Signed In For A Hundred Days And Refused To Marry The Female Ceo

The results of the inspection came out soon.

Blood bicarbonate is less than or equal to 5mmol/L.

This is severe ketoacidosis...

Chen Dong frowned, as he expected.

"Doctor, what's the matter with me?"

He Wenwen was puzzled, and he couldn't understand any of the data on this list.

I don't know what disease I got.

Chen Dong said directly to Zhao Hua: "You go and inform the person at the nurse station to send He Wenwen to the rescue room."

"emergency room?"

He Wenwen was stupid when he heard these three words.

"Why didn't the doctor take me to the rescue room in a good manner?"

"Should I have a terminal illness?"

The patient has a certain right to know, and Chen Dong did not intend to hide it from him.

"This symptom of yours is not stomach erosion but diabetic ketoacidosis."

Zhou Shanshan on the side heard confusedly: "What is diabetic ketoacidosis?"

"Is this disease serious?"

Zhao Hua was somewhat dissatisfied that Zhou Shanshan interrupted Chen Dong's words: "Can you listen to it quietly?"

"Ketoacidosis refers to metabolic acidosis associated with the accumulation of ketone bodies. The most common cause of ketoacidosis is diabetic ketoacidosis. The other two causes are starvation ketoacidosis and alcoholic ketoacidosis. Poisoned."

"And you are diabetic ketoacidosis."

Chen Dong said with a serious expression: "Patients with ketoacidosis may have varying degrees of consciousness disturbance and coma in the late stage."

"How long have you not had a medical examination?"

Actually, I don’t even know that I have diabetes.

He Wenwen was stunned and said: "It seems that it has been three or four years."

Since he married Zhou Shanshan, Zhou Shanshan has not allowed him to go for a medical examination.

The reason is because the medical examination is too wasteful of money.

Anyway, there is no discomfort in his body, Zhou Shanshan thinks that there is no need to spend the wronged money.

Might as well buy her two more clothes.

Chen Dong said helplessly: "When diabetes worsens, insulin deficiency leads to disorders of carbohydrate, lipid, and protein metabolism. Not only does blood sugar increase significantly, but fat breakdown also increases."

"After the fat is broken down into fatty acids, it cannot enter the normal decomposition pathway to provide energy, and it is temporarily converted into the form of ketone bodies."

"This is why you have diabetic ketoacidosis."

Although He Wenwen didn't understand it very well, he also realized the seriousness of this matter.

He almost fainted when he heard the bad news.

"Don't panic yet."

The nurse on duty at the nurse station quickly pushed the bed in the rescue room.

"Lie down."

Although He Wenwen felt that he was not so weak that he needed to lie down, he still chose to trust the doctor.

Zhou Shanshan on the side was not calm: "My husband's illness is so serious?"

She was not worried about her husband's health, but was afraid that these checks would squander her wallet.

This disease must cost a lot of money, and it is not worth it to spend so much money for a man.

Zhou Shanshan really wondered what reason to leave.

Chen Dong and Zhao Hua did not focus on Zhou Shanshan.

As a result, when they came out of the rescue room, they found that Zhou Shanshan was missing.

"Where did the patient's family go?"

There are several agreements, which need to be signed by the patient’s family.

Because Zhou Shanshan had been sitting in the office just now, Chen Dong didn't care much either.

Who would have thought that she would sneak away.

He has just arranged He Wenwen's affairs.

He Wenwen requires immediate rehydration in this situation.

Rehydration therapy can correct water and electrolyte balance, lower blood sugar, and eliminate ketone bodies, which is also an important measure to correct shock.

At the same time, only after the effective tissue perfusion is improved and restored, the biological effects of insulin can be fully exerted. The basic principle is "fast first, then slow, salt first, sugar first". For patients with cardiorenal insufficiency, excessive fluid replacement should be avoided.

So Chen Dong had to stare at him personally, otherwise he couldn't relax.

Upon seeing this, Nurse Xiaolan on duty at the nurse station said, "Dr. Chen, are you looking for the woman with heavy makeup and short skirt just now?"

Chen Dong nodded: "Did you see her?"

"She just asked me about some patients, and I told her the truth."

"When she heard that the ketoacid condition was very serious, she turned around and left. I couldn't stop shouting."

I didn't expect this woman to run so fast.

Chen Dong was about to be laughed angrily by Zhou Shanshan's show operation.

"You go call and inform He Wenwen's other family members. He is in a critical condition. Without family members, he will definitely not be able to stay in the hospital."

Zhao Hua nodded.

As a result, only Zhou Shanshan's phone number was left in He Wenwen's medical record.

However, He Wenwen himself is now in a coma, and they cannot contact his other family members.

Chen Dong gritted his teeth, forget it, can't take care of that much.

Let's rescue people first.

Chen Dong checked He Wenwen's current situation and immediately said to Zhao Hua: "Now the situation is more critical, and insulin must be supplemented immediately."

Rehydration alone is no longer useful.

Insulin is the key to the treatment of diabetic ketoacidosis. Reasonable supplementation of insulin can promote the body's use of glucose, reduce the decomposition of fat, reduce the production of acidic ketones from the root cause, and improve symptoms.

"Insulin intravenously."

Short-term insulin needs to be injected by continuous intravenous drip.

Chen Dong opened He Wenwen's eyelids, and the edema of the optic disc was clearly visible.

He immediately frowned and said: "The patient has symptoms of cerebral edema."

This is also one of the accompanying symptoms of ketoacidosis.

Zhao Hua was taken aback, and he didn't even react: "What is it?"

"Don't stand stupid, the patient is in a critical condition now."

What is really afraid of.

He just worried about whether there will be other accompanying symptoms.

Because there are many accompanying symptoms of ketoacidosis.

Unexpectedly, symptoms of cerebral edema appeared.

Chen Dong sighed slightly: "Mannitol."

Mannitol is the first choice dehydrating agent for clinical treatment of cerebral edema after cerebral hemorrhage. 20 minutes after drug injection, the patient's intracranial pressure can be reduced by 50%. The drug reaches the strongest dehydration effect in 2 to 3 hours, and the effect can be maintained for 4 to 6 hours.

Now I can only use 20% mannitol to see if it can alleviate the symptoms of cerebral edema.

Otherwise, the diabetic ketoacidosis has not been resolved, and the patient will fall into a coma due to cerebral edema.

Studies have shown that there is no significant difference in the dehydration effect of using 20% ​​mannitol 250ml and 125ml once, but continuous use more than 5 times can lead to reversal of blood-brain osmotic pressure gradient. Therefore, treatment should avoid large doses and long-term use of 20% Mannitol.

Therefore, Chen Dong cannot use mannitol for a long time.

If there is no effect this time, other treatment options should be considered.

Chen Dong looked at Zhao Hua who was in a hurry, and let him pass directly.

It's better for him to be more agile by himself.

Zhao Hua secretly gave Chen Dong a thumbs up.

Your Dong brother is still your Dong brother!

No matter when he is in danger, he looks like he is not chaotic.

It seems that he still has to go back and practice more, otherwise there will be nothing like this.

When Chen Dong said mannitol just now, he still didn't react, what was that?

Chen Dong found it by himself.

Zhao Hua admires Chen Dong from the bottom of my heart!

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