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367. Which dishes did the patient order?

Now the patient's situation is in front of everyone.

He was not only a transgender person who turned into a woman, but also made a boyfriend. Three days before the onset of the disease, his boyfriend was on a business trip. At that time, the patient was in a normal state and there was no discomfort. But in just three days, the patient's health plummeted and he fell directly into the middle shock and the suppression period.

No one knows what I experienced during this.

"It's only three days?" Liang Hui frowned.

"Lao Liang, even if his family members took a lot of drugs directly after leaving, they would have only been three days of illness. I'm afraid it wasn't caused by the drugs."

Liang Hui had to nod.

He took off his reading glasses and rubbed his eyes with his fingers: "It does not take long from taking medicine to the appearance of the rash to the release of the toxic epidermis. But to reach his severity, I'm afraid..."

With the advice of the dermatologist, everyone redirected the finger to the infection: "That's the infection!"

"Infection of Staphylococcus epidermis!"

“Gram-positive bacteria…”

"Ah, why are there Gram positive negative? The patient's liver and kidney function is not too weak now, and it is still a little far from exhaustion. I will directly use broad-spectrum antibiotics to grab the person back first!"

"It makes sense. Everything in clinical practice can happen, and there is nothing wrong with directly snatching people across the spectrum."

While the experts were having aroused chat, Lu Wenlie had already put the lunch in his hands into his stomach one after another. He took a sip of tea, looked at everyone in the audience, and asked, "Have you decided?"

"Well, let's use it for third generation of quinolones or third generation of cephalosporins." Lao Xu replied, "Everythium, ciprofloxacin, and ceftriaxone. Hang a bag to see the situation, and then continue to correct it on this basis..."

Just as he was talking, Lu Wenlie on the stage gently clicked the mouse.

The ppt on the wall turned back a page, and the photos of the patient who was in the center when he was admitted to the hospital turned into a rescue scene. The person was lying straight on the bed, and his heart rate rose to 140 in the electrocardiogram monitoring side, and his blood pressure dropped to systolic blood pressure.

"Old Lu, this is..."

"We used ciprofloxacin at that time and actively expanded the capacity to correct shock." Lu Wenlie spread his hands and expressed his helplessness. "It's a pity that the patient's condition is progressing rapidly, and the infection invades the brain at an extremely fast speed, forming severe acute meningitis. At the same time, the shock is aggravating, and there is no intention to stop at all."

"It's still a problem with the infection of the stove!" Old Xu's face jumped, and he was so anxious that he didn't even hold the chopsticks and fell to the ground. "There must be a very exaggerated infection of the stove in his body!"

"Oh, Lao Xu, you just told the young man not to be excited, why are you excited by yourself?"

"Haha, yes, although emergency patients are urgent, we cannot be anxious as doctors, as soon as they are anxious, they will be in chaos."

Lao Xu picked up chopsticks from the ground in embarrassment, coughed twice, and said, "You guys are just talking sarcastic. If you encounter an ineffective septic shock that is ineffective in anti-infection, can you watch it leisurely?"

"Then, of course that won't work..."

"But it's hard to find the lesions." Another expert looked at Lu Wenlie on the stage and said, "If you can find the lesions by just ordinary examinations, I'm afraid this case will not be taken by Lao Lu, let alone used as a case problem."

Xu Sheng was also really kind of, so he could not care about so much. He put down the lunch box and ran straight to the stage.

He didn't care about his senior brother's expression now, so he snatched the mouse and clicked the ppt on the computer: "I know you love fishing and always like to play some fun things, but I'm just a stubborn person and can't stand these things..."

PPT was quickly turned over a few pages, and finally stopped at the word "Thank you" highlighted by the blue background. All the way through his eyes were irrelevant things, and the cause was not written at all.

"That's it? What's the answer?"

"You are too anxious." Lu Wenlie knew his junior brother's temper and was not angry. He just smiled awkwardly and pointed at his temple, "The answer is naturally in my mind."

"you......"

......

After discussing this, I entered a dead end. There are so many causes and lesions of infection. I am afraid that I may not be able to guess what the second meeting ends. So I can’t guess.

But those who are patiently waiting for the answer will have those who can't wait like Xu Sheng. The four young doctors who interrupted before were not idle at this time.

As the old saying goes, three cobblers are worth one Zhuge Liang. No matter how they say they are, they are just a serious doctor. It is not too much to be considered a cobbler, and the number is only a lot higher than that of three. I thought that I would work together to solve this question and that Zhuge Liang, who is still far away in Jiangping, would be able to test the Zhuge Liang who was still far away in Jiangping afterwards, and would exclaim the anger for the usual injuries.

