I'm really an intern

Chapter 233 Infection Index Floating in the Sky

After the visiting hours ended, there were suddenly more white coats active in the ICU ward.

After all, not everyone is used to being stared at.

Although people's eyes are not on the white coat most of the time when visiting, but knowing that someone is watching from behind, they still feel uncomfortable.

Zhang Tianyang is used to the feeling of being watched.

Do your own thing calmly from beginning to end.

"Looking at the medical records?"

Song Changkong appeared out of nowhere, walked behind Zhang Tianyang, and looked at his computer screen.

"Ang, I'm watching."

Now that he has made up his mind to befriend Zhang Tianyang, and even gave up the opportunity to go downstairs to learn techniques, Song Changkong took the initiative to introduce the patient's situation to Zhang Tianyang.

The 76-bed old lady stayed for 14 days, and the medical records were so long that she could mop the floor.

The 78-bed young man stayed for 42 days, and his medical history was not as long as two-thirds of hers.

The condition appears to be relatively stable.

Sure enough, Song Changkong introduced the condition of Bed 78 to Zhang Tianyang in a few words, and his tone was relatively relaxed, completely different from the anxiety faintly revealed when referring to the old lady in Bed 76.

"When I came in, it was because of an intracranial infection"

"After the intracranial infection improved, he was transferred to the orthopedic department for surgery, and then transferred back"

"At present, the infection index is relatively high"

While listening to Song Changkong's introduction, Zhang Tianyang clicked on the patient's corresponding medical records and various test results to view.

Indeed, as Director Song said, the patient's vital signs are relatively stable.

Bacterial and biochemical examinations of cerebrospinal fluid taken from several lumbar punctures also showed that the situation of intracranial infection was improving.

Although I haven't woken up yet, but if I continue the treatment step by step, I will eventually open my eyes.

The only problem might be this infection indicator.

After admission, the infection index showed a linear upward trend. Even after the lumbar puncture showed that the intracranial infection was under control, the infection index of the blood test was still rising.

Zhang Tianyang moved the mouse, and clicked on the small graph behind the patient's examination checklist.

This is a line chart automatically generated by the system, in order to help doctors better view the trend of various examination results of patients.

As long as two or more inspections of the same item have been performed within three months, the data will be converted into a line chart for doctors to query.

And this young man, since he has already been admitted to the ICU ward of the Department of Neurology, naturally has his blood checked at least once every two days.

"PCTCRP"

Zhang Tianyang frowned and murmured subconsciously.

Both indicators are specific indicators of bacterial infection.

The full name of ProCT is called procalcitonin, and the normal range is 0-0.05ng/ml.

The full name of CRP is called C-reactive protein, and the normal range is 0-5mg/L.

These two data, rising to more than three times the normal value are specific, indicating that the patient is highly suspected of bacterial infection.

And now, the broken line representing these two data has been floating high in the sky.

The lowest PCT of the patient was 5, and the highest reached 15, which is 600 times the normal high value!

CRP is also active between ten and fifty, which is more than ten times the normal high value.

It was the first time Zhang Tianyang saw such outrageous data in reality, and he was a little speechless for a while.

I haven't done this in the simulation of the system.

No wonder the patient has been unable to wake up.

Even if the intracranial infection is cured, he will have to lie obediently on the basis of this blood infection.

Lin Ke'an next to him also found an open space and came over, seeing the data on the screen clearly, he immediately opened his mouth under the mask.

that's so special

If it weren't for the data in front of her, who told her that the test result was so high, her first reaction was that the other party was teasing her, and the second reaction was that the test result was wrong, and one digit was marked after the decimal point.

However, this patient draws blood every two days. Although the infection index fluctuates, the broken line looks fairly consistent.

The description is true.

For a while, the two interns fell silent.

The knowledge in the books is really just the majority of what is said. In the actual clinical practice, all kinds of monsters and ghosts can be seen.

Song Changkong had been secretly observing Zhang Tianyang's reaction.

Seeing that he finally couldn't keep his composure and fell into silence, Song Changkong felt relieved for some reason.

Although Zhang Tianyang still doesn't look like an intern who just graduated from the clinic, his reaction is almost the same as that of the attending doctor when he saw the result.

But anyway, it's a bit like a normal person.

A normal person would have the seven emotions and six desires, would accept his feelings, and his little calculations would not be in vain.

So, he hurriedly struck while the iron was hot, and explained to Zhang Tianyang with a smile.

"The highest data does seem outrageous, but the second blood draw was done that day, and the result was also very high."

Then he pointed to the ups and downs on the screen and explained to Zhang Tianyang bit by bit.

"Look at this data, there are several turning points."

"At the beginning, it rose in a straight line, and then we gave cephalosporins. It can be seen that from here, although the infection index is still rising, the trend has eased."

"Then two days later, although the cephalosporin is still being used, it may be due to the development of drug resistance, and the index that was originally moderate has risen again."

Following Song Changkong's explanation, Zhang Tianyang gradually outlined the entire treatment process of the 78-bed young male patient in his mind.

Although he could go through the process by himself by looking at the medical records, the doctor's order records, and comparing the results of the inspection and examination, he could finally straighten it out, but it was not as fast as Song Changkong, the bed doctor, who personally introduced him.

While listening to Song Changkong's introduction, he occasionally glanced at Song Changkong's face from the corner of his eye, thoughtfully.

"From here, we did bacterial culture and drug resistance tests, and then transferred him to area C."

"Here and here, these two inflection points are two consecutive upgrades of antibiotics."

"In the end, we used Meiping Eternal, and it should be under control now, and the data has come down."

Zhang Tianyang looked at the inflection point Song Changkong was pointing at last.

five days ago.

Five days ago, the patient's infection index was still high and floating in the sky, but since the use of Meiping Wangu, the infection index has finally shown a downward trend.

It can stop rising and start falling, indicating that the infection is under control.

Although the blood test results in the past few days still seem to be high, there is always hope of landing.

Probably because of this downward trend, Song Changkong's tone is not in a hurry when he talks about bed 78.

If the infection index continues to rise, I don't know what to panic about now.

Zhang Tianyang fell into deep thought.

Song Changkong didn't speak again, just quietly waiting for him to think.

Lin Ke'an was also frowning and thinking behind the two, but quickly raised his head, looked at this and that, and dared not speak.

After a full minute of silence, Zhang Tianyang suddenly raised his head.

Song Changkong raised his eyebrows.

"Why, any ideas?"

(End of this chapter)