The difficulties faced by the operation were perfectly solved, and Yang Ping planned to meet with Lu Jiangbei's family in person and sign the informed consent form for the operation.

As the chief surgeon, he had to communicate face-to-face with the patient's family to let the patient's family understand the risks and details of the operation in detail.

In the trauma ICU interview room, Yang Ping met Lu Jiangbei's mother, who was pushed by relatives in a wheelchair.

At that time, the family of three was trapped in the car, but fortunately, the mother's injuries were relatively minor and did not require surgery, but she was also hospitalized, and she now has to take on the dual role of family member and patient.

"Your husband is out of danger, but the child's injuries are very serious, especially the traumatic atlantospital joint dislocation combined with atlantovertebral comminuted fracture, and now there is high paraplegia, and there is uncertainty about whether he can recover after surgery, but we will do our best."

Yang Ping's tone is very calm, and he always seems very rational when dealing with patients and conditions, which sometimes makes people feel that there is a lack of warmth.

"Can I still take the college entrance examination?" Mother blurted out.

She knew that it was very inappropriate to talk about this issue at this time, and she should be more concerned about the child's injury, but she didn't know why, the college entrance examination had been ingrained in her heart, and it seemed that anything had to make way for it, she was not indifferent, but almost instinctively popped up this question.

Over the years, all her energy has revolved around a few words-—— children's college entrance examination, which has almost become the ultimate goal of her life.

"Now we don't talk about it, now we only talk about surgery, and if he doesn't have surgery, it's still unknown whether he will be able to live." Yang Ping's tone was still calm.

He is a doctor, he does not care about the fate of the patient's life, he only cares about the patient's current physical fate.

My mother was a little hesitant, she knew that even if she could take the college entrance examination, it would delay a lot of time, and every minute of the third year of high school was very precious, and it could be turned into a penny of results.

Thinking that her years of hard work may come to naught, she has a lot of unwillingness in her heart.

"Doctor, he's a good student, help, don't delay too much study time." Mother's eyes floated, and her heart was making the last striving. She didn't want to dwell on this issue at this time, but she just couldn't let it go.

Yang Ping had to remind her again: "My responsibility is to let the child survive, and then be able to live better, nothing is more important than living." ”

Yes, nothing is more important than being alive, my mother's eyes were a little glazed, and she repeated this sentence repeatedly in her heart.

"Traumatic occipital atlantoarthric dislocation, atlantovertebral crushed bone, high paraplegia -—— mortality rate is very high, most of the injured died at the scene of the car accident, he was able to come to the hospital, to be able to go to the operating table, this is a great luck, so we have to cherish it and strive to let him live, understand? Only by living, there is everything, and if you can't live, everything is meaningless! You have to understand that this is a trauma intensive care unit, and getting out of here alive is the highest goal of every patient, alive! More than anything. ”

Yang Ping's words hit the mother's heart, she closed her sloppy gaze and touched the corner of her eye: "Yes, life is more important than anything else." ”

"Can we start talking now?" Yang Ping took the medical records of the doctor in charge.

Mother nodded, she tried to adjust her emotions, at this time, everything but life and death was as light as smoke.

——

Lu Jiangbei had a fever, with a body temperature of up to 42 degrees Celsius!

Early the next morning, Yang Ping received a call from the trauma ICU, and the call was made by Director Pan.

The sudden high fever was undoubtedly terrible news for the operation, and the scheduled operation had to be postponed.

Yang Ping hurried to the trauma ICU, Lu Jiangbei was lying on the bed, using physical cooling, and ice packs and ice blankets had already been used.

"Just had a bedside chest x-ray and there was an infection in both lungs."

Dr. Zhou, the doctor in charge, looked a little anxious, he could have operated now, but he knew that he suddenly had a high fever and had to postpone the operation.

"Look at the X-ray!" Song Zimo proposed.

Dr. Zhou called up a chest x-ray on the electronic screen next to the bed, and it was clear that both lungs were infected extensively.

"I was fine during the day yesterday, but I started to have a fever in the middle of the night-——, so I would have had a chest X-ray sooner." Dr. Zhou felt ashamed and felt that he had not managed the patients well and caused trouble to everyone.

After reading the chest X-ray, Yang Ping said: "The patient's condition is changing all the time, especially this kind of patient, which is changing rapidly, and it is impossible to check the chest X-ray every day." ”

"Do you want to send it to the CT room for further chest CT?"

