Invincible Hand
Chapter 91 Antibiotic Allergy
Chapter 91 Antibiotic Allergy
"Okay, Xiao Fang, you can do another breath test for him!" Su Bing instructed the nurse on the side.
The breath test is currently the most convenient clinical method for detecting Helicobacter pylori.Simple and fast.
Three minutes later, the nurse Xiao Fang handed the result of the breath test to Su Bing.
When Su Bing saw it, he was almost stunned, only to see that the number of Helicobacter pylori was over [-]!Although there are Helicobacter pylori in the stomach of normal people, they are very rare. The high data of Liang Yiming is quite terrifying.
"Xiao Fang, quickly give him a penicillin susceptibility test. If it's negative, give him an intravenous infusion of 800 million units of penicillin immediately..." Su Bing gave the doctor's order decisively, and at the same time, her inquiring eyes turned to Yuan Ye again.
If it hadn't been for Yuan Ye's reminder, it would have been hard for her to think that Liang Yiming's gastritis was caused by Helicobacter pylori infection.You know, the treatment plan she made for Liang Yiming before was mainly to protect the gastric mucosa and reduce gastric acid secretion. She never thought of starting with Helicobacter pylori. It seems that her previous plan has always been problematic!Thinking of this, Su Bing cast a grateful glance at Yuan Ye. It seems that Yuan Ye is really her lucky star. As long as he is by her side, she will not be afraid of any intractable diseases...
After 654-2 entered, Liang Yiming's stomachache temporarily eased, and he regained his energy to start preparing to continue working.
"Su Bing, come here, I have something to discuss with you..." Liang Yiming waved at Su Bing.
Su Bing hurried forward, thinking of the task Liang Shuang gave her, she could just mention it to him.
"Su Bing, don't you have a single room here? Transfer me to one, I'm afraid of noise here..." Liang Yiming smiled slyly.
Seeing Liang Yiming's old fox-like smile, Yuan Ye immediately understood his intentions, and couldn't help complaining in his heart, "What a director Liang, I'm trying my best to treat your illness here, but you're fine, just thinking about it from me." Take some secrets out of your mouth, can I not tell what I can say?Since you can't say it, why do you keep asking?However, having said that, Yuan Ye also knew that Liang Yiming was a policeman. As long as he wanted to know something, he might have to say one, two, three if he didn't want to, otherwise he would be in trouble.
"This is easy to handle. Uncle Liang is willing to come to me because he thinks highly of me. I will definitely arrange the best room for you..." Su Bing smiled like a flower. Of course, she also had plans. Of course it was for Yuan Ye.
While Su Bing was talking with Liang Yiming in a low voice, Yuan Ye was also thinking about his own affairs. If Liang Yiming really questioned him badly, he might have to go to Liang Shuang again, in exchange for an operation for her. That's it, Yuan Ye thought to himself, unaware that this operation had already earned him 5 yuan in income.
"There is a VIP ward on the third floor. Although it is above the gynecological ward, but fortunately, it is clean and has an independent passage..." Su Bing continued to introduce the situation of the ward to Liang Yiming.
But at this moment, a piercing siren of an ambulance suddenly pierced the sky, and almost at the same time, Yuan Ye, Su Bing, and the medical staff all rushed into the yard.
For medical staff, hearing the sound of an ambulance is like hearing the horn of a battlefield.
The ambulance stopped in the yard, the door was quickly opened, and at the same time, a stretcher was lifted off.A bloody person appeared in front of everyone.
"The injured person unfortunately fell while cleaning the glass at a high altitude, and he is the closest to your place..." the medical staff of the ambulance explained to the doctor of the Women's Hospital.
"Wow! Fresh blood!" Before Yuan Ye could react, he heard a cheerful shout in his ear, and he didn't need to guess, he knew that Er couldn't hold back and rushed over.
After completing the simple handover tasks, the doctors and nurses here have already pushed the injured to the emergency room together!
The wounded person was seriously injured and bleeding profusely. I'm afraid there were many serious injuries all over his body!Urgent surgery is required!
"I'm coming!" Almost without thinking, Yuan Ye took a white coat and put it on, and entered the operating room with other medical staff.
"Hey, hey!" Liang Yiming shouted loudly behind him.
As the head of the Public Security Bureau, he has seen a lot of these bloody scenes, so it didn't cause him much psychological fluctuations, but after seeing Yuan Ye put on a white coat and entered the emergency operating room with other medical staff, he suddenly came to his senses , Yuan Ye is his suspect, how can he just leave, this kid, really think that nothing is wrong with him?
"Hi, may I help you?" Seeing Liang Yiming shouting there alone, a nurse next to him hurried forward and asked.
