After everyone read the whole story, they were a little surprised. "It's amazing. When we were learning about porphyria, we took it like this. Even the teacher said that most people would never encounter it once in their lifetime." "Yes, it is a very rare disease. Who would have thought that such severe abdominal pain could be caused by an inborn metabolic disease!" “Dr. Xu’s clinical experience is so rich!” "This case is of great significance. In the future, if we encounter similar patients in the Department of Gastroenterology, Dermatology, and Neurology and are unable to diagnose them, we can try to rely on porphyria!" "Hehe, I suddenly feel that Dr. Xu is even better than the doctors at Xiehe University. Such a rare disease can be cured instantly with just a few examinations!" "..." Among the large group, this case caused a stir. For a rare disease like porphyria, even a hospital like Union Medical College cannot treat it at a glance. Like this patient, he had been seeing doctors for five years before coming to the No. 1 Hospital in Hainan, but he had not received a diagnosis.
And Xu Qiu was able to pinpoint the problem with just a few tests in one day - this kind of diagnostic ability was beyond the reach of even the director of Linhai No. 1 Hospital. Many directors who secretly peeked at the screen and did not speak were breaking out in a cold sweat at this moment. Putting it into perspective, if they received such a patient, they would never be able to find the cause of the disease as quickly as Xu Qiu... For a moment, all the directors of the hospital suddenly felt a sense of crisis. … "Xu Qiu, go back and have a good rest today, and plan to go to the outer courtyard with me tomorrow." A few days later, Wang Ping suddenly called Xu Qiu to the office and spoke solemnly. Xu Qiu guessed something, "Have you found the group that gambled on your life?" "Ma Pingchuan, do you remember?" "Remember." "His wife has also been invited to participate in the bet and is willing to cooperate with the police investigation. She will go to the 'casino' tonight to have a look. Once clear evidence is obtained, the police will be dispatched immediately." "Just the two of us?" Xu Qiu asked. "Of course not. There are also doctors from cardiac surgery, brain surgery, respiratory surgery and other departments. There is a small team of eight people in total." Wang Ping's tone was a little solemn. Theoretically speaking, there is absolutely no need for doctors like them to get involved in this kind of arrest. But, this time is different. There are a large number of critically ill patients there. If doctors are dispatched after the arrest, many patients may not be able to be saved. Therefore, doctors need to go there and be ready to save people at any time. Xu Qiu nodded.
This can be considered a hospital field service. It's just...the location is a little bit special. … Early the next morning, Xu Qiu had just finished her morning rounds and was still thinking about this incident when something suddenly happened again in the emergency department. What was delivered was a boy of seventeen or eighteen years old. He was unconscious, breathing deeply and rapidly, and his whole body was twitching. He looked like a dying person, which was extremely terrifying. The boy's sister came with the ambulance. Xu Qiu took the patient, looked at her sister, who was at most fourteen or fifteen years old, and asked, "Aren't the parents here?" The younger sister bit her lips and tears fell: "We are divorced and they don't care about us. We came to the city to look for them. Before we could find them, something happened to my brother first... Doctor, please, please save my brother!" " Everyone present was silent for a moment. Parents don't care... The subtext of these four words is that the two of them have no money for treatment. However, Xu Qiu's expression did not change at all. He pushed the bed and ran to the emergency room, saying: "Hurry, prepare for gastric lavage-" His sister interrupted him, "Doctor, your stomach has been washed. We have washed our stomach in the clinic..." Xu Qiu nodded and ordered methodically: "Prepare to check blood gases, insert urinary and gastric tubes. Prepare ventilator!" He touched the patient's hands and forehead, and his whole body was extremely hot. "Prepare ice caps and ice blankets." He leaned closer again, trying to distinguish the smell. In this case, the boy was obviously poisoned. Different poisonings often have iconic odors. Diabetic ketoacidosis smells like rotten apple. Dichlorvos poisoning has a pungent garlic smell. Hepatic coma has liver odor. There are also the smells of bitter almonds, rotten eggs, urine, etc... It's complicated to describe, but for experienced doctors, the judgment of many poisons is just a matter of nose. However, facing this boy, Xu Qiu was in trouble. His breath didn't smell like any known poison. Xu Qiu looked at her sister again and asked, "What did he eat before he got sick?"
"No, I don't know...I haven't eaten anything, not even breakfast." Xu Qiu believed the second half of the sentence. The boy vomited several times unconsciously, always retching. That's because there is nothing in the stomach to spit out. As for not eating before being poisoned - this is absolutely impossible, my sister just didn't notice. "How did you find out?" Xu Qiu asked. The younger sister recalled the scene at that time, her body started to tremble, and she said: "I...we came here for the first time. We took a long car ride here, stayed in the guest house for one night, and planned to go find our parents this morning. As a result, when I got up this morning, I saw that my brother had been shaking and his body was stiff. I just called 120... Wuwuwu! " Xu Qiu nodded and comforted: "Don't worry, we will try our best to rescue him." … Soon, in the emergency room, the results of the urgent blood gas test came out. The pH value is only . (Normal value ) Oxygen partial pressure 135; (normal value 80~100) Carbon dioxide partial pressure 73; (normal value 35~45) … Severe metabolic acidosis and respiratory acidosis. Xu Qiu judged that acidity should be caused by continuous convulsions. The partial pressure of carbon dioxide is so high that it is still an unsolved mystery. At this moment, Liu Susu suddenly arrived again and shouted at the door of the emergency room: "Doctor Xu, Director Wang called you because he was very anxious!" Xu Qiu nodded, "I'll be there right away." He quickly assessed the boy in the rescue bed. The most critical thing at the moment is actually acidosis. Such severe acidosis can trigger myocardial depression, leading to cardiac arrest and death. The top priority is to complete the electrocardiogram and confirm whether there are any abnormalities in the heart. "Pull an EKG!" Soon, the electrocardiogram results showed that the patient had ventricular tachycardia. "Prepare for defibrillation!" Xu Qiu moved very quickly.
"Charge!" "Get out of the way!" "Discharge!" boom! After two or three times, the patient's electrocardiogram returned to normal. "Do endotracheal intubation and speed up fluid replenishment!" At this time, Xu Qiu also roughly judged the boy's physical condition. Convulsions—acidosis. Cold limbs - not enough fluids. The most important thing now is to correct acidosis and replenish blood volume. "Go for a brain CT scan." At present, excluding brain lesions, the patient should be fine. After rescuing the boy, Xu Qiu rushed to Wang Ping's office. As soon as he entered the door, Wang Ping stood up and said with a heavy face: "Ma Pingchuan's wife withdrew 30,000 yuan from her bank card last night." Xu Qiu was slightly surprised. The other party planned to act internally, but in the end, he couldn't restrain himself and ran to place a bet? ! Wang Ping took a sip of tea and said with some worry: "No wonder they dare to develop customers unscrupulously. As long as they go there, I'm afraid not many people can maintain their original values —and they may even be complicit." The benefits behind such crazy things like gambling with one's life are so huge that it is simply unimaginable. For a desperate family like Ma's wife who spent five to six million yuan in the ICU and was heavily in debt, that was salvation and the only light of hope. "Is she still willing to cooperate?" Xu Qiu asked. "I'm still willing for the time being. But the police have noticed that she has been shaken - we can't delay it any longer and act now." The change came too suddenly. Xu Qiu quickly changed into casual clothes and went to the "Human Life Casino". He was curious about what kind of place it was. —— What can normally be written in a few hours, due to my current physical condition, Fried Chicken took a whole day to write, and I felt relieved when I finished it. Another thing to bother you, I don’t know if you have received this system notification:
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