medical road high rise

Chapter 97 Are you in the ICU?
Chapter 97 Coming to the ICU?
The viewer showed the chest and abdomen CT of the patient, and there were several masses in the lungs and liver, some of which had cavities and fluid inside.

Qin Feng recognized it at a glance, it was a lung abscess and a liver abscess.

The other directors and doctors also took a deep breath and looked up at the ophthalmologist. If the ophthalmologist hadn't observed carefully, the patient's life might have been lost.

After all, it is impossible for a normal person to develop a lung and liver abscess. It is no wonder that the patient will have symptoms of fever and cough.

The hepatobiliary doctor sighed and said: "A few years ago, I also encountered such a patient who also had eye pain, but later found that there was lung abscess and liver abscess, and he could go away without timely treatment."

"Have you done blood culture and antibiotics for the patient?" asked the ICU doctor.

The ophthalmologist shook his head. As soon as he discovered the problem, he immediately asked the bed doctor below to call the doctors in each department and ask them to come over for consultation.

"The patient should be infected with Klebsiella pneumoniae." Qin Feng observed for a while and said.

Everyone looked at Qin Feng. They were still thinking about what the disease was, and Qin Feng said it out.

"Xiao Qin, you are indeed an Internet celebrity doctor in our second hospital, you can tell at a glance." The respiratory doctor praised.

The ICU doctor also nodded. Everyone knows about this disease, and it matches the patient's condition very well.

It first caused liver abscess, then spread to the lungs and eyes, and finally caused lung abscess and left endophthalmitis leading to retinal detachment, mainly due to bacterial infection.

All the doctors present had heard of this disease, and only the ophthalmologist had heard of it for the first time.

Klebsiella pneumoniae is a highly invasive bacterium that will spread to the eyes, lungs, brain, and bone marrow along with the blood. It is a very harmful bacterium.

"Could it be another disease?" The hepatobiliary doctor asked.

"It's possible, but most organ accumulation problems are caused by this bacteria. We will check the blood culture results when the time comes." the ICU doctor said.

"I suggest doing a puncture and drainage of a liver abscess, and directly judge whether it is pus through the drainage fluid, and see if the bacteria can be cultured. If so, it is the disease. The detection is simpler." Qin Feng suggested.

This was agreed by the doctors present, who arranged for the puncture and drainage of the liver abscess.

"Did the patient have any gastrointestinal symptoms such as abdominal pain, bloating, nausea, and vomiting before the onset of the disease?" the liver and gallbladder doctor asked the patient's wife.

The patient is no longer in the mood to answer questions. After all, he is going to have eyeball removal surgery again, and he has been diagnosed with pneumonia caused by some kind of bacteria, which makes the patient feel disheartened. Let alone answering questions, he is too lazy to talk. The whole person is numb.

"No, it's just that I didn't have a good appetite for a while, and I often couldn't eat." The patient's wife said.

"Why did my husband only have eye problems in the previous diagnosis, instead of this germ?" asked the patient's wife.

She felt that the hospital was also responsible for her husband's current situation. If he had been diagnosed and treated earlier, her husband would not have to suffer like this.

"Patients with aggressive liver abscess syndrome will first experience abdominal distension and pain, followed by eye pain. It is easier to diagnose. Like your husband, it is rare to have obvious eye symptoms first, but not obvious abdominal symptoms." ICU the doctor explained.

As an ICU doctor who often deals with patients, he is obviously better at dealing with doctor-patient conflicts than other doctors.

Just now the patient's wife obviously wanted to get angry, but after hearing what the ICU doctor said, she calmed down.

"Will this disease be fatal?" the patient's wife asked with a trembling voice.

"Yes, the dangerous situation is several times that of other diseases, because now the patient has fever, liver abscess and lung abscess, if the infection cannot be controlled, once it spreads to the brain, the situation will become worse , death from shock may occur at any time." The ICU doctor said.

Qin Feng listened from the side, and then heard the ICU doctor continue to speak: "The current situation is which department will the patient be assigned to? Vascular department, hepatobiliary surgery, or our ICU?"

"The vascular department should not be able to do so. Before this disease has been detected, the role of the vascular department is too small. Just transfer it to our hepatobiliary surgery department." The hepatobiliary surgeon said.

Qin Feng didn't say much. Before the cause of the disease was determined, the vascular department really couldn't help. Although the patient's disease was transmitted through the blood, Qin Feng could only repair the blood vessels, but could not directly use a scalpel to cut the blood into the blood. of germs.

"Okay, let's transfer to the hepatobiliary surgery first. When the time comes, you will first give antibiotics and perform puncture and drainage of the liver abscess. If the condition worsens, then transfer to the ICU at any time." The ICU doctor said sternly.

The other doctors nodded one after another, and Qin Feng found that he was lonely. Except for helping with the diagnosis, he had not helped with anything.

After determining the order of operations, the doctors were ready to leave and directly arranged for the patient to be admitted to the Hepatobiliary Surgery Department.

"Xiao Qin, you have two brushes in your diagnosis." The ICU doctor patted Qin Feng on the shoulder and praised.

"No, it's all Dr. Luo who gave you a good idea and helped to ask about the patient's condition. Otherwise, I might not be able to give a diagnosis." Qin Feng said.

"You kid is too modest, do you want to consider coming to our ICU to exercise for a while?" The ICU doctor extended an olive branch.

As long as Qin Feng agrees, the vascular department can't say anything. In the hospital, the ICU is a big brother-level existence, and most of the doctors in it are general practitioners.

"Let's talk about it when Director Dong comes back." Qin Feng also wanted to go to the ICU to exercise for a while, but this matter still needs to go through the procedure.

After all, there are a lot of surgeries in the ICU, which is completely different from the Department of Vascular Surgery. The Department of Vascular Surgery is hardly busy. Sometimes Qin Feng can play with his mobile phone all afternoon.

"Okay, Director Dong is back, I will talk to him personally." The ICU doctor greeted Qin Feng and left.

For Qin Feng, ICU doctors still value it very much. After all, the ICU lacks doctors with strong diagnostic and surgical abilities like Qin Feng. Qin Feng's current surgical level has surpassed many doctors in the Second Hospital.

As for Qin Feng's medical certificate, it has been ignored. As long as there is no problem with Qin Feng, no one will say anything at all.

This is the benefit of strength. As long as the strength is strong enough, no one dares to say anything.

Qin Feng returned to the vascular department. Today, Qin Feng will be on night shift, that is, overnight shift until seven o'clock tomorrow morning.

But there was usually nothing going on in the vascular department at night, so Qin Feng lay down in the department confidently and entered the training room to start training.

(End of this chapter)