Sleepless Doctor

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Li Qinghua could not understand what Ren Haitao said.

He knows the Cedarsene Medical Center, which is a huge private hospital, few people know about it in China, but it has an extraordinary position in the United States.

Is it not good for the cardiac intervention specialists at Cedarsene Medical Center to stay in the United States and earn a lot of dollars? Why come to China to be a doctor in the clinic? Moreover, let Ren Haitao say that he didn't dig for a lot of money, but he rushed forward...It was simply unimaginable.

The two chatted, the little doctor in the lead suit finished taking the film, and went to the radiology department to clean up the film.

After 10 minutes, the little doctor hurried back with a chest X-ray on the bedside.

Ren Haitao stood in front of the reader and looked at it for a long time, then took a photo and sent out the image data.

"Old Ren, what do you feel?" Li Qinghua asked again.

"But it is definitely negative pressure pulmonary edema, and the diagnosis is relatively clear. Because it is rare, I must have Teacher Wu give me a palm."

Ren Haitao said while watching the film, “Qinghua, the small tidal volume and high-frequency breathing you gave after a brief laryngospasm may be the cause of negative pressure pulmonary edema.”

Li Qinghua frowned, but did not refute Ren Haitao.

"Laryngeal edema is a manifestation of upper respiratory tract obstruction. The positive end-expiratory pressure should be changed, and the patient's symptoms will soon be relieved." Ren Haitao did not notice the change in Li Qinghua's expression and continued, "You gave a small tide. The ventilation and high-frequency ventilator-assisted mode allows patients to increase their breathing effort, generate negative pressure in the chest, and further aggravate pulmonary edema."

"..." Li Qinghua sighed deeply.

It seems that Ren Haitao doesn't know the distance and closeness at all. He just starts from the business and doesn't consider his own feelings.

Alas, but it can't be said that he is wrong.

This person... is really silly. In the past, Ren Haitao was in an awkward position in the Second Hospital of the Medical University. Director Xu could not do without him, but also had to beware of him. Ren Haitao seemed to be unaware of him, and worked and studied stupidly every day.

Li Qinghua reminded him of these things many times, but when Ren Haitao listened to it with his left ear, his right ear popped out, and he didn't take these very important interpersonal contacts at all.

"Wait a minute, Mr. Wu won't reply for 5 minutes, I'll call." Ren Haitao looked at the film on the reader with his eyes unblinking. His face reflected the light of the reader, so focused.

Within 5 minutes, Ren Haitao's cell phone rang.

He glanced at the phone, with a look of excitement on his face.

"Qinghua, I'll answer the phone." Ren Haitao connected to the phone as he walked away, "Hello, Mr. Wu, I'm causing you trouble."

"Patient..." He walked farther and farther, his voice was intermittent, Li Qinghua did not follow, but looked at the patient's ECG monitoring in a daze.

Although the heart rate is sinus, it beats about 140 times per minute, which makes Li Qinghua feel a little irritable.

To be honest, Ren Haitao's "outspokenness" made him very uncomfortable. However, he knows who Ren Haitao is because of the long-standing relationship between the two.

This is also one of the reasons why Ren Haitao could not be mentioned in the sophomore year of medical school. There is no one behind, and that broken mouth is always telling the truth, asking you to tell the truth...Of course, it is needed now.

Is there something wrong in your own disposal? Li Qinghua has been pondering this matter.

When the ventilator data was changed, there should be no problem, but why did the patient develop negative pressure pulmonary edema? 52 Literature

"Qinghua, give the PEEP of the ventilator to 7...no, give 8." Soon, Ren Haitao came back and said confidently.

"So high?" Li Qinghua was startled.

If the positive end-expiratory pressure reaches 8, can the patient still catch his breath? Are you sure the old man is not joking? If he hadn't known Ren Haitao's personality, Li Qinghua would have cursed people a long time ago.

"Well, the increase in positive end-expiratory pressure can reduce the high alveolar surface tension caused by insufficient alveolar surface active substances, and improve ventilation and blood flow ratio imbalance." Ren Haitao said, "Dimi, 10mg. Furosemide, 20mg. . Observe the changes in the condition and expect to see you within 1-2 hours."

Li Qinghua didn't have any thoughts, what should Ren Haitao say and do.

He had heard of negative pressure pulmonary edema, but there was no research at all. Even if it is to tell him the diagnosis, the probability of what treatment plan he wants to propose is still to find information. However, the data is very different from the actual situation, there is no clinical experience to rely on, and a treatment error may cause the patient to have a tracheotomy, and even sudden death may be possible.

Just as Ren Haitao said so confidently, and let the legendary teacher Wu give him a hand, it didn't matter if he tried first.

10 mg of hormones and 20 mg of furosemide will not lead to death of a 19-year-old young woman. What worries Li Qinghua most is that Ren Haitao said that the positive end-expiratory pressure was raised to 8 cm of water. Can the patient withstand such a high pressure?

After some psychological struggle, Li Qinghua had no choice but to do what Ren Haitao said.

Adjust the parameters of the ventilator, administer drugs, and shake the head of the bed 30°.

He was worried and sat on the bedside of the patient to observe the changes in his condition. After about 30 minutes, the blood oxygen saturation displayed on the monitor began to gradually increase.

It worked! Li Qinghua was overjoyed. He observed carefully for another 20 minutes, and the patient's blood oxygen saturation was indeed rising, rather than rising temporarily and then falling off a cliff.

Li Qinghua used a stethoscope to listen to the patient's breath sounds in both lungs. The rales were significantly reduced and the breath sounds increased.

Li Qinghua knew the usage of furosemide to increase urination and improve cardiopulmonary function, but he did not dare to use it casually.

Without knowing why, any change may lead to worse results, Li Qinghua is still very cautious.

The increase in PEEP of the ventilator does not seem to have side effects, but brings a series of positive changes.

After giving the medicine twice, Ren Haitao's eyes lit up, staring at the patient and the value on the machine. As the patient's blood oxygen saturation continued to rise slowly, Li Qinghua's heart gradually let go.

It was almost 12 o'clock at midnight ~www.wuxiaspot.com~ After a day's hard work, Li Qinghua was exhausted and wanted to find a place to sleep. But Ren Haitao still stared at the patient's vital signs energetically, without blinking his eyes, he was too embarrassed to leave.

Until 1:30 in the middle of the night, the ventilator was stopped to give oxygen, and the nasal catheter was humidified with 25% ethanol to give oxygen 3LminL.

After stopping the ventilator, Li Qinghua knew it was all right. He didn't expect to be able to go offline so quickly. Before looking for the old man, Li Qinghua was even ready for tracheotomy.

Fortunately, Lao Ren can see negative pressure pulmonary edema.

Fortunately, I did not hesitate to directly ask the old man to help.

fortunately……

Li Qinghua thought in his heart.

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