Zhou Chao and Yin Liang continued to use normal saline and suction devices to help Lin Yi clean up the surgical field, and the anesthesiologist stared at the ECG monitor without squinting, keeping an eye on the patient's physical signs.

Lin Yi was like a statue, maintaining a fixed posture and skillfully removing the remaining blood clots.

An hour later, Lin Yi finally raised his head and stretched his stiff body.

"It's cleaned up! I'm exhausted. ”

The others also breathed a sigh of relief after Lin Yi's words, except for the anesthesiologist who was watching the ECG monitor on the side.

"How so?"

The anesthesiologist's voice suddenly made the people in the operating room tense again, and everyone's eyes were focused on the anesthesiologist.

"What's wrong?"

Lin Yi asked.

The anesthesiologist's lips trembled.

"The cardiopulmonary bypass system is out of order......

"What?"

Lin Yi couldn't believe what his ears were hearing.

In cardiac surgery, if the cardiopulmonary bypass system fails, it means that the patient is facing imminent death.

"How long does it take to restart cardiopulmonary bypass?"

Lin Yi turned his head and asked the anesthesiologist loudly.

"Probably...... Probably...... It takes an hour ......"

The anesthesiologist said with a shudder.

"Old Ma, what about the patient's signs?"

Lin Yi asked again.

"The body temperature dropped dramatically, the breathing was unstable, and if this continued, the patient died very quickly."

Lin Yi quickly put his hands into the patient's chest, and then gently grabbed the heart with both hands and began to massage the heart continuously.

“OCM？”

Several people were taken aback by what Lin Yi had done, although Zhou Chao knew what Lin Yi was doing, he was still shocked by Lin Yi's decisiveness.

"This ......... What is Lin Yi doing? ”

Yin Liang looked confused.

"He's doing OCM, also known as open heart compression," he says.

Zhou Chao gave a professional explanation.

"Awesome!"

Yin Liang exclaimed again.

This is also the method that Lin Yi has used in the past with thoracotomy combined with cardiopulmonary resuscitation, thoracotomy can compress the heart more directly and effectively, and at the same time inject drugs into the heart chamber under direct vision, and the effect is accurate and reliable.

"That's too ...... Straight......."

Yin Liang couldn't help but sigh.

Lin Yi tried his best to massage the patient's heart non-stop, and sweat slid down his back like rain.

Unconsciously, Lin Yi's body was already soaked with sweat.

Two minutes later, Lin Yi's hand clearly felt the beating of the patient's heart.

"The patient's blood pressure has gone up, and his heart rate has come back!"

The anesthesiologist, who was watching the ECG monitor, turned his head and shouted.

Several people breathed a sigh of relief again as the anesthesiologist announced that the patient had recovered his signs.

Nurse Zhang also came up and wiped the sweat on Lin Yi's face with gauze.

"The patient has come back from rescue, and since the bruising has been cleared, he needs to close his chest as soon as possible and then transfer to the ICU."

"Rest, CPR takes a lot of energy. Leave the rest to me and Bajie. ”

Zhou Chao said.

"I'm okay, close my chest and stitch it up."

Lin Yi said to Zhou Chao.

The operation was completed, and Lin Yi and the others walked out of it. …

Passing by in the corridor, Lin Yi suddenly saw a nurse hurrying in with a little girl on her back.

The little girl lay on the nurse's back, gasping for air, and a stream of dark red blood continued to flow from her nostrils, staining the white nurse's uniform.

Obviously, this is an emergency.

Lin Yi hurriedly ran over, picked up the little girl from the nurse's back, held her in her arms and continued to run towards the consultation room.

When he just ran to the door of the clinic, Zhou Chao was also there, and hurriedly asked:

"What's wrong? Why is this child having this symptom? Where was she found? ”

Lin Yi didn't speak, first put the little girl on the diagnosis and treatment bed, and then he looked back at the nurse and asked:

"Nurse Liu, what's going on?"

Nurse Liu was already tired and panting, half-squatting with her hands on her knees, and after panting for half a while, she said slowly:

"I just saw her playing with me in a pile of medical supplies and told her that it was dangerous.

But the little girl had a big temper, and it took me great effort to persuade her to get out of there.

But unexpectedly, not long after she left, her figure began to shake, and then she fainted.

I noticed that she had fainted, her face was pale, her forehead was covered in cold sweat, and her nose was oozing blood.

