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Chapter 419 Emergency rescue on the way to hospital(2/2)

Now that the pediatrician has such a treasure, not only does the whole hospital have a general consultation, but even the pediatrician has to send the best doctors to do full care and monitoring.

If you do something wrong, you will eventually be unable to save yourself and face the blame of your family members.

Chen Qi quickly smiled and said: "Director Wang, don't I want to improve the rescue level of our hospital? If medical treatment of chylothorax fails, we can have surgical treatment."

"Surgical treatment? Hum."

Director Wang continued to roll his eyes at Chen Qi, pointed to the auxiliary examination report on the medical record and said:

"Look, the white blood cells have reached 24,000. Look at this blood-red cake, which is only 60 points. The liver function is in shambles. Such a person is severely malnourished, has uncontrolled inflammation, and is accompanied by multiple organ dysfunctions.

How do you operate?"

"Ah!"

Chen Qi slapped his forehead and slapped himself in frustration: "Ah, my thinking is too limited. I was careless."

Surgeons’ thinking is relatively limited.

For example, Chen Qi thought before that it was just a chylothorax. If it didn't work, we would just have an operation. It would be thoracic duct ligation. Although it was a bit more troublesome, he had the skills of surgery in his previous life, and he had a golden finger, so he couldn't just get it easily.
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But he overlooked another point, that is, the patient's vital signs and inflammation did not allow him to perform surgery immediately.

This is just like some people whose teeth are inflamed and their face is swollen like a steamed bun. When they go to the dental hospital, the doctor will tell them to go back and reduce the inflammation first, and then move their teeth after the swelling subsides. The same principle applies.

Looking back at this little patient, he alone accounts for three of the four major contraindications before surgery.

First, serious cardiovascular and cerebrovascular diseases, such as heart failure, respiratory failure, etc.

Second, severe liver and kidney diseases, such as liver failure, etc.

Third, due to severe malnutrition, it will be very difficult for the patient to recover if he undergoes surgery, and the wound may not heal.

Now Chen Qi was scratching his head. If he couldn't be operated on right away, he probably wouldn't be able to survive for a few days if he was a minor patient. It would really be a disaster.

I guess Dean Gai of the Second Hospital has been laughing at him for several years.

"Then Director Wang, Director Li, from the perspective of internal medicine, what should we do now?"

Director Li smacked his lips:

"Now we need to do a sputum culture immediately to find the most suitable antibacterial drugs to reduce inflammation. In addition, drainage must continue. The trouble is that the amount of infusion is difficult to control. If the infusion is too small, the dose will not be enough. If the infusion is too much, the pleural effusion will be even greater."<

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Director Wang added:

"What a pity. It would be great if we had a ventilator. I read in a magazine that hospitals abroad have a ventilator that can help the human body maintain normal breathing, which is the function of an external lung. If we had one, then
Chapter completed!
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