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2774 Seeing Bai Xintong again

"Boss, look at how much trouble you have caused to people." Su Yun said contemptly.

"I always feel that the patient has a problem." Zheng Ren couldn't say the system diagnosis of the big pig's hooves, so he could only say evasion.

"It's too far-fetched." Su Yun said, "The patient's symptoms are excessive phlegm, blocking the airway, and causing hypoxia. Tell me how you think about it if you suspect foreign objects."

"You also saw the behavior of the patient's family when we were eating skewers." Zheng Ren said, "It was obviously an accident. My feeling was that the old man was fine when he left the stall, but after a few hours he had convulsions and his blood oxygen saturation decreased, and the family caught him off guard."

"Uh... it seems to be the same, but don't you think it's the patient's family's own problem?" Su Yun looked at Zheng Ren in confusion and said, "You seem to have guessed something."

Zheng Ren shrugged his shoulders and shook his head, "I think there is something wrong. A doctor's intuition is just going in and taking a look. It's not troublesome. By the way, he can also try to suck all the deposited phlegm as clean as possible."

Su Yun accepted Zheng Ren's explanation. Although he was eating midnight snacks and singing, he suddenly ran to the ICU to have a bronchoscope and bronchial alveolar lavage.

Soon, the hospitalization officer of the ICU prepared the equipment for the bronchoscope. Zheng Ren came to the patient, found a suitable angle, and started to get down the pipe.

When a patient is anesthetized, if an ordinary bronchoscope is used, he will feel suffocating, and the feeling is quite bad.

Zheng Ren held the lens of the bronchoscope in his left hand, and while watching carefully, he slowly sent the fiber tube into the patient's airway with his right hand.

There is indeed a lot of phlegm, but Zheng Ren did not pay too much attention to the sputum in the upper respiratory tract. This is the part that can be sucked out.

The pipe was sent into the main bronchus on the right, and slowly sucked out the sputum while walking. Zheng Ren carefully observed the airway and patiently soaked the sputum.

It seems that this is not a problem. After checking the right airway, Zheng Ren sent the pipe to the left.

As soon as he entered the left main bronchus about 5cm, Zheng Ren saw things with two skeleton structures stuck on the wall of the trachea.

"Grab the clamp." Zheng Ren said in a deep voice.

"What did you see!" Su Yun hated the damn tracheoscope at this time because it had no screen and only the craftsman could see the situation inside.

The boss wants to grab the forceps, which means he saw a foreign object in the trachea. But there is a foreign object... This is unreasonable, and the patient's behavior is not like the airway being blocked.

Just as he was thinking, Zheng Ren let the camera go, "Look at it."

Su Yun immediately came over.

Two drug skeletons appeared in front of you.

"I'll go... I'll pay my respects to Xintong's drug skeleton!" Su Yun said immediately in surprise.

"Hmm? How do you know that you are a member of Xintong? Do you still have any research on this?" Zheng Ren was stunned for a moment.

"Last time I saw Director Lin explaining this to a family member of a patient with an opinion in the medical office. I bought a box when I went back and studied it carefully. It was the skeleton model of imported medicine, and it turned out that it was stuck in the medicine!"

ICU's hospitalization always installed the grabbing forceps and other devices and handed them to Zheng Ren.

Zheng Ren slowly sent it in, grabbed a drug skeleton and took it out. This operation is not difficult, at least for Zheng Ren.

The second drug skeleton was also taken out, and Zheng Ren did not finish the examination. Since he had already started to suction with sputum under direct eyes, so that the patient's recovery period could be much shorter.

Ten minutes later, Zheng Ren took out the fiber pipe and smiled, "It's okay, the sputum is about 80ml, and the amount is quite large."

"Boss Zheng, how did you know there is a foreign object?" ICU's hospitalization has not recovered yet, so she asked in confusion.

"Because of the patient's symptoms." Zheng Ren began to talk nonsense. Anyway, it was just about solving the problem. How can he make a judgment, he still had to tell her the truth?

"The patient initially showed spasms, convulsions, and acute hypoxia. Later, he showed improvement, but the sputum volume was large, which could not explain the sudden symptoms. I considered that there might be obstruction at the beginning, but later it gradually recovered a little, but because of the existence of obstruction and stimulation, only the skeleton-entered sustained-release dosage form can perfectly explain it."

"There is total blockage, and the medicine is then absorbed by the body, but there is still stimulation. The increase in sputum caused by stimulation is also a side reason." Zheng Ren added another sentence, wanting to say it more clearly.

After knowing the answer, the reverse comprehension became much simpler. Zheng Ren said his thoughts and kept frightened the hospitalization of ICU.

Even Su Yun felt that what his boss said was reasonable.

"Brother Yun, what is this? The patient's toy?" A young nurse asked when she saw the drug skeleton shell taken out by Bai Xintong.

"No, it's the skeleton shell of the nifedipine controlled release tablet."

"..." The young nurse was stunned.

"Baixin is made of film-coated tablets and a layer of openable hydrogel... This gel layer contains polyethylene oxide and hydroxypropyl methylcellulose. After the latter is eroded, the film-regulated push-pull osmosis pump principle can release nifedipine approximately at a constant speed within 24 hours, so that the drug can be released at a zero-order rate?"

"Here, you see that there are still drugs on it that have not been released. This one is a little less. I guess the boss took some of it when he was operating it."

"Bai Xin looks like this?"

"Yes, many people don't know. Someone in the medical department complained a while ago that the medicine prescribed by the doctor was fake. I saw that the meaning, I might want the hospital to pay 100,000 or 80,000 yuan. Finally, Director Lin finished explaining and ran away." Su Yun and the young nurse started chatting very well.

Zheng Ren looked at Su Yun helplessly. How can he live in the future? Should he look at Chang Yue's black face every day?

He seized the time to get married and leave these two guys. Every day, he looked at Chang Yue's unhappy appearance, Zheng Ren felt that he was in a bad mood.

"What other medicine has the patient taken?" Su Yun said, and suddenly asked the hospitalization officer of the ICU.

"There are also Daiwen and Luode."

"These two can be absorbed, so they cannot be seen." Su Yun said along the vein. "The patient has a history of cerebral infarction and has been bedridden for many years, and has a certain degree of swallowing dysfunction? It is mainly because of bed resting for a long time. If the care is not properly done, it is easy to aspirate incorrectly?"

"Try to go offline in 3 hours." Zheng Ren smiled, "If everything goes well, I guess I can transfer out of the iCu tomorrow."

"Okay, OK." said the hospitalized president of the icu, "Boss Zheng, are you going to explain to the patient's family?"

The patient came here, Boss Zheng and Brother Yun came. They probably knew each other. The hospitalized hospital asked this question, and they were also thinking not to interfere.

"You go, we're going home." Zheng Ren said.
Chapter completed!
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