Chapter 2014: Sputum urine

Quan Xiaocao was busy all night.
I just lie down in the early morning and want to sleep for a while. I still have all kinds of details about colonoscopy in my mind, and recently, Yun Geer said that I have to report the case of intestinal malformation and the surgery, and send it to New England magazine. Going to things.
Although I didn't enter the medical team of Zheng Boss, I also got two world-class sci articles. If this is the case, it is the third one.
Quan Xiaocao certainly knows the weight, so she works harder than usual. It’s just a bit sleepy today, the sky is already bright, sleep will sleep, and there will be things during the day.
But tonight she didn't get the blessing of the night shift god. When the person just lay down, the phone rang.
The nurse came knocking at the door and said "icu emergency consultation, Yang always diarrhea, let you go first."
Quan Xiaocao is a first-line class. This kind of consultation should be the general thing of second-line hospitalization.
Yang always said that diarrhea, then I went up and took a look.
Wearing a gown, wearing a white suit, the right grass to sleep, came to icu.
"What's wrong?" Quan Xiaocao whispered after entering.
The atmosphere in the icu was a bit stagnate, like something big.

The patients you sent a few days ago, the urine turned green.
A little nurse knew the right grass and whispered to her,
I’m looking for a hospital stay, you can’t do this.

Quan Xiaocao nodded quickly and cautiously flashed out, saving the dog's blood sprinklers from the first line and the second line in the icu.
When he came to the corridor, Quan Xiaocao immediately called Yang.
"Yang, the patient who had surgery a few days ago turned green." Quan Xiaocao lowered his voice and said.
"I didn't see it with my own eyes..."
Quan Xiaocao escaped a training, but ushered in another reprimand.
However, Mr. Yang did not say a few words, and finally said that he would come over as soon as possible.
Waiting in the corridor of Icu, Quan Xiaocao felt a little cold and lonely.
The sky is already bright, and I haven't slept for a night. The wrinkles on my face don't know how much cosmetics can make up. Although he is still young, Quan Xiaocao feels that he has begun to look older than his high school classmates.
If you have the opportunity to choose, you must not do medical treatment. If you don't say that the pressure is not stressful, you can't stand it until the night shift.
If you have one or two rescues in the night shift, you can't think about it. I think the whole person feels bad.
In a hurry, Yang always came in.
"Small grass, what happened?" Yang always asked.
Right Xiaocai suddenly smashed, just smashed it out, now... life is stunned.
When Yang always saw her, and knew something on the phone, he had his own guess.
The grass is estimated to have been pulled out.
Shaking his head slightly, Yang always strode into the icu.
"Yang, do you have green urine in your patient's urine bag, is it related to surgery?" Icu's hospitalization always asked directly.
Yang always walked to the patient, his heart has shrunk into a group.
Urine, green, his first thought is bilirubin urine!
Bilirubin can be divided into unconjugated bilirubin without liver treatment and bound bilirubin formed by combination of liver and glucuronic acid.
Unbound bilirubin is insoluble in water and does not pass through the glomerular filter in the blood. The combined bilirubin has a small molecular weight and high solubility, and can be discharged from the urine through a glomerular filter membrane, which is called urinary bilirubin.
The appearance of this urine means liver failure!
Although it is unlikely to appear, President Yang has seen it before. The patient did not come over and rescued for three days and three nights, still dead.
Before coming to the patient's bed, Yang always kneels down and looks at the urine bag carefully.
There are about 300l of urine in the urine bag, pale green, looking gloomy and strange. The green inside is faintly fluorescent, like the beautiful world of the movie Avatar.
But in the movie, you can feel a wonderful. And in the urine bag in front of you... Yang’s head is awkward.
This patient will not work!

How long has it been?
asked Yang.
"It just appeared 20 minutes ago." Icu's hospitalization always said, "Before it was normal, suddenly the urine color changed. Just checked the liver function, it would not be said."
Obviously, she also considered bilirubinuria.
Just checking the liver function early, there is no problem, the patient's condition is constantly improving. If it is not because of too old age, there is a problem with respiratory function, and I have already returned to gastrointestinal surgery offline.
Icu's hospitalization is also very poor.
Good people, how do you urinary urinary?
"Is liver function urgent?" Yang asked.
"Well, I’m going to check it out." Icu’s inpatient general manager, "I should be coming back soon, I will take a look."
After that, she walked back to the workstation and glanced at the computer.
"Yang total!" Icu's hospitalization always shouted.
Yang always stood up in confusion, and he looked at him like a criminal waiting to be tried.
"The liver function is normal!" Icu's hospitalization has no appetite, and playing in the icu is very easy to kill.
normal?
Liver function is normal? !
What is the green urine?
Yang always began to think about it.
"What anti-inflammatory drugs do patients use?"
"At 24 hours after the operation, the anti-inflammatory drugs have been stopped." Icu's hospitalization always said.
The 912's icu is very sterile, and it does not require anti-inflammatory drugs at all. This is a surgery for gastrointestinal surgery, which took 24 hours for "face".
This is completely different from the icu of the first courtyard of Haicheng.
In Haicheng, if the patient does not need 3-5 days of antibiotics after stepping down, no one will be relieved from top to bottom.
The difference in technical strength is reflected in all aspects.
It's not that the surgery is done well.
Mr. Yang also knew that antibiotics were not used, but green urine would also appear when large doses of certain antibiotics were used.
But now, this road has also been blocked.
"Is there any relationship with surgery?" Icu's hospitalization always asked.
"It should be ok... ah..." General Yang also began to be uncertain.
The operation was still quite successful, but the green urine in front of me was like a taunting warrior, where I ridiculed myself.
"Is blood calcium checked?" Yang asked.
"Blood calcium and vitamin d have been checked ~EbookFREE.me~ The return is slower, it is estimated that it will take an hour or two."
"With ampicillin?"
"No."
"Methylene blue, Leica red, creosote, salicylic acid?" Yang asked.
"Yang, you are not seeing a doctor's advice. These things are for your patients to use it." Icu's hospitalization is always unhappy.
It has nothing to do with surgery. The big probability is not bilirubin urine, so wait.
Yang Zonghe Quan Xiaocao observed for an hour, the patient was assisted by the ventilator in the calm state, the vital signs were stable, and there was nothing to see.
Subsequently, blood calcium, vitamin D return, no abnormalities.
Both hospitals were always stupid.
No way, report it layer by layer, look for the second-line professor to see it.
.