Chapter 14: Stopping (I)
Sun Lien ran fast, his black sneakers rubbing against the non-slip floor of the hospital, making the kind of screeching stoppage that is often seen in basketball stadiums. The white coat was pulled to the sides by the speed of his full sprint, and the hair that he hadn't combed for a few days rose and fell with Sun Lien's running movements. He was running, like a winger's knife leading the ball at high speed on both sides of the pitch in the direction of the opponent's goal. He wants to rush for time to stop his colleagues before they make big mistakes.
Yang's immunosuppression regimen must be immediately modified back to the previous one, and a higher dose of glucocorticoid pulses may also be required. Sun Lien felt some pain in his chest, the patient's condition was likely to be more serious than everyone expected, his heart, liver, and lungs were likely to have a large number of Toxoplasma gondii parasites. If he can't suppress the gradually recovering immune system with tougher medication, Yang Jianqiang will be in big trouble next.
Toxoplasma gondii should have been parasitic in Yang Jianqiang's body for a long time. And over time, the infection progresses to the whole body. When the infection gradually invaded Yang Jianqiang's central nervous system, which controls body temperature, he began to have a persistent low-grade fever. It is accompanied by visual disturbances and fatigue. But at least at this stage, Toxoplasma gondii and the human body are still in a relative equilibrium. The parasite doesn't want to kill its host, and Yang's suppressed immune system simply can't detect the invasion.
Until he was admitted to the Fourth Central Hospital.
Doctors at the Fourth Central Hospital use more conventional diagnostic aids. Fearing that Yang Jianqiang might be infected with a certain bacteria or virus, doctors adjusted Yang's immunization regimen for better adjunctive antibody labeling. The new immunization regimen is less inhibitive than the previous one. According to the doctors' assumptions, such adjustments should allow Yang's immune system to flag pathogens without killing his fragile bone marrow.
But the problem is that there are too many Toxoplasma gondii infection areas in Yang Jianqiang's body. In general case reports, patients with acquired immunodeficiency syndrome are complicated by toxoplasmosis, and there are only one or two lesions in the skull. Yang Jianqiang had eight areas of edema in his skull at the same time, which probably means that he had at least eight infected areas in his brain. The existence of the human cerebral blood barrier makes it difficult for ordinary parasites to cross. If there are multiple infections in the brain, it basically means that there is a source of infection in the organs of the whole body.
Considering the pathogenic characteristics of Toxoplasma gondii, as well as the degree of selection and preference for cells in Toxoplasma gondii parasitism. At present, Yang Jianqiang has the highest probability of toxoplasma gondii in his heart and liver. The spleen and intestines are slightly less likely. But this also means that if his immune system continues to recover, the doctors in the emergency department will be dealing with myocarditis, acute liver injury and a series of other complex diseases at the same time.
It's going to die!
Sun Lien is not only running, he is also racing against Yang Jianqiang's immune system. Before the tragedy of "I killed myself", we must hold down the immune system in Yang Jianqiang's body!
The door to Liu Pingchuan's office was closed, and Sun Lien twisted the doorknob twice to find that the door was locked.
The person must be in the emergency room!" he immediately made this judgment, and then continued to rush to the emergency room. While sprinting with all his might, Sun Lien also took out his mobile phone and called Xiao Guo, who was on duty in the rescue room, to go out.
"Hey......" Before Guo Yulai finished the word "hey", Sun Lien shouted at him, "Immediately give hydroprednisone to the male patient who is in a fever and coma in bed 12!"
"12 beds, Yang Jianqiang, right?" As soon as Xiao Guo heard this voice, he knew that something was wrong. Out of trust in Sun Lien, he immediately began to check the information. "How much to do?"
"5 sugar 500 ml, 20 mg intravenous infusion!" Sun Lien ran out of breath, but the key compatibility order was extremely clear. "Also, please come to the rescue room immediately!"
When Sun Lien ran to the rescue room, a group of people had already gathered around bed No. 12. Xiao Guo's figure was extremely conspicuous in the crowd, and Sun Lien saw at a glance the abrupt half-section of the head of many people.
Speaking of which, Xiao Guo's biggest shortcoming is that he is a little flustered. And he's also a heavy social networking software enthusiast. In addition to liking to take photos and post them on Moments, in most cases, he behaves like an ordinary nurse carefully, patiently, and implements the doctor's instructions very well. In order to carry out the doctor's orders, he sometimes even makes reasonable use of his physical advantages, such as holding an organophosphate poisoned pilot in one hand. But this physical advantage can sometimes turn into a disadvantage in his work.
Under the watchful eye of a group of medical staff, Xiao Guo carefully picked up the needle with his own hand, and then took several deep breaths in a row to stabilize his mood, and then slowly pierced the needle of the infusion set into the back of the patient's left hand.
"Not bad, not bad!" Several senior nurses were afraid to come out and watched the blood return in the infusion tube, and then they relaxed together. The large injection needles used by adults are particularly small in Xiao Guo's hands. Li Kui's embroidery is nothing more than that. Although it was not the first time that Xiao Guo had operated alone, the other nurses were always a little uneasy about this strong man. Now that they see Xiao Guo's successful intravenous injection, they seem to be happier than the main one.
"Brother Sun!" With Xiao Guo's height, it is a little difficult to be blocked by the crowd. As soon as he turned his head, he saw Sun Lien panting, and then waved his hand happily at Sun Lien. The wave was a bit loud, and looking at the height, it seemed that he almost waved the chandelier overhead.
Tap, tap. Sun Lien walked to the side of the bed in three steps and two steps, looked at Yang Jianqiang, who was asleep with his eyes closed, breathed a sigh of relief, turned his head and asked, "Is the medicine on it?"
Xiao Guo nodded, "According to your instructions, five percent glucose five hundred milliliters, with 20 milligrams of hydroprednisone." ”
"That's good......" Sun Lien breathed a sigh of relief. Instead, he asked, "Where is Teacher Zhou?"
Zhou Jun was sitting in his office, looking down at the documents he had printed out in front of him. From this point of view, Zhou Jun was obviously influenced by Comrade Zheng. Unlike other younger generations of doctors who like to use mobile devices to read literature, Zhou Jun prefers to print out the literature reports he needs and put them on his desk to deliberate on them. When he came across important parts, he would mark them with a pen filled with red ink. If you wear another pair of reading glasses, and you are used to lowering your head and looking at people through the gap above the glasses, then Zhou Jun is really no different from other old directors.
"Teacher Zhou. Sun Lien pushed open his office door, and he looked at Zhou Jundao with a serious face, "Regarding Yang Jianqiang, a patient, I think he may need to undergo a radiotherapy on his heart." ”u