Although the rescue process was stumbling, since the ECMO began to operate, Qian Aiwu's blood oxygen level began to rise rapidly. In less than five minutes, a monitor next to her bedside showed that her oxygen saturation had risen to 99 percent. At least on this condition, she was snatched back from the ghost door by the doctors.

But this still does not mean that Qian Aiwu has turned the corner, on the contrary, her life is still in jeopardy. Although the surgeon had placed several drains into her body and needed to flush her peritoneum with saline and hydrogen peroxide every few hours and drain it adequately, as well as access to renal dialysis and consideration for plasma exchange. The ICU of the Fourth Hospital is full of firepower, and it is simply Qian Aiwu who is Frankenstein for Frankenstein. As long as Qian Aiwu's vital signs can be maintained, as long as she can have a little more hope of survival, almost all the life magicians in the ICU can use it.

For Sun Lien, the work of diagnosis was over as early as the moment the old thing gave the results. But a doctor's job is much more than just diagnosing. Now that the frontline is in the ICU, he has to deal with other matters — such as talking to Qian Aiwu's daughter, who is about to rush to the hospital.

The act of post-signing is inherently risky, and in the case of disagreement among family members, the risk is much higher than usual. What's more, the patient's family member who said "this is your responsibility" is still staying at the door of the ICU.

Sun Lien took off his white coat, lowered his head and left the floor where the ICU was located in a very inconspicuous way. At the request of President Liu, the legal counsel and security guards of the Fourth Hospital have arrived in the ICU, and are arranging the "posts" in an unobtrusive manner. It can be difficult to take precautions without causing panic among other family members, but thanks to the high security policy now in place, it is almost impossible for doctors or other criminals to try to bring weapons into the hospital. Therefore, the staff of the security section of the Fourth Courtyard did not have to stand guard with transparent shields in a big way - they only needed to put on stab-proof vests under their own payment and wear cut-proof gloves on their hands.

Sun Lien slipped to the top of the stairs like a thief, and after confirming that his figure was completely covered, he rushed to the rescue hall with the fastest speed in his life. And accurately found Qian Aiwu's daughter who came to sign in a home dress among a group of anxious family members.

Qian Aiwu's daughter looks to be in her forties, but her clothes and anxious look do make her look older. Sun Lien looked at the 33-year-old status bar above her head, and was a little embarrassed for a while. is also born to a mother, Qian Aihong's daughter Zhao Min's care for her mother is beyond words, and her biological brother Zhao Ming's attitude is even ...... is in stark contrast to Zhao Min.

Obviously they are all a family, why is the gap so big? Sun Lien pressed the doubt in his heart and said to Zhao Min, "You are Qian Aiwu's family, right?"

Zhao Min nodded a little panickedly, then looked at Sun Lien and said confusedly, "You are ...... Doctor?"

Sun Lien reacted at this time, and when he slipped out of the ICU, he didn't wear a white coat in order to avoid people's eyes. It's normal for the other party not to recognize him as a doctor.

"Yes, I am Qian Aiwu's current attending doctor. Sun Lien hung out his work ID on his chest, "This is not the place to talk, come with me." He walked in front and led the way, and took Zhao Min into the small conference room of the rescue room.

"You may be seated. Sun Lien pointed to the stool next to him for Zhao Min to sit down, and he took out the ECMO instructions and critical illness notice prepared in advance, and opened the mobile phone video at the same time, "There are two documents that you need to sign, this one is the critical illness notice, and this one is the instructions for ECMO rescue." ”

The two notices were handed to Zhao Min, and as she lowered her head to read, Sun Lien began to explain on the side—starting with her retroperitoneal necrotizing fasciitis.

The surgical consent form for retroperitoneal necrotizing fasciitis is signed by Zhao Min. She had already heard Feng Chujie explain this problem to her once. But she was still listening carefully to Sun Lien's explanation—while listening, she silently compared Sun Lien's description with Feng Chujie's explanation and concluded that Sun Lien's level was not bad, at least it sounded very detailed when he explained the disease.

"Now we need to carry out ECMO rescue to deal with the pulmonary embolism in Qian Aiwu's body. Sun Lien took a sip of tea, moistened her throat a little, and continued, "ECMO is able to replace her clogged lungs and heart, which is not working smoothly, to provide oxygen-rich blood to many organs in the body. To put it simply, we bypassed her vital organs, which are no longer functioning properly, and at the same time allowed us to save a little time and space to treat her. ”

"My mom's current ...... What is the cause of pulmonary embolism?" Zhao Min's expression was a little sad, according to Sun Lien, her mother's biggest problem was actually just "unlucky". Retroperitoneal necrotizing fasciitis itself is a rare postoperative sequelae of abdominal surgery – it occurs very rarely, and the cause of its occurrence is unknown, but it does exist. Zhao Min spent a day convincing herself to accept this reality, but she was not ready to accept the emerging cause of pulmonary embolism.

