme that the human body decomposes starch, under normal circumstances, amylase appears in the blood of the digestive tract and only a small amount of zĂ i, and now the amylase in the patient's blood exceeds the standard, which must be a problem with the pancreas.
"Yes, we suspect acute pancreatitis!" Xue Mingdao.
"Acute pancreatitis!" Zhu Bingxun subconsciously frowned, this kind of acute illness is the most tricky, and the hospital is the most unwilling to face the two acute diseases. One is acute fulminant pancreatitis and the other is mesenteric artery infarction.
After the mesenteric artery infarction, there will be a large area of intestinal necrosis, which cannot be done at all, and the mortality rate of acute explosive pancreatitis is very high, with the current medical situation, the mortality rate is almost more than 60%, which is why Xue Ming called Zhu Bingxun.
Xue Ming is proficient in surgery and has nearly 30 years of clinical experience, and has even been praised as the first surgical knife by the medical community in Shanghang, but he also feels very tricky in the face of this disease.
"Let's go, let's go see the patient first." Zhu Bingxun opened his mouth, and as he spoke, Xue Ming led Zhu Bingxun and Ning Yuan to the ward together, and a middle-aged man about fifty years old was lying on the hospital bed, the patient's eyes were closed, his brows were furrowed, and he looked quite painful.
Zhu Bingxun stepped forward to check the patient's condition, frowned here, looked at Ning Yuan and said, "Ning Yuan, you also go and have a look." â
Ning Yuan stepped forward to check the patient's pulse, checked the patient's tongue coating and eyes at the same time, and said: "The patient is also accompanied by respiratory failure of the forefoot, which is acute lung damage and a large amount of pancreatic necrosis. â
Ning Yuan's words fell, Xue Ming and several doctors in the ward looked at Ning Yuan in unison, their eyes were full of surprise, before Xue Ming only introduced the patient to Ning Yuan is acute pancreatitis, and did not say anything else, and all kinds of laboratory tests Tan Ning Yuan did not look at it, just stepped forward to check the pulse, and even said eight or nine is not far from ten, this method is even worse than their equipment.
Zhu Bingxun's eyes lit up at the same time, and he looked at Ning Yuan and said, "Is there any way?" â
"There is little chance of surgery, so conservative treatment can only be taken." Ning Yuan pondered for a moment and said, "I'll open a prescription, try it first, there should be sixty percent hope." â
"Sixty percent!" Everyone opened their mouths again, not to mention that the mortality rate of acute pancreatitis was as high as 60 percent, just talking about the situation of this patient, it was stricter than that of ordinary patients, and the hospital was not even sure of 20 percent, and Ning Yuan actually opened his mouth to 60 percent.
"Are you really 60 percent sure?" Zhu Bingxun asked, at this time he himself was not very sure, if Ning Yuan was sixty percent sure, then he could give it a try.
"A conservative estimate of 60 percent, supplemented by acupuncture, the odds should be greater, 70% certain." Ning Yuan's words were not shocking, and he was shocked again, which made everyone a little anxious and tender.
"Okay, then let's try." Zhu Bingxun knew Ning Yuan's ability, and directly opened his mouth to express his position.
"Dean, be cautious." A doctor on the side persuaded him, although Ning Yuan said it beautifully, but after all, he was only twenty-two years old, so young, he really had so much ability, even Xue Ming was a little hesitant.
"Don't worry, Ning Yuan's medical skills are very powerful, and the acupuncture king Chen Pengchong is not as good as Ning Yuan in acupuncture." Zhu Bingxun said.
"Needle King Chen Pengchong!" Everyone was skeptical, but Zhu Bingxun spoke, and they couldn't refute it, after all, they didn't have any good ways at this time, so they could only let Ning Yuan try.
Ning Yuan walked to the side and quickly wrote a prescription: "Let people go to the brief, one by drip, and the other by enema." â
Xue Ming took the prescription prescribed by Ning Yuan, read it carefully, and hesitated: "This is really good, Gan Sui is poisonous." â
"Poison is not afraid, poison is sometimes good medicine." Ning Yuan smiled lightly and explained: "The prescription I prescribed, a rhubarb, rhubarb is fast and good, unbreakable, cleanses the dirt, and has the power of sweeping the acupoints in the pear garden, in order to achieve the best effect, I also increased the measurement, and Gansui has the effect of water supply, which can send out the toxins in the stomach." â
Zhu Bingxun also glanced at the side and said, "This is Zhang Zhongjing's Mingfang Dachai Hu Tang Plus Depression Chest Soup?" â
"Yes, traditional Chinese medicine believes that pancreatitis is a sign of chest knots, and it is just right to use Da Trap Chest Soup." Ning Yuan nodded.
"Okay, let's do our best to boil the medicine." Zhu Bingxun urged, he had already heard Xie Guoqiang and others say that Ning Yuan was the so-called famous person, if Ning Yuan was cured of this disease this time, it would be seen who else in the academy would dare to make things difficult for Ning Yuan at will.
Of course, if there is an accident, the consequences will be quite strict, and someone in the academy will inevitably use this incident to attack Ning Yuan, and by the way, attack Fuhai Medical College, it can be said that this incident has advantages and disadvantages, it depends on Ning Yuan's ability.
Several people waited in the ward for a while, the decoction was boiled, according to Ning Yuan's instructions, a drip, an enema, the patient took the medicine, and Ning Yuan and Zhu Bingxun went out for dinner.
Walking out of the hospital, Zhu Bingxun said, "Ning Yuan, how sure are you?" â
"Didn't you say it, seventy percent sure." Ning Yuan said with a smile.
"You have to know that this disease has nothing to do with you, if you want to be cured, it will be cured, but if it can't be cured, someone will come up and talk about it." Zhu Bingxun smiled bitterly.
"Doctors cure diseases and save people, if it is for the sake of fame, then stop it as soon as possible." Ning Yuan shook his head and said: "The doctor treats the disease and saves people, every time he fights with the king of Hades, it is a gamble, but the gamble is life, once he loses, it is a life, but he can't stop gambling, if he gambles, he will have a chance, and if he doesn't gamble, he won't have a chance at all, so he can't look ahead and backward." â
"That's a good point." Zhu Bingxun said with a smile: "I really didn't look at the wrong person, Xie Lao and the others praised you not too much at all." â
The two talked and ate nearby, and after returning to the hospital, Ning Yuan once again ordered the patient to be given medicine, and he and Zhu Bingxun slept together in the hospital.
At seven o'clock the next morning, when Ning Yuan and Zhu Bingxun were still sleeping, Xue Ming walked in with excitement on his face, and said happily: "Dean Zhu, Dean Ning, it's working, it's working." â
Zhu Bingxun was a spirit-like mount, and his eyes were also happy, he snatched the test sheet from Xue Ming's hand and glanced at it, and said with a smile: "It really worked, Ning Yuan, you are famous this time, it is acute pancreatitis." (To be continued......)