Chapter 223
Li Heiyun pouted and said, "Is there something wrong with me? I suspect this virus is too powerful!"
Zhou Yewu didn't say anything because what Li Heiyun said was actually very reasonable.
The pneumonia caused by this new G virus is indeed much worse than ordinary pneumonia. Li Heiyun's face was distorted and breathless, and he still appeared in his mind.
Even if Li Heiyun was inserted into the trachea, he couldn't speak clearly. Every time he said something, he would be choked by oxygen for a while, but he kept repeating: "I don't go to other wards, I just stayed in such wards. I also remember to implement the reimbursement for me. I don't have any money."
Everyone suddenly laughed.
Seeing that Li Heiyun was nothing big, Chen Riyuan took Zhou Yewu and the ICU doctor back to the department to study the ward again. It would be much more comfortable to analyze the test report and other patients.
"This emergency chest CT seems to be impossible to do this evening." Zhou Yewu looked at the latest blood gas analysis and said that Li Heiyun had respiratory failure just now, the carbon dioxide partial pressure was higher than normal, and the oxygen partial pressure was very low.
The ICU doctor also frowned when he looked at the blood qi analysis: "Fortunately, you have intubated the trachea in a timely manner. As for abdominal CT, I would recommend that you wait until the overall situation of the patient is stable the next day before you do it. Isn't there no abdominal pain now?"
When talking about abdominal pain, Zhou Yewu suddenly felt a little ashamed.
Li Heiyun is really a bit unique. He was screaming in pain, but then he didn't know when the abdominal pain began to disappear again.
It's simply a strange disease and magical!
"It's not a mental problem." The ICU doctor also felt a little incredible, which was a bit unreasonable.
But if it is a psychological problem, this usually occurs in patients who have been living in the ward for a long time and are not active.
Li Heiyun has just been hospitalized for a few days. Could it be that he will become depressed so soon?
It feels too fake.
Zhou Yewu took a breath of cold air, and no matter how he thought about it, he felt inexplicable.
However, after this trouble, Liu Heiyun really didn't make any more trouble for one night.
The next day, Zhou Yewu went to the department early and took a look at Li Heiyun's nursing records. It was smooth all night.
"I'm on duty today, I hope something goes wrong." Zhou Yewu was still thinking about Li Heiyun's condition, and always felt a little worried in his heart.
If nothing happened after checking the room today, he would take Li Heiyun to scan the CT scan of his chest and abdomen first, so that he can rest assured!
Soon the doctors in the department arrived one after another. Chen Riyuan was very happy to see Zhou Yewu: "Ping safe last night. I hope you can hold on duty today. If something happens, please contact us any time."
"What happened last night?"
"Damn, you rescued yesterday!"
"My dad, your trachea is intubated. Isn't that old man in the first place very stable?"
Sun Jun and Hu Huan began to discuss it in a verbal way. The two of them were really typical people who were eating melons.
This is our director of Tianfeng? Every time Zhou Yewu sees Sun Jun and Hu Huan, it is hard to describe it.
After checking the room, Li Heiyun's vital signs were quite stable.
Zhou Yewu pushed the ventilator and sent Li Heiyun to the door, and then asked the nurses from the nursing staff and auxiliary departments to take Li Heiyun to undergo a CT scan of the chest and abdomen.
Before leaving, Zhou Yewu specifically explained Li Heiyun's condition and the rescue incident yesterday, hoping to take care of him carefully on the way.
About 15 minutes later, Li Heiyun finally came back after undergoing a CT scan of the emergency room.
The doctors in the entire department were very concerned about the CT results. Chen Riyuan did not leave after work at night, so he stayed to wait for the result of such a CT.
But just when everyone opened the CT result with great interest, they were a little surprised.
"What's going on? Yesterday, there was nothing to do with this symptom, and even the pneumonia did not worsen?" Sun Jun said whistling.
This is simply!
So what was rescued yesterday and came back?
Everyone thought they could find some information, but unfortunately they didn't.
Li Heiyun has no pulmonary embolism, no pneumothorax, and the pneumonia has not worsened much, but there is some pulmonary edema.
Chen Riyuan also observed this point of pulmonary edema: "We are still paying attention to how pulmonary edema comes from. It is also uncommon for dyspnea caused by severe pulmonary edema. I can only say that Li Heiyun may be better than I thought, at least not severe pneumonia. You should know that there is no special treatment for new G patients now, and the last step is to take ECMO."
"How did pulmonary edema come from? Is it caused by pneumonia? Or heart failure?" Zhou Yewu watched the film with interest, and was convinced by Da Li Heiyun, the patient.
After many twists and turns, it was said that it was caused by pulmonary edema. Can pulmonary edema still cause abdominal pain?
There was no obvious abnormality in the abdominal CT scan, but there were some small stones in the kidneys, but that was definitely not the cause of the pain in the upper right abdomen. If you take a step back, the pain in the kidney stones should be caused by the waist.
Moreover, the kidney stone is so small that it doesn’t look like it will cause pain no matter how it looks like!
For a moment, everyone's opinions were disagreeable.
Sun Jun said: "If the patient's heart function is not good and the blood cannot be pumped out, it will accumulate in the lungs and pulmonary edema will occur. The entire alveoli should have been filled with air, but now it is filled with water. Of course, the patient will feel hypoxia and will of course breathe rapidly."
After Sun Jun finished speaking, Hu Huan said again: "But the question is why the patient has heart failure... You should know that the patient was in good health before, without the foundation of heart disease such as coronary heart disease, and was not old, and suddenly had heart failure, which was unreasonable."
Zhou Yewu then interrupted and said, "Unless, the patient has severe myocarditis."
Mom, so does the final diagnosis revolve back on viral myocarditis?
Because this is caused by the new G virus and myocarditis, Zhou Yewu's concern is not unreasonable.
And according to development, if it is really viral myocarditis caused by severe new G, then the previous examination should have been reflected.
Or it is or suddenly progressing from ordinary myocarditis to severe myocarditis? Then why does myocarditis occur? Is it really caused by the new G virus infection?
The four of them discussed together and finally set the murderer on the side of their hearts.
"Pneumonia may be just a bystander, myocarditis is the real killing of people!" Sun Jun shouted.
Hu Huan patted Sun Jun's butt and said, "Xiao Sun's guess... is wonderful."
...
Zhou Yewu laughed.
Damn, what a pair of live treasure directors!
"However, the patient's platelets were very low. The platelets for the follow-up examination last night fell to 50x10E9/L. This is not a good sign. Either the patient's infection is too serious, or the patient may have a blood system disease." Zhou Yewu looked at yesterday's report and his expression was a little subtle.
Li Heiyun's condition is getting more and more complicated...
Chapter completed!