Chapter 40: Miracle Drugs
Dai Yunyang can't intervene, because the rescue of critically ill patients is mainly responsible for the doctor in the intensive care unit, Dai Yunyang is a doctor in the emergency internal medicine department, and he is not good at the ICU.
Continuous defibrillation, coupled with cardiopulmonary resuscitation, finally restored the patient's heartbeat.
However, it soon stopped again and repeated several times in a row.
Just when Dai Yunyang felt desperate and was afraid that he would not be able to return to the sky, magical and strange things appeared again, but Cai Liya's heartbeat quickly returned to normal, and her blood oxygen saturation improved significantly, and Dai Yunyang and the others breathed a sigh of relief.
Li Yanling said to Dai Yunyang: "I've rescued it, I'll heal you later." Adjust the medication, the previous medication is not very good, what's going on? ”
Dai Yunyang shook his head and said, "I don't know, I take the medicine according to the requirements of the "Treatment Manual". ”
"There is no specific medicine for this disease. In this case, she can only pray that God will let her get through. ”
According to the reported situation and the current understanding of the virus, we all know that the new crown pneumonia is actually a self-limiting disease, which means that in many cases, even if it is not treated, it will be fine, just like a cold.
However, in many cases, if left untreated, it will definitely turn into severe illness or even death. Patients with underlying diseases, old and old, although the mortality rate is very high, but there are many patients who do not have any underlying diseases at all, and have always been healthy, but they have also been cut away by the sickle of death.
At this time, Wu Hao also arrived.
He asked about the condition, looked at the monitor and related data, learned about the rescue, thought for a moment, and said: "The patient's lungs are already full of liquid foam, the oxygen has been adjusted to pure oxygen, and the oxygenation can only be maintained at more than 80 percent. ”
Li Yanling shook her head and said, "Then what can be done?" ”
Dai Yunyang said: "I really can't do it, I can only apply for the ECMO extracorporeal life support system, that is, artificial heart and lungs." ”
Wu Hao and Li Yanling both looked at Dai Yunyang with some surprise, of course they knew what ECMO was. This thing is extremely expensive, a typical banknote shredder, once turned on, its consumption is measured in tens of thousands. The operation of this machine requires a special team, very expensive consumables, and so far it is purely imported, and it has not yet been localized.
This makes it more expensive! As far as is known, the family of patient Cai Liya is not wealthy, and it is very difficult to pay for hundreds of thousands of yuan in rescue expenses.
Wu Hao pondered for a moment, and Li Yanling said: "Such an expensive thing, our hospital can't afford it." ”
Wu Hao said: "Let's talk about the financial burden later, save your life first, life is more important than money." ”
Li Yanling said: "We can do our best, we really can't save it and there is no way, we can only use the existing means to rescue." The expensive treatment method of artificial heart and lung is not something we can control, and it is not even owned by our hospital, and there are only a few in the whole Wuhan city, maybe some people are using it. ”
Wu Hao said: "Apply for the plane first, it is up to people to make things happen." ”
"You can think clearly, as soon as this artificial heart and lung is turned on, tens of thousands of tens of thousands of dollars will go out so quickly, which is much more than the ordinary treatment fee. If in the end, the patient has no money to pay, and the hospital will deduct it from the bonus and benefits of our department, and those brothers and sisters are afraid that they will not agree......"
Wu Hao said with a bitter face: "If you really can't do it, just deduct my money alone." ”
Li Yanling immediately hit the pole on the tree and said, "Director, we all listened to what you said." ”
Wu Hao sighed: "Just kidding, I don't have any money." However, it is better to apply for boarding first, and you may need to queue up at the same time, and at the same time discuss the cost with the patient's family and then apply for medical assistance on their behalf. You can also carry out social fundraising, and there are always more ways than difficulties. ”
Li Yanling gave him a blank look: "Okay, I'll contact the plane, and then talk to the patient's family." Anyway, if we can't get money, we can't use this thing, so we can't work hard and pay for it, right? ”
Wu Hao smiled and nodded.
Li Yanling left the ward, took off her protective clothing, and came outside to make a phone call. After contacting the hospital team with artificial heart and lungs, we finally found a machine that is not currently used by patients, because it is too expensive for ordinary patients to use. She immediately made a reservation to get ready over there.
Then, Li Yanling called Cai Liya's father, and personally communicated with Cai Liya's father about the treatment methods before going to the machine, and told the patient's family that there was such a method. If the patient's condition deteriorates again, endangering his life, the last option is to use artificial heart and lungs to see if the patient's family can bear it, once the machine is turned on, it will cost 10,000 or 20,000 yuan a day.
Cai Liya's father was dumbfounded after listening to Dai Yunyang's explanation of the situation, the cost of 10,000 or 20,000 yuan, plus the intensive care unit itself costs tens of thousands of yuan every day, adding up to nearly 30,000 yuan a day. And the most important thing is that I don't know how long it will last, and I don't even know if I can save it later, maybe in the end it will be empty of people and money, so Cai's father squatted on the ground with his head in his hands and didn't speak.
After a long time, he stood up, but his face became resolute: "You give my daughter that machine, you must save her life." As for the money...... I'm going to find that rabbit cub, it's he who hurt my daughter like this, if he doesn't pay for it, I'll fight with him with this old life! ”
Li Yanling told him again and again not to mess around, but Cai's father had already rushed downstairs.
………………
Cai Liya's condition has always been on the verge of collapse, and Dai Yunyang did not dare to leave, so he could only stay by the bedside.
It stands to reason that he is already off work and can not be here, but when his patient is on the verge of life, he can't sleep when he goes home, so he might as well stay here and maybe think of a way.
The ECMO team has come to the intensive care isolation area of the main city hospital to prepare for the flight.
After the right time came, Cai Liya was finally given an artificial cardiopulmonary ventilator.
This thing is really worth the price, after it is on it, it is equivalent to transferring the blood of the whole body from the body to the outside of the body for circulation, avoiding the lungs and heart, so that her heart and lungs can be rested and treated. Because her lungs were filled with viscous secretory fluid foam, there was no way to exchange blood and oxygen, and this machine was her temporary replacement lung and heart.
But this machine can only continue her life, not cure the disease, and whether it can save her life in the end depends on the treatment effect.
After getting on the plane, Cai Liya's vital signs have stabilized, Wu Hao and Dai Yunyang can't help, this thing can only be used by a professional medical team, and others can't even touch it.
Wu Hao asked Dai Yunyang to go back to rest, although it was only two hours before dawn, he could at least sleep for a while, and allowed him to arrive a little later.