"I, hey! It's okay..." Thinking of the scene at this time, Liang Yiming sighed and acquiesced to Yuan Ye's behavior. At this time, he couldn't jump out and say that he couldn't let Yuan Ye participate in treating diseases and saving lives, right?
"Master, I'll come too!" When Yuan Ye put on his surgical gown, sterile gloves, mask and hat, No. [-] jumped into his hand, a small scalpel, glowing coldly under the shadowless lamp. Guang Guang, No. [-] looks almost the same as when Yuan Ye first discovered him, but at this moment, he has been promoted to the third era of civilization.Possesses the medical skills of the third civilization era.As far as he himself is concerned, apart from being able to freely enter and exit Yuan Ye's body and omnipotently changing the shape of his body, he already has a brand new function, that is, shrinking his body shape into the microcosmic world, that is to say At this moment, number two can completely work under a tiny structure that is difficult to detect with the naked eye!
The injured man was in his 30s, with multiple fractures and injuries to his internal organs. However, Yuan Ye was a little relieved that despite the multiple injuries all over his body, he was still sane, which meant that the injured man's condition was not too serious. .
After a physical examination, Yuan Ye had a general understanding of the condition of the injured. The injured had three broken ribs and internal bleeding in the abdominal cavity, but it was not too serious.
"Emergency debridement, laparotomy!" Yuan Ye ordered the treatment plan decisively.
"Okay! Just do what Dr. Yuan said!" Su Bing and Li Ke responded as soon as Yuan Ye finished speaking.
With Yuan Ye's leadership and Dean Su's approval, everyone took action in an orderly manner.
Emergency preoperative preparations, opening of venous access, oxygen inhalation, ECG monitoring... In the emergency operating room, everyone split up and took action.
Holding a scalpel in his hand, Yuan Ye started the operation nervously and seriously after making preoperative preparations and anesthesia!
With the help of No. [-], the operation process appeared to be extremely smooth. However, when the two-hour operation was about to end, the roving nurse suddenly told Yuan Ye some bad news: the patient's body temperature rose sharply, approaching the end of the operation. Forty degrees!However, the drug sensitivity test showed that the patient was allergic to both penicillins and cephalosporins!
Generally speaking, after trauma surgery, patients will have a fever. This is a protective reaction, called surgical fever or traumatic fever, and it is the body's normal response to surgical trauma. Of course, postoperative infection is not ruled out.However, if it is caused by infection, the problem will be more troublesome, because the patient is allergic, and whether ordinary antibiotics can be used will make it more difficult to control the infection.
"Draw some blood first, check the blood phase, and, by the way, do some culture..." After hearing the news, Yuan Ye frowned, but there was no other way but to confirm whether the patient had absorbed heat after surgery. Still infected!
"Okay!" The roving nurse quickly took a blood sample from the patient, and sent the blood sample to the laboratory without any delay!
Five minutes later, the laboratory called, with another bad news: the patient's blood white blood cells exceeded the standard, and there were obvious signs of postoperative infection!
"The problem is serious now. Dean Su, Dr. Yuan, let's transfer the patient away as soon as possible..." An emergency doctor who assisted Yuan Ye in the operation said worriedly after receiving two bad news one after another.
The doctor's proposal is not unreasonable. As a specialized hospital, after the necessary rescue and the patient's condition is stable, they can indeed choose to transfer the patient to a large general hospital for further treatment.
"Yuan Ye, what do you think?" At the critical moment, Su Bing did not express his opinion, but looked at Yuan Ye.
Su Bing originally wanted to transfer the patient to a general hospital as soon as possible, but at this time, she suddenly remembered Fang Ruojing. At the beginning, she was also sent to a women's hospital with serious injuries. Hospitals, emergency personnel will not send them, but they have no choice but to send them to specialized hospitals when the patient's condition is extremely urgent, because the doctors in specialized hospitals are relatively limited in business and lack experience in dealing with complicated situations. , Often even if they are sent to a specialized hospital, the dangerous situation cannot be handled well. Instead, the patient is transferred to a general hospital a second time, which will cause some medical disputes, and the two hospitals are prone to disagreement on the division of responsibilities.In view of this situation, general hospitals are not willing to accept these patients transferred from specialized hospitals.What happened to Fang Ruojing during the transfer process last time is a good proof of the reactions of two hospitals at different levels when they encounter this situation again.
The reason why she asked this question was that Su Bing still had a glimmer of hope for Yuan Ye. She hoped that Yuan Ye would come up with an excellent treatment plan at a critical moment like last time.
Yuan Ye can understand Su Bing's good intentions, but this time is different from the last time. The situation of the injured person is not complicated. It's just that the physique is a bit special. Infection occurs in the body, and antibiotics are not needed. This is not a technical method. problems that can be solved.
"Master..." Just as Yuan Ye was about to agree to transfer the patient, a slow voice rang in his ears, and then he felt a small stick in his hand!