It must have been an emergency, so I quickly carried her back.

Director Zhou, Dr. Lin, please hurry up and take a look at her. “

"Don't you see a family member or other guardian beside her?"

Zhou Chao asked as he picked up the stethoscope.

Nurse Liu shook her head.

"I didn't see it.

She was alone there, and she didn't see anyone else like family members or guardians or friends.

And she didn't wake up all the way after she fainted, so there's no way to know whose child she is......"

Lin Yi stretched out his hand and put it on the child's forehead, but he frowned.

"Isn't it, so hot? This kid has a fever! ”

Zhou Chao also hurriedly put the back of his hand on the little girl's forehead first.

"This kid has a high fever and the temperature is not low. Nurse Liu, please hand me the forehead thermometer. ”

Nurse Liu, who had just finished disinfecting her hands, immediately handed the forehead thermometer to Zhou Chao.

Subsequently, the results of the temperature measurement of the little patient made people's hearts tighten.

“41℃！”

"This kid has a fever of 41°C, which is already super high! Your child needs to be lowered immediately. ”

Zhou Chao said.

Such a high body temperature must be due to some reason.

Generally speaking, the child's body temperature reaches 41°C, which is already the most severe ultra-high fever in the fever.

This condition requires urgent priority fever reduction.

The World Health Organization recommends only two antipyretic drugs for children.

One is ibuprofen and the other is acetaminophen.

There are oral and suppository forms, respectively, and there are no intramuscular or intravenous dosage forms.

Now young patients faint because of ultra-high fever and cannot be fed oral antipyretic drugs, so they can only choose suppositories.

Fortunately, Zhou Chao also has rich clinical experience in this regard.

Before Lin Yi could say anything, Zhou Chao immediately said to Nurse Liu. …

"Nurse Liu, please immediately prepare for acetaminophen suppositories to reduce fever for the little patient.

At the same time, the physical method is used to cool down, and the alcohol bath is rubbed with 25% alcohol. ”

After hearing this, Nurse Liu immediately turned around and went out to prepare medicine.

After answering the doctor's order, Zhou Chaocai put the stethoscope in the precordial area of the little patient and listened carefully.

After a while, Zhou Chao's expression gradually became solemn.

Then he stood up straight, handed the stethoscope to Lin Yi and said.

"I feel that this little patient's heartbeat is not very normal, it seems to be paroxysmal tachycardia, you listen to it again and see."

Lin Yi looked serious and listened to it for a while, then raised his head and said.

"I don't just feel like paroxysmal tachycardia, but I have a heart murmur.

Now the heart sounds of the young patient are low, dull, galloping, and like a seagull. “

Subsequently, Lin Yi took the stethoscope and listened to the lungs of the little patient.

"Lung rales!"

Lin Yi and Zhou Chao's faces became more and more ugly.

"Let's pull an ECG for the little patient first."

Zhou Chao said.

Subsequently, the two of them did an electrocardiogram for the little patient.

The results of the electrocardiogram are also severe.

Ventricular arrhythmias, atrial fibrillation suggestive of atrioventricular regurgitation, complete atrioventricular block, right bundle branch block......

The results of these examinations alone have already shown that Lin Yi is not mild in this little patient's disease.

Lin Yi examined the little patient's mouth again.

This examination does not matter, Lin Yi found that the little patient not only has a lot of caries, but also has inflammation of the tonsils.

When Nurse Liu rubbed the alcohol bath with 25% alcohol for the little patient, Lin Yi found an abnormality again.

"Nurse Liu, please wait a minute."

With that, he grabbed the little patient's right hand and looked closely at her fingers.

Then, he seemed to have discovered something, and then he raised the little patient's hand for Zhou Chao to see.

"Director Zhou, please come and take a look at the tips of the little patient's fingers."

Zhou Chao hurriedly leaned over and looked carefully at the tips of the little patient's fingers.

At first, she didn't notice anything out of the ordinary. However, with the direction of Lin Yi's finger, she finally saw it.

"Petechiae! Why do petechiae occur? It doesn't look like I've been injured while playing. “

Lin Yi shook his head.

"The scar is certainly not due to a bruise caused by the young patient's carelessness while playing."

Lin Yi observed the little patient's finger thoughtfully. Suddenly, he hurriedly took off the shoe on the little patient's right foot, and then took off his socks.

