Vol 3 Chapter 2773: Bronchial foreign body

"Don't introduce it, Brother Yun, don't frighten me." Zhou Litao also had a little bit of imagination.
"Zhou, introduce a girlfriend to you." Su Yun suddenly threw out a huge topic.
Zheng Ren was confused, this matchmaker's role really sincerely does not match Su Yun.
"Uh ..." Zhou Litao also froze a bit.
"Look at what I do, I just ask casually." Su Yundao, "A friend who has been a long time ago, recently came to the capital to be a northerly drifter, how can people be good?"
"I don't want to find it for the time being." Zhou Litao sighed. "I think it is inappropriate to be hospitalized. The first idea is to take a good rest. When the hospitalized general was too tired, there was no private life at all. Are not at ease. "
"Hey, be prosperous." Su Yun saw Zhou Litao disagree, and didn't say much, just patted his shoulder hard.
Zhou Litao's cell phone rang, and he took out a look and said, "It's over."
The three came to Zhou Litao's duty room, opened the workstation, and called up the image data just uploaded.
The chest radiograph of the patient showed that the texture of the two lungs was disordered? The thickening and the texture of the lung field were blurred two times. Zhou Litao's judgment is reasonable. Precipitation pneumonia is essential for this diagnosis.
坠 But epidural pneumonia is not the only diagnosis, because the disease is accumulated over time, even if you have difficulty breathing, it does not suddenly appear.
Aspiration, Zheng Ren's judgment. However, Zhou Litao's narrative has ruled this out. After all, no food residue was sucked out during sputum suction, and no metal foreign matter was seen on the X-ray film.
"How about the patient?"
"Sent directly to the ICU." Zhou Litao said, "Blood oxygen is normal. I think I may need a ventilator to assist in breathing. If there is no improvement, a tracheostomy is likely. Once an elderly person is sick, it is a serious illness.
"Let's go to ICU for a look." Zheng Ren felt that he had done a better job of this, at least he had to explain to Xiao Yi when he returned home.
The Yi people are very concerned about people they know. Last time I ate grilled fish with diesel flavor in that shop, she didn't let her talk to her boss.
仁 If Ren just went home with such information, Zheng Ren would still be worried about Yiren.
"A very common patient." Zhou Litao said.
"Ordinary?" Su Yun smiled. "What are you thinking about?"
"Hypoxia, I checked the neurological examination, no other problems. Aspiration of sputum, the patient's symptoms of convulsions also improved." Zhou Litao said.
Su Suyun smiled and said nothing, Zhou Litao only found the final result, but the previous cause was not found. Suddenly, why does it happen suddenly? That's what matters.
"Go and take a look." Zheng Ren said, "Zhou, we are gone."
Zhou Litao was a little bit reluctant. Boss Zheng and Yuner did not come to the emergency department someday. They are busy, Zhou Litao knows. But they don't come often, they always feel that they have something.
Life has become boring ... more boring.
Zheng Ren and Su Yun left the emergency department and went to ICU to take a look at the patient's condition. Su Yun has been holding a mobile phone and has always been in touch with ICU's hospitalization.
"Boss, said that the patient has a lot of sputum and is already intubating." Su Yundao.
嗯 "Well, it was caused by prolonged bedridden."
Pneumoconiosis pneumonia is one of the complications of bedridden for a long time, and it is also a very difficult complication. In addition to taking care of it a little more, there is nothing to solve by turning back and sputum regularly.
If you have a ventilator, the cost will be second. Judging by Zheng Ren's experience, it is estimated that there is a high probability that there is no way to go offline.
Finally, wait for the patient's family to accept the facts, extubate and wait for death, or just use it, when the multiple organ failure is considered to be the end.
Although I have seen this situation countless times, every time I think of it, I feel a little uncomfortable.
He walked into the ICU, changed his clothes and slippers, and walked across the corridor to Zheng Ren's bed.
The patient was well identified. Doctors and nurses were around the bed and they were in the process of rescue.
The patient's system panel was red. In addition to some geriatric diseases and cerebral infarction that caused prolonged bed rest, Zheng Ren also saw a diagnosis-foreign body in the respiratory tract.
what is this? Zheng Ren froze a bit.
Sure enough, as before, is there something in the airway?
If there is a foreign body, it should be able to out sputum. If the foreign body is too large and the airway is blocked, problems can be found during sputum suction.
Zheng Ren stood silently behind the doctor and nurse, carefully observing the nurse's sputum movement.
Along the tracheal intubation tube, there is no resistance shown by huge foreign bodies on the left and right sides.
Strange.
"Boss Zheng, Brother Yun, you're here." Icu's hospitalization always turned around and saw Zheng Ren and Su Yun, he said hello, and went to the computer to check the return.
"How is the patient?" Su Yun asked.
"The blood oxygen is okay, that is, there is too much sputum in the airway." ICU's general hospital admission, "Artificial blood gas analysis report: pH: 7.104, .4mmHg, Hg, ol / L,: 28.0 mmol / L?"
"The patient is sweating profusely, and his ability to sputum is relatively poor. It is estimated that he needs a ventilator for a period of time."
"What then?" Zheng Ren asked.
"Huh?" Icu's hospitalization froze, and then? Is this Zheng Zheng's own treatment in the examination? She thought about it and said immediately, "The test results will be returned in a few minutes ~ EbookFREE.me ~ Look at the situation, sputum has been sent for bacterial culture. Anti-inflammatory symptomatic treatment, mainly suction.
"Alveolar lavage may be a little better." Zheng Rendao.
Zheng Ren said alveolar lavage, also called bronchoalveolar lavage, is a new technology developed on the basis of fiberoptic bronchoscopy.
A method of injecting human saline into the bronchoalveoli using a bronchoscope and aspirating it, collecting effective liquid on the surface of the alveoli, and examining its cellular components and soluble substances.
"Do you suspect that there is a foreign body in the airway?" Su Yun guessed the real intention of the boss from the paper.
"Well, patients who have been bedridden for a long time may have aspiration." Zheng Rendao.
"It is unlikely that food residues will be sucked out." ICU's hospitalization always considered the same thing that Zheng Ren considered when he did not see the system panel.
But Mr. Zheng ... it was on, after all, he shook his head and said nothing.
"Try it, anyway, let him do it yourself, you are busy with yours." Su Yun and ICU's hospitalization director communicated.
Icu's hospitalization is always a little helpless, no matter whether it is Su Yun's speech or Boss Zheng's request, she cannot refuse.
It is not because of the high academic status of Boss Zheng, but it is within the scope of normal treatment to take a look at the bronchoscope and perform alveolar lavage.
"Then I'll get things ready." Icu's hospitalization always started and he began to rush.
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