"As things stand, there are three possibilities. "The first possibility is that the embolus causing the pulmonary embolism is a blood clot, and its appearance is not directly related to retroperitoneal necrotizing fasciitis...... It comes from a tumor in your mother's body. Malignant tumors cause a hypercoagulable reaction in the body's blood. This possibility is relatively large. Sun Lien first started the analysis from the nature of the emboli. The explanation to the patient's family is actually a kind of re-examination of his own diagnosis. "The second possibility is that the emboli itself is still a blood clot. But the source is retroperitoneal necrotizing fasciitis. When the human body is severely infected, there may be a wrong clotting tendency in the body. This causes large amounts of blood-clotting substances to clot in the small blood vessels. When the small blood vessels are filled with clotted blood clots, these clotting substances stored in the blood are depleted, and the body has a serious tendency to bleed. Sun Lien continued to speculate, "This situation is very dangerous, and the medical professional name is DIC - disseminated intravascular coagulation. ”

may have been frightened by the words "very dangerous", Zhao Min immediately asked, "Is this the case for my mother?"

"It's hard to say yet, but we don't think it's very likely. Even if she were a DIC, she was still in the pre-extensive clotting process. "Because we didn't observe her bleeding tendency, at least not so far, we haven't observed that she has extensive purpura, bleeding from the intravenous fluidization channel – including now that she's on ECMO, and she doesn't have similar symptoms." We can't completely rule out this possibility, but it's really unlikely that DIC will happen. ”

Zhao Min looked slightly relieved, "Are there any other possibilities?"

"Third, the embolus is not a blood clot, but a bacterial suppository. "Retroperitoneal necrotizing fasciitis progresses very quickly, and some of the tissues that have been eroded by bacteria may have entered the bloodstream and become clogged in your mother's lungs with the blood flow. ”

Zhao Min frowned, "Is this different from a blood clot?"

"It's not the same. "If it's a bacterial plug, then the plugs that fall off carry bacteria themselves. They may cause new infections in the lungs. However, from a therapeutic point of view, the difference that will be made is not very big - no matter what the nature of the embolus is, we have to administer a wide range of high-dose antimicrobial therapy to Qian Aiwu. In the case of bacterial suppositories, it will slowly disappear as antimicrobial treatment continues. If it is a thrombus, it should be ablated with our ongoing heparin maintenance. Sun Lien paused and explained, "The use of ECMO is to continue to use heparin. If the thrombus is too large for heparin to dissolve, we may consider interventional thrombectomy. ”

After describing all the treatment plans and pros and cons, Sun Lien himself was a little tired, "That's probably the case, I'm worried that Dr. Feng can't tell you something on the phone." Now please sign it and we'll complete the formalities. ”

Zhao Min signed without hesitation, and emphasized to Sun Lien, "I don't have to worry about my mother's treatment costs, I still have some family backgrounds - Dr. Feng and I are good friends, and she told me about the cost of ECMO treatment." ”

Sun Lien finally put his mind at ease, and he replied with a smile, "That's fine." We were able to concentrate on the treatment without distractions. ”

Zhao Min suddenly frowned, she gritted her teeth and asked, "My brother...... Where is Zhao Ming now?"

"At the entrance of the ICU on the fourth floor. Sun Lien only thought that the other party was going to unify his opinions and understanding about rescue with Zhao Ming, and he was very "enthusiastic" and pointed the way, "If you want to go to him, you can see it from the elevator." ”

Zhao Min nodded, and walked to the rescue room by himself. Sun Lien found the phone in the small conference room and began to inform the doctors in the ICU of the authorization. After everything was arranged, Sun Lien walked out of the small conference room and prepared to go to the ICU to get his white coat. The elevator had just reached the fourth floor, and as the elevator doors opened, a panicked shout suddenly poured into the elevator.

Sun Lien was taken aback, and when he went out to take a look, he was stunned by the bloody scene in front of him.

Zhao Min was at the door of the ICU and was pressed to the ground by three or four security guards. She didn't struggle to resist, but there was a very visible blood stain on her hands. In the distance, the doctor who rushed out of the ICU was urgently stopping the bleeding for Zhao Ming.

Zhao Ming was half-sitting on the ground and wailing, and on the ground beside him, there was a white, bloody thing. Sun Lien took two steps outside before realizing that the white thing ...... It should be Zhao Ming's eyeballs.