Chapter 183
But the smell wasn't as strong as the aunt's last time.
"Forget it, send him directly to the treatment room. I'll drain him first. His wound is already bleeding from the inside, so let's deal with it quickly.
In addition, notify the general surgery department and ask them to come and take a look. If this is fasciitis, surgery will definitely be required. "
In the treatment room, a basic admission physical examination will be done first.
The body temperature is 38.2 degrees Celsius, a bit feverish.
Observing the wound again, there was pus flowing out and a faint odor.
Soon, Huang Lei started operating with gloves on.
While draining and flushing, the nurse quickly established an intravenous channel for fluid replenishment.
After the drainage is completed, the patient will be sent for examination, including routine blood tests, blood culture, and X-rays.
When the general surgeon arrived, the test results just came out.
Two doctors saw that the white blood cells were elevated, and there was no doubt about it.
The x-ray showed gas and a small amount of small bubble shadows under the skin of the right calf.
Kidney function: blood urea nitrogen 7.1mmol/l (3.2-7.0mmol/l)
Elevated blood urea nitrogen can be seen in chronic nephritis, severe pyelonephritis, heart failure, shock, burns, etc.
But fortunately, this person is not particularly tall at the moment.
Huang Lei looked at the checklist and then at the ECG monitor. His blood pressure was hovering around hg.
"How about this? First give him a set of cefradine, and then add a set of metronidazole. Give him the infusion first, stabilize it before going to the operating room?"
Huang Lei suggested.
Mainly because he saw that the old aunt with fasciitis last time had surgery, and Zhang Yi also recommended the medication.
The general surgeon shook his head:
"You must have surgery first. What kind of fluid should you infuse at this time? Surgery and debridement first. Now that the result is fasciitis, why not debridement quickly?
Is it possible to wait until we are like that old aunt last time? "
The last surgery for fasciitis was already known to the whole hospital.
There is no doctor in general surgery who doesn’t know this.
And they are all learning from Zhang Yi.
After hearing this, Huang Lei glanced at the general surgeon:
"Okay, let's take him to the operating room first."
What I didn't expect was.
The two had just finished discussing the treatment plan when something went wrong with the young man!
The nurse quickly said:
"Oops! Doctor Huang, why did the patient's blood pressure suddenly drop?!"
Hearing the sound, the two doctors quickly looked towards the ECG monitor.
The blood pressure, which was around hg just now, changed to 85/53mmhg in the blink of an eye!
Immediately, the first reaction in the two doctors' minds was shock!
Or toxic shock!
The young man had been infected with bacteria for so many days that ordinary oral cephalosporins had little effect.
Only by going to the hospital and using a combination of antibiotics can the disease be controlled.
And the wound dressing needs to be changed every day.
Why!
This young man, relying on his youth, thinks that he is invulnerable to all poisons.
Now, okay, something happened!
At this time, the ECG monitoring also began to sound the alarm for low blood pressure and high heart rate.
Beep beep beep!
"Rescue first. Use a tube of epinephrine first. In addition, establish an intravenous channel to infuse antibiotics and use for rescue at the same time."
"Okay!" The nurse nodded quickly.
Start giving the patient fluids immediately.
Outside the disposal room, family members were still waiting there nervously.
Huang Lei quickly walked to the door, called his family members in and said:
"Wei Dian's condition suddenly deteriorated. He was in shock, or toxic shock, which is a series of shock reactions caused by bacteria entering the blood.
The mortality rate is still very high. We will try our best to rescue you, but we hope that you, as a family member, should be mentally prepared. "
The family member is a young girl, and the two have just been married.
He looks younger than Wei Dian.
“Uuuuuuuuuuuuuuuuuuuu.
When the family members saw the rescue scene, they immediately started crying.
But Huang Lei can't say what the outcome will be at this time.
This guy should have been receiving treatment in the hospital a few days ago.
He remembered that Zhang Yi persuaded the young man several times at that time.
But this guy didn't appreciate it, insisting that the hospital was cheating him out of money.
Why!
Now that it's so serious and you have to go to the hospital, it might cost you more money.
"We will try our best to rescue him, but we just want to tell your family members that he is in very dangerous condition now. If he has other family members, such as his parents, please notify him as soon as possible.
Ask other family members to come over, so that no matter what the outcome is, you can deal with it together as a family. "
"Uuuu... Doctor, please save Wei Tian, we have just gotten married... Uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu
Huang Lei could only nod and said: "We will try our best."
After the communication, the family members began to contact other family members outside.
In the treatment room, the general surgeon had already started cardiopulmonary resuscitation.
"Take an adrenaline shot and an Alamin shot!"
"OK!"
Alamin is a vasopressor.
The rescue time passed quickly for five minutes.
Rescue medication and antibiotics were used.
The first step in rescuing toxic shock is to identify the causative bacteria, but this takes time.
They have to wait until the lab finds out before the doctor can prescribe the right medicine.
It can only be used in combination with some antibiotics first.
Plus rescue medication.
As a result, the patient showed no signs of improvement.
Huang Lei and the general surgeon were both a little anxious.
They did follow the normal operation to rescue.
Why is there no effect at all?
What should I do?
Last time I saw Zhang Yi rescue so easily, why did he have to encounter some difficult patients?
They are both necrotizing fasciitis, but the area of infection of this fasciitis may not be as large as that of the old lady.
As a result, this guy is more serious than the old lady?
What bad luck!
"What should I do? How about calling a senior doctor to come and take a look?" said the general surgery doctor.
Huang Lei frowned and thought for a few seconds and then said:
"Wait, I'll call Zhang Yi."
Chapter 141 Tragedy happened in the operating room...
The general surgery doctor was stunned, and then reacted.