2773 Abnormal object in the bronchi
“Don’t be like that, Brother Yun. Don’t scare me. ” Zhou Litao was also a little guilty.
“Chief Zhou, I’ll introduce you to a girlfriend.” Su Yun suddenly threw out a huge topic.
Zheng Ren was stunned for a moment. The role of a matchmaker really did not match Su Yun ‘s.
“Uh …” Zhou Litao was also stunned.
“Why are you looking at me? I was just asking.” Su Yun replied,”a friend from a long time ago. He’s coming to Beijing to be a Wanderer. He’s a pretty good person. What do you think?”
“I … I don’t want to look for it for now.” Zhou Litao sighed and said,”I think that if I don’t want to be a chief resident, my first thought is to take a good rest. It’s too tiring when I was a chief resident. I have no private life at all, and I can’t even feel at ease when I watch a drama. “
“Tsk, tsk, you’ve grown up.” Su Yun saw Zhou Litao’s objection and didn’t say much. She just patted his shoulder hard.
Zhou Litao’s phone rang. He took it out and said,””We’re done with the filming. “
The three of them went to Zhou Litao’s duty room, opened the workstation, and pulled up the image data that had just been uploaded.
The chest x-ray of the patient showed that the markings of both lungs were chaotic and thick, and the markings of both lung fields were blurred. Zhou Litao’s judgment was reasonable. This diagnosis was essential.
However, chronic pneumonia was not the only diagnosis. This was because the disease accumulated over a long period of time. Even if there was difficulty in breathing, it would not appear suddenly.
Zheng Ren’s judgment was that he had accidentally inhaled it. However, Zhou Litao’s description had already ruled out this point. After all, when he sucked the phlegm, he did not suck out any food residue, and the X-ray scan did not see any metal foreign object.
“Where’s the patient?”
“He’s directly sent to the ICU. ” Zhou Litao said,”the blood oxygen level is average. I think we might need a ventilator to help with breathing. If there was no improvement, he would probably need tracheotomy. It’s a serious illness for an old man at this age, and there’s no good way to cure it. “
“Then let’s go to the icu to take a look.” Zheng Ren felt that it was better to finish this matter. At the very least, he would have an explanation for his little Yiren when he got home.
Yiren was very concerned about people she was familiar with. Last time, when she ate the firewood-flavored grilled fish at that restaurant, she didn’t even let her talk to the owner.
Zheng Ren was afraid that Yiren would be worried if he went home with just this little information.
“He’s a very ordinary patient. ” Zhou Litao said.
“Ordinary?” Su Yun chuckled.”What are you thinking about when he suddenly convulses?”
“Oxygen deficiency. I’ve checked the Neurology Department and there’s no other problem. After the phlegm is sucked out, the patient’s twitching symptoms also improved. ” Zhou Litao said.
Su Yun smiled without saying a word. Zhou Litao only found the final result, but not the previous cause. Why did it suddenly happen? This was the most important thing.
“Let’s go take a look. ” Zheng Ren said,”chief Zhou, we’re leaving.”
Zhou Litao was a little reluctant. Boss Zheng and Brother Yun hadn’t come to the emergency department in a while. Zhou Litao knew that they were busy. However, they didn’t come over often, and he always felt that something was amiss.
His life had become boring … Even more boring.
Zheng Ren and Su Yun left the emergency room and headed to the icu to check on the patient’s condition. Su Yun had been contacting the chief resident of the icu with her phone.
“Boss, they said that the patient has a lot of phlegm, and they’re already performing tracheal intubation.” Su Yun said.
“Yes, it’s caused by lying in bed for a long time.”
Chronic pneumonia was one of the complications of staying in bed for a long time, and it was also a very difficult complication. Other than taking care of it more carefully, there was nothing to be done about it.
If he were to put on a ventilator, the cost would be secondary. Judging from Zheng Ren’s experience, there was a high probability that he would not be able to go offline.
In the end, when the patient’s family members accepted the facts, the catheter would be decanted and the patient would die, or the patient would just be used like this. The patient would only reach the end point of multiple organ failure when that happened.
Although he had seen this situation countless times, every time he thought about it, he still felt a little uncomfortable.
After entering the ICU, Zheng Ren changed his clothes and slippers before walking through the corridor to the patient’s bed.
The patient was easy to identify. The doctors and nurses were all gathered around the bed, performing emergency treatment.
The patient’s system panel turned red. Other than some elderly diseases and cerebral infarction that caused him to stay in bed for a long time, Zheng Ren also saw a foreign object that was diagnosed as a mayfly’s respiratory tract.
What was this? Zheng Ren was stunned.
As expected, it was just as he had predicted. Was there something in his Qi path?
If there was a foreign object, he should be able to suck it out with phlegm. If the foreign object was too big and blocked the airway, the problem could be discovered when they inhaled phlegm.
Zheng Ren stood silently behind the doctor and nurse, carefully observing the nurse’s actions.
He went down the tracheal tube to the phlegm tube, and there was no resistance shown by the huge foreign object on the left and right.
That was strange.
“Boss Zheng, Brother Yun, you’re here.” The icu’s chief resident turned around and saw Zheng Ren and Su Yun. He greeted them and went to the computer to check the report.
“How’s the patient’s condition?” Su Yun asked.
“His blood oxygen is fine, but he has too much phlegm in his windpipe.” The chief resident of icu said,”arterial blood analysis report: pH:7.104， PCO2: 89.4mmHg ，PO2: 47mmHg， BE:-2mmol/L， HCO3: 28.0 mmol/L。”
“The patient is sweating profusely, and his ability to cough is relatively poor. I estimate that he will need to use a ventilator for a while.”
“And then?” Zheng Ren asked.
“What?” The chief resident of icu was stunned for a moment. Was boss Zheng testing his healing skills? She thought for a moment and immediately said,”the results will be back in a few minutes. We’ll see how it goes. The phlegm has been sent for testing and for bacterial cultivation. Anti-inflammatory treatment, mainly phlegm absorption. “
“The effect of pulmonary bubble irrigation might be better,” Zheng Ren said.
The bronchiasis that Zheng Ren was talking about was also known as bronchibular pulmonary irrigation. It was a new technique developed on the basis of fibrocholedochoscope.
Using a tracheostomy tube to inject human saline into the bronchi alveoli and suck it out immediately to collect the effective liquid on the surface of the alveoli and check its cell composition and soluble substances.
“You suspect that there’s a foreign object in the Qi path?” Su Yun immediately guessed her boss’s true intentions.
“Well, patients who stay in bed for a long time may breathe in by mistake.” Zheng Ren said.
“The possibility isn’t high. No food residue was sucked out.” The chief resident of icu had the same thought as Zheng Ren before he saw the system panel.
However, boss Zheng … Was cheating after all. He shook his head and didn’t say anything.
“Let’s try. Anyway, let him do it himself. You can do your own thing.” Su Yun conversed with the chief resident of the icu.
The chief resident of the icu was also helpless. She could not refuse Su Yun’s excuse or boss Zheng’s request.
It was not because of boss Zheng’s high academic status, but because it was within the scope of normal treatment for him to take a look with a tracheostomy tube and perform pulmonary pulmonary hysteria.
“Then I’ll go prepare the things.” After the chief resident of icu finished speaking, he began to nag.