Pregnant women belong to a special group of patients, and the most feared thing is infection.

Whether it is a pregnancy infection or a postpartum infection, it is very fatal.

At 37 weeks pregnant, she is only a few months away from giving birth. At this time, there is a serious respiratory infection, but it is more difficult to treat.

After Director Zhang read the information, he passed it on to other experts for review.

After everyone read it, the information was passed back to Professor Hu Wanjun.

"Ladies and gentlemen from Tuya Hospital, I wonder if you have any good suggestions?"

Professor Hu Wanjun took the lead and couldn't hold his breath and asked everyone.

"The patient now has a high fever and a severe cough, and I think that acetaminophen should be used to lower the temperature of the pregnant woman first, and then antimicrobial drugs should be used to control the infection. With the help of her own immunity, it is safer to recover slowly. ”

Director Luo of the Department of Obstetrics and Gynecology took the lead in speaking.

"Well, that's a good treatment. It's just that how to treat the fetus in the womb of a pregnant woman? Also, upper respiratory tract infections in pregnant women appear to be spreading to the lower respiratory tract. ”

Severe respiratory infections in pregnant women are just one of them.

The fetal heartbeat is getting weaker and weaker, which is also a serious problem.

If you don't pay attention to it, it's easy to be stillborn.

In addition, it is very difficult for the infection to spread to the lower respiratory tract.

The lower respiratory tract mainly refers to the parts below the larynx, trachea, bronchi, lungs, and the most serious of which is lung infection. This is often referred to as the occurrence of pneumonia in pregnant women.

In fact, the infection of this pregnant woman was so severe that lower respiratory tract involvement was inevitable.

The fact that pregnant women have a severe cough is the best proof of this.

Pregnant women are very strict about taking medication, and it is not only the history of allergies that should be considered, but also the safety of the fetus. Drugs that may cause fetal malformations, death, disability, and other problems cannot be used.

"It's best if we can actually check on the pregnant woman's condition before we can formulate a treatment plan." Zhang Bihua stopped Director Luo from continuing.

"The patient is in the ward, why don't I take the experts over now?"

Professor Hu Wanjun was particularly positive about this matter, indicating that the patient's condition may be worse than imagined.

The group arrived at the ward, which was close to 6:40 p.m. Usually, most of the doctors are off work at this time.

As many as nearly 20 doctors entered the ward, and the two pregnant women in this room and the family members accompanying them were particularly surprised.

There are four beds in this ward, but only two pregnant women are hospitalized.

It also indirectly reflects that the business conditions of Xinxiang Women's and Children's Hospital are very poor.

Half of the beds are empty, which is unimaginable in Tuya Hospital. On Tuya's side, all departments are hard to find. Obstetric beds are even more severely strained.

Many pregnant women still have no way to be hospitalized, so they can only stay in a hotel near the hospital, or go home and wait until Gong opens the ten fingers and then send them to the hospital to give birth in the delivery room.

No way, beds are really tight.

There have been many cases of pregnant women who have been hospitalized and falsely claimed to have high blood pressure or heart disease.

I don't know if I learned this trick from a doctor?

Doctors sometimes tell the severity of the illness to scare families and patients. Those pregnant women are learning to scare doctors and nurses.

It doesn't matter if you don't admit me to the hospital, I'll tell you, I have high blood pressure, and I'll talk to you if something goes wrong.

Most of the mothers have high blood pressure, and this trick is really good at first.

Almost tried and tested.

Later, the obstetrics department held a special meeting for this matter, and pregnant women who claimed to have high blood pressure and heart disease needed to provide proof of past medical history. Eventually, this unhealthy trend was subdued.

Zhou Can's qualifications are relatively shallow, and he consciously stands close to the door of the ward at this moment.

He just quietly watched Director Zhang and others ask about the situation of the pregnant woman and give the pregnant woman a physical examination.

Even from a distance of seven or eight meters, he could see that the skin on the pregnant woman's neck and abdomen showed an abnormal color. No, it's the dark brown one.

Armpits, groin, he couldn't come forward and ask to see it.

However, the same situation is expected.

"Squad leader!"

