"Don't let it go, Brother Yun, don't scare me." Zhou Litao was also a little guilty.

"Mr. Zhou, let me introduce you to a girlfriend." Su Yun suddenly threw out an extremely huge topic.

Zheng Ren was stunned for a moment. The role of this matchmaker is really inconsistent with Su Yun.

"Uh..." Zhou Litao was also stunned.

"See what I do, I just ask casually." Su Yun said, "A friend from a long time ago, I am going to be a migrant worker in the imperial capital recently. He is still pretty good. How about it?"

"I... don't want to look for it for the time being." Zhou Litao sighed, "I think I don't want to be a hospitalist. My first idea is to take a good rest. When I am a hospitalist, I'm so tired. I have no private life at all, and I can't even feel at ease when I watch a TV series."

"Tsk tsk, come on." Seeing Zhou Litao objecting, Su Yun didn't say much, but just patted his shoulder hard.

Zhou Litao's cell phone rang, he took it out and looked at it and said, "I've finished filming."

The three of them came to Zhou Litao's duty room, clicked on the workstation, and retrieved the video information they had just uploaded.

The patient's chest radiograph shows that the texture of the two lungs is disordered? Thickened, and the texture of the two lungs is blurred? Zhou Litao's judgment is reasonable. Cumulative pneumonia is an indispensable diagnosis.

But cumulative pneumonia is not the only diagnosis, because this disease has accumulated over time and will not suddenly appear even if there is difficulty in breathing.

Aspiration is Zheng Ren's judgment. However, Zhou Litao's narrative has ruled out this point. After all, food residues were not sucked out when suctioning sputum, and no metal foreign objects were seen on the X-ray.

"Where is the patient?"

"I'll send it directly to the ICU," Zhou Litao said, "The blood oxygen is average. I judge that I may need a ventilator to assist in breathing. If it does not improve, it is likely to require a tracheotomy. Once an elderly person of this age becomes ill, he will be seriously ill, and there is no good idea."

"Then let's go and take a look." Zheng Ren felt that it would be better to finish this matter, at least he would have an explanation to Xiao Yiren when he went home.

Yiren is very concerned about people she knows. Last time she ate grilled fish with a diesel flavor at that restaurant, she didn't let herself talk to the boss.

If he had just returned home with just a little information, Zheng Ren was still afraid that Yiren would be worried.

"A very ordinary patient." Zhou Litao said.

"Is it normal?" Su Yun smiled, "Suddenly twitching, what are you thinking?"

"I checked the body in the neurology department, and there was no other problem. I sucked out the sputum, and the patient's symptoms of convulsions improved." Zhou Litao said.

Su Yun smiled but said nothing. Zhou Litao only found the last result, but the cause in front was not found. Why did it suddenly occur? This is the important thing.

"Go and take a look." Zheng Ren said, "Mr. Zhou, we're leaving."

Zhou Litao was a little reluctant. Boss Zheng and Brother Yun had not come to the emergency department for one day. They were busy, and Zhou Litao knew it. But they didn't come here often, and they always felt that something had happened.

Life has become boring...it has become even more boring.

Zheng Ren and Su Yun left the emergency room and went to ICU to take a look at the patient's condition. Su Yun kept holding his cell phone and contacting ICU's hospitalization officer.

"Boss, the patient said it was because he had a lot of phlegm and was already undergoing tracheal intubation." Su Yun said.

"Well, it's caused by long-term bed rest."

Cumulative pneumonia is one of the complications of long-term bed rest and a very difficult complication. In addition to taking care of it more carefully, there is nothing to solve when turning over and sputum regularly every day.

If you get on a ventilator, the cost will be second. Judging from Zheng Ren's experience, it is estimated that there is a high probability that you will not be able to go offline again.

Finally, when the patient's family accepted the fact, they were extubated and waited for death, or just used it, when multiple organ failure was considered to be the end.

Although I have seen this situation countless times, I feel a little uncomfortable whenever I think about it.

After entering the ICU, he changed his clothes and slippers, and walked through the corridor to the patient's bedside.

The patient is easy to identify, and the doctor and nurse are surrounded by the bed and are undergoing rescue.

The patient's system panel was red. In addition to some geriatric diseases and cerebral infarction that caused long-term bedridden bed, Zheng Ren also saw a diagnosis - respiratory foreign body.

What is this? Zheng Ren was stunned for a moment.

As expected, is there something in the airway as I judged before?

If there is a foreign object, you should be able to suck out the sputum. If the foreign object is too large and blocks the airway, you can also find any problems when sputum suctioning.

Zheng Ren stood silently behind the doctor and nurse, carefully observing the nurse's suctioning movements.

Following the suction tube under the tracheal intubation, there is no resistance shown by huge foreign objects on both sides.

strangeness.

"Boss Zheng, Brother Yun, you are here." After the hospitalization officer of the icu turned around and saw Zheng Ren and Su Yun, he greeted him and went to the computer to look for the results of the examination.

"How is the patient's condition?" Su Yun asked.

"The blood oxygen is fine, but there is too much phlegm in the airway." ICU's hospitalization general said, "Artificial blood gas analysis returns: ph: 7.104, pco2:89.4mmhg, po2:47mmhg, be:-2mmol/l, hco3: 28.0 mmol/l?"

"The patient is sweating profusely and has poor ability to cough up sputum by himself. I guess he has to use a ventilator for a while."

"What then?" Zheng Ren asked.

"Hmm?" ICU's hospitalization was stunned for a moment, and then? Is Boss Zheng's treatment in the school exam? She thought for a while and said immediately, "There are still a few minutes to report the results of the examination. Look at the situation. The sputum has been sent for examination for bacterial culture. Anti-inflammatory symptomatic treatment is mainly to suction."

"Alveolar lavage may have a better effect," said Zheng Ren.

The alveolar lavage that Zheng Ren mentioned is also called bronchial alveolar lavage, which is a new technology developed based on fiber bronchoscopy.

A method of injecting saline into the bronchial alveoli with a bronchoscopy and sucking it out immediately, collecting effective liquid on the surface of the alveolar and examining its cellular components and soluble substances.

"Do you suspect there is a foreign body in the airway?" Su Yun guessed the true intention of the boss from the home at a glance.

"Well, patients who have been bedridden for a long time may experience aspiration." Zheng Ren said.

"The possibility should be small, and the food residue was not sucked out." The hospitalization of the icu was the same as what Zheng Ren thought about when he didn't see the system panel.

But Boss Zheng... After all, he was cheating. He shook his head and said nothing.

"Try it, let him do it himself anyway, you're busy with yours." Su Yun and Iciu's hospitalization general traffic passage.

ICU was always helpless when she was hospitalized. She could not refuse whether it was Su Yun’s remarks or Boss Zheng’s request.

It’s not because of how high Boss Zheng’s academic status is, but because he takes a bronchoscope and performs alveolar lavage, which is also within the normal treatment range.
Chapter completed!