Why did you find out the cause of pancreatitis?

And... Is hypertension related to these? There is no literature that shows that hypertension and pancreatitis and hypoxia are directly related!

Xu Qiu took out the instructions for the hydrochlorothiazide tablets and displayed them in front of everyone.

"This is……"

Director Xiao stared at the area pointed out by Xu Qiu, which was the "adverse reaction" column.

None of the first few items are special.

For example, it may cause water electrolyte disorders, patients with hyperglycemia can easily cause a decrease in glucose tolerance, and patients with hyperuricemia can easily interfere with the renal tubules to excrete uric acid, etc.

But soon Director Xiao's eyes widened, and in the last few lines, he mentioned in a relatively shallow font: "This medicine can also cause cholecystitis, pancreatitis, sexual dysfunction... etc., but it is more

rare".

pancreatitis?!

A patient with hydrochlorothiazide caused by pancreatitis has not been admitted to the digestive department of the Medical Department, but this is clearly mentioned in the drug instructions.

"In other words, the patient's pancreatitis is because of using this antihypertensive drug?" Director Xiao felt a sudden realization.

He looked at Xu Qiu in shock.

Director Jiang sighed: "Doctor Xu, you are so embarrassed if you don't go to be a policeman..."

It is obviously a disease diagnosis, but it actually feels like solving a case!

"So, what Dr. Xu said is hypoxia... is also related to hypertension and hydrochlorothiazide?" Director Xiao asked.

Xu Qiu returned to his desk, typing on the keyboard for a while, confirming the new treatment plan, and said, "I'll find out soon."

...

Logically speaking, when a person is sent to the ICU, he is under the supervision of a specialist doctor and nurse. Other departments generally do not dare to interfere with the treatment in the intensive care unit.

However, Xu Qiu is obviously the exception.

Director Jiang took Director Xiao and his group back to the ICU, and couldn't wait to turn on the computer to check the doctor's orders.

"Low Molecular Heparin Anticoagulation?"

Everyone was surprised.

Why did an anticoagulant measure suddenly come out? This is a means to treat thrombotic diseases, such as coronary heart disease, stroke, pulmonary embolism, etc. Based on Yuan Yu's situation, is it possible that she has pulmonary embolism?

But the problem is... If Xu Qiu judges that she has pulmonary embolism, the common clinical treatment is thrombolytic anticoagulation.

Thrombolysis is the removal of emboli that has been produced by the patient.

Anticoagulation prevents the generation of new plugs.

Theoretically, for an acute disease such as pulmonary embolism, thrombolysis as soon as possible and relieve pulmonary artery blockage is the core, and it should be ranked before anticoagulation. Why does Xu Qiu only perform embolization and not thrombolysis?

"I can't figure it out." Director Xiao and others were a little confused.

Even in the respiratory department, pulmonary embolism is a senior disease that only directors can encounter. In addition to a few respiratory department directors, Wang Ping, who is from the emergency department, has the opportunity to rescue him.

Of course, Xu Qiu, whose rescue rate is 100%, is too perverted and will increase the survival rate of patients with medical treatment. It is unfair and will not be included in the statistics.

"Why are you still standing there? Hurry up and let me down!" Director Jiang roared and followed the bed doctor watching the fun behind him.

"Oh..." The doctor in charge quickly followed the doctor's instructions.

Seeing this, Director Jiang breathed a sigh of relief.

Fortunately, he is fast, otherwise this kid would have asked him why he only anticoagulant. If he doesn't know, the authority of the director will be greatly reduced.

He is different from the shameless Director Xiao.

However, although everyone present had little understanding of this newly added treatment plan, it did not hinder the implementation of medical advice by frontline doctors.

After all, Xu Qiu had already said everything he had in his mind. Believe it first and then question it!

...

The patient Yuan Yu's complicated condition at first attracted everyone's attention.

Later, the mystery was peeled off layer by layer and the pancreatitis was locked onto the antihypertensive drug hydrochlorothiazide. Now everyone is curious about the treatment methods of insoluble thrombosis and anticoagulation.

Many people in the medical field are paying attention to this medical record.

Xu Qiu didn't have so much thought.

He was busy studying the colon-replacement bladder surgery for Xun Yu.

Every time I checked the rounds, this girl would ask, and when she heard the answer that would take some time, her glowing eyes were sad.

However, using a gastroenterology surgery in urology is almost the same as cross-border, so you can't be anxious or you can't come.

In a few days, Xu Qiu turned down all unnecessary meetings in addition to his usual outpatient clinics and surgery, and devoted himself to the operating room in his brain, and finally made considerable progress.

"The first phase is roughly completed..."

The general procedure of the operation has been determined, and the next step is to enrich the details and refine and adjust the function of the colon and bladder after replacement.

Xu Qiu's expression was a little solemn.

The real difficulty lies in the details.

If Xun Yu is a man, it would be simpler.

The urethral sphincter and innervation mechanism of women are more complex and have a relatively low medical understanding of it. Therefore, there are gender differences in the difficulty and success rate of this surgery.

After dozens of attempts, Xu Qiu really tried something new.

For example, according to the conventional idea, this surgery must be performed to cut off the urethra pubic ligament, and then colon replacement surgery.

However, after repeated surgery, Xu Qiu found that retaining the urethral pubic ligament will significantly improve the prognosis and functional recovery level!

After careful analysis, he realized that this ligament plays an important role in maintaining the stability of the urethra and maintaining the normal bladder urethra angle of the new bladder.

Not only that.

Xu Qiu also fused a high-level ligation dorsal venous complex operation, allowing the vaginal wall to participate in the support and maintenance of the new bladder, making the success rate even further.

In addition to these details, Xu Qiu also made improvements in the major surgery process.

For example, Xun Yu's disease lies in the neurogenic bladder, that is, the original bladder has lost the ability to store urine and urinate. Since it is necessary to change it to a new one, whether it is an ordinary person or a urologist, the first reaction must be to turn it into the original one.

All bladder removal.

This was exactly what Xu Qiu did at the beginning.

However, he found that retaining part of the bladder neck can prompt the new bladder to adapt to the body and restore normal function faster...

This was a surprise. As for whether to apply it to the real surgery, Xu Qiu was still struggling.

After all, this is a dangerous move. Once it is kept less, it will become urinary incontinence. If it is retained too much, it will lead to excessive controllability of the new bladder. In short, you still have to find the balance point between them. If it is too much, there will be problems.

.

"It will take some time to polish..." Xu Qiu entered the simulation operating room again.

At the same time, good news came from the ICU.

After three days of treatment, Yuan Yu has been out of danger!

In fact, on the first day of anticoagulant treatment, the patient's blood oxygen saturation upper limit began to loosen. It slowly rose from 89 after several reductions to 95, and it has entered the category of normal people.

On the third day, the symptoms of hypoxia were completely improved. After removing the ventilator, the patient's blood oxygen saturation was still controlled at around 99. He was completely offline and pulled back from the brink of danger!

After two hours, Yuan Yu will be transferred back to the general ward after the last evaluation.

It was at this moment that Director Xiao, Director Jiang and others finally couldn't help but rush to the office.
Chapter completed!