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Chapter 1157
Chapter 1157
Finally, the statistical results came out.There are four recovered patients who have used tocilizumab and donated their plasma.
Except for the convalescent plasma that was sent to Sun Li'en for Tian Kang's use, the remaining three convalescent plasma have not yet been put into clinical use.This is a blessing in misfortune.
And this matter was also reported upwards by Song Wen through formal channels.However, this punishment that Song Wen originally thought he would have to bear with his future career, has not heard back for a week.
According to the information Song Wen got at the beginning, she was supposed to leave her post in April this year and then go to the Provincial Health Commission to take up a job.And this level of "promotion" can be regarded as a very cost-effective solution to compensate for the mistake he made Sun Lien commit.
Song Wen didn't plan to go to places like the Provincial Health and Health Commission. She didn't want the Ningyuan Fourth Hospital under the command of Liu Tangchun to dig up places like the affiliated hospitals in the future.Then those deans came to me every day and cried in front of me how Liu Tangchun was exhausted.
They can treat themselves as fish ponds under Liu Tangchun's despotic power, even if they have backbone!
Thinking of that possible scene, Song Wen felt headaches one after another.But there is no way, the candidate for the next dean will basically not change.As the director and vice president of the nursing department, Xiao Lirong is not very suitable to be the president of a hospital.Liu Pingchuan is getting old, and will be ready to retire in three years.Among the three vice presidents at present, only Liu Tangchun is the right age and has the right job and experience.
If that's the case, it's better to push things down.Song Wen made such a decision very quickly, and she even had some expectations for this future.When the time comes, he will be punished one by one by himself, then he can wait for retirement honestly in his current position.In this way, she can protect other hospitals for another few years.When Liu Tangchun finally gets himself away, he won't be the dean for a few years.
At least there is no need to worry about Liu Tangchun hollowing out all the other hospitals.
As a result... After waiting for a whole week, Song Wen didn't get any news.Instead, she heard some unusual possibilities from her friend's mouth.
That possibility was so outrageous that Song Wen himself didn't want to believe it.
However, the relevant "punishment" has never come. Instead, the superior issued a related notice that is not painful. For patients who have used tocilizumab, the time for them to donate plasma from convalescents should be extended.The donation period should be extended to no less than 30 days.
That's all, nothing special.
Although this situation is unexpected, it seems to be reasonable.After all, Yunhe's epidemic situation is getting better day by day, and the tocilizumab incident itself has not had any adverse effects on other patients.Since there is no adverse effect, it seems a bit... unnecessary to punish this kind of thing.There might even be some fuss.
On March 3, there were 10 new confirmed cases and 13 new suspected cases in Yunhe City.The number of discharged patients in the city has increased by 6, and there are 1212 confirmed cases, of which 14514 are critical cases and 715 are severe cases.
Yunhe's daily nucleic acid testing volume has always remained at around [-], and even the daily number of visits to the fever clinic will be announced every day.This is enough to prove that the reason for the rapid decline in the number of new cases in Yunhe City is not because the number of tests has decreased, but because the number of infected people has indeed decreased.
It has been almost two months since the closure of the city was announced on January 1, and the number of cases has increased from tens of thousands to 23. Everyone living in Yunhe is very happy.
Just keep going, keep going, and we'll be victorious!
The number of new patients announced every day is a relatively straightforward, but not particularly easy to understand number.After all, for areas other than Yunhe, at their peak period, there were only one or two new confirmed patients every day.
For the residents of these other areas, the symbolic change that Yunhe's situation has improved greatly should be today's news.
The last square cabin shelter hospital announced its closure.
At its peak, Yunhe had more than 14 shelter hospitals in operation.These shelter hospitals have provided Yunhe with more than [-] hospital beds, greatly increasing the capacity of Yunhe's medical system.
With [-] beds, which is equivalent to the admission capacity of forty tertiary hospitals, Yunhe's situation has been directly reversed from the previous "people waiting for beds" to "beds waiting for people".And now, the last Fangcai Shelter Hospital has declared its closure.This means that Yunhe's epidemic has undergone a fundamental change.
Among the existing patients, there are more than 1 ordinary and mild patients, more than 3000 severe patients and more than 700 critical patients.This number is still very large, but with Yunhe's current medical ability, it can be handled.
The encounter and blocking wars have been fought until now, and finally turned into a war of annihilation.
·
·
·
The members of the medical team are still working hard every day, but this day is getting more hopeful every day.Everyone is looking forward to it every day when they get on the bus - I don't know how many patients in the ward will be discharged today.
