Chapter 50: : I will do peritoneal dialysis!

At this time, in the rescue room, all eight rescue beds were full of patients!
I groaned one by one in bed!
"Doctor help!"
"Doctor ... I'm so uncomfortable, my head hurts!"
"Where am I ... save me, I'm dying, why can't I see anything!"
As soon as I entered the rescue room, a burst of wailing came, and my voice was low and weak.
Zhang Zhangye saw Li Baoshan coming in and greeted him quickly: "Director, you are here!"
宝 Li Baoshan asked anxiously: "What is the situation?"
Zhang Zhangyan said solemnly, "The situation ... can't be optimistic!"
"After detailed examination, these poisoned patients have tachycardia, even with varying degrees of myocarditis, ST-segment abnormalities, and severe renal failure. Three of these patients had varying degrees of visual hyperemia and visual hyperemia. Retinal edema with visual field defects! And severe metabolic acidosis! "
After listening to Li Baoshan, he was half-hearted, and all signs were moving towards an answer!
Li Baoshan: "Methanol poisoning?"
Zhang Zhangye nodded: "Well! Methanol poisoning, and several of them are severely poisoned!"
Li Baoshan turned around and began to examine the patient: "Give me the test sheet."
The doctor next to me handed over the medical records, Li Baoshan became more and more worried as he looked!
About ten minutes later, Li Baoshan checked each patient next to each other and said, "Did you have a gastric lavage? What medicines did you use later?"
Zhang Jian nodded: "Everyone washed it! 1% sodium bicarbonate was used. After washing, 4% sodium bicarbonate 250ml was administered intravenously to correct acidosis. 250% mannitol 250ml plus dexamethasone Plus 10 mg intravenous drip to prevent cerebral edema. "
但是 "But ... six of them are in a dangerous situation and may need dialysis. The hemodialysis room has been sent now, but I am worried about these three and seven beds. They are now in a shallow coma."
Li Baoshan: "I ask other hospitals, is the dialysis machine available?"
After speaking, Li Baoshan picked up the phone and started to contact: "Lao Chen, I, Li Baoshan, is your hospital dialysis machine idle? No! No! Well, that's it ..."
I made four or five phone calls, but several hospitals that can do dialysis are now using it!
How to do?
宝 Li Baoshan was anxious, and suddenly he remembered something.
"Didn't the hospital just buy a few peritoneal dialysis machines?"
He thought of it, and picked up the phone directly and called Dean Hao, the director in charge: "Dean Hao, me, Li Baoshan, can our hospital's peritoneal dialysis machine be used now? The patients with poisoning are too serious now, and dialysis is necessary , But now hemodialysis is full and patients can't afford to delay! "
Hao Xuliang sighed: "The peritoneal dialysis machine is back, and it can be used, tried it, but it has not been officially used, and the doctors have sent it for training."
听到 Li Baoshan heard this, looked at Zhang Ye over the phone, and asked, "Will you do peritoneal dialysis?"
Zhang Zhang blushed and shook her head: "I have only seen others do it, I have never done it myself."
Hao Xuliang's voice sounded: "Baoshan, don't worry, or if you ask other hospitals if there are no more people, send two."
宝 Li Baoshan said: "I just called and asked other hospitals, and now they are all busy. There are a lot of people who have been poisoned this time."
"Or else! Dean Hao, I'll try it. Although I haven't studied it, I've seen a lot of it. Should I try it?"
When Hao Xuliang heard this, he was shocked: "Don't make a fool of Baoshan! You were kidding at the time? You have to sign your family members! Who is responsible if something goes wrong!"
All of a sudden, the room fell into silence!
Everyone is tangled!
Li Baoshan even felt a sense of weakness!
What is less hate when the book comes to use?
This feeling is most obvious when I am studying medicine!
When a living patient is in front of you, but you find that your level is insufficient to provide effective diagnosis and treatment for the patient, this sense of weakness and frustration is unparalleled at any time.
So, the real study of medical students is not during university and graduate or even doctoral period, but during clinical period!
Although Chen Cang has not attended graduate school, his clinical ability is not worse than those graduate students!
After all, clinical is the best teacher!
How to do?
The students aside were almost crying.
I finally found the peritoneal dialysis machine, and no one would use it!
宝 Li Baoshan pinched the phone's hand to expose the blue tendons, his brows were tight, what to do! How to do!
Hao Xuliang heard Li Baoshan's silence and couldn't help but say: "Baoshan, I really don't let you use it, but I think for you. You are the old man. I understand these truths better than I do, and I don't let you use it. In this way, if you can find someone who can undergo peritoneal dialysis, I will take responsibility for you! "
Li Baoshan is silent!
Where can I find someone who knows peritoneal dialysis?
Peritoneal dialysis technology was originally developed in the 1990s, and it was only accepted in the world in the 1990s!
It was not long before it was introduced into China. Many hospitals still do not have the technology to popularize peritoneal dialysis!
Peritoneal dialysis is generally a method used by the Department of Nephrology to treat diseases such as uremia and renal failure.
However, peritoneal dialysis can also be used to treat patients with severe methanol poisoning. UU Reading www.uukanshu.com has an intuitive effect through dialysis!
Moreover, there is another big difference between peritoneal dialysis and hemodialysis!
That is, the risk of peritoneal dialysis is greater!
Peritoneal dialysis is susceptible to infection and causes peritonitis. Due to contact pollution during peritoneal dialysis treatment, patients are likely to cause gastrointestinal inflammation, catheter-related infections, and iatrogenic operations, etc., causing acute intra-abdominal infection caused by pathogens invading the abdominal cavity Inflammation.
So, this is not the same as an infusion injection!
You will just be!
No, no, no!
At this time, Chen Cang suddenly said, "Director, I will do peritoneal dialysis!"
Cang Cang's voice was not loud, but it was like a thunder, and it caught everyone's attention in the quiet rescue room!
Li Baoshan turned around, eyes full of eagerness, as if seeing a savior!
"what did you say?"
Chen Cang slowly said, "I said I would have peritoneal dialysis."
Li Baoshan's eyes were like a torch: "Are you sure?"
Cang Cang: "I'm sure!"
宝 Li Baoshan turned around and picked up the phone, and said to Hao Xuliang, "Dean Hao, I have found someone who can do peritoneal dialysis!"
Hao Xuliang heard: "Wait for me! I will go downstairs and I will take you to the dialysis room."
Hang up, everyone looks at Chen Cang, eyes are full of incredible!
Because Chen Cang is just an ordinary humble doctor, a temporary worker, in a large hospital like the Second Provincial Hospital, he can't stand any storm and attraction.
Zhang Zhang was a little uneasy. She looked at Chen Cang: "Little Chen, this is not a joke. How confident are you?"
Chen Cang: "One hundred percent!"
Li Baoshan: "Good!"