Chapter 847: The Reason Found
"Well, did you take a closer look at the front?" Guo Xiang asked.
"Look, we also asked the patient himself, but he said that he didn't pay attention when he took a bath, and it didn't seem to be ......"
After a day of checking, there was no result.
The next day, the nurse came over and said that the patient was breathing a little fast, Guo Xiang chuckled in his heart, it couldn't be that the pneumonia was getting worse again, right?
Still not working?
Guo Xiang asked him to add another medicine.
In the afternoon, the nurse hurried to say that the patient suddenly had difficulty breathing, and that his stomach hurt badly.
Guo Xiang, Xing Ming, and Xu Wei ran to the ward.
The patient was still conscious, but he was sweating profusely, holding his stomach, breathing very rapidly, and the ECG monitoring showed that the blood oxygen saturation dropped to 90%, Guo Xiang hurriedly asked the nurse to bring the oxygen mask over to inhale oxygen to the patient.
"What's going on, what's going on!" The man's wife was overwhelmed with shock.
Guo Xiang pressed the patient's abdomen, and the tenderness was more obvious.
"It's strange, it's fine in the morning, why do you suddenly have a stomachache?" Xu Wei said.
Guo Xiang continued to palpate, and it seemed that the tenderness in the right upper quadrant was more obvious, could it be cholecystitis?
Because the gallbladder is close to the abdominal wall, it feels like a stomachache when you press it.
But there are other causes of stomach pain, it can't be a stomach perforation, right?
"Would you like to do a CT scan of your abdomen?" Xu Wei said.
So I arranged a CT of the abdomen, and the gallbladder and stomach were fine.
By the way, I also looked at the chest, the pneumonia did not worsen, and there was no pneumothorax, but there was some pulmonary edema.
How can pulmonary edema occur?
If the patient's heart is not good and the blood cannot be pumped out, it will accumulate in the lungs, and pulmonary edema will occur.
The lungs were supposed to be filled with air, but now they are filled with water, and of course the patient will be starved of oxygen, so he will be short of breath.
That is the pulmonary edema caused by the patient's heart failure, but I have checked it before, and the heart is fine!
How can you suddenly have heart failure again?
The patient was already having difficulty breathing and was admitted to the ICU, and fortunately there is an ICU in Jing'an Hospital, otherwise it would not have been.
"How so, how so?" The patient's wife burst into tears, not expecting that a fever would get worse and worse to the point of dying.
Seeing her husband isolated in the ICU with a tube on his body, the woman died of distress.
Guo Xiangrang checked his blood again, and the results showed that the platelets were very low, could it be a blood disease?
Leukemia can also cause fever.
And at this time, the patient's inguinal lymph nodes are swollen, and if there is an infection, or a blood disease, it may cause lymphadenopathy.
"Do you want to get a bone puncture?" Xing Ming said, "Maybe it's leukemia? ”
Guo Xiang had no choice but to tell the patient's wife, there was no way, he could only rule them out one by one, what could he do at this time, the patient's wife could only agree, and could only listen to the doctor.
As a result, the bone aspirate result is not leukemia.
Guo Xiang's head hurts, what is the disease?
The next day, the ICU nurse came and said that the patient had been found to have ulcers on his ding.
Yes? It can't be a sexually transmitted disease, right? Guo Xiang was stunned.
Could it be that the man went to a bad place in the south and was infected?
Fester? Could it be......
Guo Xiang couldn't care so much when he entered the ICU, so he took off the patient's pants to see.
Isn't this the eschar of a scrub bite?
How did you get a bite into this area?
But I did the relevant tests before, and it was negative.
No, do it again, maybe it didn't show up before?
Guo Xiang took the patient's blood for examination again, but this time it was positive!
It's scrub typhus!
Scrub typhus is mainly caused by vascular lesions caused by scrub worm rickettsia after invading the human body, a series of vascular inflammation, and there are blood vessels all over the body, so there are problems in various organs, which is the culprit!
Guo Xiang immediately asked people to change to doxycycline, and the patient's fever slowly subsided.
This shows that the symptoms are right!
Guo Xiang finally breathed a sigh of relief, specially, this disease is really hard to find, and most people would not think of it, especially if this is still in the north.
Guo Xiang is because he has been to many places in his previous life and has seen a lot, otherwise he may not have thought of it.
The main reason for this disease is that it may not be positive one week after the onset of the disease, but the positive rate is very high after two weeks, so most people think it is not. And after a negative test, most people don't think of checking again.
However, the disease progresses very quickly, and all organs will fail, which is difficult to prevent.
As for the eschar, Xu Wei and they checked it once before, and the eschar may not have formed at that time, or it may be that part is special and they haven't looked closely.
Alas, for various reasons.
Fortunately, I finally found out, otherwise I am afraid that this patient would not have been saved.
Later, the patient slowly got better, and after asking, I learned that he went out for a walk because of the hot weather when he was on a business trip, and he had stayed in those bushes, and he might have been accidentally bitten, so he didn't care at all.
Who would have thought that a tiny bug would cause such a big problem?
After so many examinations, so many medicines, and thousands of dollars were gone, fortunately, they were cured, their lives were saved, and the money could be earned again.
When the patient was discharged from the hospital, his wife went to Guo Xiang's side to express her gratitude repeatedly, if it weren't for their hospital, maybe his man wouldn't have been able to save him.
This hospital is expensive, but the equipment is really good, the doctors are good, what is the money, life is the most important.
After curing this patient, all three of them also had more experience.
"I can really learn a lot from Dean Guo." Xu Wei sighed that he only had to deliver babies in Hangcheng Hospital before, but now the knowledge of various departments has been picked up again, and it is not necessary that he can really be a general practitioner in the future.
In this way, I will not be disliked by those women, and when I think about it, I feel that my decision to come to Jing'an Hospital is the right one.
Xing Ming also nodded, he also benefited a lot.
I used to think that Guo Xiang only became the president because she had the money to build this hospital, but now I know that her medical skills are really smart, much better than herself, and I used to think that she was too young, which is really a bit ashamed.
"How's your father?" Guo Xiang asked Xu Wei.
Xu's father underwent interventional treatment, put two stents on the cardiovascular system, and returned to Hangzhou after staying in the hospital for a month.
"It's very good now, and everyone praises our hospital for being good. Some people laughed at him, he said that I didn't have a good vision, and if I didn't stay in a good hospital, I wanted to go to a private hospital, but my father pushed me back. Xu Wei smiled, "I will retire in a few months, and I said that I will come here to live after retirement." ”
"Okay, the environment of our hospital is still very good, everything is convenient in the capital, and it is okay to settle here in the future. Later, when you find a partner here and the family stays, don't go back. Guo Xiang said with a smile.
"Well, are you interested in Dr. Zeng?" Guo Xiang raised her eyebrows at Xu Wei, and she could also see that Xu Wei was different from Zeng Jing.
Xu Wei blushed and smiled silently.
Guo Xiang laughed, it seemed that he was right, "Do you want me to help you talk about it?" I've been successful in matching people more than once. ”
"Dean Guo, are you still having this habit?" Xu Wei smiled.
"That's a good thing, why not?" Guo Xiang said, "But if you are a little bolder, you won't need me, you are classmates, and there is nothing to be embarrassed about, and now the hospital is not busy, find a time to invite Dr. Zeng to watch a movie?" ”
"Hmm!" Xu Wei nodded, it was time to find a timetable.