(End of this chapter)
"Okay, Xiao Fang, you can do another breath test for him!" Su Bing instructed the nurse on the side.
The breath test is currently the most convenient clinical method for detecting Helicobacter pylori.Simple and fast.
Three minutes later, the nurse Xiao Fang handed the result of the breath test to Su Bing.
When Su Bing saw it, he was almost stunned, only to see that the number of Helicobacter pylori was over [-]!Although there are Helicobacter pylori in the stomach of normal people, they are very rare. The high data of Liang Yiming is quite terrifying.
"Xiao Fang, quickly give him a penicillin susceptibility test. If it's negative, give him an intravenous infusion of 800 million units of penicillin immediately..." Su Bing gave the doctor's order decisively, and at the same time, her inquiring eyes turned to Yuan Ye again.
If it hadn't been for Yuan Ye's reminder, it would have been hard for her to think that Liang Yiming's gastritis was caused by Helicobacter pylori infection.You know, the treatment plan she made for Liang Yiming before was mainly to protect the gastric mucosa and reduce gastric acid secretion. She never thought of starting with Helicobacter pylori. It seems that her previous plan has always been problematic!Thinking of this, Su Bing cast a grateful glance at Yuan Ye. It seems that Yuan Ye is really her lucky star. As long as he is by her side, she will not be afraid of any intractable diseases...
After 654-2 entered, Liang Yiming's stomachache temporarily eased, and he regained his energy to start preparing to continue working.
"Su Bing, come here, I have something to discuss with you..." Liang Yiming waved at Su Bing.
Su Bing hurried forward, thinking of the task Liang Shuang gave her, she could just mention it to him.
"Su Bing, don't you have a single room here? Transfer me to one, I'm afraid of noise here..." Liang Yiming smiled slyly.
Seeing Liang Yiming's old fox-like smile, Yuan Ye immediately understood his intentions, and couldn't help complaining in his heart, "What a director Liang, I'm trying my best to treat your illness here, but you're fine, just thinking about it from me." Take some secrets out of your mouth, can I not tell what I can say?Since you can't say it, why do you keep asking?However, having said that, Yuan Ye also knew that Liang Yiming was a policeman. As long as he wanted to know something, he might have to say one, two, three if he didn't want to, otherwise he would be in trouble.
"This is easy to handle. Uncle Liang is willing to come to me because he thinks highly of me. I will definitely arrange the best room for you..." Su Bing smiled like a flower. Of course, she also had plans. Of course it was for Yuan Ye.
While Su Bing was talking with Liang Yiming in a low voice, Yuan Ye was also thinking about his own affairs. If Liang Yiming really questioned him badly, he might have to go to Liang Shuang again, in exchange for an operation for her. That's it, Yuan Ye thought to himself, unaware that this operation had already earned him 5 yuan in income.
"There is a VIP ward on the third floor. Although it is above the gynecological ward, but fortunately, it is clean and has an independent passage..." Su Bing continued to introduce the situation of the ward to Liang Yiming.
But at this moment, a piercing siren of an ambulance suddenly pierced the sky, and almost at the same time, Yuan Ye, Su Bing, and the medical staff all rushed into the yard.
For medical staff, hearing the sound of an ambulance is like hearing the horn of a battlefield.
The ambulance stopped in the yard, the door was quickly opened, and at the same time, a stretcher was lifted off.A bloody person appeared in front of everyone.
"The injured person unfortunately fell while cleaning the glass at a high altitude, and he is the closest to your place..." the medical staff of the ambulance explained to the doctor of the Women's Hospital.
"Wow! Fresh blood!" Before Yuan Ye could react, he heard a cheerful shout in his ear, and he didn't need to guess, he knew that Er couldn't hold back and rushed over.
After completing the simple handover tasks, the doctors and nurses here have already pushed the injured to the emergency room together!
The wounded person was seriously injured and bleeding profusely. I'm afraid there were many serious injuries all over his body!Urgent surgery is required!
"I'm coming!" Almost without thinking, Yuan Ye took a white coat and put it on, and entered the operating room with other medical staff.
"Hey, hey!" Liang Yiming shouted loudly behind him.
As the head of the Public Security Bureau, he has seen a lot of these bloody scenes, so it didn't cause him much psychological fluctuations, but after seeing Yuan Ye put on a white coat and entered the emergency operating room with other medical staff, he suddenly came to his senses , Yuan Ye is his suspect, how can he just leave, this kid, really think that nothing is wrong with him?
"Hi, may I help you?" Seeing Liang Yiming shouting there alone, a nurse next to him hurried forward and asked.
"I, hey! It's okay..." Thinking of the scene at this time, Liang Yiming sighed and acquiesced to Yuan Ye's behavior. At this time, he couldn't jump out and say that he couldn't let Yuan Ye participate in treating diseases and saving lives, right?
