It turns out that whether you want to step on this kind of thing or not, it will always be there. Maybe you can't step on it today, you won't be able to step on it tomorrow, but as long as it still exists, sooner or later you will meet it.

Sun Lien was very sure that he had really stepped on a huge landmine.

Qian Aiwu's state took a sharp turn for the worse, from Lao Bu sending a WeChat report to Sun Lien's arrival at the hospital for ten minutes, Qian Aiwu experienced attacks including respiratory failure and cardiac arrest. When Sun Lien rushed to the ICU, her heartbeat still showed no signs of recovery.

"Talk to the family and push the ECMO over immediately!" Sun Lien didn't care that this was the territory of the intensive care medicine department, and immediately prepared to use the last resort. Qian Aiwu's electrocardiogram showed T wave inversion in the chest leads and complete right bundle branch block, which are ECG changes that often occur in pulmonary embolism. Although ECG changes in pulmonary embolism are not specific, anterior thoracic T-wave inversion can indicate right ventricular dysfunction, which is a major indication of pulmonary embolism.

Her V1, V2, V3, and V4 all had T wave inversion, and if Sun Lien suspected anything else, it would be unprofessional—not to mention that the status bar clearly stated "disseminated intravascular hemolysis (00.15.27), acute pulmonary embolism (00.13.33), acute right heart failure (00.12.45)"

Although the nature of the embolism is now unknown, it is empirically judged that the possibility of blood clots is greater - under severe infection, Qian Aiwu developed DIC in her body, and a large number of blood clots blocked her capillaries, resulting in pulmonary hypertension and acute right heart failure. Although the possibility of bacterial emboli cannot be completely ruled out, it is of little significance to entangle the nature of emboli at present. Judging by Qian Aiwu's current blood oxygen saturation of less than 84%, if she does not take resolute measures to deal with it immediately, she will definitely die, and she will die in a very short time.

Sun Lien commanded the rescue here, but the ECMO boot permit was delayed. After waiting for about five minutes, Sun Lien couldn't wait, he rushed out of the ICU directly, "Qian Aiwu, where is Qian Aiwu's family?"

"Here's it. Cao Yanhua beckoned to Sun Lien, with a helpless face. In front of him was a middle-aged man with a calm expression and no panic at all.

"You are Qian Aiwu's family, right?" Sun Lien trotted all the way to the other party, "Who are you?"

"I'm her son. The middle-aged man calmly said, "Who are you?"

Sun Lien was so anxious that he was sweating, where was there time to chat with him slowly, "I am Qian Aiwu's attending doctor." She is in a terrible situation – she now has a pulmonary embolism and acute right heart failure, and conservative treatment is not enough to turn the situation around as soon as possible. I recommend going directly to extracorporeal membrane oxygenation to maintain her vital signs first. This makes it possible to give us enough time to treat existing pulmonary embolism and heart failure. ”

The middle-aged man looked at Sun Lien and asked, "Why did she become like this?"

"Because of the serious infection...... Sun Lien was anxious, but answering the questions of the patient's family is an important condition for obtaining treatment permit, and he can only patiently try to explain.

"What I asked was why she had a severe infection. The middle-aged man interrupted Sun Lien's question, "My mother came to your hospital for surgery because of cancer, why is there a problem with her lungs now?"

Sun Lien was speechless for a while, he looked at the middle-aged man in front of him with some shock, "Have you figured out the current situation? She is in critical condition now, and this is going to kill her!"

"That doesn't excuse your medical negligence. The middle-aged man said categorically, "Of course I hope she goes home well, but you also have to take your own responsibility, instead of throwing all the decisions on us patients' families who don't understand anything!"

Sun Lien glanced at Dr. Cao Yanhua, who was full of helplessness, "You told him that it would cost 20,000 yuan to turn on the machine, right?"

Dr. Cao Yanhua nodded helplessly.

"All the efforts we're doing now are trying to get people out first. If you feel that there is any problem with our medical process, you can submit a review request to the relevant department later, so that the National Health Commission can organize experts to investigate our medical process. Sun Lien used the fastest speed to try to get the other party to focus on the most important thing first. "But that can be dealt with after the fact, and we need to take action as soon as possible......"

"You are responsible for the deterioration of her condition, and you should take the initiative to take measures, and you will have to bear the corresponding costs. The middle-aged man seemed to be discussing with Sun Lien about the practice of a piece of pork, rather than the safety of his mother's life. "There's no way I'm going to sign it. ”

"You ......" Sun Lien was speechless for a while, he looked at this middle-aged man and was stunned for a while, this attitude even made him feel a strong sense of "unreal". It's not that Sun Lien hasn't seen the family members of patients who are messing around, and it's not that he hasn't seen medical trouble. But at least the starting point of the nonsense is to save the lives of relatives, and the medical troubles must at least wait until the patient dies before making trouble. People are still alive and still being rescued, and they have to start discussing the responsibility for medical malpractice, and this huge contrast makes Sun Lien feel like he is dreaming.

Cao Yanhua took two steps back, holding his mobile phone in his hand and recording evidence for evidence. Sun Lien swallowed a mouthful of saliva with difficulty, looked at the middle-aged man, "Let me make it clear to you again, the patient's life is in a very critical state. We believe that ECMO is the only effective and necessary salvage tool available today. In order to save a patient's life, we need your signature to authorize ECMO. ”

"I don't sign. The middle-aged man refused the request to sign without hesitation, "This is your responsibility, I can't sign it." ”

"If you don't sign, it means refusing to be rescued. You understand what you're talking about, right?" Sun Lien was a little interested in arguing with the other party. He raised his voice a little, "The person is still alive now, if you refuse to be rescued, then the patient has no chance of survival, do you understand what I said?"

The middle-aged man asked rhetorically, "This is your responsibility, do you understand?"

Sun Lien glanced at Cao Yanhua, and Dr. Cao nodded at Sun Lien - he had saved the video and uploaded it to the cloud for preservation. The patient's family clearly refused to continue the rescue, and there was no problem with the video being used as evidence.

"As a child, even if there is any disagreement with your parents, at least it is a human life. Sun Lien shook his head and said to the middle-aged man, "Putting all the problems on our hospital may make others not gossip, but whether you can rest assured is only known to you." ”

The middle-aged man looked at Sun Lien and squeezed out a cold snort from his nose, "It's all your responsibility!"