Just when everyone was suspicious, Liu Muqiao told everyone through the live broadcast system that the patient had just been found to have a new bleeding point. For the sake of caution, the coagulation time was urgently checked.
Changes are happening faster than planned.
This is a typical case.
Almost everyone feels that the gain is not small, and it is also the first time for almost everyone to encounter this situation. In all operations, less than one thousandth of the patients encounter problems with the clotting time, and this kind of clotting time
Abnormalities will almost 100% be discovered before surgery.
Almost all doctors will ignore this one-in-10,000 temporary preoperative examination.
Liu Muqiao didn’t.
Is Liu Muqiao making a fuss out of a molehill?
Could it be a false alarm?
Most people think that this will be the case.
The conclusion to verify the prediction came out quickly.
Sure enough, the bleeding time was abnormal, the coagulation time was also abnormal, and the coagulation factors were reduced.
By this time, everyone was surprised.
A great doctor is a great doctor!
"Urgently check liver and kidney function! Prepare coagulation factors." Liu Miqiao gave another verbal doctor's order, "I suspect this patient has acute liver failure."
Liu Muqiao said softly to Professor Li.
The patient was in a light sleep state at this time and was sedated with pre-operative injections.
The patient should not be able to hear Liu Miqiao's voice.
The live broadcast has not stopped. Because the live broadcast is not only to watch the incision, hemostasis, cleaning, and removal, but also to treat the entire patient treatment process.
This is a very unexpected example, once in a lifetime, and very educational.
Of course, not everything is positive.
The bleeding and coagulation time was discovered 1 minute before the operation, and it was not discovered by the doctors of our hospital. This situation is somewhat embarrassing for the First Hospital of Peking University.
It's a bit embarrassing.
The liver function test results are out.
Acute and explosive liver function damage.
Cancel surgery.
Now the problem is not cancer itself, but liver damage.
This kind of liver damage is probably caused by certain drugs after being admitted to the hospital.
Drug-induced liver damage, the drug must be stopped immediately. What kind of drug is it?
There are many drugs used by this patient, and they are all urgently needed. Which one to stop requires accurate judgment.
The live broadcast has stopped.
The patient was pushed off the operating table.
The most urgent thing now is to restore liver function.
The general consultation has begun.
The treatment of liver damage belongs to internal medicine. Liu Miqiao does not have a mature opinion. He knows that this is not his specialty, so he must listen to the opinions of other experts.
Liu Muqiao did not participate in the consultation. This is not within the scope of internal medicine, and even Professor Li and others did not participate in the case discussion.
The patient is not managed by Professor Li. He is only temporarily invited to perform demonstration surgeries. Therefore, his identity is similar to that of Liu Muqiao.
The female professor participated in the consultation. She was in charge of the patient, and the deputy chief doctor and attending doctor in her group also participated in the consultation.
The discussion did not last long, and the conclusion of the consultation was to get an artificial liver as soon as possible.
Artificial liver surgery can help patients survive the critical period and restore liver function.
But, to be honest, there are many drugs that promote the recovery of liver function, but few are truly effective. For this kind of severe liver damage, there is no drug that is definitely effective.
Encountered a problem.
At this time, people thought of a person, Li Liuyi.
Li Liuyi also has a unique skill when rescuing critically ill patients. When liver damage occurs, he does not use one or two specific drugs, but uses comprehensive treatment to promote the recovery of the liver.
"Hey, it would be great if Li Liuyi was still alive."
In the minds of people in the First Hospital of Beijing University, Li Liuyi is dead. His family members also think so. Li Liuyi’s son recently got married. Li Liuyi’s ex-wife also has a boyfriend.
Oh, how miserable!
The First Hospital of Beijing University is full of sympathy and regret for Li Liuyi.
It is also true that since the absence of Li Liuyi in Peking University First Hospital, the situation of the Department of Critical Care Medicine has gone from bad to worse. Several major incidents have occurred, and patients who were expected to be saved have not been saved, and their true colors have gradually been revealed.
Originally, the First Hospital of Peking University had 300 intensive care medical beds, but now the occupancy rate is less than 60%, which is obviously a gap from the past when one bed was hard to find.
To be honest, when Li Liuyi was around, everyone didn't think much of it, but after he was suddenly missing, the originally simple problem now became very complicated.
Medicine is indeed like this. Some people take it lightly, and some people take it lightly. It seems very simple to treat patients as usual, but when it comes to dealing with this problem by yourself, you have to hesitate and worry more.
, confidence was also insufficient, and in the end, the actual efficacy was far behind.
After Li Liuyi disappeared, the First Hospital of Beijing University was still using the original 3.0 version of the emergency medicine. However, in actual use, it suddenly lost its original effect, which is very puzzling.
The medicine is still the same medicine, but the person using it is not the same person, and the effect is far behind.
Patients who were expected to be saved died one after another. Suddenly, the Department of Critical Care Medicine at Peking University First Hospital was in chaos.
What's going on?
Find the reason.
The reason was quickly found. It was very simple. The medication was taken at the wrong time, the dosage was wrong, and the auxiliary medication was wrong.
Who can use it correctly?
The professors were dumbfounded.
In the past, they were able to cope easily under Li Liuyi's guidance, but now that they have lost their backbone, they find it very difficult.
As a last resort, they began to shrink and no longer set high expectations for their families. Instead, they lowered their expectations very low.
In the last comparison, you have no advantage at all. People from Xiehe University say they are 70% sure, but you are only 30% sure.
Gradually, word spread in society that the critical care medicine department at Peking University was failing.
It is too common in history for one person to make a subject successful and then destroy it because of this person's departure.
The Department of Critical Care Medicine at Peking University First Hospital has also flourished in recent years. In the past, although it was also strong, it was not on par with other hospitals. The Department of Critical Care Medicine at Peking University First Hospital is on par with Lu General Hospital, Union Hospital and other large-scale hospitals.
The hospitals are not much different.
After Li Liuyi came, especially after Liu Muqiao contributed traditional Chinese medicine prescriptions, Peking University First Hospital suddenly emerged, pushing down the old hospitals Mr. Lu and Xiehe.
Now it's back to its original form.
I have to say, this is a very big regret.
However, having said that, although the Department of Critical Care Medicine at Peking University First Hospital has been restored to its original form, its original form is not that of the old, weak, sick or disabled. Its origin is still quite powerful.
The patient received an "artificial liver", supplemented coagulation factors, used some liver-protecting drugs, and also used large doses of glucocorticoids.
They informed Liu Muqiao of the situation.
The operation cannot be performed for the time being. Even if the operation is performed one day in the future, it will not be broadcast live. As for whether Liu Miqiao performed it, it is probably not necessary.
Liu Muqiao went to the hotel to check in and asked for a room. He may not necessarily stay here. Liu Muqiao will go home to rest, but Liu Muqiao also needs a place to stay at noon and evening.
He asked for a suite.
This chapter has been completed!