Zhou Can turned his head to look at Yang Chan, who was also standing at the door.

"What?"

There was a little bit of ferocity in her tone.

"Did you notice that the pregnant woman's neck skin was dark and brown?" Zhou Can said.

"Isn't it normal for pregnant women to become ugly because of changes in hormone levels in their bodies?" She didn't know what Zhou Can's intentions were.

"You're a lesbian, go to the hospital bed to check if her armpits and groin have skin discoloration, is it okay?" Zhou Can could only ask her to help with this.

"Why don't you go yourself. You're an expert, I'm just a second-line assistant doctor. She seems to be a little dissatisfied with Zhou Can's mixing better than her, and her status has surpassed her.

"I'm a man, and I ran up to check people's groins and armpits, and others thought I was perverted." Zhou Can looked depressed, if he could do something, how could he ask her for help!

"Wait!"

She squeezed forward.

That's a yes.

In fact, as long as Zhou Can put forward a legitimate reason, she will almost respond to her request.

Du Leng, who was standing not far away, had been secretly paying attention to Zhou Can. Seeing that Zhou Can was so interested in the changes in the skin of the pregnant woman's neck, groin and other places, he secretly pondered the pathology.

Every time such a difficult case was diagnosed, Zhou Can stole the limelight and made great contributions. Today, in front of the doctors of the two hospitals, he, a returnee doctor, could not be weaker.

"What's the use of this clue found by the surname Zhou?"

Du Leng frowned and thought carefully.

Just let him pick his head, he can't figure out what is the relationship between the dark skin of the pregnant woman's neck and the respiratory infection and weak fetal heart rate of the pregnant woman?

At the end of the day, doctors aren't just good at reading more books.

Optical keys also have to be learned and put into practice, and they must have rich experience in clinical diagnosis to ensure the level.

Yang Chan is Zhang Bihua's beloved apprentice, with this relationship, she squeezed into the hospital bed, and no one dared to say anything about her.

After whispering a few words to Director Zhang, she asked the patient's opinion.

With permission, the curtain was closed to help the pregnant woman check.

It didn't take long for the bed curtain to open.

Director Zhang was very happy with Yang Chan's positive learning attitude and gave Yang Chan the greatest support.

She completed the task assigned by Zhou Can and came back.

"I've seen it just now, and the groin is darker. The color of the armpits is darker than that of the neck. ”

"Okay, thank you."

Zhou Can got a positive answer, and then thought of some of the manifestations of pregnant women, he already had some diagnostic ideas.

"Have you already discovered something? Share your diagnostic ideas! ”

The only symptoms she can see at present are respiratory infections, and the temperature of pregnant women is basically under control. Dropped from high fever to low fever. It shows that Xinxiang Women's and Children's Hospital has already used medicine after admitting the patient to the hospital.

It is undeniable that in terms of diagnosis, Zhou Can is indeed much stronger than her.

Zhou Can was about to share his diagnostic ideas with Yang Chan, when he accidentally caught a glimpse of Du Leng standing in front of him eavesdropping with his ears pricked up, and he couldn't help but smile slightly. pointed to Yang Chan's mobile phone.

Then quickly type text into the phone screen.

Du Leng, who was waiting for eavesdropping in front, suddenly didn't hear the sound.

He felt a little strange and subconsciously looked back.

found that Zhou Can used his mobile phone to communicate with Yang Chan in a private message, and he couldn't help but scold Zhou Can for being stingy. Isn't it just a diagnostic idea? Do you still need to hide it?

"Dr. Du seems to be interested in our conversation! Do you want to be together? ”

Yang Chan is also a smart person in ice and snow.

As soon as I saw Du Leng's expression, and then thought of Zhou Can suddenly using his mobile phone to communicate with her, I immediately understood a little.

She couldn't help but smile and squeeze Du Leng.

"Ahem...... No, thanks! ”

How could Du Leng be such a proud person, how could he lower his body and 'discuss' with Zhou Can?

"Dr. Du is a highly talented student from a famous overseas university, and his diagnosis is much better than ours. I don't bother to discuss it with regular trainees like us! ”

Zhou Can took the words and put Du Leng on a high place.

