Super Doctor: Become Stronger From Signing In
Chapter 255 Acute Crush Syndrome
After half an hour.
ICU.
The injured middle-aged boss is lying quietly on the hospital bed. He is wearing a breathing mask and has fallen into a shock coma.
Su Yang frowned and looked at the test result in his hand.
The situation is not optimistic.
Su Yang looked at the kidney function checklist, 37.12mmolL of urea nitrogen and 804.44μmolL of blood creatinine. The results of these two tests indicating renal function are far beyond the normal range.
Especially the blood creatinine is already eight times the upper limit of the normal value.
Creatinine is a metabolite of muscle in the human body and is usually excreted from the body by the kidneys.
Now that the creatinine value is so high, it means that the patient's renal function is dropping sharply.
The squeezing of heavy objects caused severe muscle damage. After muscle damage and necrosis, a large amount of acidic substances such as sulfate radicals were released into the blood, which greatly increased the burden on the kidneys.
However, under normal circumstances, as far as this patient's situation is concerned, only tens of minutes of squeezing of the acidic substances released by the muscles will not cause such great damage to the kidneys.
Su Yang looked at the B-ultrasound of the kidney again, glomerulonephritis.
This is no wonder, this patient already has basic kidney disease.
"Shen Dashen, what do you want to do now?"
Lu Chenxi stood aside and asked. In her opinion, the current patient's situation is very difficult.
Now that the kidney damage has caused the already problematic kidney to fail, if it develops, whether this patient's kidney can be preserved is a huge problem.
"Contact the Nephrology Department and do dialysis first."
Su Yang said in a deep voice, dialysis is a temporary cure, not a permanent cure.
This patient originally had problems with his kidneys. Now that the injury has been compounded, it is difficult to say whether he can keep both kidneys.
"I see."
Lu Chenxi nodded.
Still have to explain the situation to the family.
Su Yang thought, maybe, when this patient's kidney would not be able to keep.
Once the kidney has acute failure, he can only use dialysis to maintain his life.
At that time, the only effective way is to have a kidney transplant.
Out of the door of the intensive care unit, a pretty young woman in a short skirt greeted her and said with a worried expression: "Doctor, how is my brother-in-law?"
"There is no life-threatening right now. He has kidney disease, do you know?"
Su Yang said slowly.
"Kidney disease?"
The young woman was very puzzled, how could her brother-in-law have kidney disease?
How could he have kidney problems?
"Yes, because his lower limbs were squeezed by heavy objects, a lot of toxins were discharged into the body, and he had kidney disease, and now he has acute kidney failure."
Su Yang continued to explain.
"Impossible, how could my brother-in-law have a kidney problem!"
The young woman was full of disbelief.
"Has he been eating anything lately? Maybe it was what he was eating that caused his kidney problems."
Su Yang asked.
"Eating? Without that, brother-in-law eats normally."
The young woman said suspiciously.
"Apart from the dinner table, are there other special things?"
Su Yang continued to ask, he must now find out the cause of this patient’s previous kidney damage, so that he can judge how the disease will develop next.
"Well, does that tonic count?"
After thinking about it, the woman said hesitantly.
"Tonic? What kind of tonic?"
Su Yang asked in a puzzled way that tonic drugs generally don't hurt the kidneys, but only invigorate the kidneys.
"..."
The young woman hesitated a bit, she was a little embarrassed, this tonic or something, told others, it was always a bit bad.
"Now we must figure out his condition, and then he can be treated."
Su Yang saw the young woman hesitate and said seriously.
"Doctor, is this kidney failure serious?"
Young women usually only know about shopping, watching mobile phones, and watching dramas. She doesn't understand these common medical knowledge.
Otherwise, anyone with a wider range of knowledge will know that kidney failure is very serious.
"In short, his kidney is necrotic. If the situation cannot be controlled and the kidney is completely necrotic, it must be removed."
Su Yang said slowly.
"Ah? Removal? Isn't that just a kidney transplant? I've heard of it!"
The young woman finally realized that this is what a lot of kidney transplants are saying to save lives.
"Yes, that's it."
Su Yang nodded.
"what?!"
The young woman seemed to take a slow shot, and she only realized it now. Her brother-in-law, probably, both kidneys are gone.
The cause of kidney problems is most likely due to taking tonics.
"Doctor, you can take a look, it won't be enough."
Thinking of this, the young woman quickly took out her mobile phone and showed Su Yang the medicine she bought before and the screenshot on her mobile phone.
"Well, let me see."
Su Yang took the young woman's mobile phone and looked at the screen.
this. .
There is not even a complete name of the medicine.
There is only one line of small print on the box.
"Originally from India, men's favorite, nourishing kidney and nourishing yang Shiquan Dabu Pills!"
What kind of fairy medicine is this?
Su Yang couldn't help shook his head.
No wonder there will be problems.
Besides, why do medicines from India use Chinese characters?
"Can you make the decision for him? He is still in a coma, and if the condition is not good, he needs to undergo an operation to remove the necrotic kidney immediately."
Su Yang handed the phone back to the young woman and asked seriously.
"Doctor, if the kidney is removed, don't people die?"
The young woman said flusteredly.
"Dialysis can also be used to maintain life, but it won't last long."
Su Yang shook his head and said.
"Doctor, I can't sign this one..."
The young woman hurriedly refused.
"Then does he have any other relatives? Both direct and non-direct lines are fine."
Su Yang asked again.
"Doctor, can I ask my sister to come? It's estimated to be there tomorrow morning."
The young woman thought for a while and said.
"tomorrow?"
Su Yang was thoughtful. Although he had already experienced kidney failure, he could survive the situation in two or three days.
"Yes, as soon as possible."
Su Yang nodded.
"Okay, okay, I see, doctor."
The young woman nodded hurriedly, saying amnesty.
Su Yang shook his head and went back to the ward.
As soon as he returned to the ward, Lu Chenxi asked curiously: "Dashen Su, who is this patient?"
"Sister-in-law."
Su Yang answered briefly.
"Then what was his kidney damage before?"
Lu Chenxi asked suspiciously again.
"tonic."
Su Yang said calmly.
"Huh? Tonic?"
Lu Chenxi and Rosa looked surprised.
"Is it weird? Men sometimes eat weird things because of their self-esteem. There is nothing weird about this."
Su Yang said naturally with a look on his face.
"Not strange, not strange."
Lu Chenxi said quickly.
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