Xia Hua is an old internal medicine director and relatively experienced, so he was the first to stand up:

"The child has already had his stomach lavaged, and the time has been too long, so now we can only treat the symptoms, including slow intravenous injection of calcium gluconate, supplementing vitamin B, vitamin C, and vitamin K; hormone injections are also used to inhibit the hemolytic reaction.

Then intravenously inject 10% sodium thiosulfate to assist renal excretion. Oh, by the way, penicillamine also has a certain arsenic-removing effect and can be used. In addition, the child's hemoglobin has been as low as 4g, and blood transfusion is also needed to expand the volume.

Also pay attention to correcting dehydration and electrolyte imbalance.”

Although Yi Zewen has become the director of the department, he still holds the medical order book like a little doctor. If Director Xia says a medicine, he will record it.

At this time, Director Zhu Huoyan shook his head:

"What Lao Xia said is symptomatic treatment, but this still doesn't work. The child has been poisoned by arsenic for two weeks, and the toxicity has penetrated into various organs and aspects. It is best to have specific drugs. Do you have any suggestions in this regard?"

Lan Lijuan said at this time:

"There are indeed specific drugs for arsenic poisoning, such as sodium dimercaptopane sulfonate and disodium dimercaptobutyrate, but these two drugs are not available in Vietnam and China. I am afraid that there are not many available nationwide because they cannot be produced domestically."

Director Xia nodded in agreement: "Yes, if there was such a special medicine, I would have said so."

Sodium dimercaptopropane sulfonate, disodium dimercaptobutyrate?

When Chen Qi heard this, he was stunned. In fact, he used his mind to search for these two drugs in the space operating room. After all, he had emptied out a top hospital in the United States, and he had all kinds of rare drugs.

Then he came to his senses and clenched his fists because he had found it.

This is not the time to make excuses. Fu Zhenzhen is already on the line between life and death. The sooner the patient takes medication, the more likely he or she will live.

"Sodium dimercaptopropanesulfonate, disodium dimercaptobutyrate, right? After I received the call from Yangshan Hospital, I sent someone to arrange the goods. Now I'm going to get it."

The other doctors were very excited when they heard this: "That's great. Dean Chen is so powerful. He can get any medicine."

Lan Lijuan was secretly confused, because her man had been asking the internist what medicine to use before, so why did he suddenly change his words and say that he already knew what medicine to use and had someone send it to him?

But she wasn't prepared to get to the bottom of it. Everyone had their own secrets, and it was rare to be confused.

Chen Qi ran out of the ward, casually ran around outside the hospital, and ran back as fast as he could. The blue medicine box in his hand contained a series of sodium dimercaptophenyl sulfonate injections and dimercaptodine.

Disodium injection.

"Director Xia, Lijuan, hurry up, I have brought the special medicine, how do you use it?"

Director Xia Hua eagerly took the medicine and took a look, his eyes flashed with golden light:

"This is an American product. It's too precious. Quickly, 0.2g of sodium dimercaptopropanesulfonate should be injected intramuscularly, and 2g of sodium dimercaptobutyrate should be dissolved in 20ml of normal saline for intravenous injection."

Head nurse Liu Min immediately took the medicine, ran to the nurse station to dissolve the medicine in person, and then came to give the medicine to the patient in person, fearing that the little nurse would spill such precious medicine.

Director Zhou of Yangshan Hospital, who was pretending to be transparent, was shocked when he saw it.

Of course he knew about the two special medicines sodium dimercaptopropanesulfonate and disodium dimercaptobutyrate, and had read the information about them. However, Yangshan Hospital contacted major hospitals and pharmaceutical companies across the country for these two medicines, and the answer was that they were all out of stock.

.

(Except for special departments in China, which have stocks in stock, other major hospitals dare not introduce them. After all, foreigners sell them to domestic hospitals for thousands of dollars each, and medicines have an expiration date. If they expire, you will be responsible.

No one dares to bear it.)

Good guy, the Yue Traditional Chinese Medicine Hospital got the special medicine that Yangshan Hospital tried its best to get in a few hours.

The connections and channels of this Yue Traditional Chinese Medicine Hospital are incredible. How can I compare with this Yangshan Hospital? It's not on the same level at all.

That night, the Yuezhong Hospital arranged for two doctors, two nurses, and two caregivers to take care of the young patient Fu Zhenzhen.

The little patient's condition also affects everyone's heart.

The next day, Chen Qi and Lan Lijuan arrived at the hospital at 7 a.m. and went directly to the burn surgical ward, only to find that many doctors were already there.

"Guo Shuji, Teacher Zhu, Teacher Xia, are you here so early?"

No one answered Chen Qi. Everyone was looking down at the night's medical records and the examination reports that came out one after another after admission.

Chen Qi didn't take it seriously and stretched his head to see the inspection report.

I don't know, but after seeing him, his mood fell to the bottom. No one said hello to him, but he didn't want to answer anyone.

Because several indicators are very pessimistic.

Head nurse Liu Min has been taking care of the little patients in the hospital last night. An experienced nurse can be as good as a senior doctor:

"Let me tell you, when I defecated the patient last night, I found that the stool was black, so I specially drew an extra blood and took it to the emergency department for testing. You see, the hemoglobin was only 70. This means there was internal bleeding.

"

This is really a wave of ups and downs. Before the poisoning and burns were resolved, the digestive tract began to bleed.