Zhou Chao looked at Lin Yi's strange behavior in confusion and asked.

"What are you doing?"

"Director Zhou, come and see, that's this problem!"

Lin Yi said loudly.

Zhou Chao hurriedly walked over and fixed his gaze on the little patient's right foot.

In the small patient, there are many red bleeding spots on the soles of the right feet, which are almost the same as the petechiae on the hands.

On the flexion surface of the toes, there are also small raised purplish-red nodules.

After the two of them glanced at each other, their faces gradually became solemn.

"This child is now critically ill....."

Zhou Chao said with a solemn face. …

"I'm afraid this kid is critically ill now....."

As soon as this sentence came out, Nurse Liu on the side was startled.

"Critically ill? No way! Director Zhou, don't scare me! ”

Lin Yi shook his head.

"Director Zhou is not exaggerating, this kid is indeed dangerous."

"Isn't it just a super high fever? It's okay to cool her down and reduce inflammation, and we are not a little patient who has not treated a super high fever.

Our hospital also has a lot of clinical experience with this kind of small patient with ultra-high fever, and I think we can handle it easily.

Director Zhou, this little patient should be able to be treated soon, right? ”

Nurse Liu asked with a look of disbelief.

"Nurse Liu, this patient's condition is not the same as the patient we were in contact with before. She did not have a high fever caused by an upper or lower respiratory tract infection. ”

"What's that?"

Nurse Liu asked.

"Probably infective endocarditis......"

Lin Yi said with a serious face.

"Infective endocarditis?"

Nurse Liu's face also turned pale.

Infective endocarditis is inflammation of the lining of the heart valves or ventricular walls caused by direct infection by bacteria, fungi and other microorganisms.

This disease is distinct from non-infectious endocarditis due to rheumatic fever, rheumatoid, systemic lupus erythematosus, etc.

This type of endocarditis is short-lived, and people can die within weeks to months.

Although the mortality rate of the disease has decreased significantly in recent years due to the widespread use of antibiotics, it is still a disease with a high mortality rate.

And the condition of this little patient is basically at an advanced stage......

However, it is not that there are no other treatments. It is not possible to do this with the existing medical conditions on the island.

After thinking for a moment, Zhou Chao said to Lin Yi.

"If the diagnosis is endocarditis, the young patient will soon die from an embolism in the brain or heart."

"Very high fever, red petechiae on the soles of my fingers and feet. And on the flexor surface of the toes, there are also raised purplish-red nodules, which are completely consistent with acute endocarditis. ”

Lin Yi said.

Zhou Chao still didn't give up, and he couldn't believe that this little patient had such a serious illness at such a young age.

"An echocardiogram is needed so that you can immediately confirm whether you really have acute endocarditis."

Subsequently, everyone took the girl to the color ultrasound room.

The medical staff immediately placed the ultrasound probe on the chest of the little patient.

Then, the ultrasound probe is repeatedly probed by moving the ultrasound probe back and forth over the ribs, sternum, and precordial area.

At the same time, Lin Yi's eyes were firmly fixed on the color ultrasound monitor, trying to find signs of heart infection.

After a while, Lin Yi put his finger on an area of the monitor and said.

"Our guess was right, we can almost conclude that it's endocarditis, right?"

Zhou Chao followed his finger to the area where the monitor was pointing, where Zhou Chao did indeed see the last thing she wanted to see.

Vegetations and intracardiac abscesses were found in the valve in that area, and the patient did have regurgitation in the valve.

Through color ultrasound, Zhou Chao and Lin Yi could clearly see the fleshy vegetation about 5 mm on the mitral valve and aortic valve of the little patient's heart.

Not only that, but there is also valvular insufficiency around the valve......

Like demons, the vegetation is constantly eating away at the remnants of the life of the little patient.

Zhou Chao's face became ugly.

"Now it can indeed be diagnosed, the patient is endocarditis!

The question is how to treat her now?

Given that her growths have become so large that the patient's condition is constantly deteriorating, the problem is already very serious.

If it is delayed, it may lead to more serious damage to the heart valves, and even heart failure.

At least there is still a chance now, if it really drags on until that time, I think that if Hua Tuo is reincarnated, I am afraid that I will not be able to return to the sky. ”

Lin Yi thought for a while and said:

"In this case, I must be looking for her parents!"

"yes!"

Zhou Chao nodded.

Just then, the door to the exam room was pushed open.