If only a patient is discharged from the hospital, although everyone is happy, they will not be "overjoyed" like they are now.The current situation is that patients in the North Fifth District can only go out but not in, and the number of admitted patients is gradually declining.
Everyone will be happy, on the one hand, because this situation shows that the epidemic situation has improved, and everyone is not far from going home.On the other hand, it is more realistic-fewer hospitalized patients, and the daily treatment work and paperwork are much easier.
Most of the patients in the ward are getting better and better, but the condition of a few is not so good, which makes the doctors very worried.
Since the new ECMO has been used for more than 20 days, the artificial liver replacement therapy has also lasted for more than 10 days.Continuous ECMO and artificial liver replacement therapy have caused irreparable damage to the red blood cells in the new body.
Both ECMO and artificial liver replacement therapy require the blood to be pumped out of the new body, and the pressure of the centrifugal pump is used to force the blood into the reactor to react with oxygen or pig liver cells.Centrifugal pumps and reactors both cause a portion of red blood cells to rupture—this is mechanical hemolysis.
Mechanical hemolysis is an unavoidable phenomenon.For the vast majority of patients, mechanical hemolysis rarely causes very serious problems.After all, their bodies can normally produce enough red blood cells and get rid of the hemoglobin floating in the blood caused by mechanical hemolysis.
But Yu Xin's physical condition is quite different from "most patients".Because the liver is in severe acute inflammation, Yu Xin's body lacks sufficient ability to process suspended hemoglobin.
Before the artificial liver replacement therapy, his bilirubin levels were high enough that doctors would worry that he might develop bilirubin encephalopathy.Fortunately, the efficiency of the pig liver reactor on the artificial liver replacement system is high enough to cover the system itself and the mechanical hemolysis caused by ECMO, and there is still room for the new liver to take on part of the workload.
As for the new viral hepatitis, there are already signs of improvement.At least under continuous liver function tests, the doctors were delighted to observe that his alanine aminotransferase and aspartate aminotransferase had both dropped slightly.
It is of course also possible that the decrease in serum enzymes is simply due to the effect of liver replacement therapy.However, according to the comprehensive research and judgment of doctors, the main reason for this change should be that the acute active period of hepatitis B is about to pass.
After all, the level of hepatitis B core antibody that can be detected in his blood is declining.
The treatment of hepatitis B should be left to the original doctors of Yunhe City Infectious Disease Hospital.The focus of Sun Li'en and other medical teams is to maintain the new vital signs as stable as possible.
At present, the only antiviral treatment plan that can be applied to the new body is plasma from recovered patients.Sun Lien and the medical team have continuously used four units of convalescent plasma for Yu Xin. His lung lesions have improved slightly, but there is still a long way to go before the nucleic acid is negative—not to mention ECMO offline .In fact, Sun Lien has put Yu Xin on the waiting list for lung transplantation. As long as there is a suitable donor, Yu Xin may still have hope.
Let Yu Xin prepare to line up for a lung transplant, mainly because the extent of his lung lesions is too large, and the type of lesions is too serious.Extensive fibrosis of both lungs means that the new lungs have completely and irreversibly lost their function.
If you can't wait for a new lung to be used for transplantation, then the only way to wait for the new result is death.Regarding this point, Yu Xin's family members are already mentally prepared.Their biggest wish now is to let Yu Xin survive until the end of the lockdown.In this way, at least when he leaves, he can have his family by his side.
Of course, waiting in line is a long process.While queuing up, Sun Lien and others still need to maintain new vital signs first.Let him wait for the transplant while still alive, but at the same time suppress the hepatitis B in his body as soon as possible.
After receiving an organ transplant, patients need to take anti-rejection drugs for life, and such drugs will directly suppress the body's immune level.If his hepatitis B is still active, taking anti-rejection drugs is no different from suicide.It is impossible for an organ transplant doctor to perform a transplant operation for him.
Anyway, ECMO doesn't need money now, anyway, there is plenty of time now - no one waits for Yu Xin to recover as soon as possible or... die, and then use his hospital bed to receive patients.
Sun Lien has enough time and ammunition to fight a war of annihilation against the virus.As long as the hepatitis B virus can be eliminated, Yu Xin still has the hope of surviving.
Of course, this is definitely not an easy thing to do.The drugs that doctors can use on the new body are very limited. Among the traditional antiviral drugs, the only one that may be effective against the new coronavirus is interferon.In order to control his interferon intake, the current treatment strategy of the medical team is to treat the new interferon inhalation and injection at the same time.