Lu Jiangbei only did a bedside chest X-ray, and in order to understand the status of lung infection in detail, a chest CT examination was necessary.

Lu Jiangbei only did a bedside chest X-ray, and in order to understand the status of lung infection in detail, a chest CT examination was necessary.

Yang Ping thought for a while: "Forget it, try not to move, use antibiotics according to experience, and take sputum samples for bacterial culture and drug susceptibility tests." ”

The operation must be postponed, a severe lung infection will lead to a decline in lung function, although Lu Jiangbei now has a ventilator to assist breathing, but it only helps the lungs to ventilate, not to help it ventilate.

The so-called ventilation is the exchange of gas between the lungs and the outside world, and ventilation is the exchange of gas between the alveoli and capillaries.

Once the lung infection gets out of control, it can lead to respiratory failure, and finally rely on ECMO to support breathing, and at that time it is basically life-threatening.

"According to the color of the sputum, it is likely to be Staphylococcus aureus, and we have experienced the medication first, as long as it is not MRSA, there is hope." Director Pan decided immediately.

As the director of the trauma ICU, he often deals with infections, and Director Pan is very easy to deal with, but this situation occurs before the operation, and Director Pan is also stressed.

Lu Jiangbei had a fever that night, and Director Pan personally rushed to the hospital to investigate the cause of the fever, and most of the causes of this post-traumatic infection were several reasons: wound infection, infection of the blood accumulation site in the body, lung infection, urinary tract infection, etc.

After these causes are investigated, it is confirmed that the infection is from the lungs.

Whether it is viral or bacterial, and if it is a bacterial infection, what kind of bacteria is usually required, but if it takes too long, treatment will be delayed.

Therefore, before there is no bacterial culture result, it is necessary to use drugs empirically to determine what kind of microorganism is based on the color, nature, viscosity and so on of the sputum.

Medicine is evidence-based science, but in the final analysis, it is also an empirical science, and in any case, it cannot be separated from the dependence on experience.

"Suction sputum should be diligent and use a fibroscope to suction." Director Pan instructed the nurse who was suctioning.

Lu Jiangbei's current muscle strength in her limbs and torso is level 1, or slightly higher than level 1, so her respiratory muscles have no strength, and it is difficult to even breathe, so she can't talk about coughing and expectoration.

Ventilators can only assist breathing, but do not help with phlegm, and the accumulation of sputum can easily cause infection.

The depth of ordinary sputum suction tube operation is very limited, and it can only penetrate deep into the main bronchus, while the fibroscope can penetrate deep into the bronchioles of grade 3-4, or even deeper, so sputum suctioning with the assistance of fibroscopy is much better than ordinary suction.

Fibroscopy is a respiratory medicine technique, often operated by respiratory physicians, and many doctors in Sanbo have begun to dabble in marginal and interdisciplinary specialties under the influence of comprehensive surgery, forming a composite technical ability.

Dr. Zhou has mastered almost the basic techniques of various specialties, such as bronchoscopy in respiratory medicine, gastrointestinal endoscopy in gastroenterology, dialysis in nephrology, and thoracostomy drainage in thoracic surgery.

Originally, these techniques were scattered in various specialties, and if necessary, specialist doctors were invited to operate in the form of consultations, but now with compound doctors like Dr. Zhou, there is no need to be so troublesome, and Dr. Zhou operates alone.

Dr. Zhou began to suction sputum under the bronchoscope, and he took a few samples and sent them to the laboratory for bacterial culture.

"Professor, are we going to continue to send ICUs?"

August, who had returned to general surgery, offered it.

Robert couldn't wait to hammer this German to death with one punch, and every time he turned over, August was only responsible for the head, and the one who contributed the most was Robert, who was the main force in charge of the torso, and was also wearing a small suit, August's clothes were intact, and Robert's armpits were cracked on both sides.

Hearing that Robert took the initiative to ask for help, the head nurse didn't wait for Yang Ping to speak, and said happily: "The clothes have been prepared for you, and I have to trouble you." ”

During this time, the ICU was full, the girls were too busy, and several male nurses were too busy to hold on.

Lu Jiangbei's nursing is the most difficult among these patients, and it takes several people to cooperate with each other, and they dare not relax in the slightest.

August and Robert worked in the ICU for a few days, and the king-size clothes were not delivered for a long time, and after they were delivered, the two returned to the general surgery, so the king-size clothes did not come in handy.

But I didn't expect that Lu Jiangbei was feverish now, and the operation would be postponed, and these sets of king-size clothes could finally come in handy.