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【2467】Come to PICU

In the blink of an eye, a few days passed. According to classmate Zhang Desheng, Taotao's diagnosis was confirmed. It was acute lymphoblastic leukemia, and chemotherapy was started. Unexpectedly, classmate Zhang, who hates pediatrics, would go to the hematology department three times in the past few days. Visit this child. It is not ruled out that besides visiting the child, he will help Xie Xie monitor the movements of the Zhang family.

Aunt Zhang will continue to show up in the emergency department from time to time, but she doesn't dare to go to Dr. Xie directly like last time. It is not easy to eliminate the family's psychological dependence on a doctor.

Compared with Taotao, Zhu Xing's child's condition is much more critical, and his condition has not been relieved well. This situation is as expected by the attending doctor. If a suitable heart cannot be found for heart transplantation, this child may not be able to survive Got out of the hospital alive.

That afternoon, Cao Zhao took a group of students to the PICU to check on the child's condition. Classmate Pan Shihua and senior brother Luo asked for leave and came to join two surgical classmates to learn about rare cases.

After the teachers put on sterilized slippers, several students officially stepped into the PICU ward for the first time.

PICU is not NICU. The beds are the same size as ordinary pediatric wards. They are not the common incubators in neonatology departments. Each bed is almost a small emergency bed. Ventilators, sputum suction machines and other equipment are placed at the head of the bed. For more serious children, As my classmate Xie said above, cardiopulmonary assist devices are available. There are curtains between the beds. Some children need tracheal intubation or tracheotomy like adults. At a certain time, the nurse will give these children Suction phlegm.

Here you can often see various life-sustaining machines connected to children's small bodies, making sick children even more fragile and more worrying than adults.

Every day, family visiting hours are open for one hour in the inner corridor of the PICU. Family members can stand in the inner corridor to greet their sick children through the glass windows and see the child's condition with their own eyes.

Zhu Xing's mother stood in the large procession of family members, looking at her son lying on the hospital bed with a swollen face, tears falling from his eyes.

Generalized edema is a common manifestation of heart failure progressing to complete heart failure.

The doctor who came to the bedside checked the edema on the child's body, and then looked at the temperature chart recorded by the nurse. Here is the total amount of the child's body's daily intake and output for 24 hours.

Intensive care is a separate discipline, and intensive care unit doctors have their own specialties that are different from other specialists. Once children like these enter the PICU, they are in charge of the PICU doctors. The treatment plan for the children here is basically determined by the PICU The doctor decides. Even so, the ward doctor will continue to treat the child while the child is hospitalized. The attending doctor will visit the child regularly, learn about the child's condition from the PICU doctor, and jointly negotiate the child's further treatment strategy. Because children hospitalized in the PICU, The PICU is used as a transitional period, and the goal is to transfer back to the general ward or undergo surgery.

Usually, when the ward doctor comes, the PICU doctor on duty will come with him to discuss the child's condition together.

After a while, Xie Wanying and the others saw Senior Sister Yu coming over.

When Yu Minghui saw her junior brothers and sisters, she raised her hands and smiled. When she saw Cao Zhao's face again, she immediately became much colder.

Several classmates remembered what they had been taught by Teacher Cheng last time, and they did not dare to have a heated exchange with their senior sister.

Cao Zhao flipped through the child's medical record with his fingertips and saw that the child's medical record was much thicker.


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