Geng Lingfei brought a chair over for her, helped her sit on it and let her rest for a while.
"Thank you." Fan Yunyun said.
"What are you thanking me for?" Geng Lingfei turned his head and thought that if he could move faster and have better eyesight, this wouldn't happen. It meant that he and she needed to continue exercising. No wonder Teacher Xie asked him to do physical exercise.
"It happened suddenly." The nurse explained to Xie Wanying and Song Xuelin, "The patient may be unconscious and doesn't know what he is doing."
The brain cannot withstand a high fever to a certain degree. The patient's temperature is now 40 degrees. Xie Wanying speculated that the patient is likely to develop severe acute obstructive suppurative cholangitis. If this continues, systemic toxemia and toxic shock will kill the patient.
Simply using physical methods to reduce fever or giving antipyretic injections is only a temporary solution. Fever is only a manifestation of a disease, and obstruction is the most terrible and life-threatening.
We need to figure out where the obstruction is.
The medical record stated that the T-type drainage tube could not be removed after the operation and the patient's drainage fluid did not meet the removal criteria.
Normally, the drainage fluid after surgery should be clear and transparent yellow or yellow-green, without pus, sediment, floccules, or turbidity, and the drainage volume should gradually decrease. Take a choledochography and the bile duct should be unobstructed. Try clamping the tube. If the patient does not have symptoms such as fever, it can be removed.
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Now, this patient cannot meet any of the indicators and cannot have the tube removed. The patient and his family members who cannot have the tube removed are very upset. The patient cannot live and work with the drainage tube all the time, so they have reached the limit of their tolerance for the original hospital's technology.
Logically speaking, there are several infectious disease hospitals in the capital, and the one the patient went to is not the most famous one, but its technical reputation should not be too bad. It can only be said that this obstruction is very difficult.
If the patient has another obstruction after surgery, he will need to go back to the operating room if the situation is not right. It happened that this patient was infected with HIV and had low immunity. I guess the doctors in the hospital took this into consideration and did not dare to send the patient to the operating room for another laparotomy, fearing that the patient would die on the operating table and would not be able to get off, which would be a bigger problem.
The experienced nurses frowned as they watched, knowing that they might have to collect the bodies. The two newcomers on night duty tonight were not reliable.
"Do you want to call Dr. Tao?" the nurse asked the doctor on duty.
Song Xuelin and Xie Wanying didn't seem to hear her words, and were concentrating on palpating the patient's abdomen and checking the drainage tube. The patient was not in a condition to go on the operating table for emergency surgery, so they could only think of a way to fix the drainage tube.
"The patient didn't bring the CT scan he took at the hospital before, right?" Xie Wanying turned around and asked the servant.
"Probably not." The nurse said. If there was, it would have been given to the doctor when I handed in my medical records.
When Geng Lingfei heard this, he ran out to help the teacher ask the patient's family.
Really not. The doctor there may have forgotten to give it to the patient. The patient's family did not ask the previous hospital for it. If the patient was transferred to another hospital, the doctor at the previous hospital should have been more responsible and took care of these details so that the patient could be transferred safely. There is only one possibility, that the doctor there and the patient's family had a big conflict, and the patient was asked to leave quickly, and the mentality was like throwing away a burden, so he would not remember to do these small details.
Colleagues who are trying to shirk their responsibilities will not care about the medical institutions and doctors who take over, so colleagues who do not contact the units that receive the patients first are being rogue.
Song Xuelin stood up and took another breath. He needed to adjust his mood. He was a little mad.
It is very troublesome without CT scan. Only CT scan can clearly show where the obstruction is.
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