Doctor Zhao, help!

Chapter 244 Cherish life
After a while, the ward rounds began.

Although it was the first time for him to conduct ward rounds with so many people, Zhao Sheng was not at all embarrassed. From a professional level, he was more than capable of guiding these attending, hospital and training doctors.

As for the intern doctor, you should read the textbook first and then let him guide you.

According to each patient's situation, Zhao Sheng can basically make subtle adjustments, and this kind of adjustment is from a high level. The usage of some drugs and the adjustment of the treatment plan make these attending doctors, which are all big changes. Inspirational.

Soon, Zhao Sheng led people to the bedside of the little girl who drank paraquat that Lin Haizhou mentioned before.

Only then did Zhao Sheng take a closer look at the little girl who was still lying on the hospital bed and actively watching videos on her mobile phone.

This little girl looks like she is fourteen or fifteen years old at most, that is, she is in the third grade of junior high school.

Sitting beside the hospital bed were the little girl's parents. Both of them looked a bit old, and their faces were covered with traces of years. It could be seen that life was still a bit hard.

"This is our Director Zhao."

Arriving at the hospital bed, Li Mujia introduced the little girl's parents.

"Director, hello, director!"

When the little girl's father heard this, he immediately stood up and said to Zhao Sheng nervously.

The title director reminded him of the overbearing village director in his hometown.

However, the village director and Zhao Sheng, the director, are not the same thing.

"Director Zhao, these are the test results that came out this morning."

At this time, Gao Jun, the attending doctor in charge of the bed, handed the medical record folder to Zhao Sheng and said.

Gao Jun is 37 years old this year. He has a typical Chinese character face and a strict character. He can be regarded as an experienced attending doctor.

In the hospital, there are actually the majority of people with strict personalities like Gao Jun.

If a patient comes to the hospital to see a doctor and finds that the doctors and nurses are all fun-loving people, he will be frightened and run away.

Although the deputy director Zhao Sheng looks young, no one dares to neglect him. Whether it is personal level or background, Zhao Sheng is not comparable to those of them who have been attending doctors for many years.

"it is good."

Zhao Sheng nodded and took the test results.

At this sight, Zhao Sheng's face became solemn.

Liver function and kidney function were damaged to varying degrees. The most important thing was that judging from the lung CT results, this little girl's lungs had begun to undergo fibrosis.

This is the worst sign!

Irreversible pulmonary fibrosis is also the most terrifying pathological change that scares people due to paraquat poisoning.

Lung damage caused by paraquat poisoning can be divided into two stages: the first is the destruction stage, which is characterized by redox reactions that destroy alveolar epithelial cells.

The second is the proliferative stage, when normal epithelial cells are replaced by tissue, leading to large pulmonary fibrosis, hypoxemia and even death. This type of lung damage is called paraquat lung.

"A few days?"

Zhao Sheng handed the medical record folder to Gao Jun and asked the little girl's father.

"Doctor, this is what I drank yesterday morning."

The little girl's father replied very worriedly.

He still can't believe what Lin Haizhou said to him last night. How can he lie down and play with his mobile phone when he still looks fine?

Why did you say it was hopeless?
"Doctor, when will I be discharged from the hospital?"

"It's time for the final exam!"

The little girl lying on the hospital bed put down her mobile phone and said to Zhao Sheng impatiently.

Looking at the little girl and her parents, Zhao Sheng's thoughts froze for a moment. Even though he was experienced, he really didn't know what to say in this situation.

Although this little girl's condition seems normal now, the irreversible pulmonary fibrosis will soon damage her lung function. In other words, she will gradually feel out of breath. , when the lungs fail, she will need artificial lungs, that is, ECMO. At that time, ECMO will be used to extend her life.

When the machine stops, people die, which is very cruel.Not only Zhao Sheng, but also the doctors who were doing the rounds with him behind him, also looked like they couldn't bear to look at the little girl.

A fresh life will slowly disappear before our eyes. It is a pity to spend the same age.

"You guys come down to the office for a moment."

Zhao Sheng sighed slightly and said to the little girl's parents.

After the ward check, Zhao Sheng, Gao Jun, and Li Mujia were sitting in the doctor's office, and the three of them were discussing the little girl's situation.

"Director Zhao, do you want to contact Feiyuan?"

Gao Jun asked Zhao Sheng.

In this little girl's case, once her lung function declines to the point where she cannot breathe on her own, the only way to maintain her condition is to put on ECMO, but this only treats the symptoms rather than the root cause. Currently, the only hope is lung transplantation.

"The patient is only 14 years old. At this age, the need is so urgent, and the lung source needs to be matched. This is too difficult."

Li Mujia sighed and said.

In this little girl’s condition, it’s hard to say whether she could live for more than a week after taking 30 ml of paraquat orally.

The possibility of finding a suitable lung source for transplant within this week is extremely slim.

Moreover, in clinical practice, the source of transplanted lungs is generally social donations.

Usually, some people sign an organ donation consent form. When they die unexpectedly or have other circumstances, they will be evaluated to determine whether the organ meets the donation requirements and are determined to be qualified donors for lung transplantation.

Although it has been widely publicized, people still die from paraquat poisoning every year.

In some places, the production of paraquat has been banned.

It is a bit ridiculous that a high-quality herbicide was so popular that it had to be discontinued. Probably the scientist who invented paraquat never thought about this possibility.

"Let's get in touch first."

"We also need to prepare ECMO first. It will probably be used soon."

Zhao Sheng thought for a while and said.

"it is good."

Gao Jun nodded.

While the three of them were talking, the little girl's parents walked into the doctor's office. They looked very worried and nervous.

"sit down."

Zhao Sheng said to the little girl’s parents.

"take it easy."

After a pause, Zhao Sheng stood up and poured two glasses of water, placed them in front of the two of them, and said very gently.

"Director Lin explained the situation to you last night. Is there anything unclear now?"

Zhao Sheng asked the little girl’s father.

"Doctor, is it really that serious? I think you are doing well now!"

The little girl's father's face was already full of wrinkles. He was in his 40s, but he looked like he was in his 50s. He asked in disbelief.

"Yes, doctor, those who drank dichlorvos in our hometown were all saved!"

The little girl's mother said even more excitedly.

No one else, even when she was young, she drank dichlorvos because of a quarrel with her mother-in-law.

Because she drank too much, she had to go to the hospital for gastric lavage several times, which damaged the gastric mucosa, causing her stomach to feel bad now.

(End of this chapter)