As long as he has the opportunity, he doesn't mind killing Du Leng's arrogance. Not for anything else, it's just to look at this unpleasant.

In the name of an overseas doctor, he is as proud as a rooster all day long, why bother?

"No, no!"

Du Leng smiled awkwardly and turned his head.

Zhou Can and Yang Chan looked at each other and smiled, on this matter, the positions of the two were surprisingly consistent.

At this time, Zhou Can had already finished his diagnostic ideas.

Send it directly to Yang Chan.

"Mysterious, I want to see what your diagnostic thinking is?" Yang Chan muttered, checking the WeChat information.

After reading it, she couldn't help but widen her eyes.

"You...... 's brain circuits are too tortuous! She checked the project when she was admitted to the hospital, and the results were normal! Yang Chan said in disbelief.

Du Leng, who was standing in front, was a little absent-minded.

Because he found that what he had learned was completely useless, like a three-year-old child who had a house of hot weapons, but could not use them against the approaching wolf.

The conversation between Yang Chan and Zhou Can, Du Leng eavesdropped word for word.

Which item was checked at the time of admission?

Du Leng couldn't help but ponder.

Also, what exactly is the diagnosis that Zhou Can told Yang Chan?

The more he couldn't figure it out, the more Du Leng was aroused.

Zhou Can smiled at Yang Chan very confidently and said, "Only you can speak in front of Director Zhang, you mention it to Director Zhang, and then give the patient another examination of this item." I'm sure there will be major discoveries. ”

"Believe you once! But you have to promise me that you have to teach me the original diagnosis afterwards. ”

When she said this, it was basically equivalent to admitting that Zhou Can's strength was stronger than her.

"No problem. We are old classmates, and as long as you want, you can exchange various cases on WeChat at any time. ”

Zhou Can and Qiao Yu often discuss medical issues on WeChat, but rarely talk to Yang Chan, an old classmate.

She was more cold in Zhou Can's impression.

There is nothing important, Zhou Can doesn't dare to harass her.

lest she be fed soft nails.

But at this time, at that time.

Zhou Can's strength is much stronger than her now, and it is her turn to take the initiative to ask Zhou Can for advice, no matter what, her attitude will be much better than before.

Yang Chan squeezed to the front again and asked Zhang Bihua for inspection suggestions.

At this moment, the chief physicians have already discussed it almost completely.

However, no definitive conclusions have been reached.

In the obstetric case discussion, only a few experts such as Director Zhang Bihua and Director Luo can make the force on the spot.

Like those Deputy Director Shi of the Department of Gastroenterology, Director Jiang of Shennai and others, they really can't help with the diagnosis of obstetric diseases.

That is, follow along and learn a little longer.

"Teacher, can you check this patient's blood sugar?" Yang Chan found the right time to make suggestions to Director Zhang.

"The patient's blood sugar was checked when he was admitted to the hospital, and it was normal! Do you have any new discoveries? Zhang Bihua was very happy to see that her disciples were actively participating in the consultation and discussion.

"I suspect the patient is likely to have developed diabetic ketoacidosis!"

Yang Chan was bold enough to follow the diagnostic ideas provided by Zhou Can in the message.

"The patient has no history of diabetes!" Professor Hu Wanjun looked at Yang Chan with some puzzlement.

The other doctors had similar expressions.

"Didn't I deliberately close the curtain just now to do a physical examination of the patient? Her armpits and groin have obvious changes in skin color, and she is dull and brown. One of the symptoms of diabetes is a change in skin color. In addition, when the patient took a cup of water not long ago, she was initially empty, indicating that her eyesight was wrong. It is also one of the symptoms of diabetes. ”

Yang Chan didn't know how Zhou Can's observation was more meticulous than that of a woman.

When the pregnant woman was holding the water cup just now, I believe that someone must have noticed that she touched the empty space for the first time. However, everyone thinks that it is caused by her serious condition and physical weakness.

Only Zhou Can keenly judged that the pregnant woman's vision was blurred.

"Can you read the words on this piece of paper?"

