Is The Nurse’s Girlfriend Cute? She Stabs People And Avoids Vital Points
Chapter 37 So It’S A Malignant Tumor?
The originally silent corridor of the ward suddenly became noisy.
Many patients and their family members in the ward were woken up, opened their doors and came out to watch the excitement.
I saw several medical staff pushing the hospital bed and rushing down the aisle.
Lying on the hospital bed was a little boy.
Behind the hospital bed, there was a slightly lame mother, crying and trying hard to catch up.
"Isn't this Congcong who lives in bed No. 3 next door? What's going on?"
"I just heard shouting. It seemed like he was in shock or something."
"Speaking of which, why is this Congcong admitted here because of his illness? During the day, I saw that this child was quite well-behaved and very spiritual."
"Besides heart problems, what else could the people living on our floor have?"
"Alas! It's too tragic for such a young child to have a heart disease, and his mother is still a cripple."
"Then you don't know. I had a chat with the child's mother and when I asked her about her husband, she said her husband was dead!"
"Huh?! This is simply... extremely miserable!"
"It's not easy being an orphan and a widowed mother. I hope this child can be safe."
Some patients chatted and expressed their sympathy for Luo Sanmei and Shen Ruicong.
Sun Kaili, who had an unpleasant quarrel with Lu Ming before, also came out to watch the fun. When she looked back at her son Chu Wenjie on the hospital bed, she felt a little complicated.
Will his own son become like this?
…
When Luo Sanmei rushed outside the rescue room.
Shen Ruicong has been pushed into the rescue room for rescue.
"Bless me, Bodhisattva. Please protect me that Congcong will survive this test."
Luo Sanmei clasped her hands together, closed her eyes and kept praying.
Rescue room.
"DIC!"
"It should be DIC!"
A doctor shouted.
Lu Ming nodded slightly, and he also concluded that it was acute shock caused by DIC.
DIC is the English abbreviation of a disease, and its Chinese name is disseminated intravascular coagulation syndrome.
This is a condition that can occur with many diseases.
Under the action of certain inducing factors, platelet aggregation, fibrin deposition or blood coagulation occur widely and scatteredly in the microcirculation, resulting in a large amount of platelets and coagulation factors being consumed.
Then the fibrinolytic system, the fibrinolytic system, is activated.
This will eventually lead to dysfunction of damaged organs and widespread and severe bleeding.
Simply put.
A large number of micro-thrombi are formed in the blood vessels, resulting in a decrease in blood circulation and blood pressure, and the body begins to experience various adverse reactions.
This is like the original blood is pure water, and the blood with microthrombi is milk.
Under the same environmental conditions, water must flow faster than milk.
That is, blood mixed with microthrombi will flow slower and blood circulation will decrease.
There are many conditions that lead to the symptoms of DIC.
For example, bacterial infection, viral infection, etc.
There are also sequelae caused by trauma and surgery.
In addition, pregnant women may also experience this symptom during pregnancy and delivery.
Then there are some immune diseases, cardiovascular system diseases and other internal diseases.
Finally, as Lu Ming speculated, the most likely cause of Shen Ruicong's shock was malignant tumors!
Malignant tumors can also cause DIC symptoms!
Because there is a tumor in Shen Ruicong's body, but it is difficult to say whether the tumor is benign or malignant. We have to wait for the test results tomorrow.
But judging from what's happening so far, it's really possible that this is a malignant tumor!
It makes sense that malignant tumors cause DIC symptoms and then shock.
…
"Blood pressure is still falling, and the heart's pumping function may also be decreasing."
"There are light blood spots and ecchymosis on the epidermis!"
"It should be DIC."
Hearing this, Lu Ming opened Shen Ruicong's lips, opened his mouth and looked at his gums.
There were also signs of bleeding on the gums.
Basically, it’s DIC.
"Do you want a blood perfusion?"
A doctor asked.
Hemoperfusion is blood purification.
This is to maintain the normal function of organs such as the heart and lungs.
"Go check it out first, I want to see the indicators."
Lu Ming was not in a hurry to perform blood perfusion, although blood perfusion is one of the common methods to deal with DIC and is also recognized as a relatively safe method.
