Doctor: start with the heart

Chapter 65 Epidermolysis Bullosa Exfoliation
"According to the results of the emergency blood test, the patient's liver and kidney functions are severely damaged, and the systemic inflammatory response is also very serious. It has been confirmed that this is endotoxin caused by epidermolysis bullosa Toxic shock, acute liver and kidney damage, and severe systemic infection. If you can’t survive these few days, the worst result may occur.”

Zhao Xu said to the uncle with a serious face.

Epidermolysis bullosa exfoliation is a skin disease characterized by epidermolysis, exfoliation, and blisters and bullae on the skin, and the girl Xiaoya’s case is the most serious condition-fatal bullae Epidermolysis!

Shock caused by endotoxin is a very difficult type of shock in clinical practice. Due to the disintegration of cells caused by radiation, a large amount of endotoxin is released. After entering the blood, these endotoxins reach all parts of the body along with the blood circulation. , acts on tiny blood vessels, causing microcirculation disturbance, leading to circulatory failure, hypotension, hypoxia, acidosis and so on.

If the endotoxic shock develops to a certain extent, the body will release myocardial inhibitory factors, causing the weakening of myocardial contractility, eventually leading to heart failure and death!

"Doctor Zhao, what is the worst outcome?"

The uncle asked tremblingly, he was a little unsteady at the moment.

"Endotoxic shock, if not corrected, can cause damage to the heart muscle, leading to heart failure and cardiac arrest."

Zhao Xu tried his best not to say the word death, because for a father, the news that his daughter might die in front of him was too much for his life to bear.

"Will Xiaoya die?"

The uncle looked at Zhao Xu with pleading eyes, like a drowning man waiting for the last straw.

"We'll do our best."

Zhao Xu also had a rushing feeling in his heart at the moment, but his strong professionalism made him say this calmly.

Children, for the vast majority of people in this world, may be the most important part of life, and even for some people, children's lives are more important than their own lives.

The love of parents is beyond the sky.

"Ugh.."

The uncle let out a long sigh, leaned on the edge of the bed, and looked at his daughter who was already out of shape on the hospital bed and was suffering pain and torture all the time, his heart was like a knife!
Seeing this scene, Zhao Xu felt as if his heart shrank tightly. People's feelings and emotions can be conveyed. Zhao Xu felt that he might not be able to understand one thousandth of the pain in the uncle's heart at this moment. .

Next, Zhao Xu contacted Dialysis, and the next step was to see the girl's fortune.

After dealing with this patient, it was already [-]:[-], and it was almost time to get off work.

Back in the office, Zhao Xu was still a little uneasy. He couldn't help thinking about how to increase the survival rate in such a complicated and serious situation as a girl.

At this moment, the girl's body is full of endotoxins, and dialysis treatment can only relieve it. Moreover, the girl's liver and kidney functions are severely damaged, and she also has serious infections. It's so tiny!
As for the peeling of the girl's skin, it can only be considered after saving her life.

"what happened?"

Sun Chang, who was sitting and resting, couldn't help asking when he saw Zhao Xu's pensive look.

"I was wondering if there is any other way for the 13-bed patient."

Zhao Xu sat down and said slowly.

"Bed 13? The one with bullosa? It's hard!"

Sun Chang shook his head. This 13-bed patient attracted the attention of doctors in the general department as soon as he came in. This kind of disease can be said to be very rare. Some people who have worked in the emergency department for decades may not necessarily see this rare and rare disease. cases.

"The most difficult thing now is that her whole body's microcirculation has problems, and her liver and kidneys are still severely damaged. If this situation continues, it will be hard to say."

After a pause, Sun Chang said again.

The problem she mentioned was naturally due to endotoxin poisoning, which caused damage to small microvessels throughout the body, resulting in systemic microcirculation disturbance. If it develops further, it will be life-threatening.

"Do you know anyone in the Biomedical Department?
Zhao Xu asked suddenly.

"Department of Biomedicine? Our school? Why are you asking this?"

Sun Chang was a little puzzled, wondering why Zhao Xu suddenly asked this.

"Do you know each other?"

Zhao Xu asked again.

"Don't you know that Academician Fu Mingguo of the Department of Biomedical Sciences is the director's teacher?"

Sun Chang looked at Zhao Xu with a strange face. Could it be that Zhao Xu, the absolute celebrity in front of the director, didn't know about this kind of thing?
"Hmm.. I really don't know about it. It turns out that the director's teacher is Academician Fu Mingguo from the Department of Biomedical Sciences."

Zhao Xu said that he really didn't know, because he was just a resident doctor before, and the academician level was as far away as the moon from him.

And this project of repairing cells with nanotubes was also something he saw in medical journals by chance.

"Why are you asking this all of a sudden? Have you thought about the direction of the postgraduate entrance examination?"

Sun Chang asked again.

"It's not the postgraduate entrance examination. It suddenly occurred to me that the Department of Biomedical Sciences seems to have a project about repairing cells with nanotubes."

Zhao Xu said slowly.

After returning to the office from the emergency room, he has been thinking about how to improve the survival rate of this patient, but even in the top hospital in the country like the First Affiliated Hospital, the treatment for the patient Xiaoya is actually only symptomatic treatment , Whether it can survive or not depends more on the patient's own recovery and healing ability.

"It seems that there is such a project. I heard that it has entered the second phase of clinical trials. Why, do you want to use this for 13 beds?"

The two had been working together for so long, so they naturally had a perfect understanding. Once Zhao Xu said this, Sun Chang knew what Zhao Xu was thinking.

"I have this idea."

Zhao Xu nodded.

"Although the nanotube repair clinic has entered the second phase, the medical expenses are not low. Moreover, as far as I know, the essence of this project is to inject nanotubes into the human body to temporarily replace the paralyzed self-repair system. Then stimulate the body's self-healing system to restore its function. To put it bluntly, this is to serve as an introduction, and whether it can achieve the expected effect depends on individual differences."

Sun Chang said with some worry.

What she meant, of course, is that the nanotube repair project is to stimulate the body's self-recovery system. This effect has great individual differences. Some people may have a good effect, and some people may have a little effect. There is no effect, it all depends on the state of the patient's own recovery system.

Her other meaning is that this treatment is expensive, if it is not effective, it will not only disappoint the hope of the patient's family, but also increase the financial burden, which means that people and money will be lost.

Clinically speaking, patients are short of money and human resources, which is the last result that doctors are unwilling to face.

"It's up to the patient's family to decide."

Zhao Xu nodded. What Sun Chang said, worrying about the lack of people and money, does exist. In fact, in many patients, the family members have to make this kind of dilemma.

"Well... have you noticed any changes around you recently?"

Sun Chang asked suddenly.

"Changes? Except for more people saying hello, there is really nothing else..."

Zhao Xu thought for a while and said, "I don't know why Sun Chang asked him all of a sudden.

"Then did you know? You are on the latest Internet celebrity list, and you are the only one on the list as a doctor."

Sun Chang said again.

"On the list? Can I eat it..."

Zhao Xu didn't take it seriously, things on the Internet came and went quickly.

"You'll feel it soon enough."

Sun Chang looked at Zhao Xu meaningfully. The role of modern networks and publicity, this time Zhao Xu wanted to experience it for himself.

(End of this chapter)