NovelTags Chapter 263
Chapter 263
"Are you worried about money?"
Lin Feng saw the couple's predicament.
For the couple's love for their daughter, Lin Feng believes very much, so what makes them embarrassed can only be 'money'.
Dad gritted his teeth and said, "Don't worry, Dr. Lin, we will definitely scrape together enough money, please help my daughter cure this disease!"
Lin Feng shook his head: "No need to raise money... If you really don't have money, I can apply for the 30,000 for you, I left an account in the first court of the city, I can just make a phone call..."
The tens of millions of that account were Lin Feng's coming from.
With the relationship between Lin Feng and the first court of the city, 30,000...
When Xiaofei and her parents heard this, they were immediately excited.
Thanks again and again:
"Thank you Dr. Lin! Thank you Dr. Lin!"
soon
Lin Feng began to prescribe medicine, and then instructed the nurse how to dispense and infuse medicine...
Busy with all this,
Reporter Zhang Zhen: "Dr. Lin, can you interview you specifically, now there are many people on the Internet who are concerned about Xiaofei's illness, I wonder if you can explain it to us?"
Lin Feng: "No problem... This is the first case of "Basketella marnifi" found in our country, but I think it should not be the only case in the country, there should be other patients, but they were misdiagnosed... I hope more and more people know about this disease, and then discover it, and cure the patient!"
And then
Lin Feng explained in detail the characteristics of "Basket M. Marnifi", inspection methods, etc.
Reporter Zhang Zhen listened while looking at Lin Feng's confident and handsome face, and couldn't help but admire.
......
After 1 hour,
An article "Xiaofei case answer revealed: Dr. Lin Feng announced "Basket Malnifi"
In the article,
Introduce the consultation process of Lin Feng,
Then Lin Feng spent 7 days and gave a conclusion.
Every word and sentence in the article is full of worship for Lin Feng.
Because there are many people who follow it,
So
In 10 hours, it rushed to the hot search.
#Dr. Lin Feng successfully cracked Xiaofei's case#
Countless people sent their own admiration.
"It's actually cracked, it's so powerful!!"
"Dr. Lin Feng is awesome!!"
"Dr. Lin Feng is handsome and talented, male god!"
"Idol awesome!!"
......
And another group of people,
At this time, it is surprise, excitement, and crying!
In Sichuan Province, a young male patient: "So, my disease is not tuberculosis?
In Southern Province, a female patient: "That is, my disease has been saved?"
Hu Province, a certain patient: "Great, I don't have to die..."
In Jiang Province, a doctor was excited: "'Marnifi basket bacteria'?
One by one, patients and doctors suspected of "Basket Marnifi" began to act.
......
Over the next four days,
The first hospital of the city transferred 30,000 yuan to Xiaofei's treatment.
After these 4 days of symptomatic treatment,
Xiaofei's condition has improved significantly, and the fever that originally appeared has also receded! ! !
Obviously, the disease is found right, and the medicine is used correctly.
In the past four days, a total of 8 patients across the country called to inquire about the treatment, and then through Lin Feng's diagnosis, it was determined that it was "Marnifi basket" disease, so a similar treatment plan was taught.
Soon, the condition of these 8 patients also began to improve.
That's great news!!
The news spread online, and there was a lot of praise.
"Dr. Lin Feng is awesome!"
"Dr. Lin Feng 666!!"
Next
Didu TV and national television all came to interview.
For this reason, as the most contributing Lin Feng, it is directly on the news, even the evening news of national TV! ! !
It's a big hit.
Lin Feng status +1+1+1...
......
......
A new day,
Lin Feng rounded the ward and checked He Shouwu's liver disease patients, as well as Xiaofei...
And then go back to the consultation room.
Continue to sit.
Turn on the call machine,
"Please Sun*, go to the third consultation room..."
Soon, a 28-year-old patient walked into the consultation room.
Held by his girlfriend.
"Sit down..."
When Lin Feng looked at this patient, his face was pale, and he was still covering his heart, and his breathing was a little rapid.
I was shocked.
A series of heart diseases pop up right into my mind.
"What's going on?"
"It hurts me here, it hurts..."
Patient Sun Hai covered his heart and said.
