Doctor: start with the heart

Chapter 76 Cause and Effect
Two days later.

Three in the afternoon.

Consulting room.

Today is the day shift, and Zhao Xu and Fang Wei are also partners.

Zhao Xu was sitting in the consulting room looking at the medical records, when suddenly Fang Wei trotted in from outside the consulting room and said, "Doctor Zhao, that patient was brought by the ambulance that day!"

"Which one?"

Zhao Xu asked suspiciously.

"That's the one who plays the piano!"

Fang Wei said hastily.

"it is good!"

Hearing this, Zhao Xu stood up all of a sudden. As for the girl who played the piano who was most likely suffering from necrotizing fasciitis two days ago, in fact, Zhao Xu has been thinking about the girl since her mother took her away that day.

Zhao Xu tried to make another call later, but was still hung up.

Together with Fang Wei, Zhao Xu quickly came to the emergency room.

As soon as I entered the emergency room, I saw Xiaoya, the girl who came to see the doctor that day, lying on the hospital bed with a pale complexion and closed eyes. The skin of the girl's right thumb seemed to have turned black and purple. , there was a breach, and black exudate flowed out from it, not only that, but the thumb was also very swollen.

And her mother was also standing beside the hospital bed with a pale complexion and dull eyes, with a helpless and extremely remorseful look on her face.

As soon as she saw Zhao Xu coming in, the girl's mother seemed to have seen a life-saving straw. She stepped forward a few steps, grabbed Zhao Xu's sleeve, and cried eagerly, "Doctor, I was wrong, I shouldn't have done that." Said, you don't remember villains, please save Xiaoya! I beg you!"

While speaking, he looked like he was about to kneel down.

Zhao Xu quickly lifted the girl's mother up, and Fang Wei, who was on the side, also hurried forward to help the girl's mother who was about to collapse.

"Don't worry, tell me first, what's going on?"

Zhao Xu comforted the girl's mother and began to ask about the girl's situation. The first thing to do now is to understand the girl's situation. As for the other things, it will be after the girl is rescued.

"Yes, don't be in a hurry. Tell me about the situation first. Only when the situation is clarified can Dr. Zhao prescribe the right medicine to treat her."

Fang Wei also persuaded the girl's mother.

"Doctor, it's all my fault. I didn't listen to you. After I left here that day, I took Xiaoya to a clinic, prescribed some anti-inflammatory drugs for Xiaoya, and took Xiaoya to class. But this morning, Xiaoya I had to prepare for the competition in the afternoon, but I had a high fever since I woke up, Xiaoya insisted on continuing to compete, and when I arrived at the competition, I passed out before I played."

The girl's mother said regretfully.

"Doctor, we must save the child, Xiaoya is the only one!"

After a pause, the girl's mother begged again.

"I see."

Zhao Xu nodded. Now the girl's situation is very obvious. This is the systemic toxic shock caused by the development of necrotizing fasciitis.

Now the girl is running a high fever and has fallen into a coma, all of which are clinical manifestations of systemic toxic shock.

"Emergency blood test, go directly to the triple unit, and high-flow oxygen inhalation."

After a pause, Zhao Xu turned to Fang Wei and gave the doctor's order.

Triple, this is the abbreviation for the combination of three antibiotics. Necrotizing fasciitis is a critical surgical illness. In the principle of treatment, the most important thing is to apply a large number of effective antibiotics and systemic supportive treatment.

While doing emergency treatment, it is also necessary to conduct emergency blood routine and biochemical tests at the same time to determine the process of the patient's systemic poisoning and shock.

"I see."

Fang Wei nodded, and turned around quickly to prepare.

After a while, Fang Wei came over with the liquid and gave the girl an intravenous infusion, as well as oxygen.

When Fang Wei was drawing the girl's blood, the girl's mother seemed to have recovered a bit, and asked Zhao Xu, "Doctor, tell me the truth, what will happen to Xiaoya?"

"Her condition is very serious, and the coma is mainly caused by systemic toxic shock caused by necrotizing fasciitis. The first task now is to correct the shock, otherwise, it will be life-threatening."

Zhao Xu thought about it and said seriously.

"Doctor, what about Xiaoya's finger?"

The girl's mother asked tremblingly again.

"To be honest, she only came at this time. It's pretty good that her life can be saved. As for the fingers, we will do our best. However, you have to be prepared in your heart. If the necrosis spreads to other fingers, it may take a whole lot of work." Excision with one hand."

Zhao Xu said with great regret that doctors are not gods. Even if Zhao Xu has a system now, his medical skills are limited to the medical level of this era.

The girl's finger now looks swollen and black and purple. This situation shows that the local tissue is completely necrotic, and it took so long to treat, and the necrotic tissue fluid may have penetrated into other parts of the right hand. Fingers and palms, in this case, not only the thumb with lesion and necrosis needs to be removed, but the entire right hand needs to be amputated!

"Doctor, can you think of a way to keep Xiaoya's hand. She is going to be a pianist, if she loses her hand, how will she survive?"

Hearing Zhao Xu's words, the girl's mother said again in tears.

"We will do our best, but the priority now is to save her life."

Zhao Xu comforted the girl's mother and said that the matter could be eased. For now, life-saving is the most important thing. The problem of hands will be considered after saving life.

Even if surgery is needed to remove the necrotic tissue, it will have to wait until the current systemic toxic shock is corrected.

After dealing with the temporary doctor's order, the next step is to observe the girl's vital signs and various examination indicators in the body at any time to adjust the treatment plan.

This won't be effective in a short while, so Zhao Xu went back to the office, waiting for the results of the emergency blood test to come back.

At this moment, Sister Yang suddenly walked in from outside the office, stood in front of Zhao Xu, and asked, "Doctor Zhao, did you accept a player who fainted in the international piano competition just now?"

"That's what happened, what's wrong?"

Zhao Xu nodded.

"How is she? Is it serious?"

Sister Yang continued to ask.

She also just learned from the media colleagues in the piano competition that a contestant who was very promising to win the gold medal in the International Piano Competition suddenly fainted and fell into a coma just before going on stage, and it seemed to be quite serious.

After inquiring again, she was sent to the First Affiliated Hospital, and Zhao Xu was admitted, so she hurried over to ask about the situation.

"Are you going to make news?"

Zhao Xu said very vigilantly that the patient's specific condition was private, and as a doctor, he could not casually disclose it to anyone other than the patient's family.

"Doctor Zhao, I just think this is a good news material, I can dig and report it."

Sister Yang said slowly.

"The patient is not out of danger yet. Isn't it a bit inappropriate for you to do this?"

Zhao Xu said bluntly.

"Doctor Zhao, don't react so strongly. I also set out to better promote the hospital and departments. Since you disagree, then find a better time to do it later."

Sister Yang was a little unhappy seeing Zhao Xu, so she immediately turned the wind and said.

Now that Zhao Xu was the guarantee of ratings and traffic, she didn't dare to offend easily.

"hope so."

Zhao Xu said lightly.

(End of this chapter)