The directors present had their own skills.

Treating diseases in your own departments all year round and constantly studying treatment methods to dig deep into the causes of the disease can make their medical path very far. But in contrast, the path will become narrower and narrower.

Especially things that even the director of the infectious disease department could not have thought of at the beginning were even more "unfamiliar" to them.

In fact, Cai Ping didn't expect that it was understandable.

For so many years, she has focused on diseases with very large bases of diseases, such as viral hepatitis, various encephalitis, tuberculosis, HV and other stds.

This disease itself has a high misdiagnosis rate and has a certain geographical nature, which is really rare in Danyang.

If you see less, you will naturally consider less.

Therefore, for diseases that have been discussed in textbooks but are rare in clinical practice, newly graduated residents have more advantages in diagnosis.

The patient is now lying in a single room surrounded by a separate glass wall, with a tempered glass sliding door at the door.

He was thin and dark, covered with a thin medical blanket. A drainage tube popped out next to the thin blanket and wrapped it around the iron rack to the collection bag leading to the bed.

After last night's rescue, his body is now full of traces left by the battle.

A tracheal intubation is inserted into the mouth, and China Unicom is connected to the auxiliary ventilator. There is deep venous puncture next to the neck, and venous access is also found on the hands. Voricon and imipenem are hung on both sides.

The rescue vehicle beside the bed is complete with medicine and equipment, and is always ready to join the next battle.

Cai Ping took Qi Jing into the room, and Hu Dongsheng stood aside with a large syringe and a saline bag in his hand.

After hearing the initial diagnosis of the two, the other directors became interested in it. It was impossible for them to actually drink tea and chat in the lounge.

They stood outside the room and looked at the situation inside through the glass. They looked out the knowledge treasure chest that had been sealed in the sea, recalling how to cure this disease.

"Try it first. The surgical rinsing has been washed twice, and the resistance is very high." Tong Miao said, "Can't you expel the insects first?"

"Definitely not possible!" Cai Ping said, "The surgery has stimulated them once. You should know the most about how violent the rebound is. Now the patient is so weak, so the deworming medicine is going on..."

Tong Miao nodded.

Cai Ping has some medication methods and medication manuals, which are completely different in the textbooks, but the effects are better in comparison. Since she has said so, they are just a layman.

The patient's T-tube drained out of the bile is not much, and it only takes 500ml in three days.

Qi Jing looked carefully at the bile in the collection bag.

Starting from the mouth of the tube, through the inside of the bag to the bottom of the bag, the color of the bile progresses from the yellowish-brown layer by layer. Especially at the bottom of the bag, you can still see some turbid precipitates, some like broken stones, and some are hard to describe.

"Teacher Cai, look."

Qi Jing fiddled with the collection bag and pinched one of the black soft round things: "0.3*1cm, the size is just right, and it can be confirmed."

After seeing it, Cai Ping nodded repeatedly: "Well, it's Huazhi Physiosomiasis."

Hu Dongsheng also came up. After all, the textbook spent a lot of time explaining the parasite, but there was not even a photo of it. Now there is a chance to see a living worm, which is rare.

"Stop looking." Qi Jing took the syringe and saline in Hu Dongsheng's hand and said, "If there are enough quantities, I will guarantee that you can see enough at one time later."

Cai Ping took the saline syringe handed over by Qi Jing and put the front end into the T-tube: "The flushing of the T-tube should follow the basic principle of low pressure first and high pressure first, push forward slowly first, and slowly pressurize when encountering resistance."

The syringe push rod was slowly moving forward, and in a short while I was subjected to resistance.

Cai Ping gradually increased the pressure applied on her hands and pushed the piston in the cylinder forward for a short distance: "It's almost done, after pulling back, start the next round."

At this time, Hu Dongsheng had already been waiting by the window with a bent plate, just like a child catching crickets in the grass, constantly looking for the mixed liquid that he had drawn back.

However, after several round trips, there was no effect, and the liquid that was extracted was very clean.

Every time the piston reaches a fixed position, it will be subjected to huge resistance, and Cai Ping dares not increase the thrust. She is afraid that the pressure on the common bile duct is too high and the suture opening of the T-tube suddenly cracks, which will be a loss.

Cai Ping wiped off the sweat beads from her forehead and said, "It's really rare to have such severe liver cirrhosis. You can close the tube first and try it in the afternoon."

"Teacher Cai, I think we can change the way of lavage," said Qi Jing.

"Change another one? Do you mean you don't need saline?"

Cai Ping had already guessed Qi Jing’s thoughts: “Although drug lavage is not as irritating as direct intravenous administration, it also has certain risks.”

"Praziquantel is too powerful and it won't work after dilution." Qi Jing thought for a while, "You can use a drug that has worse effect on parasites, such as being in the second and third line of parasite medication, and now it is more used to deal with anaerobic bacteria..."

He said as he looked at Hu Dongsheng.

This is a habit he has developed long ago.

Hu Dongsheng has solid basic skills, and his reactions and logical thinking are very agile. What he is poor now is his experience and diagnostic vision during differential diagnosis, so asking questions on the spot has greatly improved him.

This is a question that is very beneficial for training his basic skills.

Once Hu Dongsheng can't take the call, he will face punishment.

"Uh..." Hu Dongsheng frantically flirted with his memories.

Anaerobic bacteria...

Can be used for parasites...

By the way!

"You said you should use metronidazole?"

Before Hu Dongsheng could answer, Cai Ping had already thought of the answer, and was so angry that he beat his chest and stamped his feet in his heart.

Qi Jing doesn't make sense to him. If he answers slowly, he will be punished if he doesn't answer.

Cai Ping nodded slightly, and thought it was feasible following Qi Jing's ideas. But a trace of worry could still be seen from the extent of her nodding: "You can try it, but if it causes irritation..."

Qi Jing gently patted the bed frame: "The infection has caused acute lung injury, and the next wave may have any impact."

Nowadays, the patient's other organs are pretty good. Although the lungs are damaged, the acute injury will slowly recover as long as the infection recedes. The only pity is the liver. Decompensated cirrhosis can only be achieved by organ transplantation in the end.

Fortunately, the patient's family is in a good condition. As long as the body has no other underlying diseases, the success rate of liver transplantation itself is not low.

But if you continue to drag on it, you will have another or two critically ill rescue. Once the original body is dragged down, the hope of liver transplantation will be shattered.

"try!"

Ten minutes later, the nurse brought a box of metronidine injection.

After three washes, the piston did not move forward, and Cai Ping immediately decided to close the tube and let the drug act in the tube for a period of time.

Half an hour later, Qi Jing loosened the clip on the t-tube lumen, and the light yellow mixed liquid brought out a black stone with irregular shape.

Immediately afterwards, black insects as big as rice grains lined up and flowed out.

“One, two, three, four…”

"There are too many!" Hu Dongsheng looked at the dense T-tube drainage lumen, and his scalp became numb.
Chapter completed!