……
三月下旬。
急诊科公共办公室内，许秋、王平、何海等人坐在会议桌上，身后坐了一排排医生，会议桌角落还有一位医生在复述着早交班的病人病历。
“……十床邓玲，女，四十五岁，因腰骶部坠痛，并阴道分泌物增多，门诊以‘盆腔炎’于10：20收入院，体温36.9c，脉搏74次/分，呼吸21次/分，血压116/93
“……”
“昨日入院有两位重点病人。”
说到这里，众人的精神更加集中，许秋、王平等人也看了过来。
普通的病人，科室内其他医生可以轻松解决，作为主任，他们只需要把控好大方向就可以了。
但重点病人却需要主任级别的医生多加关注。
交班医生的声音也大了几分，道：
“二十一床，男，四岁患儿。主因‘脑室腹腔分流术后发热伴腹痛半月，精神反应弱两天’入院。查体显示神经反应弱，瞳孔直径4mm，对光反射迟钝，颈抵抗阳性，克氏征阳性，一年前脑积水行左侧脑室腹腔分流术，两月之前患儿因为头痛就诊，发现分流管堵塞，进行了右侧脑室腹腔分流术……
“血常规显示，crp77mg/l，白细胞21.76x10∧9/l，皮下储液囊脑脊液：白细胞827x10∧6/l，蛋白1201mg/l，头颅ct：脑室扩张，实质明显受压，侧脑室旁白质略减低。诊断为脑室腹腔分流管感染、脑室管膜炎、脑积水，予美平+万古抗感染，神经外科手术将脑室腹腔分流管腹腔端去除行侧脑室外引流……”
这是一例非常典型的脑室腹腔分流管感染。
当然，具体是什么类型的细菌感染还有待商榷。
众人的目光不约而同落在许秋身上。
许秋仔细地看了片刻。
脑室腹腔分流术他做过很多次，分流管感染算是最常见的并发症而已，不过他的病人没有出现过。
但在大师级的经验之下，他对相关的各种风险了解很深刻。
根据这名患儿的表现，最有可能的还是奇异变形杆菌。
许秋想了想道：“做一个皮下储液囊脑脊液和外引流脑脊液涂片。另外，治疗方案改为头孢曲松联合万古霉素。”
主管这名患儿的云梅赶紧记了下来。
随后，早交班医生脸色正了正，用更严肃的语气道：“另一位重点病人是三十二床，她的情况非常复杂。”
闻言，所有人都提起了精神。
交班医生道：
“病人叫谢韵诗，三十六岁。患者家属代诉：患者一年来仿佛出现双侧下肢的水肿，在当地社区医院纠正，诊断为慢性肝衰竭。后多次治疗，不见缓解，进一步检查后，发现了一共五种不同类型的疾病……”
她深吸一口气，道：“包括肝脏方面的慢性肝衰竭、酒精性肝硬化，肝硬化失代偿期。还有重度贫血、血小板减少、白细胞减少和慢性心衰……
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