NovelTags Chapter 590
Chapter 590
"Teacher, is it true to dig out your heart with your bare hands? Were you an intern at the time? How dare you do this, aren't you afraid of accidents and getting into accidents yourself? "
Back in the department, Xiao Ru asked Lin Feng with a curious face.
"Where did I think so much at that time! All you think about saving people in your head! If I don't go up, my director will really die! Lin Feng shook his head and said in a deep voice.
It is precisely because of this operation that Lin Feng directly became the exclusive favorite of the department.
Whether it is Director Wang Chang or Zhang Yuan's big brother, they take infinite care of themselves, otherwise why should an intern help with the diagnosis (signed by Zhang Yuan)?
"Then are you afraid?" Xiaoru continued to ask.
"Then what are you afraid of! People have already been saved! Lin Feng lost casually.
Belch~
Xiao Ru was stunned for a moment.
How could he ask this, people are saved, why should they be afraid!
Just when Xiao Ru was about to ask something more.
A patient walked in.
A frail middle-aged man,
He was helped in by a man and a woman.
"Doctor Lin, you quickly show my brother, he has been full of strength since yesterday, and today he can't walk..." After coming in, the woman hurriedly said to Lin Feng.
Weakness in limbs?
Hearing this description, Lin Feng immediately said: "First help him to the bed and lie down." "
A man and a woman hurried to do so.
Patient, male, 28 years old, unmarried.
After the patient lies down.
Lin Feng simply checked.
It was found that his lower limb muscle strength was only level 3, and his upper limb muscle strength was slightly higher with level 4.
Brows frowned, and immediately asked, "What did you do?" "
Hearsay.
The woman hurriedly said, "Doctor Lin." My brother came here to play during this time. I went on a hike the other day, and I walked about 10 kilometers. When I came back, my legs went soft! "
"At first I didn't care, thinking he was tired. I didn't expect that the past two days have become more and more serious, and I can't even walk! "
"Let's see what happened to him..."
Hearing this, Lin Feng immediately began to press the muscles of the patient's limbs and asked if it was painful.
The first reaction is: "rhabdomyolysis"!
But the patient does not have the slightest feeling of muscle pain, which means that it is not rhabdomyolysis, when even if you let go of the heart.
With rhabdomyolysis, muscle pain, tenderness, swelling, weakness, fever, malaise, and even acute kidney failure may occur in 30% of cases.
The patient only has weakness in the limbs and no other clinical symptoms, which can basically rule out the possibility of rhabdomyolysis.
"Just no strength, it doesn't hurt at all, right?" Lin Feng then asked.
"Doctor Lin, it was a little sore at first, but now it doesn't hurt, it's just getting weaker!" The patient replied.
Lin Feng nodded and said softly: "Weakness in the limbs is generally a problem of the nervous system, and skeletal muscles are also possible, but they need to be checked one by one." To rule out the most serious outcomes, start with a brain CT. After all, cerebral hemorrhage or cerebral infarction can lead to weakness in the limbs. "
Hearing this possibility, the patient immediately asked, "Dr. Lin, do you mean that I have had a stroke?" "
A man and a woman next to them also looked nervous.
"You have fewer strokes at your age, but not necessarily. In addition, most stroke patients have crooked corners of the mouth, tongue can not be centered, language is not fluent or even coma, etc., you do not have these symptoms, so it may not be large, but it may also be a stroke with simple limb weakness, so it needs to be investigated! Lin Feng explained.
This sentence makes the patient relax a little.
"Xiaoru, give the patient an electrocardiogram!" Subsequently, Lin Feng was still ready to look at the patient's electrocardiogram.
Xiaoru on the side, familiar with the road.
After a while, the results came out.
ECG results:
· The P-R interval is prolonged
· The Q-T interval is significantly prolonged
Seeing the result, Lin Feng was taken aback.
Where is the brain problem.
This is clearly a problem with the heart.
· Prolongation of the P-R interval indicates atrioventricular block, and in severe cases, patients can be accompanied by palpitations, chest tightness, and even syncope.
However, fortunately, the patient did not have these symptoms, indicating that the prolongation of the P-R interval was not serious.
· The significant prolongation of the Q-T interval indicates that there is a problem with the electrical conduction system of the heart, and it is also a very serious problem, ventricular fibrillation may occur at any time, and the heart will stop immediately!
Lin Feng still has kung fu to say.
Immediately greet people, send the patient to the rescue room, and connect to the ECG monitoring.
"Doctor Lin, what's wrong with my brother? Is he okay! "
"Dr. Lin, Dr. Lin.."
"Dr. Lin, tell me about it. What happened to my brother? Why was it sent to the rescue room?"
Seeing this battle, the patient's sister hurriedly asked.
After placing the patient, Lin Feng said: "The situation is not optimistic! The ECG shows that the patient is very likely to develop ventricular fibrillation or even cardiac arrest! Be prepared to sign the Critical Illness Notice later. "
"What!! The patient's sister was immediately frightened, her legs went limp, and she almost fell.
"Wife, are you all right! Don't worry so much, now that you're in the hospital, Dr. Lin is sure to be able to cure Xiaoshuai..." The man hurriedly helped her and said comfortingly.
Hearing this, the woman instantly regained her strength and said in her mouth: "Yes, with Dr. Lin here, Xiaoshuai will be fine!" What about Dr. Lin! I'm going to see Dr. Lin..."
While saying, he looked around for Lin Feng's figure.
At this moment, Lin Feng had already walked into the rescue room.
The patient was also frightened by Lin Feng's battle and did not dare to speak indiscriminately.
"Do you usually have any underlying medical conditions?" Is there a heart attack and so on? Coming to the patient, Lin Feng asked.
Hearing Lin Feng's question, the patient hurriedly said: "I should not have a heart disease!" But I have hyperthyroidism and have been taking medicine! "
"Hyperthyroidism! How long has it been? What medicine have you been taking? Hearing this, Lin Feng hurriedly asked.
"Methioimidazole! It's been almost three years since hyperthyroidism! Does this have something to do with my weakness in my limbs? Is it caused by hyperthyroidism? The patient said immediately.
Lin Feng pondered in his heart.
If the patient has hyperthyroidism, it is likely to cause hyperthyroid cardiomyopathy, thyroid hormones will excite the heart, causing rapid heart rate, large consumption, and damage to the myocardium for a long time.
But the patient has been taking medicine, why do they still have heart problems!
Turned his head and glanced at the ECG monitor.
Heart rate 89 beats/min
Not fast either.
Then he asked: "Are the symptoms of hyperthyroidism still obvious?" That is, how is your condition controlled? "
"It's okay usually! I used to be afraid of heat, eat too much, get hungry quickly, sweat easily, tremble my hands, and then after taking medicine, it was gone..." the patient said immediately.
"Has there been any limb weakness before?" Lin Feng continued to ask.
The patient thought for a while and said: "Maybe there was, but it wasn't that serious!" My work is hard, this kind of limb weakness, I will think that it is just too tired from work! "
"I know!" Lin Feng nodded.
After obtaining these conditions, the patient's cause began to be speculated.
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