latelenovela Chapter 651
Chapter 651
Lin Feng was in the consultation room and had been busy all morning.
By noon
Just as I was about to go to dinner,
The nurse on the other side of the ward suddenly ran over.
"Doctor Lin, it's not good, that girl with systemic red wolf spots, blood oxygen has dropped to 93%! Dr. Chen (tube bed doctor) He can't grasp it, let me ask you to come and take a look..."
93%？
Lin Feng was suddenly taken aback.
This blood oxygen saturation is very dangerous!
Apparently already "respiratory failure".
There is a big problem with the lungs!
Lin Feng quickly ran to the ward.
The tube bed doctor saw Lin Feng and was overjoyed.
"Dr. Lin, help me see how she is now..."
"Specifically..."
"Okay... At 11 o'clock, I found that Miss Chen's patients were relatively small, I thought that the kidneys were affected and there was a problem with urination, and at that time I reviewed the blood routine of the review..."
"How's the blood routine result?"
"It's not out yet..."
At this moment,
The nurse took the iPad and said, "Dr. Lin, Dr. Chen, the blood routine is out!" "
Lin Feng and Dr. Chen took a look at the results of the iPad.
Qi Qi's face changed,
White blood cell and platelet counts are further reduced.
Hemoglobin also slipped, dropping to 90 (normal 110-150)..."
Lin Feng immediately said:
"It's a lupus crisis!"
A crisis is that it has reached the stage of severe illness.
It can also be said to be "severe systemic lupus erythematosus".
The death rate of "lupus crisis" is high!
As mentioned earlier,
"Systemic lupus erythematosus" produces a large number of antibodies, attacks the immune system, and then causes damage to various organs and tissues throughout the body.
And now,
The kidneys and lungs were attacked.
By the way, there are also injuries to the hematopoietic system and joints of the limbs.
Next, it will damage other organs, causing other organs and tissues to fail, or have already caused failure, but it has not yet manifested.
Lin Feng ordered: "Our emergency equipment, may not work, send it to the ICU..."
The tube doctor nodded: "I agree with Dr. Lin's view." "
Lin Feng called the ICU.
The ICU said there was a bed, and then quickly sent a doctor from the ICU to evaluate the condition.
I also feel that the condition is urgent.
"Miss Chen, the two old people, now Miss Chen must be sent to the ICU immediately..."
"Send, send, send!"
"But I want to say in advance that the cost of ICU will be very expensive, 10,000 a day..."
"Send, don't worry about the money, let's try to make it up, I'm such a daughter!"
Chen Juan's father said firmly.
Mother Chen's tears have fallen, and she feels very sorry for her daughter.
And at this time,
Lin Feng has already given the patient's oxygen tube a large flow of pure oxygen in an attempt to raise the patient's itch level.
转入ICU后，icu医生就给病人陈小姐用了第一轮的激素冲击治疗。
Methylprednisolone 500mg!
(Also called: Ankylosaurus!) ）
What does it do?
Anti-inflammatory confrontation!
Fight against the inflammation of a large number of antibodies produced by "systemic red wolf" and avoid antibody damage to organs and tissues.
Of course
Side effects are not small.
It has side effects including osteoporosis, eye disease, muscle loss, weakness, peptic ulcers, nutrient loss, fluid retention, headache, dizziness, endocrine system disruption, etc.
Among them, the most common side effect is osteoporosis or bone loss. It suppresses the cells of the body that form bones, calcium absorption decreases, urine loss increases calcium ...
Usually we are already very cautious about the use of hormones.
Not to mention 500mg directly now.
But there is no choice, because the patient is in crisis with lupus, which hormone is necessary.
......
For the next 3 days,
"Methylprednisolone" is used continuously, and the result is that the patient's face is swollen like a pig's head.
The face is edema, because of kidney failure, so there is nothing surprising.
On the contrary, the data of patient Chen Juan's other signs continue to decline.
At this point, it is explained:
Treatment plan 1: methylprednisolone shock, failure!!
Lin Feng was called and invited to the ICU for consultation.
Finally, Lin Feng discussed a new treatment plan with the ICU doctors.
Treatment plan two: use a large dose of gamma globulin, plasmapheresis, and transfuse a lot of blood and so on.
This program,
Just look at it: burn money!!
Very expensive!
Gamma globulin is a blood product, which is a globulin isolated from the blood, which contains more antibodies that are helpful to the human body, and the loss to the patient will enhance immune resistance in the short term, suppress immunity, and reduce the messy antibodies produced by systemic lupus erythematosus. But shock therapy is expensive, almost 6,000 yuan a day, and it takes 5 days to use it.
Besides
And plasmapheresis!
Plasmapheresis is to inject fresh plasma taken from the blood bank into the patient's body through a plasma exchange machine, and at the same time filter out the patient's own plasma.
Principle: Why "plasma"?
Because many pathogenic antibodies, immune complexes, etc. are bound to plasma.
Therefore, removing your own plasma and replacing it with fresh and clean plasma from others is conducive to the recovery of the disease.
It's also costly.
A day, at least 5,000 or more.
Other words
6000 + 5000 + ICU itself 7000 = 18,000 / day!
This wave of treatment plans will take at least 5 days, and according to Lin Feng's experience, it is estimated to take 10 days.
Other words
This trip treats down, at least 180,000!!
Most of the kind that cannot be reimbursed!
(In fact, this number is only a decimal number in the ICU, millions are not few)
"Do it!"
Chen Juan's father said firmly.
The money of the two old people, if they do not bring death in life, naturally they have to treat their daughters.
outcome
Two days of treatment,
There are new problems.
Kidney failure, can't stand it!
More and more serious, the blood creatinine value continues to increase, the urine has disappeared, and the patient is edematous.
"No, the patient still has to add a "blood purification"!"
I used to write that it is to use a machine to filter the blood, remove toxins, and then transfuse the blood back.
Replaces the function of the kidneys of the human body.
However, this blood purification also costs more than 1,000 a day.
in a word
A chapter of accidents.
However, it can be regarded as breaking the wealth and eliminating the disaster, after 6 days of krypton gold treatment, the patient's various indicators have recovered, and there is no continued fever.
Here's good news!
Because of the high mortality rate of severe systemic lupus erythematosus.
And the improvement of the condition of the patient Chen Juan in front of her means that she has been out of danger and has saved her life!
。