Then, from the patient's mouth, Linfen knew the general situation.
5 days ago,
The patient, Sun Hai, suddenly felt a faint pain in the sternum.
At that time, the patient Sun Hai felt that he might be on fire.
Then the throat hurts.
"On fire?"
Lin Feng subconsciously shook his head.
His first reaction was not fire, but angina!
[Angina]: It is a clinical syndrome with episodic chest pain or chest discomfort as the main manifestation caused by coronary insufficiency, rapid ischemia and hypoxia of myocardium.
The first manifestation of angina: retrosternal pain!
Next, the next day, noon.
When the patient Sun Haihai finished his shift and was about to go to the canteen to eat, he felt the sternum pain intensify.
Suddenly pain began in the left hand, accompanied by chest tightness.
(PS: only the left hand, because that's the lateral area where the heart (on the left side of the body) is located)
However, the process took a 30-minute break and finally eased.
Lin Feng nodded.
That's right
This corresponds to one of the typical features of angina:
"It gets worse after exertion, but it can be relieved after rest"!
Moreover, the pain of this condition has been strung to his arm, indicating that his myocardial ischemia and lack of oxygen have been very serious at this time, and death has beckoned to him.
However, Sun Hai did not understand.
After staying up for a day and returning home, he began to feel breathless, his chest hurt even more, he couldn't even lie down, and he almost sat all night.
The back of the sternum is hot, like a sore throat with severe fire.
Lin Feng heard this,
There is already a judgment:
The condition has deepened further!
"Acute myocardial infarction!"
Acute myocardial infarction: myocardial necrosis caused by acute, persistent ischemia and hypoxia of the coronary arteries.
Other words
During the day, ischemia, hypoxia.
At night, due to long-term ischemia and lack of oxygen, myocardial necrosis occurred in the heart, and it was still a large death.
"Myocardium": A type of muscle tissue made up of cardiomyocytes.
But
The patient, Sun Hai, still does not know the danger.
He also insists on going to work, sometimes calling in sick and resting at home.
But I didn't pay attention to the condition, and I just thought that rest could be relieved.
In this way, five days passed.
Today
His girlfriend saw him like this, felt very wrong, and then strongly asked to take him to the hospital.
"What hospital to go to, every time I go, hundreds of thousands of yuan are gone!"
Before the patient Sun Hai, he was still distressed about money and did not want to come.
But his girlfriend asked him to come, so he reluctantly came to the emergency room to see a doctor.
"Let's take an electrocardiogram..."
"Xiao Ai, give him an electrocardiogram..."
"Yes. "
soon
Connect the ECG.
The ECG band began to lengthen continuously...
When Lin Feng looked at that band, his face suddenly became serious.
Acute anterior myocardial infarction!
That is, there are already a large number of myocardial deaths.
"Quick, nitroglycerin tablets, sublingual!"
Lin Feng quickly asked the nurse to take nitroglycerin lozenges!
This is a drug that dilates blood vessels, the fastest and most accurate drug, and the effect is better than quick-acting heart-saving pills!
After taking nitroglycerin,
"Hurry up and do a B-ultrasound, let there be an expedite!"
When the patient Sun Hai saw Lin Feng's face, he immediately panicked.
"Doctor Lin, what's wrong with me?"
"Myocardial infarction, you go for a B-ultrasound as soon as possible..."
Brush brush brush ...
Billing.
The patient Sun Hai did not dare to delay and was ready to rush to the ultrasound room.
Lin Feng hurriedly stopped it!
"Don't... You lie in bed and let the nurse push you over..."
"Huh? So serious?"
Patient Sun Hai was panicked at this moment.
The nurse found a flat car, Sun Hai lay down, and sent him to the B ultrasound room.
After 10 minutes,
The result of B ultrasound was sent to Lin Feng.
• Segmental wall motion abnormalities
Left ventricle enlargement
Decreased left ventricular systolic function
Pulmonary hypertension
Lin Feng looked at it, focusing on "segmental wall movement abnormalities"!
What does that mean?
Specifically, the patient's myocardium is no longer a whole piece in contraction and relaxation, there are a few positions, almost not moving!
This means that the immobile heart muscle has been dormant or dead!
