NovelTags Chapter 410
Chapter 410
After hanging up the phone of classmate Wang Bin,
Lin Feng sighed,
Start walking into the consultation room,
Turn on the call machine,
First patient.
"Please ask Zhang Meilin to consult room three..."
......
An hour later...
After Lin Feng diagnosed 12 patients, the phone rang again.
Classmate Wang Bin,
Lin Feng: "How is it?" Are the results of the cerebral medullary fluid test in? "
Wang Bin's voice was hoarse: "It's out, it's viral encephalitis..."
Lin Feng nodded: "Good... After checking it out, you can prescribe the right medicine and wish the child a speedy recovery..."
Viral encephalitis is a very wide range of diseases, all viruses caused by encephalitis, are called viral encephalitis, data show that dozens of hundreds of viruses can cause encephalitis, different viruses cause different situations, treatment will be different.
Therefore, only by finding out what virus causes inflammation can we use the corresponding antiviral drugs to cure the cause.
PS: Not all viruses have symptomatic medicines ... ）
Wang Bin: "Thank you, Lin Feng..."
Lin Feng: "You're welcome, I didn't help much... If you need my help in the back, you can call me..."
Wang Bin was grateful after hearing this: "Lin Feng... Thanks! "
Lin Feng hung up the phone.
He is actually not optimistic about the condition of the child who has delayed a day, and hopes to be lucky...
(Summary: the child is sick, if he can eat, drink and play, good spirits, the general problem is not big; But if the child is not in good spirits, refuses to eat and drink, refuses to play, then hurry to the hospital, do not delay. ）
......
Keep seeing a doctor...
"Please ask Zhang Meilin to consult room three..."
An aunt in her 40s walked in,
"Doctor Lin..."
"Sit..."
The aunt was trying to sit down...
outcome
The door opened again,
Lin Feng saw a young couple and ran in.
The girl was pale, panting vigorously, and had difficulty breathing.
She is about 170, but she looks very thin, estimated to be less than 100 pounds...
A look of pain.
The nurse opens the way in front.
Said to Lin Feng: "Doctor Lin, she has a little difficulty breathing (pointing to the young girl)... You help see..."
Lin Feng quickly stood up with a serious expression:
"Get in bed, quick!"
At this point,
Lin Feng couldn't care about that aunt anymore.
(Aunt Orn: "..."I was cut in line...") ）
This girl has obvious breathing difficulties, which is a very dangerous disease.
"Difficulty breathing" is a technical term, and everyone knows what it means.
The presence of dyspnea often means that the condition is serious, and in many cases, it also means that the disease will progress abnormally quickly. Many of these patients often appear one second still panting and saying a word, and the next second the heart stops beating.
However, I don't care about asking about the patient's situation at the moment.
Hurry up and push the rescue room!
......
Pushing all the way...
Come to the rescue room.
"Quick, get her an oxygen mask!"
Put on an oxygen mask and attach a non-invasive ventilator (the breather is pumped in).
The patient inhaled the breath and finally relaxed a little, and the female patient did not gasp so much.
Connect to the ECG monitor,
At a glance,
Blood oxygen saturation 91%, a little low...
Blood pressure 130/78, high ...
Heart rate: 136, high...
Respiratory rate: 35 times... (High)
Lin Feng frowned when he saw the last item.
The average respiratory rate in the human body is 12-20 breaths per minute.
Beyond this range, the general reason is that because of the lack of oxygen, the brain forces the breathing rate to increase and accelerate oxygen intake.
Then it can lead to a side effect: the heart can be tired and, in severe cases, respiratory failure.
The patient in front of him has respiratory failure!
"Xiao Ai, prepare some medicine..."
Lin Feng ordered the medicine to be dispensed while asking the female sick person.
"You say, where does it hurt... Heart? Or lungs? "
At this time, the patient's lips begin to have a little cyanosis, which is hypoxia.
(When oxygen is insufficient, reduced hemoglobin increases in red blood cells, which can lead to cyanosis of the skin and mucous membranes.) ）
Lin Feng's question, the female sick did not react much.
"Is consciousness starting to get confused?"
"This is trouble!"
Because the patient may hang up at any time, Lin Feng must find the cause as soon as possible and then control it!
Why does breathing difficulty occur?
Diseases of the heart and lungs are generally within the scope of these two organs, such as myocardial infarction will have chest pain, dyspnea, heart failure will also have difficulty breathing, severe pneumonia, pulmonary embolism, pneumothorax, pleural effusion, etc. will also have difficulty breathing.
What exactly is the reason?
It is best to ask the patient about the specific situation, but the patient cannot respond to Lin Feng.
Lin Feng glanced at the ECG monitor.
The blood oxygen saturation is still falling, it has fallen to 88%!!
Obviously, the mask non-invasive ventilator is no longer available.
"Intubate her immediately, even a low-frequency ventilator..."
Lin Feng made a decision immediately!
The nurses were ready at a rapid pace...
At this time, Lin Feng asked the nurse to let the patient's boyfriend in.
Lin Feng: "When was she like this?" "
Boyfriend: "Just half an hour ago... Suddenly it was like this, I was just breathing a little short, out of breath, and then I quickly hit over..."
Lin Feng heard this, and educated: "In this matter, you have to try to let the ambulance go, if something happens halfway through, then your life will be gone..."
Boyfriend: "Ah??? "
A confused look.
In fact, he knows what first aid and danger there is... Without this knowledge, he still just feels that it is difficult to breathe, it is not a serious disease, and it will not be dead...
Lin Feng: "Did she do anything special, or eat something special, that would cause her to do this?" "
Boyfriend: "I really don't know this..."
Lin Feng was speechless.
It's not useful at all.
Kicked her boyfriend out of the rescue room.
On the nurse's side, while administering medicine, intubation to clear itching...
Lin Feng thought about what disease caused breathing difficulties...
Lin Feng's first reaction was pneumothorax.
Pneumothorax, in layman's terms: when the lungs are ruptured, the gas (oxygen or carbon dioxide) in the alveoli will enter the chest cavity, expand, which in turn will compress the lungs, and it is difficult for the lungs to expand.
The inability of the lungs to inflate means that the patient cannot breathe well, so they will be extremely deprived of oxygen.
(See the section diagram for details)
Why consider a pneumothorax?
Because the girl is very young, in her 20s, there should be no problem with the heart. （？ ）
Then the patient is too thin and tall, and patients with this constitution are more prone to pneumothorax.
While thinking,
Lin Feng held a stethoscope while listening to the patient's lungs.
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ps: the update is over...
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