Dai Yunyang said goodbye to the female worker, went upstairs to eat breakfast from the canteen at the nurses' station, put on protective equipment and entered the isolation ward.

At a glance, he saw Hua Guizhi lying on the 15th bed of the patient he was intubated yesterday, which means that the previous patient has left, and maybe it has become a wisp of green smoke in the funeral home at this moment.

Dai Yunyang was stunned, he was still intubating him yesterday, and his condition took a sharp turn for the worse in just one day, directly taking his life.

However, the patient had a serious underlying disease, and the situation was already very bad, and the new crown was just the last straw that broke the camel's back.

He walked to the side of the bed and looked at Hua Guizhi, who had already inhaled oxygen and plugged in various monitors.

Hua Guizhi was lying on the hospital bed, and when he felt someone approaching, he slowly opened his eyes, saw that it was Dai Yunyang, nodded happily, and said, "Doctor Dai, it's you!" ”

Dai Yunyang nodded and asked, "How is it?" You okay? ”

Hua Guizhi shook his head, and suddenly beckoned to Dai Yunyang with difficulty, signaling Dai Yunyang to come closer.

When Dai Yunyang put her ear up, she said, "Doctor Dai, I beg you to give me more sedative treatment, let me fall asleep, and then turn off my oxygen, it's better to walk away calmly." If my illness can't be cured, I will only occupy a bed here, delaying the treatment of other patients, so I should leave the opportunity to other patients. ”

Dai Yunyang shook his head and said, "Don't think too much, since you are here, you can treat it with peace of mind, and the doctor will give a treatment plan." ”

As soon as he said this, Wu Hao came over. Today, he replaced Li Yanling on duty and said to Dai Yunyang: "Was this your patient originally?" I have assigned her to you, and you will still be in charge of her treatment in the future. ”

Dai Yunyang nodded.

Hua Guizhi heard that Dai Yunyang was still her attending doctor, so she smiled rarely, and once again whispered to Dai Yunyang to increase the sedative to make her fall asleep, and then turn off the ventilator and let her die peacefully.

Of course, Dai Yunyang couldn't agree, so he comforted her a few more words, and then began to check on the more than ten patients he was responsible for.

Cai Liya was still on artificial lungs, and her condition did not improve, but it did not deteriorate either. The lack of deterioration at this juncture is probably good news, and the heart and lungs need to be given plenty of time to heal themselves and welcome a new life. Before that, an artificial heart-lung machine was used to deliver oxygen to the whole body.

Ma Laohan's condition is also not optimistic, he is in a coma and irritable. Shouldn't be called.

In the previous examination, the blood oxygen saturation has been not good, and the oxygenation index is only 34. Acute respiratory distress syndrome on a noninvasive ventilator has led to acute kidney injury, myocardial injury and cardiac insufficiency, and severe acid-base balance-electrolyte imbalance.

Bedside CT showed that Ma Laohan's left lung had become a large white lung.

Normally, the lungs are black on x-rays except for the bones because they are filled with air, which can be penetrated by X-rays, and appear black.

However, the new coronavirus will damage the deep airways and alveoli of the lungs to produce inflammation, and the alveoli are filled with a large amount of viscous secretions, blocking the small airways, so that air cannot enter the alveoli, and X-rays cannot penetrate these viscous secretions, and the X-ray chest X-ray taken becomes white, commonly known as the big white lung.

The appearance of large white lung means that the lung has been destroyed and has lost its lung function. Now, Ma Laohan has serious infections in both lungs, of which the left lung is the most severe, and it is progressing in the direction of the great white lung.

Before this, Dai Yunyang had asked Wang Bingbing to strengthen back patting, sputum suction, and other care, but the effect was not obvious.

Wu Hao came over to ask him about the situation, and after Dai Yunyang said it, Wu Hao couldn't help it.

Just when the two of them were feeling frustrated, Nurse Xiong came over and said to Dai Yunyang: "Doctor Dai, I've been thinking about the method you asked Wang Bingbing to tell me last time to use an endoscope to suck up phlegm. I wasn't sure before, but now I think I can try. ”

"Now sure?" Dai Yunyang asked happily.

"I don't dare to say that I am completely sure, there is always a first time, in fact, what I am most worried about is not the difficulty of microscopic sputum suction,—— of course there is difficulty, I am worried about the patient's respiratory tract when suctioning, and sputum suctioning for at least half an hour at a time, a large number of aerosols will be generated, and the person who succumbs is too dangerous. So some are selfish and don't dare to go up. Now, I have figured out that in this intensive care and isolation ward, there are viruses everywhere, just like soldiers caught in the enemy's formation, there is no way to avoid it, and there is no way to retreat from the enemy. ”

Wu Hao praised on the side: "Well said, at this time, I still want to avoid the important and light, it's useless, the virus is everywhere, there is only a desperate battle, either life or death, isn't there a saying that a general dies in a hundred battles, and a strong man returns in ten years, we will definitely become a strong man, of course, we may also become a general who died in battle, no way, who made us doctors." ”

Xiong Shengnan nodded: "Director Wu, I'll do my best." ”

Obviously, Xiong Shengnan has been pondering the method of using a fiber bronchoscope to suction, as Dai Yunyang said, so he has thought about it very thoughtfully, and the implementation has also been smooth. The effect is really obvious, and a lot of deep sputum that can't be washed out by ordinary sputum suction.

Wu Hao wanted to call the other nurses to come over to watch and learn, but Xiong Shengnan shook his head and said no, she wanted to concentrate on suctioning phlegm and improve her technique, and when it was almost over, she would teach other nurses.

………………

In the intensive care isolation ward, the mother Tan Yuanyuan was struggling in pain.

Wang Bingbing hurriedly went over to check, and after a while, told Dai Yunyang: "Tan Yuanyuan's lips seem to be saying that she wants to see her child."

Dai Yunyang hurriedly went over to check, Tan Yuanyuan was struggling hard, her tracheotomy was open, and the person was in a semi-comatose state, unable to speak, but she could still distinguish this sentence by squirming her lips, so she comforted her in her ear: "Don't worry, your child is now in the pediatric nursery box, and there are nurses taking care of it carefully." ”

Tan Yuanyuan was still struggling in a coma, and at the same time squirming his lips and shouting silently: "Child, my child ......"

Seeing that her struggle was getting worse and worse, Xiong Shengnan, the head nurse, ignored Tan Yuanyuan's still unconscious state, and said anxiously: "Don't move, oops, I said don't move, the catheter is going to be taken off!" ”

Tan Yuanyuan struggled more and more, kept sticking out his tongue, as if he wanted to spit out the intubation in his throat, his body stiffened, and his head leaned back, which was even more worrying.

"Be calm, Dr. Day?" Xiong Shengnan asked anxiously.

Continued use of tranquilizers is not a good thing, but what can be done without them? Dai Yunyang was about to nod, when he suddenly remembered the mobile phone, he immediately opened the bedside table and took out the mobile phone left by Tan Yuanyuan's husband from it, fortunately, there was still electricity.