Zhang Bihua obviously still didn't believe it, and took a checklist and placed it one meter away from the pregnant woman, so that she could identify the words on it.

"I can't see clearly!"

Pregnant woman shakes her head.

Director Zhang brought the paper closer again, but the pregnant woman still shook her head.

"The words and the patterns look very blurry. I can't see clearly. ”

"Have you been nearsighted before?"

"Nope!"

This time, everyone finally believed that the pregnant woman's eyesight was really a problem.

"If Dr. Yang Chan's diagnosis is correct, the child in the patient's womb is in danger. Diabetic ketoacidosis is not only life-threatening, but also seriously life-threatening to the fetus. Her symptoms are not obvious now, and it should be too late. Check your blood sugar quickly. ”

Director Zhang Bihua has rich clinical experience and immediately realized that pregnant women and fetuses are in danger.

However, further examination is needed to be clear.

Usually, diabetic ketoacidosis presents with nausea and vomiting. However, pregnant women with severe respiratory infections like this can easily be overlooked even if they experience vomiting and nausea.

The nurse drew a blood sample for the pregnant woman on the spot.

"Come, give me the specimen. Human lives are at stake, and the laboratory must be urged to hurry up. Section Chief Tang took the specimen and ran the leg himself.

It can be seen that the senior management of Xinxiang Women's and Children's Hospital is also secretly paying attention to the consultation between the two hospitals.

Whenever necessary, we will do our best to mobilize all medical resources to treat patients.

Less than eight minutes later, Section Chief Tang directly called Professor Hu Wanjun's mobile phone.

As soon as it was connected, Hu Wanjun listened to two sentences, and her face changed greatly.

"News came from the laboratory that the patient's blood sugar was as high as 17.2mmol/L." After Professor Hu Wanjun said this, it was like a thunderbolt from the sky, which made the hearts of many doctors present tremble.

This is very bad news.

"Obviously, it was normal to check my blood sugar when I was admitted to the hospital, but it has only been two days, why did my blood sugar suddenly rise so fast? It's too evil. Although Professor Hu Wanjun is only a gynecology expert, she has also treated many obstetric cases.

She had never encountered such a thing before.

"It's a good thing that something went wrong. If it is not detected, the patient's blood sugar is already so high, I am afraid that after tonight, her fetus will probably not be saved. Even adults are in danger of their lives. Hopefully it's still too late. ”

After Zhang Bihua listened to the blood sugar results, she quickly calmed down from the initial shock and fear.

Every second counts to correct the patient's blood sugar immediately.

The next treatment became simpler, and among the experts present were endocrinologists, and correcting the blood sugar of pregnant women was nothing more than a trivial matter for them.

The most common treatment is to be filled with saline and then given insulin to the saline to lower blood sugar.

"Just leave a few of our doctors and nurses in the obstetrics and gynecology department here, you have worked hard all day, and you still need to sit for a consultation during the day tomorrow, so go back to the hotel to rest first!"

Zhang Bihua's gaze looked at the other experts.

"Wait! Director Zhang, experts, there are still a few cases I would like to ask you to help discuss together. If you can, please take a break in the conference room and we'll be there shortly. ”

It takes a little time for this pregnant woman's blood sugar to correct.

Hu Wanjun didn't worry about leaving immediately, and estimated that she would be able to see the effect after staying in the ward for about twenty minutes at most.

Intravenous infusion administration is a treatment method with a relatively fast onset of action.

"Then you guys go to the conference room to rest first!" After Director Zhang finished speaking to everyone, his eyes turned and fell on Yang Chan's innocent face. "Yang Chan, you're doing well! You've impressed me today! ”

Seeing that Ai Disciple performed so well, Director Zhang Bihua not only felt that there was light on his face, but also felt very happy and relieved in his heart.

Teachers are looking forward to their students' achievements.

Yang Chan was praised by her in public, and her face immediately turned red.

It is undeniable that she was in the limelight just now. Countless specialists, doctors, nurses, and even family members and patients looked at her with admiration.

Because she was the one who discovered that the patient had a problem with blood sugar and saved two lives.

(End of chapter)