(End of this chapter)
Finally, the statistical results came out.There are four recovered patients who have used tocilizumab and donated their plasma.
Except for the convalescent plasma that was sent to Sun Li'en for Tian Kang's use, the remaining three convalescent plasma have not yet been put into clinical use.This is a blessing in misfortune.
And this matter was also reported upwards by Song Wen through formal channels.However, this punishment that Song Wen originally thought he would have to bear with his future career, has not heard back for a week.
According to the information Song Wen got at the beginning, she was supposed to leave her post in April this year and then go to the Provincial Health Commission to take up a job.And this level of "promotion" can be regarded as a very cost-effective solution to compensate for the mistake he made Sun Lien commit.
Song Wen didn't plan to go to places like the Provincial Health and Health Commission. She didn't want the Ningyuan Fourth Hospital under the command of Liu Tangchun to dig up places like the affiliated hospitals in the future.Then those deans came to me every day and cried in front of me how Liu Tangchun was exhausted.
They can treat themselves as fish ponds under Liu Tangchun's despotic power, even if they have backbone!
Thinking of that possible scene, Song Wen felt headaches one after another.But there is no way, the candidate for the next dean will basically not change.As the director and vice president of the nursing department, Xiao Lirong is not very suitable to be the president of a hospital.Liu Pingchuan is getting old, and will be ready to retire in three years.Among the three vice presidents at present, only Liu Tangchun is the right age and has the right job and experience.
If that's the case, it's better to push things down.Song Wen made such a decision very quickly, and she even had some expectations for this future.When the time comes, he will be punished one by one by himself, then he can wait for retirement honestly in his current position.In this way, she can protect other hospitals for another few years.When Liu Tangchun finally gets himself away, he won't be the dean for a few years.
At least there is no need to worry about Liu Tangchun hollowing out all the other hospitals.
As a result... After waiting for a whole week, Song Wen didn't get any news.Instead, she heard some unusual possibilities from her friend's mouth.
That possibility was so outrageous that Song Wen himself didn't want to believe it.
However, the relevant "punishment" has never come. Instead, the superior issued a related notice that is not painful. For patients who have used tocilizumab, the time for them to donate plasma from convalescents should be extended.The donation period should be extended to no less than 30 days.
That's all, nothing special.
Although this situation is unexpected, it seems to be reasonable.After all, Yunhe's epidemic situation is getting better day by day, and the tocilizumab incident itself has not had any adverse effects on other patients.Since there is no adverse effect, it seems a bit... unnecessary to punish this kind of thing.There might even be some fuss.
On March 3, there were 10 new confirmed cases and 13 new suspected cases in Yunhe City.The number of discharged patients in the city has increased by 6, and there are 1212 confirmed cases, of which 14514 are critical cases and 715 are severe cases.
Yunhe's daily nucleic acid testing volume has always remained at around [-], and even the daily number of visits to the fever clinic will be announced every day.This is enough to prove that the reason for the rapid decline in the number of new cases in Yunhe City is not because the number of tests has decreased, but because the number of infected people has indeed decreased.
It has been almost two months since the closure of the city was announced on January 1, and the number of cases has increased from tens of thousands to 23. Everyone living in Yunhe is very happy.
Just keep going, keep going, and we'll be victorious!
The number of new patients announced every day is a relatively straightforward, but not particularly easy to understand number.After all, for areas other than Yunhe, at their peak period, there were only one or two new confirmed patients every day.
For the residents of these other areas, the symbolic change that Yunhe's situation has improved greatly should be today's news.
The last square cabin shelter hospital announced its closure.
At its peak, Yunhe had more than 14 shelter hospitals in operation.These shelter hospitals have provided Yunhe with more than [-] hospital beds, greatly increasing the capacity of Yunhe's medical system.
With [-] beds, which is equivalent to the admission capacity of forty tertiary hospitals, Yunhe's situation has been directly reversed from the previous "people waiting for beds" to "beds waiting for people".And now, the last Fangcai Shelter Hospital has declared its closure.This means that Yunhe's epidemic has undergone a fundamental change.
Among the existing patients, there are more than 1 ordinary and mild patients, more than 3000 severe patients and more than 700 critical patients.This number is still very large, but with Yunhe's current medical ability, it can be handled.
The encounter and blocking wars have been fought until now, and finally turned into a war of annihilation.
·
·
·
The members of the medical team are still working hard every day, but this day is getting more hopeful every day.Everyone is looking forward to it every day when they get on the bus - I don't know how many patients in the ward will be discharged today.
