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Chapter 50: I will peritoneal dialysis!

At this time, the rescue room was filled with patients on eight rescue beds!

They all lay on the bed and kept moaning!

"Doctor, please help me!"

"Doctor... I feel so uncomfortable, my head hurts!"

"Where am I... Save me, I'm going to die, why can't I see anything!"

As soon as I entered the rescue room, waves of wailing sounds suddenly came, and the voice was low and powerless.

When Zhang Shu saw Li Baoshan coming in, she hurriedly greeted her: "Director, you are here!"

Li Baoshan asked anxiously: "What's the situation?"

Zhang Shu said with a serious expression: "The situation... is not optimistic!"

"After detailed examination, these poisoned patients were tachycardia, even accompanied by varying degrees of myocarditis, abnormal S-t segment, and severe renal failure. Three of them were accompanied by varying degrees of optola congestion, optola retinal edema, and visual field defects! And they had severe metabolic acidosis!"

After listening to it, Li Baoshan felt a little cold and all the signs were getting closer to one answer!

Li Baoshan: "Methanol poisoning?"

Zhang Shu nodded: "Well! Methanol poisoning, and several of them were severely poisoned!"

Li Baoshan turned around and began to check the patient: "Give me the test form."

The doctor next to him handed over the medical record, and Li Baoshan became more and more worried the more he looked at it!

About ten minutes later, Li Baoshan checked each patient one by one and said, "Have you had gastric lavage? What medicine did you use later?"

Zhang Shu nodded: "Everyone washed it! They used 1% sodium bicarbonate. After washing, they used 4% sodium bicarbonate 250ml intravenous drip to correct acidosis, and used 20% mannitol 250ml plus dexamethasone plus 10mg intravenous drip to prevent and treat cerebral edema."

"But... six of the patients were in a dangerous condition and might need dialysis. The hemodialysis room has been sent now, but I am worried that these 3 and 7 beds are now in a shallow coma."

Li Baoshan: "I'll ask other hospitals if there is any dialysis machine available!"

After saying that, Li Baoshan picked up the phone and started contacting: "Old Chen, I, Li Baoshan, are there any dialysis machine in your hospital idle? No! Okay, that's it..."

I made four or five calls, but several hospitals that can do dialysis are now in use!

what to do?

Li Baoshan was a little anxious, and suddenly he remembered something.

"Didn't the hospital just buy a few peritoneal dialysers?"

Thinking of this, he picked up the phone and called Dean Hao, the chief executive: "Director Hao, I, Li Baoshan, can the peritoneal dialysis device in our hospital be used? The poisoned patients are too serious and they must do dialysis, but now hemodialysis is full now, and the patients cannot afford to delay!"

Hao Xuliang sighed: "The peritoneal dialyzer has been brought back and can be used. I have tried it, but it has not been used officially yet, and those doctors have also sent it out for training."

When Li Baoshan heard this, he covered the phone and looked at Zhang Shu, asking, "Can you do peritoneal dialysis?"

Zhang Shu blushed for a while and shook her head: "I have only seen others do it, but I have never done it."

Hao Xuliang's voice sounded: "Baoshan, don't worry, why don't you ask other hospitals if there are any extra people and send two of them."

Li Baoshan said: "I just called to ask other hospitals. Now they are all busy. There are a lot of people who have been poisoned this time."

"How about this! Dean Hao, I'll try it. Although I haven't learned it specifically, I've seen a lot of it. Why don't I try it? "

When Hao Xuliang heard this, he was shocked: "Baoshan, don't mess around! Are you joking at that time? You have to let the family sign! Who will be responsible if there is any problem?"

For a moment, the room fell into silence!

Everyone is extremely confused!

Li Baoshan felt even more powerlessness coming to his heart!

What is the only time to use a book to hate it?

This feeling is most obvious when studying medicine!

When a living patient is placed in front of you and you find that you are not at the same time and cannot provide effective diagnosis and treatment for the patient, this feeling of powerlessness and frustration is unparalleled at any time.

Therefore, the real study of medical students is not during college, graduate or even doctoral studies, but during clinical practice!

Although Chen Cang has never attended a postgraduate student, his clinical ability is not inferior to those of those postgraduate students!

After all, clinical is the best teacher!

what to do?

The students beside him were almost crying.

I finally found a peritoneal dialyzer, but no one knows how to use it!

Li Baoshan's hand holding the phone was exposed with the blue veins exposed, and his eyebrows were tight. What should I do! What should I do!

When Hao Xuliang heard Li Baoshan silent, he couldn't help but say, "Baoshan, it's not that I don't let you use it, but that I'm considering you. You are an old doctor. I understand these principles more than me. It's not that I don't let you use it. In this way, if you can find someone who can peritoneal dialysis, I will take responsibility for you!"

Li Baoshan remained silent!

Where to find someone who can peritoneal dialysis?

Peritoneal dialysis technology originally emerged in the 1990s, and it was only accepted by the world in the 1990s!

It has not been introduced to China for a long time, and many hospitals still do not popularize the technology of peritoneal dialysis!

Peritoneal dialysis is generally a means used by nephrology to treat uremia, renal failure and other diseases.

However, peritoneal dialysis can also be used to treat patients with severe methanol poisoning, and dialysis has an intuitive effect!

Moreover, there is a big difference between peritoneal dialysis and hemodialysis!

That is, the risk of peritoneal dialysis is greater!

Peritoneal dialysis is prone to infection and causes peritonitis. During the peritoneal dialysis treatment, patients can easily cause gastrointestinal inflammation, catheter-related infections and iatrogenic operations, and other reasons, causing acute infectious inflammation in the abdominal cavity caused by pathogens invading the abdominal cavity.

So, this is different from infusion injections!

You will, you will!

No, no!

At this time, Chen Cang suddenly said, "Director, I can peritoneal dialysis!"

Chen Cang's voice was not loud, but it was like thunder, attracting everyone's attention in the quiet rescue room!

Li Baoshan turned around, his eyes full of anxiety, as if he had seen a savior!

"What did you say?"

Chen Cang said slowly: "I said I can peritoneal dialysis."

Li Baoshan's eyes were like a stern: "Are you sure?"

Chen Cang: "I'm sure!"

Li Baoshan turned around and picked up the phone, and said to Hao Xuliang: "Director Hao, I have found someone who can peritoneal dialysis!"

When Hao Xuliang heard this, he said, "Wait for me! I will go downstairs and I will take you to the dialysis room."

After hanging up the phone, everyone looked at Chen Cang, their eyes full of incredible!

Because Chen Cang is just an ordinary inconspicuous young doctor and a temporary worker. He can't withstand any storm or attraction in a large hospital like the Second Provincial Hospital.

Zhang Shu was a little uneasy, and she looked at Chen Cang: "Xiao Chen, this is not a joke. How confident are you?"

Chen Cang: "100%!"
Chapter completed!
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