This matter was Lan Lijuan's specialty, so she immediately walked to the young patient and performed a physical examination on the comatose Fu Zhenzhen.

A few minutes later, Dr. Lan gave his opinion:

"I think it's a stress ulcer. It's hard to say whether there's a perforation, but such a low hemoglobin is quite dangerous."

Stress ulcer generally refers to acute gastritis that occurs after shock, trauma, surgery and severe systemic infection. It is often accompanied by bleeding symptoms and is an acute gastric mucosal lesion.

Chen Qi saw everyone looking gloomy and decided to cheer up the team:

"Other hospitals can't do anything about ulcer bleeding. Is it still a problem in our hospital? Head nurse, ask Professor Zhang Weizhong to come over immediately with a gastroscope. Let's stop the bleeding with endoscopy first. Dr. Lan, you can prescribe omeprazole right away."

Use the injection."

Everyone heard the same thing. The hospital with the best endoscopy technology in the world is the Yue Traditional Chinese Medicine Hospital. Gastrointestinal bleeding is not a problem.

After a while, Professor Zhang Weizhong and several students came with tools and began to perform endoscopic ulcer hemostasis.

But Chen Qi was pulled aside by Director Xia of the Department of Internal Medicine, pointing to a page of report sheet and said:

"Dean Chen, look at the liver function. Aspartate aminotransferase and alanine aminotransferase are both over 1000U/L, and the creatinine value has reached 1500μmol/L. This is acute liver and kidney failure. If it is not treated, subsequent treatment will be meaningless.

I guess this patient won’t last more than a week.”

The normal values ​​of aspartate aminotransferase and alanine aminotransferase are 0-40U/L, and the normal value of creatinine is generally 44~132μmol/L.

The two indicators of the little patient in front of me can only be described as racing. The speedometer is almost exploding and he can't even pull back.

The consequence of these explosive biochemical indicators is that the detoxification function of the liver and kidneys have been almost lost.

In addition, liver failure will increase the risk of bleeding, hepatic encephalopathy may occur, blood ammonia will increase significantly, and some patients may develop hepatorenal syndrome, which may be fatal.

When kidney function fails, the ability to drain water and detoxify is significantly reduced, which will lead to the occurrence of heart failure. Some patients may develop uremic pneumonia, uremic encephalopathy, and severe patients may have hyperkalemia and metabolic acidosis.

poisoning.

The related conditions mentioned above may have fatal risks. For example, hyperkalemia can lead to cardiac arrest and even the risk of sudden death.

All doctors understand the dangers of liver and kidney failure, not to mention respiratory failure.

Director Xia added:

"The liver and kidney function is so bad. The fundamental problem is that the arsenic toxicity in the patient's blood cannot be completely eliminated. It continues to harm the liver, kidneys and other organs throughout the body. It seems that the two imported special drugs you brought yesterday did not work.

It’s effective.”

The meaning is also very simple. This little girl has been poisoned by arsenic and is now about to die.

If this problem cannot be solved, the patient will only survive for a few days. No matter how good your burn surgical skills are, it will be useless and he will not survive this day.

Chen Qi is also worried. He was bragging to reporters yesterday, but today his bragging is about to explode. Where does this leave his credibility?

The most important thing is that he also pities Fu Zhenzhen, a young patient, and wants to do his part.

Just when everyone was sighing, a little nurse murmured a few words to herself:

"You think it would be great if we doctors could be like qigong masters, who can perform qigong exercises to heal the patient's injuries, and then force the toxins out of the body, and then the patient vomits out two mouthfuls of black blood, and the arsenic toxicity is eliminated?"

The young nurse's words first aroused Director Xia Hua's rebuttal. The old lady had the same temper as Lao Guo, and could not tolerate sand in her eyes.

"Fart, what the hell is Qigong? What a mess. If Qigong can cure diseases, why do we need doctors?"

Chen Qi's eyes lit up after hearing this, and he clapped his hands excitedly:

"Yes, what if there was a treatment method that could force the toxins out of the blood and then eliminate them?"

Director Zhu Huoyan raised his eyebrows after hearing this: "Chen Qi, why do you believe in Qigong?"

Lan Lijuan was lowering her head to deal with the patient. When she heard that her husband actually wanted to use Qigong for treatment, she was so frightened that she stood up straight and looked at Chen Qi with doubts in her eyes.

She was a little confused because when the couple chatted privately, Chen Qi always said that qigong was a pseudoscience and a lie, and even said that it would affect national security in the future.

Why does he actually believe in Qigong now?

That is to say, Comrade Lao Guo went out just now. If he had been present, Chen Qi would have been hit on the back of the head again.

Zhou Siqi, director of the Department of Surgery at Yangshan Hospital, who had been acting as a transparent person next to him, rolled his eyes. He thought that Qigong could really cure diseases? Anyway, he had some faith in it.

Chen Qi was furious after hearing this, rolled his eyes and said:

"What's Qigong or not? I don't believe in Qigong as much as Brother Xinchun. Think about it, what is the topic that Dr. Wu Ping is working on in China?"

At this time, several senior doctors' eyes lit up: "You mean hemodialysis?"

Dr. Wu Ping's specialty is urology, and there is a very difficult disease "uremia" in urology or nephrology.

There is almost no cure for this disease, and it is irreversible.

If you want to survive, in addition to kidney transplantation, another treatment is "hemodialysis", which can also be called "artificial kidney", which uses hemodialysis to replace the work of the kidneys and maintain homeostasis.
To be continued...