Chapter 406: Deworming
Yuan Yu himself has a stomach tube.
The gastric tube is indwelling in the stomach, but Yuan Yu's bleeding site is in the duodenal area below the stomach, so Liu Qingqing needs to thread the gastric tube along the pylorus to the duodenum.
In general, the indwelling duodenal tube requires the use of a special duodenal tube, in the endoscope, the guidewire is sent to the distal end of the descending or horizontal segment of the duodenum, and the jejunal tube is sent to the distal end of the duodenum under the guidance of the guidewire.
The gastric tube is relatively soft, and it is easy to coil in the stomach when forcibly inserted, and it does not run to the duodenum as the depth of the gastric tube is inserted.
However, Liu Qingqing itself has a perspective function, and can check the position of the gastric tube in Yuan Yu's body at any time.
On the other hand, Liu Qingqing can control her spiritual power, so that the soft stomach tube is like her fingers, dexterously passing through the pylorus, directly reaching the duodenum, and finding the bleeding point, and then perfusing thrombin into the bleeding point.
It's a pity that the equipment is still limited, and there is no special kind of small clip for gastroscopy, otherwise, she can still clip out the hookworm that caused the accident.
Thrombin injection, which is only a palliative treatment, has a coagulation effect on bleeding blood vessels, but cannot kill hookworms.
Liu Qingqing is still worried.
Yuan Yue is even more needless to say, seeing his sister dying in breath, frowning and enduring pain with her eyes closed, her sister and brother are in deep love, and he can't wait to be able to share one or two for her sister.
Yuan Yue said, "Doctor Liu, my sister has a lot of stomach pain, can you give her some painkillers?" ”
"Painkillers? No, no, no! Liu Qingqing said, "Now your sister's blood pressure is very low, and with painkillers, her blood pressure is going to drop even more." Now, maintaining your blood pressure is the most important thing. ”
In the face of life and death, pain and torture seem insignificant.
"This-" Yuan Yue opened his mouth and didn't speak.
At this time, Xiao Weiwei brought another bad news.
"Dr. Koyanagi, the big pharmacy has already closed work, what should I do if the emergency pharmacy doesn't have compound mebendazole?"
"Huh?"
The emergency pharmacy of the hospital is mainly responsible for the night medication of patients in the ward, to ensure the safety and smoothness of the green channel for rescue drugs, and the drugs are mainly used in emergency and rescue, and the types are not as rich as those in large pharmacies.
Mebendazole is a broad-spectrum anthelmintic drug, which has a significant effect of killing larvae and inhibiting the development of eggs, and is used for the treatment of pinworm, ascariasis, whipworm, hookworm disease, etc.
Liu Qingqing was sure that Yuan Yu had duodenal hookworm, this parasite, all of Yuan Yu's current symptoms could be reasonably explained, and she really hoped that Yuan Yu could take anthelmintic medicine as soon as possible to alleviate Yuan Yu's condition.
Liu Qingqing called Yuan Yue and told him about Yuan Yu's current situation without concealment, "At present, there is no laboratory test or examination results that can prove that it is duodenal hookworm, but all your sister's symptoms can be explained by duodenal hookworm." ”
"When hookworm larvae migrate to the lungs and penetrate the microvessels into the alveoli, they cause local bleeding and inflammation. Your sister should have had symptoms such as cough, chills, and fever during this time. Chest x-ray reports inflammation of the lungs. ”
"Adult hook teeth or plate teeth bite and attach to the intestinal mucosa, causing scattered bleeding in the intestinal mucosa, your sister should have pain in the upper abdomen and other uncomfortable, it has been a while to relieve tarry stools."
"Long-term chronic bleeding causes iron deficiency anemia. Your sister may have symptoms such as dizziness and fatigue during this time, and even likes to eat strips of cloth, which are all abnormal symptoms of iron deficiency anemia. ”
"And your sister has been to the farmhouse to experience farming, and there is a possibility of contact infection. If I'm not mistaken, your sister had red pimples, itching, blisters and other symptoms on her skin in the days since she returned from the farmhouse. ”
Yuan Yue listened to Liu Qingqing's eloquent words, and the more he listened, the more strange he became, and his mouth opened widely, "Yes, Doctor Liu, how are you like a fortune teller, you are too accurate, that's it, a few months ago, my sister was itching to death because of blisters, and she went to the dermatologist." ”
Liu Qingqing said: "So, although your sister has not yet detected the eggs, I still recommend starting deworming treatment as soon as possible, this insect does not kill, it keeps biting your sister's intestines, and it keeps bleeding, even if you replenish more red blood cells, it is a symptom but not a cure." ”
"Okay, then hurry up!" Yuan Yue has been deeply impressed by Liu Qingqing, and in his heart, Liu Qingqing seems to be the last straw for him to save his sister.
Liu Qingqing said: "There is one point, now the hospital's big pharmacy has been closed, and the emergency pharmacy does not have this medicine." You either go to the pharmacy outside and see if you can buy it, and if you can buy it at night, then you can use it for your sister in the evening. ”
"That's it! Where are the pharmacies? ”
"It's just across the street from the hospital, a people's pharmacy or a Kyushu pharmacy. It's half past eight, and the pharmacy hasn't closed yet. ”
"Good! Good! As if receiving a holy decree, Yuan Yue immediately rushed out, not daring to delay for a moment, after nine o'clock, the big pharmacies outside would be closed one after another.
Liu Qingqing stayed in the ward to take care of Yuan Yu.
About half an hour later, Yuan Yue ran back panting like a cow, holding a box of medicine in his hand, "Liu-doctor-yes-—— is -—— is -—— this?" ”
"Yes." Liu Qingqing took out the pills, mashed them, melted them with warm water, and poured them directly into Yuan Yu's duodenal tube.
After the thing was done, Yuan Yue leaned on the side of the bed, and he hadn't recovered yet. "Is this going to be okay?" After two days of torture, Yuan Yue's dark circles were particularly obvious, and the eye bubbles were also very swollen.
Liu Qingqing said apologetically, "Not so fast." It is estimated that it will take about three days to take effect. You're going to have to work hard for the past two days, I'm in the hospital at night, and if anything happens, you can call me. ”
"Okay-then thank you-" Yuan Yue hoped in his heart that Liu Qingqing's treatment plan was right, this was the second day of his sister's hospitalization, he was almost tired like a dog, if he continued like this, how could he afford it.
Liu Qingqing returned to the doctor's office, thinking to herself, there are still some routine things that have not been done, Jiang Weifen refuses to operate on gallstones, what should I do?
Just thinking about it, Qian Jianghong came back, holding a document pocket in his hand, and when he saw Liu Qingqing, he seemed very strange, and asked, "Hey, Xiaoliu, you haven't gotten off work yet?" ”
Liu Qingqing almost vomited out a mouthful of blood, didn't Qian Jianghong know that there were so many things in the ward? How does she get off work?
(End of chapter)