Chapter 318 The situation is very urgent
But when Wei Ping was about to treat him, Zhang Yang turned back.
Wei Ping didn't quite understand why he came back.
Until Zhang Yang said, "Doctor Wei, come with me to the ICU!"
His words were hurried.
I just told him that, and he really called me along.
Generally in this case, patients in the ICU may require surgical treatment.
So, Zhang Yang will call me and I will be ready at any time.
Wei Ping tidied up a bit, and everyone started explaining to the patients outside.
Because Dr. Wei has something urgent to do, he has temporarily stopped treating patients.
"What's going on?"
"The patient had a fist-sized lump in the liver area, and we in the hepatobiliary department suspected it was a malignant tumor!"
"Suspected? Didn't they just confirm it?"
Wei Ping was confused.
"At first, the diagnosis was made through a standard CT scan. Later, when we were doing an enhanced CT scan to confirm the diagnosis, the patient's condition suddenly deteriorated. Now he is under observation in the ICU, and his condition remains poor."
It turns out that some patients' condition worsens before they can even wait for the instrument examination.
If it is liver cancer, then the fist-sized tumor is basically in the late stage, and surgery is unlikely. It can be treated with targeted drugs, but the chances of cure are low.
If it is a cyst, it can be drained and surgery is completely feasible.
But this disease should be treated by the hepatobiliary surgery department, why did Zhang Yang call me?
"Is there no one left in the hepatobiliary surgery department?"
"Director Chen from the Hepatobiliary Surgery Department is here, but he needs you to come with him for a consultation. If surgery is required, I hope you can participate."
So that's how it is.
"good!"
The two of them walked towards the ICU.
When they arrived at the ICU, Director Chen of the Hepatobiliary Surgery Department saw Wei Ping and waved to him, signaling him to come in.
Wei Ping had met him before. He was sitting behind him during the meeting and introduced himself very enthusiastically.
"Director Chen!"
"Doctor Wei is here."
Director Chen is a thin old man. He is actually around fifty years old, but he looks a little old.
Next to him was a woman in her fifties, with a tube inserted into her mouth. Her breathing was steady, and the instruments beside her showed normal results.
Intubation is usually done when there is insufficient oxygen.
It must be a lung infection.
Wei Ping had just arrived and didn't know the patient's condition yet.
Anyway, let's understand the situation first.
"What's going on?"
Wei Ping asked.
At this time, an ICU doctor said.
"The patient was suffering from severe hypoxia, with a respiratory rate of only 35 breaths per minute. Her blood oxygen saturation, as monitored by the mask, was only 89%. After we put her on a tube, her blood oxygen saturation immediately rose to 95%. Her heart rate also gradually slowed to 120 beats per minute."
“This is a bedside chest X-ray!”
He showed Wei Ping another film.
The lung infection was indeed serious.
"Now there is a tumor or abscess in the liver. We cannot let her do an enhanced CT scan for the time being, so this cannot be determined. Here is her diagnosis and treatment report. Please take a look and then have a consultation together!" said Director Chen.
"Okay, Director Chen."
Wei Ping took the report.
Looked carefully.
I had a fever a week ago and thought I had a cold, so I took cold medicine.
There was no effect, the highest body temperature was 40°C, so I went to the local hospital for treatment.
In addition to the high fever, I also experienced nausea and vomiting, including two vomitings of stomach contents, along with general fatigue.
Looking at the blood report, the infection indicators are all high.
His blood sugar level was ridiculously high, reaching 30mmol/L, and his glycosylated hemoglobin was 11%.
It looks like diabetes. The patient said that he had never measured his blood sugar before, so he didn't know it was diabetes.
"Our initial diagnosis was diabetic ketoacidosis."
Normally, if blood sugar is not well controlled, the body cannot utilize glucose and instead utilizes fat. As a result, a lot of ketone bodies are produced after burning fat. Once ketone bodies accumulate, it is called ketoacidosis. Mild cases can cause nausea and vomiting, while severe cases can cause shock and even death.
"And the cause of the fever is infection!"
Director Chen said again.
There is nothing wrong with his diagnosis.
But the problem shouldn't be entirely here.
Diabetes is just one contributing factor.
The actual cause of the infection may be the lump.
This was Wei Ping’s first feeling.
"We can't do enhanced CT now, otherwise we could diagnose whether it is liver cancer or not," Director Dong added.
"Finally, you used insulin to lower your blood sugar?"
"Yes, we gave her insulin! But the cough problem has become more and more serious. According to the chest X-ray just now, the infection should have spread to the lungs."
Wei Ping looked at the case again. He found that he would become short of breath after a little activity, his heart rate would increase, with the fastest heart rate reaching 130 beats per minute, he would feel nausea and vomiting, and he also began to feel some abdominal pain.
Director Chen was now wondering if it was a liver abscess, and he wanted to hear Wei Ping's opinion.
After seeing all this, Wei Ping ordered an X-ray directly. He still followed the X-ray because it was the most direct method and his X-ray was better than enhanced CT.
CT scans are performed by machines, but he sees them with his naked eyes. Everything is very real and even has color markings.
Upon examination, it was found that in addition to the severe lung infection, the patient also had a liver abscess in the liver area, which was full of infection.
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