Chapter 2654: :septicemia

Ye Chen can see from the above all the previous medical records of the deputy gang leader Wei his before and after treatment.
Deputy gang leader Wei was sent to this China Street Hospital for emergency treatment after being hit by another car during the car journey at 8 o'clock in the morning on November 9.
At that time, the patient was semi-conscious, pale, with a small amount of cold sweat all over, his nails and lips were bruised, and his left lip was swollen. The pulse is weak and weak, and the systolic blood pressure is below 90 mm Hg, sometimes up to 100/60 mm Hg in the upper body.
Chest X-ray pictures of the right 7th, 8th, 9th, 10th rib, left 7th rib fracture, pelvic fracture, urethra bleeding, scrotal hematoma, immediately placed a catheter in the emergency room.
At that time, the abdomen was obviously swollen, and there was mobile dullness on percussion. Abdominal puncture was performed and 2 ml of blood was drawn.
The pupil on the right is moderately dilated, and hemoglobin is 10.4 grams. Based on these symptoms, the doctor diagnosed the patient's condition at the time. The first is traumatic hemorrhagic shock and rupture of the spleen. The second is brain contusion and concussion. The third type is the rib fracture, on the right side, the seventh, 8, 9, 10, and the seventh rib on the left. The fourth type is pelvic fracture. The fifth is left kidney contusion and urethral injury. The sixth type is contusion of the soft tissue of the right lip and hematoma of the scrotum. The seventh is peritonitis, internal bleeding.
According to these seven diseases, the patient was in serious condition and was immediately sent to the operating room for laparotomy.
A laparotomy was performed at 4 o'clock in the afternoon of the same day, and it was found that the patient's splenic hilum was ruptured and he underwent splenectomy. After the operation, the blood pressure was stable. After the neurologist's consultation, it was said that there was hemorrhage in the right skull.
Drilling exploration only revealed a small amount of fluid in the front right side. After the operation, antibiotics such as kanamycin, penicillin, erythromycin, and polymyxin were used continuously.
On the fifth day after the operation, the patient's consciousness had recovered, but he was not yet fully awake. The body temperature suddenly rose to 39.2 degrees Celsius, the scleral conjunctiva was obviously yellowish, the skin was yellow, and the lower limbs were swollen.
On November 17, the eighth day after the operation, the patient recovered somewhat and was able to answer questions. The sclera was still yellowish, the pulse was fast, the blood pressure was stable, the abdomen was slightly distended, the abdominal sound was weak, and the body temperature continued Above 38 degrees Celsius. The stools are dark red, tarry loose stools, three or four times a day.
Start adding polymyxin, as well as blood transfusion and some hemostatic drugs.
On November 30th, the blood in the stool did not stop, and there was vomiting and blood, which was considered as bleeding from upper gastrointestinal ulcer. The body temperature has not dropped continuously and has been treated with antibiotics.
On December 9th, on the 31st day after injury and surgery, severe systemic infection, use of multiple antibiotics, kinetin was not controlled, body temperature was still around 39 degrees Celsius, there was a small amount of rales in the lungs, and sputum was The white mucus, the jaundice has gone, and a series of laboratory tests, the inspection report is abnormal, increase the use of antibiotics.
Until today, the patient's body temperature was still around 39 degrees Celsius on the thirty-second day after the operation. Combined with the general condition and positive blood culture, it was diagnosed as postoperative systemic infection and sepsis.
The doctors here were powerless and didn't know what to do. In addition, when he knew that Ye Chen happened to be in Tokyo, Han Wensheng immediately went over and asked Ye Chen to come over and treat Deputy Chief Wei.
From these detailed medical records, Ye Chen already knew the situation of Deputy Chief Wei.
However, even in Western medicine, sepsis is very treatable and the mortality rate is very high.
After all, from the black stool of the current deputy gang leader, we can see that his condition is very serious.
Now he has read it in detail, and after checking the situation of Deputy Chief Wei, he has used a new medical record to prescribe him the medical record and prescription again.
"First diagnosis: the patient's chest is blocked, high fever, nasal instability, tarry black stool, heavy pulse, light tongue and no coating."
"Traditional Chinese medicine dialectics: heat enters the blood, evil traps the pericardium, yin and blood are severely injured, and the liver is eager to move. Treatment: nourish yin and clear blood to remove toxin and heat."
"Prescription: 50 grams of raw charcoal, 25 grams of lotus root charcoal, 15 grams of sanyu charcoal, 25 grams of paeonol, 50 grams of Imperata cylindrica root, and 25 grams of white peony. Also: Rhino horn powder is divided into two parts. , Yunnan Baiyao Jifei. Snake gall tangerine peel, three points each time, twice a day."
After Ye Chen finished writing and checked carefully, he said, "Now you can pick up the medicine and give it to Deputy Chief Wei to drink according to the prescription."
In fact, if there is a Chinese medicine doctor present, you can see that Ye Chen's prescription is different.
A female nurse hurriedly took the prescription, and then went to get the medicine.
This is a general hospital with both Chinese and Western medicine.
After seeing Ye Chen finished watching so quickly, all the members of Fuqing's help let out a sigh of relief.
Han Wensheng still asked, "Doctor Ye, will Deputy Chief Wei really be fine?"
"As long as I follow my steps and prescriptions for treatment, Deputy Chief Wei will definitely be fine, and he will be able to fully recover. Of course, if Deputy Chief Wei had just had an accident, he would receive treatment and heal more easily."
According to the current situation of Deputy Chief Wei, Ye Chen knew that the most important thing for the other party was that the internal injury had not been cured, and that he had had many sequelae, which was the sepsis mentioned in Western medicine.
Of course, the situation of the other party is in fact similar to the situation of Mr. Dai who had been treated for rabies.
Mr. Dai also had black stool when he was the most serious. This is a very serious situation. Of course, the situation of Deputy Chief Wei is very different from Mr. Dai.
However, if you continue to follow the doctors here in the hospital for treatment, the other party will not live long.
"Thank you Doctor Ye."
Mr. Han said.
"It's okay."
Now that Ye Chen has finished reading it to Deputy Chief Wei, he naturally doesn't need to stay here anymore. Tomorrow, he will take time to come and see how effective the other party is after taking the medicine.
After Han Wensheng sent Ye Chen out and got in the car, Ye Chen said, "I will come back tomorrow afternoon."
Now Han Wensheng no longer needs to get in the car to send Ye Chen back, just let his brother drive Ye Chen back.
When Hanwenshan drove Ye Chen back to the door of the Independence Courtyard, Ye Chen got out of the car and when he got inside, he found that Yizi had already woke up.
When he saw Ye Chen coming back, he asked, "Did you go to see the gang boss just now?"
"It's a deputy head of the Fuqing Gang."
Ye Chen said.
"Ye Chen, I advise you not to come into contact with those of the Fuqing Gang. They are demons and specialize in blackmailing Japanese people. Many Japanese hate them."
"Aren't they Yamaguchi?"
Ye Chen asked.
Yizi knows that the gangs are like this, and the gangs of the Yamaguchi group are like this. However, she felt that Ye Chen still should not contact those Japanese gangs.
Even if Ye Chen went to treat the vice gang this time, she felt that Ye Chen still had to stay away from the other party after he cured the disease.
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