As for the reduction of left ventricular systolic function, it is because of the death of the heart muscle, which will definitely be reduced...
Lin Feng was shocked!
This is definitely big trouble!
Can't drag it out!
Lin Feng shouted: "Xiao Ai, immediately tell the intervention department that there is a patient who needs to be rescued, myocardial infarction, critical, fast!"
When the patient heard this, he was so frightened that cold sweat came out.
Fortunately, I didn't faint, but the increase in blood pressure is certain.
......
soon
The interventional department prepared the operating room.
Lin Feng's status in the intervention department is still in the top five.
Under Lin Feng's order, 300,000 tiger soldiers rushed to the performance... Oh no, it's to prepare the operating room for Lin Feng.
......
Surgery: find the cause of ischemia, treat the disease
Master knife, one or two assistants: Lin Feng, interventionologist
Onlookers: Interventional Physician
The operation begins,
Angiography......
Soon, the contrast agent enters the body through the blood vessels, all the way to the coronary artery location.
"Hissing..."
As soon as coronary angiography appeared, the interventional patients gasped for air.
Imaging showed that the patient, Sun Hai, had a severe stenosis of the anterior descending branch (known as the "widowmaker").
This narrow section is still a near section!
No wonder it causes massive areas of myocardial ischemia!
"Use an IABP pump!"
Lin Feng quickly ordered.
"IABP pump", the name is: intra-aortic capsule inverter, the operation of the whole process is automated.
Because of the serious heart failure, Lin Feng needed to insert an IABP pump to assist support Sun Hai's heart to work, and every time the heart beats, the pump also works with it.
This allows the dying heart muscle to have a cushion for recuperation.
soon
Lin Feng began to intervene,
Insert the guidewire catheter...
Feed in the bracket...
Stretch out the bracket, narrow the anterior descending branch of that section, stretch it out...
......
The journey takes 23 minutes...
The operation is over!
After the operation, patient Sun Hai was admitted to CCU intensive care.
(CCU, which is the cardiac intensive care unit.) ）
The next day,
Sun Hai's parents rushed over from other provinces.
Standing in front of Sun Hai's bed and crying.
Lin Feng shook his head and sighed.
The experience of patient Sun Hai is a typical tragedy, and such tragedies are played out in hospitals almost every day.
However, with a little common sense, this tragedy can be completely avoided!
Common sense is the "16-character proverb": labor-induced, rest-relieved, drug-relieved, more than 2 points.
Exertion-induced: Generally, under exertion, its pain can be induced or aggravated.
Rest relief: Rest immediately after the onset of pain, and the pain will relieve after a while.
2 points or more: The pain lasts for more than two minutes. If it's lightning pain, it's definitely not.
Medication relief: here mainly refers to "nitroglycerin" and "quick relief pills".
How to choose these two drugs, who is the real life-saving drug, the following three A to explain in detail:
These two drugs are used for the same disease, that is, "angina"!
Angina pectoris is a classic symptom of coronary heart disease.
Simply put, the blood lipids are too high, forming plaques and narrowing the heart blood vessels.
(It's not the same thing as a thrombosis.) ）
Therefore, when the patient is tired or excited, due to the narrowing of blood vessels and insufficient blood supply, myocardial ischemia will occur, so angina will occur.
The function of these two drugs is to "dilate blood vessels", temporarily unblock blocked blood vessels, and relieve the symptoms of chest pain.
So here's the problem.
When angina occurs in patients with coronary hearts,
Should I eat nitroglycerin first?
Or a quick relief pill?
The answer is:
Nitroglycerin is the first aid of choice!
How to take it is:
When angina in patients with coronary heart disease has an acute attack (chest pain or chest tightness after exertion), nitroglycerin can be "taken under the tongue".
Don't swallow it!
Can be chewed slightly!
It can be effective after 2~3 minutes, and the effect can last for 20~30 minutes.
Secondly, it is recommended to sit and take it.
The reason is that this medicine lowers blood pressure.
Standing clothing may cause insufficient blood supply to the brain, while lying down may increase the burden on the heart.
。
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ps: So much for today, 2900 + 4100 = 7000 words, the old man went back to his hometown to sweep the grave, it was too time-consuming and energy-consuming to take the baby, sorry ~~
。