When doctors have a simulated operating room
Chapter 425
The answer is yes, but the answer is yes.
Zhang Yi snorted.
This system gives hints but doesn't give rewards? ?
Hum!
[Host, please read more books and observe more, you will definitely find the answer. ]
[The answer is not difficult, it mainly depends on whether the doctor has a wide range of knowledge. ]
When Zhang Yi was depressed, the system comforted him again.
[This system believes that this patient can find the cause of the disease with the host's own strength. ]
Zhang Yi: ...
Not difficult?
Zhang Yi thought about these two words carefully.
Hmm?
Why do I feel that 'not difficult' is actually a hint?
The cause of this patient's disease is not difficult to find?
But what did Zhang Yi overlook?
The next second, Zhang Yi set his sights on the patient again.
The wounds all over his body were indeed shocking.
There was a circle of reddish subcutaneous tissue around each ulcerated wound, and yellow pus began to flow out from the middle.
To be honest, although this is a sterile ward and can purify the odor and bacteria in the air.
But Zhang Yi could always smell a smell when he just came in.
It was not a bad smell, but a smell with a little blood.
Zhang Yi looked at the pus in the wound, it should be the odor emitted by these things.
It was not pungent, but it just smelled uncomfortable.
"Considering that the patient has hepatitis C virus, we added lamivudine to the current drugs.
In addition, the white blood cell and neutrophil indexes are still very high. Before the results come out, bacterial infection cannot be ruled out, so the antibiotics have not been stopped.
However, the penicillin and cephalosporins used before were replaced with azithromycin and azithromycin.
Antifungal drugs were also added, including ketoconazole.
Try taking the medicine first. There are oral and intravenous administrations. In addition, the doctor's order for skin care has been issued. I hope it will have some effect."
While others were observing, Huang Qi explained the current treatment plan to everyone.
"The lungs are the most affected, followed by the liver, lymph nodes, and then the skin.
The innermost bones have only recently begun to be eroded.
In my humble opinion... I still consider viral and fungal infections.
What do you think, President Kang?"
Kang Yanming nodded:
"The patient's condition five years ago was very similar to Li Xiaojun's.
It was even more serious later. The disease progressed too quickly at the time, and we really didn't have time to react.
In the end, after the family agreed to an autopsy, they found that there was actually a tumor growing inside the head.
Although it is not certain whether it is a fungal infection, it is not wrong to use antifungal drugs.
However, my suggestion is to add clotrimazole to ketoconazole.
Or just replace ketoconazole with clotrimazole.
Overall, the treatment plan you gave is feasible.
We have drugs to fight bacteria, fungi, and viruses, and we can always cure one with luck. "
"Okay, then I'll add clotrimazole."
Several doctors were discussing when the nurse came in with a small box of medicine.
It's time for Li Xiaojun to take medicine.
These medicines have some serious side effects, so Huang Qi asked the nurse to feed him half an hour after dinner.
In addition to the most basic antibiotics, there are also several Chinese patent medicines, liver protection, kidney protection, stomach protection, wound healing, and even anti-tuberculosis drugs.
Zhang Yi glanced at the medicine bottle. Oh my god, there are more than 30 pills!
Hey!
He has become a medicine jar because of a disease.
This is just the medicine to be taken, and the medicine for infusion is not counted.
Various anti-inflammatory drugs plus nutritional supplements, etc., also start from several hundred milliliters.
Zhang Yi felt a little uncomfortable when he saw it.
I hope this person can be cured as soon as possible.
After seeing the patient, Kang Yanming took them back to the emergency department.
"How is it? What do you think after seeing the patient himself?"
In the office, Kang Yanming looked at these young faces and asked.
Cai Yuanpei rolled his eyes and whispered:
"Director Kang, the patient is definitely infected with fungi. As long as we focus on antifungal drugs, this person will definitely get better."
Kang Yanming held the teacup on the table and put it to his mouth while saying:
"Now we can only use guesses to solve the problem, but the most important thing at present is to find the pathogen.
This way, the next time we encounter such a patient, we can calmly give the best and most effective treatment plan."
The implication is that Cai Yuanpei said this
Some are still guessing to treat patients.
It's still gambling on luck.
If you are lucky and use the right medicine, the patient will get better.
If you are unlucky and don't use the right medicine, the patient can only wait to die.
Cai Yuanpei showed a slightly embarrassed look.
He wanted to stand out a little, but he was suppressed by Director Kang before he could fight...
In the office, several people did not speak again.
Kang Yanming looked at Zhang Yi standing on the far right with curiosity.
"Zhang Yi, what do you think?"
Zhang Yi raised his head and said seriously:
"I think... this pathogen is indeed likely to be a fungus.
Overall, the possibility of fungal infection is the greatest, and the possibility of bacterial infection is a little smaller.
As for why this fungus has not been detected, I suspect...
This pathogen may be more cunning!"
Kang Yanming narrowed his eyes slightly: "Cunning? What do you mean?"
Zhang Yi thought so entirely because of the two words "not difficult" said by the system.
These two words made Zhang Yi more convinced that the patient was indeed infected with fungi.
And the starting point was still on the tuberculosis bacillus.
"My idea is to start with the tuberculosis bacillus that was found at the beginning."
Kang Yanming's eyes flashed with doubt, but he quickly reacted:
"You mean... this tuberculosis bacillus is cunning?"
"That's right!" Zhang Yi nodded.
On the side, Cai Yuanpei also looked at the floor after hearing it, as if thinking about what Zhang Yi said.
Tuberculosis bacillus is cunning?
Could it be that Zhang Yi meant that this tuberculosis bacillus is fake?
Or... this tuberculosis bacillus will change its shape? !
"I suggest that the laboratory department use this tuberculosis bacillus for experiments in all aspects.
All kinds of drug sensitivity and various detection methods can be tried.
You can even change the culture environment of this tuberculosis bacillus.
For example, pH, humidity, temperature, etc.
See if you can find some clues from this."
Zhang Yi's words were like opening a door for these people in the office! !
It's like...
A beam of sunlight suddenly shines into the dark room! !
There is hope! !
Kang Yanming's eyes lit up and he stood up excitedly!
He looked at Zhang Yidao:
"Yes... I was only thinking about how to prepare the treatment drugs, why didn't I think of starting with tuberculosis bacteria!
I was only thinking about how complicated and difficult this disease is.
In fact... I should start with the simplest and clearest tuberculosis bacteria!"
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