"You, the knowledge in the book is knowledge. The patients I meet are all different people. How come it happens to be the same?" The male protagonist knocked on Doctor Gui Pei's head, looked at the other party's puzzled eyes and said with a smile.

Modern medicine relies on various equipment and indicators to make judgments, but no matter how exquisite the instrument is, it may not necessarily reflect changes in the human body.

"Indicators are always just a number. A doctor cannot judge by indicators alone, but must analyze the patient in all aspects." The male protagonist patiently explained to the doctor of Gui Pei's diagnosis of the condition.

"This patient said that he had been abdominal pain for several days, accompanied by vomiting symptoms, and the onset was fast. An abnormality of pancreatic edema was found during the CT examination, and it was confirmed that there was no problem with pancreatitis."

In determining the cause of the disease in clinical practice, we must find certain evidence, and the image of the CT examination is the most powerful support for determining pancreatitis this time.

"The pancreatic cells are destroyed, and the enzymes in the pancreatic cells may expose the blood circulation. This is also the reason why we draw blood to check for lipase and amylase will increase." The male protagonist stopped and looked at the doctor of regular training, which made the young man feel even more confused.

Since the teacher also agrees with lipase, amylase will increase, why is it normal for this patient to change little?

"Any disease has a process, and even acute diseases do not appear all at once. For example, amylase, do your medical book write that pancreatitis will start to rise after 2 hours of onset and will start to decline after 48 hours?"

The doctor of Gui Pei nodded and recalled the contents of the book, it seemed that it was indeed the case.

"This patient has only been about 2 hours since he was in the hospital. At this time, the amylase may have just begun to rise, so it is naturally impossible to see from the numerical value."

The male protagonist looked at the doctor of Guipei and continued, "As for lipase, it's even later. It only started to rise a day after the onset of pancreatitis. How can there be changes now?"

If the patient's blood test is performed after a few hours or the next day, the value will meet the pancreatitis index.

The doctor of Guicai suddenly realized that he was addicted to books and had too many things to learn!

The male protagonist in front of him can combine books with reality, and truly use the medical knowledge he has learned to treat patients. He is a role model for him to learn, and his heart is full of admiration for the male protagonist.

The determination of the cause of the disease is never about using a ruler to compare the book, but about taking into account the actual situation and applying it to every special human body. Only by truly integrating it can one become a doctor with a title.

"Young people, don't simply associate amylase and elevated lipase with pancreatitis. Sometimes cholecystitis, intestinal obstruction, and gastric ulcers can also increase these enzymes, which require careful judgment. "The hero saw that the doctor of Gui Pei was humbly trying to learn, and prescribed medicine to the patient while teaching him some of his experience to the doctor of Gui Pei.

The doctor of the regular training did not expect that the real condition was so complex and changeable, and secretly kept the male protagonist's words in his heart.

The most important feature of clinicians is to make the most appropriate judgment based on all aspects of the situation.

This is the heartfelt words of the male protagonist and the voice of many clinicians.

Since it has been confirmed that it is pancreatitis, the hero told the nurse to pay attention to the patient's condition and explain the situation to the patient's family, and adopted some conventional pancreatitis treatment methods.

The nurse gave Ms. Guan a drip to replenish water and electrolytes, so that Ms. Guan’s husband would not be fed. During this period, the patient needs to fast to avoid damaging the digestive organs, which is even more unfavorable for treatment.

Some somatostatin drugs should also be used as soon as possible. Ms. Guan’s current digestion is not very good, and gastric acid secretion should also be controlled to prevent gastric juice from reflux and burning the esophagus.

When she heard that she wanted to fast, Ms. Guan’s husband couldn’t help but murmur, “Will fasting make you hungry? She hasn’t eaten seriously for several days.”

This is a typical misunderstanding. Many patients clearly require fasting, but their families will secretly feed the patients out of concern and want to nourish their bodies. In fact, this is wrong.

If a patient who is required to eat food, it will increase the burden on the patient and make it more difficult for them to recover. If a patient undergoes surgery, he may reflux and choke to death during the operation, and patients who are recovering from the recovery period of the surgery cannot eat casually.

"Your wife now has pancreatitis, which is digested by the pancreatic duct. If she eats more, her pancreas will secrete too much liquid from overwork, and the condition will be aggravated." Worried that the family members would not listen to the doctor's advice, the hero explained patiently.

"Don't worry, the nurse gave her the infusion to replenish energy. She won't be hungry, so be hospitalized with peace of mind." The doctor in the ward then explained to Ms. Guan's husband before he felt relieved.

Although it has been handled now, the male protagonist dare not take it lightly. Ordinary pancreatitis is not very risky, and ordinary people will be cured after being hospitalized for a few days.

But Ms. Guan is quite special. She has severe pancreatitis and her condition is very dangerous, which makes people have to keep their hearts in mind.

The mortality rate of severe pancreatitis is even as high as 15%. Even if cured, the possibility of sequelae is relatively high, which has to be said to be very difficult.

If the sequelae unfortunately occur, the treatment cycle will also become longer, which is also a big blow to the patient.

I just hope that this patient has a good foundation and strong willpower, so that there will be no new changes.

At this time, clinicians often observe with ICU doctors to prevent emergencies. For acute and severe patients, it is common to race against time.

However, in just ten minutes, what the hero was worried about still happened.

Ms. Guan's breathing sound became louder, which was a sign of her difficulty breathing, and she felt very uncomfortable when she couldn't breathe.

The monitor beside the bed showed that her blood oxygen saturation dropped from 99% to 94%, and her lips were cyanotic, which was a sign of hypoxia!

In just ten minutes, Ms. Guan, who had already calmed down, suddenly developed new symptoms! The atmosphere in the ward suddenly became tense.

"It's getting too fast!" Seeing this, the male protagonist cursed silently in his heart, he was really afraid of anything he wanted.

Severe pancreatitis is more special. If the inflammation of the pancreas is too strong, not only will the pancreas be damaged, but the inflammation will spread from the pancreas to other organs, causing multiple damage. For example, the lungs are the most common organs.

The already delicate lungs encounter aggressive inflammation, and only surrender. At this time, the patient's lungs will be damaged and breathing will also become a big problem.

Patients with severe pancreatitis have acute lung injury and the probability of acute respiratory distress syndrome is too high. Because the inflammation spreads very quickly, it often catches the doctor off guard, so many doctors are more afraid of severe pancreatitis.

The already delicate lungs encounter aggressive inflammation, and only surrender. At this time, the patient's lungs will be damaged and breathing will also become a big problem.
Chapter completed!