After a while, the rounds began.

Although it was the first time to take so many people on ward rounds, Zhao Sheng was not worried at all, and from a professional level, he was more than enough to guide these attending doctors, hospitalization and regular training.

As for the intern, it's better to read the textbook first, and then let him guide.

According to the situation of each patient, Zhao Sheng can basically make subtle adjustments, and this adjustment is from a high position, and the adjustment of the usage of some drugs and treatment plans makes these attending doctors very inspiring.

Soon, Zhao Sheng led people to the bedside of the little girl who drank paraquat that Lin Haizhou said earlier.

Zhao Sheng took a closer look, and the little girl who was still lying on the hospital bed, holding her mobile phone and watching videos.

This little girl looks like she is at most fourteen or fifteen years old, that is, the age of the third year of junior high school.

And sitting on the edge of the hospital bed are the parents of the little girl, both of whom look a little old, their faces are full of traces of time and frost, and it can be seen that life should still be a little bitter.

"This is our Director Zhao."

Before coming to the hospital bed, Li Mujia introduced the little girl's parents.

"Director, good director!"

As soon as the little girl's father heard this, he immediately stood up and said to Zhao Sheng a little nervously.

The title of director reminded him of the rampant and domineering village director in his hometown.

However, this village director and Zhao Sheng, the director, are not the same thing.

"Director Zhao, this is the result of the inspection that came out this morning."

At this time, Gao Jun, the attending doctor of the bed, handed the medical record folder to Zhao Sheng and said.

This Gao Jun is seven years old Chinese New Year's Eve today, and he has a typical Chinese character face, and he belongs to the kind of character that has a board and a glance, and he can be regarded as an old senior attending doctor.

In the hospital, people like Gao Jun with a one-dimensional personality are actually the majority.

If a patient comes to the hospital and finds that the doctors and nurses are all happy people, they will be frightened and run away.

Although Zhao Sheng, the deputy director, looks young, everyone dares not slack off, whether it is personal level or backstage, Zhao Sheng is not comparable to these attending doctors for many years.

"Okay."

Zhao Sheng nodded and took the inspection results.

At this look, Zhao Sheng's face became solemn.

Liver function and kidney function are impaired to varying degrees, and the most important thing is that, judging from the results of lung CT, this little girl's lungs have begun to be fibrotic.

That's a worst sign!

Irreversible pulmonary fibrosis is also the most frightening pathological change in paraquat poisoning.

Lung damage from paraquat poisoning is divided into two phases: the destruction phase, which is characterized by a redox reaction that destroys alveolar epithelial cells.

The second is the proliferative stage, in which normal epithelial cells are replaced by tissues, resulting in large areas of pulmonary fibrosis, hypoxemia and even death, and this type of lung injury is called paraquat lung.

"How many days?"

Zhao Sheng handed the medical record folder to Gao Jun and asked the little girl's father.

"Doctor, that's what I drank yesterday morning."

The little girl's father replied very worriedly.

He still can't believe what Lin Haizhou said to him last night, now people are still looking good, can they still lie down and play with their mobile phones?

Why do you say it's hopeless?

"Doctor, when am I going to be discharged?"

"It's time for the final exam!"

The little girl lying on the hospital bed put down her mobile phone and said to Zhao Sheng a little impatiently.

Looking at this little girl and her parents, Zhao Sheng's whole thinking froze at this time, Rao is he is experienced, but in this situation, he really doesn't know what to say for a while.

In the case of this little girl, although it still seems normal now, the next irreversible pulmonary fibrosis will soon damage her lung function, that is, she will slowly feel out of breath, and when she reaches the level of lung failure, she must go to the artificial lung, that is, ECMO, and at that time, it will be used to extend her life.

When the machine stops, people die, which is cruel.

Not only Zhao Sheng, but the doctors who were following him on rounds were also a little unbearable to look at the little girl.

A fresh life is about to slowly disappear in front of you, and it's a pity to be at the same age.

"Wait a minute, come down to the office."

Zhao Sheng sighed slightly and said to the little girl's parents.

After checking the room, Zhao Sheng and Gao Jun were sitting in the doctor's office, as well as Li Mujia, and the three of them were discussing the situation of this little girl.

"Director Zhao, do you want to contact the lung source?"

Gao Jun asked Zhao Sheng.

In this little girl's case, once the lung function declines to the point that she cannot breathe on her own, the way to maintain it is to go to ECMO, but this is a palliative treatment, and at present, the only hope is a lung transplant.

"The patient is only 14 years old, and at this age, the need is so urgent, and the lung source has to be matched, which is too difficult."

Li Mujia sighed and said.

In the case of this little girl, it is a bit difficult to say whether she will survive a week with 30ml of paraquat orally.

It is very unlikely that a lung source that can be transplanted will be found within this week.

Moreover, in clinical practice, the source of transplanted lungs is generally social donations.

Usually a part of the population has signed an organ donation consent form, and when they die unexpectedly or other circumstances, they will be evaluated to see if the organ meets the donation requirements, so as to determine whether they are a qualified donor for lung transplantation.

Despite widespread publicity, it is not uncommon for people to die of paraquat poisoning every year.

In some places, paraquat production has been banned.

It's a bit ridiculous that a good herbicide has to be discontinued, and probably the scientists who invented paraquat didn't think about it.

"Let's get in touch first."

"And the ECMO is ready first, and it is estimated that it will not be long before it is used."

Zhao Sheng thought for a while and said.

"Okay."

Gao Jun nodded.

While the three of them were talking, the little girl's parents walked into the doctor's office, and they were very nervous and nervous when they looked at each other.

"Sit down."

Zhao Sheng said to the little girl's parents.

"Don't be nervous."

After a pause, Zhao Sheng got up and poured two more glasses of water, put them in front of the two of them, and said very gently.

"Director Lin has already explained the situation to you last night, what is not clear now?"

Zhao Sheng asked the little girl's father.

"Doctor, is it really that serious? I think people are okay now! ”

The little girl's father was already wrinkled on his face, he was in his forties, but he looked like he was in his fifties, and he really asked in disbelief.

"Yes, doctor, those who drank dichlorvos in our hometown have been saved!"

The little girl's mother said a little excitedly.

Don't want others, even when she was young, because she quarreled with her mother-in-law, she also drank dichlorvos.

Because she drank too much, she went to the hospital several times to wash her stomach, which damaged the gastric mucosa, causing her stomach to not be very good now.

(End of chapter)