Chapter 186

I saw Huang Lei holding the infectious disease check list from yesterday's boy in his hand.

(Infectious diseases are a must-check item for every admitted patient)

Five items of hbv and hepatitis B are all negative.

(Full negative means that there is neither virus nor hepatitis B vaccine in the body; if the column of 'Hepatitis B surface antibody' is positive, it means that the body has been vaccinated or has had hepatitis B, but the body has cleared the virus and produced antibodies. Check There is no problem if either of these two situations appears on the list).

hcv hepatitis C antibody, negative.

TP pallidum spiral antibody, negative.

HIV human immunodeficiency virus antibody, positive.

A big '+' sign appears behind hiv.

Zhang Yi was surprised. No wonder he felt that the blood of this young man named Wei Tian was a little different from others!

Was there really a problem? !

At this time, everyone in the department who went to work in the morning was basically here.

As soon as he heard that Huang Lei's career was exposed, he immediately showed a horrified expression.

"Damn it! So unlucky?!"

"Have you washed it? At that time, go wash it again quickly."

Lu Jing also took a closer look.

Really HIV positive!

He quickly said: "Hurry up and call the infectious disease department of the hospital and ask them to get blocking drugs."

After occupational exposure to HIV, the first step is to clean and disinfect the wound, and then take blocking drugs within 24 hours.

Tenofovir, emtricitabine, raltegravir, or dolutegravir combined.

The earlier the medication is taken, the better.

The effect of blocking medicine is still very good. As long as you take the medicine in time, you will almost never get infected.

And occupational exposure is also graded.

A wound like Huang Lei's was not very deep, only scratched under the skin, and the amount of bleeding was not much.

It's considered secondary exposure.

It is also necessary to check whether the viral load in the patient is high.

If the viral load is low and blocking drugs are taken in time, you will basically not be infected.

If the viral load is high, the chance of infection is very small as long as you take blocking drugs in time.

However, during the period of taking the medicine, the infected person will feel very stressed.

I will be anxious and afraid of being infected every day.

relatively affects mood.

Soon, Zhang Yi called the general surgery inpatient department upstairs and said that the patient Wei Tian was an HIV virus carrier.

The people upstairs also understood and immediately drew blood again and sent it for testing to measure the viral load.

Within half an hour, the hospital's infectious disease department came to the emergency department with medicine.

Huang Lei saw the medicine as if he saw a life-saving straw.

He quickly swallowed it in one gulp.

"Hey...what a bad luck!" After taking the medicine, Huang Leicai slumped down on the chair in shock.

Something happened in the department, and Lu Jing also went to the operating room to check the monitoring system.

After reading it, Lu Jing returned to the emergency room with a bad expression and said:

"Except for the emergency room and emergency clinic, everyone else comes and has a meeting."

After giving the order, the others obeyed obediently.

Including Huang Lei, who worked the night shift yesterday and hasn't gotten off work yet.

In the office.

Lu Jing glanced at Huang Lei and said:

"I watched the video of last night's surgery. To be honest, as the attending doctor Huang Lei, your operation was really sloppy.

No one wants to be exposed professionally, especially if you have HIV.

But I still use this matter to remind everyone.

Any surgical operation in the future must be done carefully and slowly!

This is especially true when surgery is urgent and it is not yet known whether the patient is carrying a contagious virus.

We should be more careful and cautious.

This is to protect ourselves!

Doctors are considered a high-risk profession and are often exposed to these viruses and infectious sources.

Can't we just be steady and slow?

Not everyone is like Zhang Yi, fast and stable.

If we can't do it, don't follow him, just keep it steady.

If you operate slowly step by step, won't the operation be successful? "

Chapter 143 As long as you are healthy, everything will get better slowly.

Huang Lei heard this.

Suddenly I felt like crying to death.

Woohoo!

I shouldn't show off my skills!

Very meow!

I even scratched my hand when I got excited!

He was also exposed professionally!

Woohoo!

I'm so miserable...

In the office, seeing Huang Lei's depressed expression, Lu Jing stopped talking about him.

“I hope everyone will keep it in mind that you must keep a steady hand at all times and take your time step by step!

We are doctors and we must make progress while maintaining stability!

Unless you are as strong as Zhang Yi, please hold still and operate slowly!

Do you understand? ! "

The doctors glanced at Zhang Yi quietly and nodded:

"knew……"

Zhang Yi didn't know what to say for a while.

Director Lu was so complimentary, Zhang Yi was a little embarrassed...

After a while, the laboratory results came out.

Viral load measurement actually checks the amount of viral nucleic acid in the patient's body.

The amount of viral nucleic acid in a normal person is zero.

However, considering the sensitivity of the detection instrument, as long as the final result is less than 20 copies, it is considered negative.

A value greater than 20 indicates the presence of HIV in the patient's body.

At this time, the test results showed that the viral nucleic acid amount was 6523 copies.

This is the final nail in the coffin.

It's indeed AIDS.

But judging from the amount of viral nucleic acid, it’s not bad.

It's considered a mild illness.

When some AIDS patients reach the later stages, the amount of viral nucleic acid detected can reach 10 million.

6523 is really not bad.

However, this amount also suggests that this patient may not have been infected with AIDS for a long time.

Zhang Yi remembered that his family members said that Wei Dian did not have any infectious diseases during the pre-marital examination.

But now it's been found out.