If only a patient is discharged from the hospital, although everyone is happy, they will not be "overjoyed" like they are now.The current situation is that patients in the North Fifth District can only go out but not in, and the number of admitted patients is gradually declining.
Everyone will be happy, on the one hand, because this situation shows that the epidemic situation has improved, and everyone is not far from going home.On the other hand, it is more realistic-fewer hospitalized patients, and the daily treatment work and paperwork are much easier.
Most of the patients in the ward are getting better and better, but the condition of a few is not so good, which makes the doctors very worried.
Since the new ECMO has been used for more than 20 days, the artificial liver replacement therapy has also lasted for more than 10 days.Continuous ECMO and artificial liver replacement therapy have caused irreparable damage to the red blood cells in the new body.
Both ECMO and artificial liver replacement therapy require the blood to be pumped out of the new body, and the pressure of the centrifugal pump is used to force the blood into the reactor to react with oxygen or pig liver cells.Centrifugal pumps and reactors both cause a portion of red blood cells to rupture—this is mechanical hemolysis.
Mechanical hemolysis is an unavoidable phenomenon.For the vast majority of patients, mechanical hemolysis rarely causes very serious problems.After all, their bodies can normally produce enough red blood cells and get rid of the hemoglobin floating in the blood caused by mechanical hemolysis.
But Yu Xin's physical condition is quite different from "most patients".Because the liver is in severe acute inflammation, Yu Xin's body lacks sufficient ability to process suspended hemoglobin.
Before the artificial liver replacement therapy, his bilirubin levels were high enough that doctors would worry that he might develop bilirubin encephalopathy.Fortunately, the efficiency of the pig liver reactor on the artificial liver replacement system is high enough to cover the system itself and the mechanical hemolysis caused by ECMO, and there is still room for the new liver to take on part of the workload.
As for the new viral hepatitis, there are already signs of improvement.At least under continuous liver function tests, the doctors were delighted to observe that his alanine aminotransferase and aspartate aminotransferase had both dropped slightly.
It is of course also possible that the decrease in serum enzymes is simply due to the effect of liver replacement therapy.However, according to the comprehensive research and judgment of doctors, the main reason for this change should be that the acute active period of hepatitis B is about to pass.
After all, the level of hepatitis B core antibody that can be detected in his blood is declining.
The treatment of hepatitis B should be left to the original doctors of Yunhe City Infectious Disease Hospital.The focus of Sun Li'en and other medical teams is to maintain the new vital signs as stable as possible.
At present, the only antiviral treatment plan that can be applied to the new body is plasma from recovered patients.Sun Lien and the medical team have continuously used four units of convalescent plasma for Yu Xin. His lung lesions have improved slightly, but there is still a long way to go before the nucleic acid is negative—not to mention ECMO offline .In fact, Sun Lien has put Yu Xin on the waiting list for lung transplantation. As long as there is a suitable donor, Yu Xin may still have hope.
Let Yu Xin prepare to line up for a lung transplant, mainly because the extent of his lung lesions is too large, and the type of lesions is too serious.Extensive fibrosis of both lungs means that the new lungs have completely and irreversibly lost their function.
If you can't wait for a new lung to be used for transplantation, then the only way to wait for the new result is death.Regarding this point, Yu Xin's family members are already mentally prepared.Their biggest wish now is to let Yu Xin survive until the end of the lockdown.In this way, at least when he leaves, he can have his family by his side.
Of course, waiting in line is a long process.While queuing up, Sun Lien and others still need to maintain new vital signs first.Let him wait for the transplant while still alive, but at the same time suppress the hepatitis B in his body as soon as possible.
After receiving an organ transplant, patients need to take anti-rejection drugs for life, and such drugs will directly suppress the body's immune level.If his hepatitis B is still active, taking anti-rejection drugs is no different from suicide.It is impossible for an organ transplant doctor to perform a transplant operation for him.
Anyway, ECMO doesn't need money now, anyway, there is plenty of time now - no one waits for Yu Xin to recover as soon as possible or... die, and then use his hospital bed to receive patients.
Sun Lien has enough time and ammunition to fight a war of annihilation against the virus.As long as the hepatitis B virus can be eliminated, Yu Xin still has the hope of surviving.
Of course, this is definitely not an easy thing to do.The drugs that doctors can use on the new body are very limited. Among the traditional antiviral drugs, the only one that may be effective against the new coronavirus is interferon.In order to control his interferon intake, the current treatment strategy of the medical team is to treat the new interferon inhalation and injection at the same time.
(End of this chapter)
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