However, the treatment of diseases cannot be based on the so-called "standard textbooks" and requires detailed analysis of specific problems.
Maybe you'll also need to take a plasmin inhibitor or something like that.
You may also need to take heparin, which is designed to prevent blood clots.
…
After a while.
Lu Ming got all the indicators he wanted.
Lu Ming frowned slightly.
Shen Ruicong's platelets and coagulation factors were significantly reduced.
This means that a certain amount of coagulation factors must be supplemented, fresh plasma transfused, platelet concentrates, etc.
If these methods cannot restore coagulation factors and other factors to above the baseline, then heparin will be needed.
After determining the treatment plan, Lu Ming immediately started organizing rescue operations.
All medical staff have a clear division of labor and carry out their work in an orderly manner.
During the rescue, Lu Ming kept observing Shen Ruicong's condition.
Just look at whether the blood spots and ecchymoses increase and expand, and you can judge the general situation.
If the blood spots continue to increase, it means the bleeding is still going on.
It also shows that the measures taken now are too gentle and need to be more drastic.
Good thing.
After supplementing with coagulation factors and other substances, Shen Ruicong's condition stabilized.
Lu Ming and others all breathed a sigh of relief.
However, for the next period of time, Shen Ruicong's physical condition will be monitored 24 hours a day.
Closely observe signs of bleeding and coagulation, and conduct timely blood and urine tests.
In addition, two intravenous channels must be established for Shen Ruicong.
Venous access is established to ensure blood volume replenishment and other therapeutic measures.
Intravenous access is established by puncturing a vein.
To put it simply, it is the kind of indwelling needle that is always inserted into the patient's arm.
…
Finish it all.
It's already past three in the morning.
Lu Ming wiped the sweat from his forehead and then went to perform simple cleaning and disinfection.
When she saw Luo Sanmei, she was kneeling on the ground with her head lowered, her hands clasped against her forehead, and she was praying there.
"Your son is out of danger and his condition is relatively stable."
Hearing Lu Ming's voice, Luo Sanmei suddenly opened her eyes and raised her head.
"Is Congcong okay?"
"Bodhisattva bless! Buddha bless! Thank you Bodhisattva! Thank you Buddha!"
"wrong!"
"Thank you Dr. Lu and all the medical staff!"
Luo Sanmei kept thanking her.
Lu Ming smiled and said, "Let's go and have a rest. There may be a tough battle to be fought tomorrow."
Lu Ming was afraid that Luo Sanmei would collapse from exhaustion and no one would be able to take care of Shen Ruicong.
"I'm not sleepy, I'm just here to watch over Congcong."
"When will Congcong come out? Is he awake?"
Luo Sanmei asked about Shen Ruicong's situation.
Lu Ming shook her head and said, "I haven't woken up yet. I will be transferred back to the ward when the situation becomes more stable."
"Okay, okay, thank you Dr. Lu."
Luo Sanmei once again expressed her gratitude to Lu Ming.
Lu Ming waved her hand, yawned, and planned to lie down on the folding bed in the office for a while.
…
Early the next morning.
Lu Ming really didn't want to get up. She really wanted to rest all morning and take a long nap.
But, Shen Ruicong still has to be examined today.
Let's see if that thing in his body is a malignant tumor.
If so, perform surgery immediately to remove it.
Maybe it's really a malignant tumor.
Maybe once this malignant tumor is removed, Shen Ruicong will recover.
There are many examination items for tumors, including laboratory examinations, pathological examinations, imaging examinations, etc.
These include CT, magnetic resonance, blood routine, urine routine, needle biopsy, etc.
Because the tumor is located close to the left lung, there may be space-occupying lesions, and a skin lung biopsy will be necessary.
Lu Ming has already issued a checklist in advance.
And because he is familiar with all the processes and knows which ones to do first and which to do later to save time, Shen Ruicong almost always does the inspection first.
Wait until the inspection is completed.
Just waiting for the test results to come out.
While waiting, Lu Ming had already begun to think about the next treatment plan in her head.
What if it's not a malignant tumor?
So what if it's a malignant tumor?
…
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