"Master, I'll come too!" When Yuan Ye put on his surgical gown, sterile gloves, mask and hat, No. [-] jumped into his hand, a small scalpel, glowing coldly under the shadowless lamp. Guang Guang, No. [-] looks almost the same as when Yuan Ye first discovered him, but at this moment, he has been promoted to the third era of civilization.Possesses the medical skills of the third civilization era.As far as he himself is concerned, apart from being able to freely enter and exit Yuan Ye's body and omnipotently changing the shape of his body, he already has a brand new function, that is, shrinking his body shape into the microcosmic world, that is to say At this moment, number two can completely work under a tiny structure that is difficult to detect with the naked eye!
The injured man was in his 30s, with multiple fractures and injuries to his internal organs. However, Yuan Ye was a little relieved that despite the multiple injuries all over his body, he was still sane, which meant that the injured man's condition was not too serious. .
After a physical examination, Yuan Ye had a general understanding of the condition of the injured. The injured had three broken ribs and internal bleeding in the abdominal cavity, but it was not too serious.
"Emergency debridement, laparotomy!" Yuan Ye ordered the treatment plan decisively.
"Okay! Just do what Dr. Yuan said!" Su Bing and Li Ke responded as soon as Yuan Ye finished speaking.
With Yuan Ye's leadership and Dean Su's approval, everyone took action in an orderly manner.
Emergency preoperative preparations, opening of venous access, oxygen inhalation, ECG monitoring... In the emergency operating room, everyone split up and took action.
Holding a scalpel in his hand, Yuan Ye started the operation nervously and seriously after making preoperative preparations and anesthesia!
With the help of No. [-], the operation process appeared to be extremely smooth. However, when the two-hour operation was about to end, the roving nurse suddenly told Yuan Ye some bad news: the patient's body temperature rose sharply, approaching the end of the operation. Forty degrees!However, the drug sensitivity test showed that the patient was allergic to both penicillins and cephalosporins!
Generally speaking, after trauma surgery, patients will have a fever. This is a protective reaction, called surgical fever or traumatic fever, and it is the body's normal response to surgical trauma. Of course, postoperative infection is not ruled out.However, if it is caused by infection, the problem will be more troublesome, because the patient is allergic, and whether ordinary antibiotics can be used will make it more difficult to control the infection.
"Draw some blood first, check the blood phase, and, by the way, do some culture..." After hearing the news, Yuan Ye frowned, but there was no other way but to confirm whether the patient had absorbed heat after surgery. Still infected!
"Okay!" The roving nurse quickly took a blood sample from the patient, and sent the blood sample to the laboratory without any delay!
Five minutes later, the laboratory called, with another bad news: the patient's blood white blood cells exceeded the standard, and there were obvious signs of postoperative infection!
"The problem is serious now. Dean Su, Dr. Yuan, let's transfer the patient away as soon as possible..." An emergency doctor who assisted Yuan Ye in the operation said worriedly after receiving two bad news one after another.
The doctor's proposal is not unreasonable. As a specialized hospital, after the necessary rescue and the patient's condition is stable, they can indeed choose to transfer the patient to a large general hospital for further treatment.
"Yuan Ye, what do you think?" At the critical moment, Su Bing did not express his opinion, but looked at Yuan Ye.
Su Bing originally wanted to transfer the patient to a general hospital as soon as possible, but at this time, she suddenly remembered Fang Ruojing. At the beginning, she was also sent to a women's hospital with serious injuries. Hospitals, emergency personnel will not send them, but they have no choice but to send them to specialized hospitals when the patient's condition is extremely urgent, because the doctors in specialized hospitals are relatively limited in business and lack experience in dealing with complicated situations. , Often even if they are sent to a specialized hospital, the dangerous situation cannot be handled well. Instead, the patient is transferred to a general hospital a second time, which will cause some medical disputes, and the two hospitals are prone to disagreement on the division of responsibilities.In view of this situation, general hospitals are not willing to accept these patients transferred from specialized hospitals.What happened to Fang Ruojing during the transfer process last time is a good proof of the reactions of two hospitals at different levels when they encounter this situation again.
The reason why she asked this question was that Su Bing still had a glimmer of hope for Yuan Ye. She hoped that Yuan Ye would come up with an excellent treatment plan at a critical moment like last time.
Yuan Ye can understand Su Bing's good intentions, but this time is different from the last time. The situation of the injured person is not complicated. It's just that the physique is a bit special. Infection occurs in the body, and antibiotics are not needed. This is not a technical method. problems that can be solved.
"Master..." Just as Yuan Ye was about to agree to transfer the patient, a slow voice rang in his ears, and then he felt a small stick in his hand!
(End of this chapter)
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