In fact, when Ji Qing got up to speak just now, Hu Dongsheng and Xu Jiakang were ready, where to dig holes, where to wait and see jokes, and where to kill with one blow.

But things went against my wishes. Now all the patients' situations point to infection. The root cause of all problems - the infection foci, cannot be found. In terms of infectious diseases, they are still somewhat self-aware. Since it is useless to combine the four cobblers, they can only ask the real Zhuge Liang to come out.

The first one to be unable to sit still was Xu Jiakang. After four people decided to make the call.

"Why is it me?"

"Who made you so lucky?"

"I have never seen anyone who can lose all the way to the end."

Xu Jiakang had no choice but to bite the bullet and dial the phone. After a while, a familiar voice came from the receiver: "Hey, what's wrong?"

"Qi Jing, where is it?"

Xu Jiakang seemed very polite, but in Ji Qing and others' eyes it became unnecessary pretentious. They didn't expect that this guy could still be so calm at this critical moment.

After a lot of trouble, Xu Jiakang finally told the truth: "I'm taking a case here, I want to ask you for your opinion."

"Yeah, my brain is stuck?"

When the four people heard this, their faces were more or less black. Xu Jiakang's mouth twitched twice, and he actually told the problem of digging the hole because of his self-esteem: "The patient is a 28-year-old man who entered the hospital in shock. Now he is asking for the treatment."

"shock?"

Qi Jing was sitting in Yuan Tianchi's car and heading towards Minghai. He was a little confused when he heard such an empty case: "You are too young, how could anyone make such a question?"

"Ah, what's wrong?"

"Digging a hole is not the most important thing. If you want to dig, you have to dig it on the necessary road. After digging, you have to cover it with grass to hide it." Qi Jing was angry and laughed, "It's not like you, just such a bare sentence, and anyone with discerning eyes can see that there is something wrong with it."

"Okay, don't go around with him." Ji Qing looked at his watch and told him everything, "It's just this situation."

"It turned out to be a transgender person?" Qi Jing became interested, "It's not bad, Lao Ji, you can see this. But don't be excited for now. By the way, you guessed that a transgender person was just now, why don't you ask again?"

"Ask? What?"

"Ask about the situation of sexual regeneration surgery." Qi Jing said, "You won't naively think that sexual regeneration surgery is divided into two situations, men and women."

Ji Qing was stunned when he heard the sound from the receiver. This stunned the three people next to him: "Ji Qing, what's wrong? What did he say?"

Ji Qing seemed to understand Qi Jing's meaning and pushed the three of them away: "You mean, do you choose to do this surgery?"

"This kind of surgery is a plastic surgery. The person lying on the operating table is not a patient, but a customer. The preparations made before the operation are like ordering food. Everything is based on the customer's requirements." Qi Jing said with a smile, and at the same time, he was slowly looking for the cause of the disease in his heart, "that is, the patient keeps whatever he wants, and what he wants to do, he has to do."

"Is there such a thing?" Ji Qing knew about this kind of surgery, but he didn't expect that his freedom was so exaggerated, "This is too exaggerated!"

But what he didn't know was that his facial expression was so exaggerated that the three guys around him couldn't help it. They snatched the phone from his hand and forced it to the hands-free mode.

"Hey, Brother Qi, what did you say just now?"

"Yes, we didn't hear it, you say it again."

"What he meant is that this patient may not be a man." Ji Qing said halfway, but after thinking about it, he still couldn't figure it out, so he could only let Qi Jing take a look. "I can't understand, so let him say it."

Qi Jing said what he meant just now again, and then the three of them suddenly realized.

But in their opinion, gender is no longer important, the key is to the infection dent. If the shock of that level of shock cannot be found, it is equal to 0. No matter how powerful antibiotics are, it is useless.

"You said he had peeled off his skin?"

"Well, I have been arguing for a while to discuss the cause of epidermal loosening." Hu Dongsheng said.

"What's the point of debate?" Qi Jing's ideas are always stranger than them. "It's nothing more than two situations: infection and drug side effects. Under the premise of first aid, it is obvious that infection of pathogenic bacteria can be more valuable for treatment. There are too many reasons for drug side effects, and the patient will be unable to do so after the elimination method."

“…”

Hu Dongsheng looked at them: So that can he explain this?

Gao Jian nodded: It seems that it is indeed the same as what he said...

Xu Jiakang blinked and winked at Ji Qing, and finally Ji Qing spoke: "Now we will discuss the epidermal lysis caused by Staphylococcus epidermis. But no one knows how Staphylococcus epidermis was infected and what the route is."

"No trauma?"

"No! There is only peeling of the skin, nails and hair."

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