Chapter 2013 The Bright Urine

Quan Xiaocao was busy all night.

I just lay down in the early morning and wanted to sleep for a while, and my mind was still full of details about the colonoscopy, and what Brother Yun said recently, I want to summarize the case reports and surgeries of intestinal abnormalities and post them to "New England" magazine go for things.

Although I didn't join Boss Zheng's medical group, I got two world-class SCI articles. If I can pass this one, it will be the third one.

Of course Quan Xiaocao knew the weight of it, so she worked harder than usual. It's just that I'm really sleepy today, it's already bright outside, I'll sleep and sleep, and I still have things to do during the day.

But tonight she didn't get the blessing of the night shift god, and the phone rang as soon as she lay down.

The nurse knocked on the door and said outside: "ICU emergency consultation, Mr. Yang has diarrhea, let you go and see first."

Quan Xiaocao is in the first-line class, and this kind of consultation should be the general thing of the second-line hospitalization.

Mr. Yang said he had diarrhea, so he might as well go up and take a look.

Wearing an isolation suit and a white suit, Quan Xiaocao came to the ICU sleepily.

"What's wrong?" Quan Xiaocao asked in a low voice after entering.

The atmosphere in the ICU was a little stagnant, as if something serious had happened.

"The urine of the patients you brought in a few days ago turned green." A nurse knew Quan Xiaocao, and told her in a low voice, "You can't handle this with the hospital manager."

Quan Xiaocao nodded quickly, and stepped out cautiously, so as not to be scolded by the first-line and second-line in the ICU.

When he came to the corridor, Quan Xiaocao immediately called Mr. Yang.

"Mr. Yang, the urine of the patient who underwent surgery a few days ago turned green." Quan Xiaocao said in a low voice.

"I didn't see it with my own eyes..."

Quan Xiaocao escaped a reprimand, but had no choice but to receive another reprimand.

But Mr. Yang didn't say a few words, and finally said that he would come over as soon as possible.

Waiting in the corridor of the ICU, Quan Xiaocao felt a little cold and lonely.

It's almost dawn, I haven't slept all night, and I don't know how much cosmetics can make up the wrinkles on my face. Although she is still young, Quan Xiaocao feels that she has begun to look older than her high school classmates.

If given the opportunity to choose, I would definitely not engage in medical treatment. Not to mention the pressure is not stressful, just working the night shift is unbearable.

If one or two emergency rescues are added to the night shift, I can't even think about it, and I feel bad when I think about it.

While thinking wildly, Mr. Yang came in.

"Xiaocao, what's going on?" Mr. Yang asked.

Quan Xiaocao was cowarded all of a sudden, she just coaxed herself out, and now... life is just cowardly.

Mr. Yang saw her appearance and knew a little about the situation on the phone, so he had his own guess.

Xiaocao was probably kicked out.

Shaking his head slightly, Mr. Yang strode into the ICU.

"Mr. Yang, does the green urine coming out of your patient's urine bag have anything to do with the surgery?" the head resident of the ICU asked directly.

Mr. Yang walked quickly to the side of the patient, his heart was already shrunk into a ball.

Urine, green, his first thought was bilirubinuria!

Bilirubin can be divided into unconjugated bilirubin that has not been processed by the liver and conjugated bilirubin formed by combining with glucuronic acid through the liver.

Unconjugated bilirubin is insoluble in water, binds to protein in the blood and cannot pass through the glomerular filter. Conjugated bilirubin has a small molecular weight and high solubility, and can pass through the glomerular filter membrane and be excreted in urine, called urinary bilirubin.

And the appearance of this kind of urine means liver failure!

Although it is unlikely to appear, Mr. Yang has seen it once before. The patient didn't make it through in the end, and after three days and three nights of rescue, he still died.

When he came to the patient's bed, Mr. Yang squatted down and looked at the urine bag carefully.

There is about 300ml of urine in the urine bag, which is light green and looks eerie. The green inside faintly reflects fluorescence, just like the beautiful world of the movie Avatar.

But in the movie, you can experience a kind of beauty. And in the urine bag that appeared in front of him... Mr. Yang's head buzzed.

This patient is going to die!

"How long has it been?" Mr. Yang asked.

"It just appeared 20 minutes ago." The resident in the ICU said, "It was normal before, but suddenly the color of the urine changed. I just checked the liver function, so it is not possible."

Apparently, she also considered bilirubinuria.

It's just that the liver function was checked early in the morning, and there was nothing wrong with it. The patient's condition continued to improve. If it weren't for being too old and having problems with respiratory function, he would have been offline and returned to gastrointestinal surgery.

The hospitalization in the ICU is always very incomprehensible.

A good person, why does he have bilirubinuria?

"Is the liver function checked urgently?" Mr. Yang asked.

"Well, it's urgent." The head resident of the ICU said, "I should be back soon, I'll take a look."

After speaking, she walked back to the workstation and glanced at the computer.

"Mr. Yang!" shouted the head resident of the ICU.

Mr. Yang stood up suspiciously, and he looked over anxiously, like a criminal waiting to be judged.

"The liver function is normal!" The hospitalization in the ICU is always not tantalizing. Playing these things in the ICU can easily kill people.

normal?

Normal liver function? !

What's with that green pee!

Mr. Yang began to think.

"What anti-inflammatory drugs does the patient take?"

"24 hours after the operation, the anti-inflammatory drugs have been stopped." The hospital in the ICU always said.

The asepsis in the ICU of 912 was very good. After normal surgery, no anti-inflammatory drugs were needed at all. This is a gastrointestinal surgery, and it only took 24 hours to save face.

This is completely different from the ICU in Haicheng First Hospital.

In Haicheng, if a patient does not use antibiotics for 3-5 days after resignation, no one will feel at ease from top to bottom.

The difference in technical strength is reflected in all aspects.

But it doesn't mean that the surgery is done well.

Mr. Yang knew that antibiotics were no longer used, but green urine also appeared when large doses of certain antibiotics were used.

But now, this road is also blocked.

"Does it have anything to do with the surgery?" the ICU resident always asked.

"It should be fine... ah..." Mr. Yang also became uncertain.

The operation was relatively successful, but the green urine in front of him was like a taunting soldier, laughing at himself heartily.

"Have you checked your blood calcium?" Mr. Yang asked.

"Blood calcium and vitamin D have been checked, and the return is slower. It may take an hour or two."

"Did you take triamterene?"

"No."

"What about methylene blue, indigo carmine, creosote, and salicylic acid?" Mr. Yang asked.

"Mr. Yang, it's not that you didn't read the doctor's orders. Why are you giving these things to your patients?" said the ICU resident in a displeased manner.

It has nothing to do with surgery, and there is a high probability that it will not be bilirubinuria, so just wait.

Mr. Yang and Quan Xiaocao observed for an hour. The patient was assisted by a ventilator in a calm state. His vital signs were stable, and nothing seemed to be wrong.

Subsequently, blood calcium and vitamin D were returned, and no abnormalities were found.

The two hospitalists were always dumbfounded.

There is no way, report it layer by layer, and find a second-line professor to look at it.