He noticed an unremarkable symptom in the physical examination column. “The patient’s gums are red and swollen, and mild periodontal pocket overflow and pus can be seen”… Xu Qiu quickly reviewed the patient's entire medical record. At the same time, my mind is working rapidly. After a moment, a somewhat bizarre diagnosis came out. "Trichomonas vaginalis?" As soon as these words came out, it was like a bomb detonating on the calm lake. At the respiratory surgery department, all the doctors burst into laughter. Ding Huan was originally ashamed of his misdiagnosis. Hearing this, he burst out laughing and said, "Are you kidding me? This is a male patient in his sixties!" Trichomonas vaginalis?
This is a bacterial infection of the female vagina, urinary tract, etc. How can it get into the chest and lungs? Besides, this is a man! Even if you talk about Trichomonas penis, it's not that outrageous. Director Zhang of the Respiratory Surgery Department stood up and said: "It should be a rare pathogenic bacteria, so we should just surround it with antibiotics." After that, he ended the consultation without caring about Xu Qiu's face. Soon after, the group arrived at the emergency department ward. Bed No. 60 is the patient with a difficult lung infection. "This is Director Zhang of the Department of Respiratory Surgery. He has been engaged in respiratory diseases for more than thirty years. He is very good at treating difficult bacterial infections..." someone introduced. A glimmer of light appeared in the eyes of the patient's family members, and they rushed to greet him. Director Zhang clasped his hands behind his back and said nothing. His eyes rested on the patient. The patient had been bedridden for several days. At this time, his complexion could not be worse, his lips were gray, his consciousness was blurred, and he looked like he was dying. The air is filled with the stench of phlegm. "I have encountered similar patients before, but it happened after drilling and drainage surgery for cerebral hemorrhage..." That time was also extremely dangerous. Finally, the "antibiotic siege" tactic was adopted, using a combination of four high-grade antibiotics to finally suppress the infection. However, that case remained unsolved from beginning to end. Now this one... Although the causative bacteria cannot be found now, the top priority is to curb the progression of the disease first and then save the person.
"Xiao Ding, use quadruple antibiotics." At present, the director of respiratory surgery gave further plans. It's just a difficult infection... He doesn't need Xu Qiu to point his fingers. Besides, Trichomonas vaginalis? What an outrageous speculation that is! … After the chief doctor's order was issued, the emergency department quickly gave high-dose, wide-coverage high-grade antibiotics. In the afternoon, the patient's condition improved. The high fever subsided, and my consciousness gradually recovered. The patient's family was overjoyed. He kept saying that he would send a banner to the director of respiratory surgery. When Xu Qiu saw that his condition was under control, he didn't think much about it. He just felt that he might have paid too much attention to a particular symptom. Just when everyone thought that this patient's treatment was over... That night, at around 11 o'clock in the night, the patient in bed No. 60 suddenly began to foam at the mouth and twitched all over. The nurse was called over by the panicked family members. When she touched her body temperature, she found it was too hot to touch. It was estimated to be about 40 degrees Celsius. This is a very high fever! After receiving the news, the director of respiratory surgery rushed over in a hurry. Under his white coat he was still wearing pajamas. "What's going on? Why did it relapse again!" The director of respiratory surgery frowned deeply, feeling incomprehensible. But he couldn't say this. Among the people present, he was the most professional. If even he is helpless, the medical staff and family members may fall into despair! Therefore, he could only say calmly: "Use polymyxin!" This antibiotic is the last trump card in the Department of Infectious Diseases. It is also a last resort. Sure enough, after being given polymyxin, the patient's high fever subsided in the early morning. However, the good times did not last long. The polymyxin had not been suppressed for a day, and the patient began to have high fever again in the afternoon of the next day. At this time, the patient's consciousness was almost completely lost, his eyes were gray, his cheeks were thin, and the entire ward was filled with the smell of sputum, excrement, vomit, etc.
Director Zhang felt like his head was going to explode when he saw this message. What kind of evil is this time... He suddenly felt a headache. After looking through the literature in academia for a long time, there was still no result. In desperation, Director Zhang made a phone call. "Teacher, I encountered a case..." On the other side of the phone was the old professor who taught him decades ago. Although he has been relegated to the second line now, he has considerable knowledge in lung infections. After Director Zhang recounted the case, the other end of the phone fell into deep thought. After the two communicated for half an hour, the old professor gave new diagnostic suggestions. "Superbugs" This time the treatment plan has also been upgraded. Surrounded by antibiotics + albumin + globulin, it comprehensively covers pathogenic bacteria and effectively activates the body's passive immunity! But when the new treatment plan was notified to the family, The family members are despairing and have lost their last hope. "How much does this treatment cost?" The family member asked coldly, sitting by the bed. Ding Huan, who came to deliver the message, crossed his arms and said, "It's not expensive. A course of treatment only costs a thousand yuan." "A thousand dollars... enough for my wife and I to live on for several months." The family members kept sighing. It was mixed with the patient's painful cough. Ding Huan frowned, stepped back a few steps, and said, "Are you sure it's incurable? The patient's condition is still very dangerous now. If it works this time, it should be solved once and for all..." "I don't have so much money to try again." Seeing that the other party was determined, Ding Huan had to give up and hurriedly left the ward. After closing the door of the ward, he sighed. It's a pity that such a rare case, if you continue to try new treatments and try a few more courses, maybe you can publish another article! After all, this is a rare and difficult disease in the industry! At this time, Xu Qiu in the office also received a call from He Hai. He Hai informed him that the patient with repeated lung infection in bed 60 suddenly asked to be discharged. Xu Qiu quickly retrieved the patient's record.
He took a look and was shocked. The infection of this patient was not under control! His condition has been recurring, and each recurrence is more serious... Moreover, just half an hour ago, the respiratory surgery department opened a new plan. The cost of treatment is higher than before. "Are you testing drugs on people?" Xu Qiu rushed to the ward. "Auntie, are you going to be discharged?" Xu Qiu glanced at the patient on the bed, who was already dying. His expression immediately became serious. If the patient was really discharged, it was unknown whether he could survive for three days!
