The patient's family was an old man in his 70s. He felt uncomfortable when he saw his wife being pushed away. He held Wang Ting's white coat and didn't know what to say.

Wang Ting patted his arm and comforted him: "It's just the early stage of shock, and there is still a rescue."

"Doctor, you must save her."

Wang Ting kept nodding, and took the critical illness notice from Ji Qing and handed it over: "The patient's condition is really not good now, and the infection has been delayed for too long."

The old man trembled and picked up the pen that was delivered to his hand. Tears as big as beans immediately filled his eyes, crossing his wrinkled face, drop by drop on the name he signed.

Wang Ting handed over the first aid treatment form again: "Please pay the first aid fee first."

The old man was a little helpless, but he didn't say anything.

Wang Ting knew about their family's situation. Although he was not too poor, he could not withstand the back and forth of high-grade drugs for severe ICU. He could eat tens of thousands of dollars with just a few imported drugs, not to mention life-saving instruments such as ventilators.

"It is important to save people first. What medicine should be used to treat them after they are rescued to match your situation. Let's discuss it together."

The old man nodded: "We must save her."

"We will do our best."

Although Wang Ting was still comforting his family in the clinic, the patient's condition in the intensive care unit was much worse than he had imagined.

After only ten minutes of entering, the patient's already fragile blood pressure began to drop sharply. The systolic blood pressure dropped by half, and the diastolic blood pressure could not be measured at one point.

Even Qi Jing has never seen such a fierce septic shock.

To be honest, the nurse's reaction was already very fast, and the mental and gastrointestinal symptoms of early shock were captured immediately. In theory, the doctor had enough time to correct the shock.

But this infection does not play according to common sense.

The patient's early stage of the patient's illness took off like a rocket taking off. Not only did he cross the middle stage at high speed, but he even stepped into the late stage with one foot.

The first wave of hypotension attacks came in full force.

Finally, it was under the combined effect of the intravenous pathway opened by the Department of Anesthesiology, plus the combined effect of large-dose fluid replenishment and volume enhancement drugs.

The half-hour rescue kept the patient's blood pressure at around 70/40, with a heart rate of 110, breathing 30, and a blood oxygen saturation of 93%.

The patient's condition was very complicated, so Wang Ting immediately called Luo Tang.

As the front-line commander of Danyang Hospital's prevention and treatment of sars, Luo Tang appeared in the emergency room as soon as he finished his work.

"Fungal infection." Luo Tang said, looking at the ct tablet in the reader, "Have you used antifungal drugs?"

"The fluconazole in the third hospital was invalid before. We think it might be that Aspergillus had voriconazole, which should be invalid." Ji Qing reported the treatment situation, "The shock occurred for forty minutes, temporarily stabilized his blood pressure, and now he is afraid..."

"I'm afraid my kidneys can't hold on."

Luo Tang couldn't help coughing and quickly looked through the patient's past medical history. When he saw the blood test report, he stopped: "Blood sugar 4.8? Is it peripheral blood?"

Ji Qing didn't expect that Luo Tang also fell in love with blood sugar at first glance, and it was the same as Qi Jing's idea: "Director Luo, the venous blood sugar is already done."

Luo Tang shook his head: "The patient must have diabetes, which should be a secondary chance of pathogenic bacteria infection. The later process is still so fierce and fast..."

"It's mucor fungus!"

"It's mucor fungus!"

Luo Tang opened his mouth confidently and shouted the name of the fungus, but found that the sound echoing in his ears seemed to be his own.

He and Ji Qing and Wang Ting beside him looked at the door together, and saw Qi Jing standing at the door with the blood sugar report he had just finished: "Hmm? Director Luo? You are here."

Why is this kid again?

Luo Tang recalled the hospital-wide consultation that Xiong Yong had held before, and it was this kid who was against him. Although he was confused by him, Qi Jing did not leave any good impression on Luo Tang.

Contradicting the director, speculating without any evidence, do whatever he wants, the dean's son...

If you really want to find an advantage, maybe the intuition that is inconsistent with his experience can be counted, although Luo Tang feels that this intuition is of no use.

"Hmph, it's rare that we have the same view." Luo Tang cleared his throat, "Is the blood sugar report coming out?"

“Venus blood test, 17.8.”

“That’s high?”

Wang Ting read the newly sent report: "It seems that the patient has long-term diabetes and has not lowered the sugar properly. It has now affected the peripheral blood supply, so the peripheral blood cannot measure the accurate value of blood sugar at all."

"Mumaria is the most likely."

Luo Tang watched the ct film again, "The lesion is in line with mucorin infection, and changes have gradually occurred around it. I am 80% sure!"

"I'm about the same, too."

Wang Ting was a little hesitant. Now that his blood pressure is just stable, even if using amphotericin directly can remove the infection, it is easy to zero the last trace of kidney function.

Besides, it is now judged that the patient has a long history of diabetes.

Long-term high blood sugar is also a burden on the kidneys. Maybe the kidneys will have problems before the patient comes to the hospital.

Wang Ting's heart skipped a beat.

If the patient had chronic diabetic kidney disease long ago, the riddled kidneys would definitely turn against each other in the final battle and become a weapon of death.

But the mortality rate of mucorin infection is very high, and it would be too late to make a decision.

"Qi Jing, please check the patient's liver and kidney function again. Ji Qing will ask for dialysis. After the dialysis, we will take amphotericin and protect the patient's kidneys as much as possible."

Wang Ting made the best judgment.

It was about to blow up the horn of our final decisive battle, but Wu Tongshan in the emergency room heard the news of the second wave of the God of Death's offensive: "Director Wang, the patient's blood oxygen cannot hold on."

At this time, the pinched finger oxygen saturation on the ECG monitoring is like a countdown stopwatch, constantly falling.

90%, 88%, 85%...

After the kidneys are broken, infected lungs are followed by, and respiratory failure is inevitable.

Wang Ting increased the amount of oxygen and injected it with salbutamol and acetylcysteine, one to relieve bronchospasm, and the other to expectorate phlegm.

Adrenaline was also added to the intravenous fluid replenishment, and the sputum was suctioned as soon as possible to keep the respiratory tract unobstructed.

It can be said that all measures to relieve respiratory failure have been basically taken, but the patient's lungs have reached their limit and the oxygen saturation is still decreasing.

"There is no way, I have to go to the ventilator."

The doctors present all know what the ventilator represents. Many people can never get it off after getting on the ventilator. Especially for patients with kidneys that are not good and have such severe infections, the prognosis can be said to be quite poor.

Qi Jing obviously hadn't given up yet and said, "With ecmo, plus dialysis, and at the same time, a large dose of amphotericin, there is still a chance to defeat mucor fungus!"

What is ecmo?

Ji Qing had never heard of this English word. Wang Ting had heard of it but had never seen it. I am afraid that the only ones who were lucky enough to see it were Luo Tang and Wu Tongshan.

Qi Jing has naturally used it, but it has been several years later.

Luo Tang happened to see him when he visited an ecmo medical team abroad, and Wu Tongshan saw him when he was gilding abroad, but at his level he could not operate.

In China in 2003, ecmo was the ultimate weapon that only existed in some major iicu.

Due to the scarcity of machines, there are only a handful of patients who can use ecmo. It was not until 2003 that the first ecmo seminar was held in China, and many doctors had never even heard of it.

The treatment of the respiratory system is much more difficult than the heart. It was not until 2005 that the treatment of respiratory distress syndrome was used in China, which slowly kicked off its prelude.

Now there is no way to do this...
Chapter completed!