Chapter 50 I Will Know Peritoneal Dialysis!

At this time, in the rescue room, all the eight rescue beds were full of patients!

One by one lying on the bed and moaning incessantly!

"Doctor help!"

"Doctor... I'm so uncomfortable, my head hurts!"

"Where am I... help me, I'm dying, why can't I see anything!"

As soon as he entered the emergency room, bursts of mourning came, and the voice was low and weak.

Seeing Li Baoshan coming in, Zhang Shu hurriedly greeted him: "Director, you're here!"

Li Baoshan asked anxiously, "What's the situation?"

Zhang Shu said with a serious face: "The situation... is not optimistic!"

"After a detailed examination, these poisoned patients were found to have tachycardia, even with varying degrees of myocarditis, abnormal S-T segment, and some severe renal failure. Three of the patients were accompanied by varying degrees of optic milk congestion and optic milk projection. Retinal edema with visual field defects! And severe metabolic acidosis!"

After listening to Li Baoshan, his heart was half cold, and all the signs were moving towards an answer!

Li Baoshan: "Methanol poisoning?"

Zhang Shu nodded: "Yes! Methanol poisoning, and several of them were severely poisoned!"

Li Baoshan turned around and began to examine the patient: "Give me the test sheet."

The doctor on the side handed over the medical records, and the more Li Baoshan looked at it, the more worried he became!

After about ten minutes, Li Baoshan examined each patient next to each other and said, "Did you have gastric lavage? What medicines were used later?"

Zhang Shu nodded: "Everyone has washed it! They used 1% sodium bicarbonate. After washing, they used 4% sodium bicarbonate 250ml intravenously to correct acidosis, and 20% mannitol 250ml plus dexamethasone. Plus 10mg intravenous infusion to prevent cerebral edema."

"But ... six of the patients are in more dangerous condition and may need dialysis. They have all been sent to the hemodialysis room, but I am worried about these three and seven beds. They are now in a light coma."

Li Baoshan: "I asked other hospitals if the dialysis machines are available!"

After speaking, Li Baoshan picked up the phone and started to contact: "Old Chen, I, Li Baoshan, are there any idle dialysis machines in your hospital? No! Well, that's it..."

I made four or five calls, but several hospitals that can do dialysis are using it now!

How to do?

Li Baoshan was a little anxious, and suddenly he remembered something.

"Didn't the hospital just buy a few peritoneal dialysis machines?"

Thinking of this, he directly picked up the phone and dialed Dean Hao, the director in charge: "President Hao, I, Li Baoshan, can the current peritoneal dialysis machine in our hospital be used? Now the poisoned patients are too serious, and dialysis must be done. , but now hemodialysis is full, and patients can't afford to delay!"

Hao Xuliang sighed: "The peritoneal dialysis machine is back, and it can be used. I have tried it, but it has not been officially used, and the doctors have also sent it out for training."

Hearing this, Li Baoshan looked at Zhang Shu while covering the phone, and asked, "Can you do peritoneal dialysis?"

Zhang Shu blushed for a while and shook his head: "I've only seen others do it, but I haven't done it myself."

Hao Xuliang's voice sounded: "Baoshan, don't worry, or you can ask other hospitals if there are any extra people and send two."

Li Baoshan said: "I just called and asked other hospitals, and now they are all busy. There are a lot of people who have been poisoned this time."

"Why not! Dean Hao, I'll try it. Although I haven't studied it specifically, I've seen a lot of it. Shall I try it and see if I can do it?"

When Hao Xuliang heard this, he was taken aback: "Baoshan, don't be ridiculous! You were joking at the time of dialysis? You have to get the family members to sign! Who is responsible if something goes wrong!"

For a while, the room fell into silence!

Everyone is so confused!

Li Baoshan even felt a sense of powerlessness welling up in his heart!

What is a book to hate less when it is used up?

This feeling is most obvious when I study medicine!

When a fresh patient is placed in front of you, but you find that you are insufficiently skilled to provide effective diagnosis and treatment for the patient, this feeling of powerlessness and frustration is unparalleled at any time.

Therefore, the real learning of medical students is not during the university and graduate students or even during the doctoral period, but during the clinical period!

Although Chen Cang has never been to a graduate student, his clinical ability is no worse than those of the graduate students!

After all, the clinic is the best teacher!

How to do?

The students on the side were about to cry.

Finally found a peritoneal dialysis machine, but no one can use it!

Li Baoshan's blue veins are exposed on his hand holding the phone, his eyebrows are tight, what should I do! How to do!

Hearing Li Baoshan's silence, Hao Xuliang couldn't help but say, "Baoshan, I really don't want you to use it, but I think about it for you. You are an old doctor and understand these things better than I do. It's not that I don't want you to use it. , like this, if you can find someone who can know peritoneal dialysis, I will shoulder the responsibility for you!"

Li Baoshan was silent!

Where can I find someone who does peritoneal dialysis?

The peritoneal dialysis technology only emerged in the 1990s, and the world only accepted this technology in the 1990s!

It was not long before it was introduced into China, and many hospitals still did not popularize the technology of peritoneal dialysis!

Peritoneal dialysis is generally a means of nephrology for the treatment of uremia, renal failure and other diseases.

However, peritoneal dialysis can also be used to treat severe methanol poisoning patients, and there is an intuitive effect through dialysis!

Moreover, there is a big difference between peritoneal dialysis and hemodialysis!

That is, the risk of peritoneal dialysis is higher!

Peritoneal dialysis is easy to be infected and cause peritonitis. During the treatment of peritoneal dialysis, patients can easily cause gastrointestinal inflammation, catheter-related infection and iatrogenic operations due to exposure to pollution. Acute intra-abdominal infection caused by pathogens invading the abdominal cavity. inflammation.

So, this is not the same as infusion injection!

You will be!

No no no!

At this time, Chen Cang suddenly said, "Director, I will do peritoneal dialysis!"

Chen Cang's voice was not loud, but it was like a thunderous shock, attracting everyone's attention in the quiet rescue room!

Li Baoshan turned around, his eyes were full of eagerness, as if he had seen a savior!

"What did you say?"

Chen Cang said slowly, "I said I would be on peritoneal dialysis."

Li Baoshan's eyes were shining brightly: "Are you sure?"

Chen Cang: "I'm sure!"

Li Baoshan turned around and picked up the phone, and said to Hao Xuliang, "President Hao, I have found someone who can know peritoneal dialysis!"

Hao Xuliang said, "Wait for me! I'll go downstairs and I'll take you to the dialysis room."

After hanging up the phone, everyone looked at Chen Cang with incredible eyes!

Because Chen Cang is just an ordinary, unremarkable little doctor, a temporary worker, in a large hospital like the Second Provincial Hospital, he can't stand any storms and attractions at all.

Zhang Shu was a little uneasy, she looked at Chen Cang: "Xiao Chen, how sure are you when this is not a joke?"

Chen Cang: "One hundred percent!"

Li Baoshan: "Good!"