昨晚的照片

2011年1月26日 | 标签:

昨晚又上夜班,原来不准备带相机的,可上次的那位家长短信我能否再拍几张照片给他们看看,于是就抽空拍了几张

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记得上次拍照好像是平安夜 ,1个多月过去了,他也从1400克长到2000克,快要出院了

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请记住这个眼神,这往往是弥留之际的眼神,很无助吧

她是一个很让我们内疚的病人,5天前,我出夜班时,她的情况就不好,反应很差,黄疸加重,当时我们就怀疑感染,于是天天监测血象,却没发现一点感染的迹象。可是,昨天凌晨,在我的前一个夜班,她的情况急剧恶化,全身感染症状出现,尤其是肠道感染。这2张是拍于昨天上半夜的,当时高热,反应差,刺激不哭,只皱皱眉,目光凝视,好在还没陷入昏谜。今天早晨2点多,自主呼吸也没了,于是上了呼吸机,不知能不能挺过去

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相对上面的那个女孩,他算是个幸运儿。他当时没有感染症状,却在每周一次的例行血常规检查中发现血小板极低(但没有出血症状),提示可能有感染,于是抽血培养发现被一种特殊细菌感染,在强大的抗生素和支持治疗下,现在病情平稳,应该是挺过来了

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这个孩子最近出现频繁的呼吸停止,这要是发生在家里,就会导致猝死。当时在上呼吸机,他不想呼吸,我们就用机器往肺里灌气。他的父亲已经47岁了,昨天告诉他孩子病情加重的消息时,他很失望,后来要塞我2张购物卡,没要,我想他一定希望我收下它

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照蓝光退黄疸的孩子,这种蓝色好像在科幻电影里经常出现

  1. 大宝
    2011年1月26日23:41

    又起夜。。呵呵
    其实专门来看看你,小年了
    这些图片真揪心

  2. lyony
    2011年1月27日09:09

    上天为什么创造了他们,又不让他们好好的活

  3. sjzou
    2011年1月27日09:20

    “请记住这个眼神,这往往是弥留之际的眼神,很无助吧”
    难受。。。

  4. 民老头
    2011年1月27日10:06

    加油

  5. 唐门凤去
    2011年1月27日13:16

    阿弥陀佛……

  6. 起子
    2011年1月27日14:12

    你这个工作。要是我真就做不了。

  7. yanhu
    2011年1月27日21:30

    @大宝

    当我 想你的 时侯,我就 夜 起

    当我 想你的 时侯,我睡前就喝的很多

    ≈≈≈≈≈≈

    还专门啊,弄得我鸭梨很大

  8. yanhu
    2011年1月27日21:40

    @lyony

    如果每条生命都很健康的话,医生就失业了

    如果有上天的话,它设计的生命肯定有很多缺陷,这些缺陷最后基本定位在DNA上

    可我认为可能没有上天

    昨晚我还去另一家医院的病房看望了我送了哆啦A梦的那个男孩,好在这次他没睡,前两次去,他都睡着了。在病床上玩,很大的眼睛,很漂亮的男孩,现在正接受化疗,因为肿瘤细胞长在大血管旁,目前还不能手术切除。他的家人都是普普通通的、很善良的人。如果说善有善报,恶有恶报,他又犯了什么恶呢!

    所以,我不信上天

  9. yanhu
    2011年1月27日21:47

    @sjzou

    其实当初贴这两照片时,我的本意并不是要大家难受和揪心,这些事情只是我们日常工作的一部分,只不过那天晚上我正好带了相机

    其实我们见得多了,我们并不怎么难受,但是有点着急,希望她的病情能够好转,另外还有一点内疚:为什么5天前,她有感染迹象的时侯,我们没有积极的处理,以至于后来不可收拾

  10. yanhu
    2011年1月27日21:48

    @民老头

    加油?

    估计你是希望那些危重的小病人能够挺过难关,活下去

    我也希望这样。今天我没上班,可总是放不下心,刚刚电话询问了当班的同事,说她还在撑着,但情况很差,全身硬肿,目前还在输血中

  11. yanhu
    2011年1月27日21:52

    @唐门凤去

    造化

    不知是不是个佛教用语?

    有时我会和其它医生探讨:如果该用的药都用了,病人的病情还不好转,那该怎么办?

    同事说:那就看造化

    其实,我还是不信病人的造化。问题还是出在我们,我们应该从过失中汲取教训,把握住病情变化的迹象,不要等无法挽回局面时,才把所用的药都用上

  12. yanhu
    2011年1月27日21:59

    @起子

    好像没有做不了的工作,只有喜不喜欢

    许多工作都是训练出来的,接触多了,就适应了

    比如天天接触尸体的病理科、不但接触尸体而且还多是凶杀破坏的尸体的法医,他们的工作更让人觉得恐怖,但是这类工作总要有人做,而且也很有意思

  13. 欣燃
    2011年1月30日09:46

    “上天为什么创造了他们,又不让他们好好的活” +1
    希望医生都可以失业,同理的是士兵。

    兔年,会开氨基酸和DNA的课吧?
    拜个年先~~

  14. yanhu
    2011年1月30日14:04

    @欣燃

    一个美好社会,士兵、警察、也许都消失了,但我想医生还会存在,只要有人生存,疾病是避免不了的

    等寒假放完了,会开DNA和氨基酸的课。不知道现在的你对DNA和氨基酸有多少了解。如果真的有一天,在我的短文的帮助下,认识了DNA,也许你会改变对疾病的看法

    祝新年好

  15. giraffee
    2011年2月5日22:07

    希望宝宝们平安。

  16. yanhu
    2011年2月7日11:43

    @giraffee

    春节期间一直惦记着那个严重感染的目光凝视的小孩,因为放假前她的情况开始好转。没想到,初三上班,发现她的床位换人了。原来三十那天,她发生了肠穿孔,救不回来了

  17. xlsxx
    2012年1月8日18:10

    怀孕29w+,看到这些照片,真不舒服。。。

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