NovelTags Chapter 675
Chapter 675
midday
Hospital meals,
The hospital welcomed a new batch of interns.
The emergency department is no exception, but new interns are clumsy, have no clinical experience, and are often frightened by nurses and doctors.
One by one, the interns were trained like quails, shivering.
Lin Feng is a popular figure in the eyes of interns, after all, he is famous and a superstar in the medical world. But he was still very restrained, and did not dare to run over and chat with Lin Feng about something.
There were also daring people who ran to take pictures, but soon quail again.
With more interns, the emergency department also has more 'vitality'.
......
In the morning, Lin Feng sat for consultation,
The emergency department arranged for him a male student, named Zhang Donglai, to study for the master's degree.
Medical students, after the postgraduate examination, are divided into masters and masters, masters are in the direction of high scientific research, and masters are engaged in clinical practice.
It depends on how students choose.
However, most students will choose to specialize in master's degree, because treating diseases and saving people is the goal, ideal and dream of many medical students to study medicine.
Sitting in a clinic,
Students are small as a computer side, responsible for typing on the computer, recording medical records, and billing...
Lin Feng sat next to him and asked the patient.
Behind him is the Douyin live broadcast tool person, responsible for shooting videos.
Meng Xin Zhang Donglai, sitting on the other side of Lin Feng, shivering, nervous and excited. Before the patient arrived, he was already sweating profusely and his back was soaked.
"Calm down..."
Lin Feng smiled and comforted.
"Uh-huh..." Zhang Donglai nodded again and again, and he broke his head.
And then
The door opened,
The first patient appeared.
It was a couple holding a little boy.
The little boy is about 5 years old...
To everyone's 'surprise', the little boy's head, a large circle, a high degree of bruising of the eyelids and around the eyes, and even the conjunctiva of the eye can see bleeding and edema.
Big-headed baby!
It looks scary!
And the parents have haggard faces, and it is estimated that they were tortured by the baby not lightly.
"Dr. Lin, help me see my baby..."
In a complaint from young parents,
Lin Feng's understanding is as follows:
The little boy is 5 years old, and his umbilical cord has been bleeding since shortly after birth.
(Umbilical cord clip: After birth, the umbilical cord is clamped with a clip to prevent the invasion of bacteria and viruses.) For about a few days, the umbilical cord would scab over and fall off, forming the navel we see now)
This bleeding has attracted the attention of doctors.
The first reaction is: there is a problem with the coagulation function!
Then, the local hospital gave the little boy blood clotting function and platelet tests.
Result: No problem!!
Finally, the little boy was given a blood transfusion before the umbilical cord stopped bleeding.
There was another problem: in the following years, the little boy usually bumped slightly, and the bruises were bruised everywhere, and the bruises subsided more slowly.
The patient's parents went to the local hospital for repeated examinations, but did not find any problems.
5 days ago,
Something went wrong!
Five days ago, at noon, the little boy fell out of bed, and on his forehead, he fell a 1cm size bruise and puffiness. Because it doesn't look serious, parents don't pay attention.
As a result, in the following days, the entire forehead of the little boy gradually swelled and developed to the face.
This makes young parents, grandparents very alarmed.
Hurry to the hospital.
went to the local hospital,
Soon, the doctor looked at it, plus the little boy's medical history, and judged that it should be blood spreading.
Routine blood and coagulation tests were prescribed.
Finally, a brain CT examination was also prescribed.
The results are as follows:
Coagulation function, platelets, and other indicators are fine...
Anemia appeared, hemoglobin 80g/L.
Cranial CT showed extensive bleeding under the cap aponeurosis of the scalp of the little boy, significant swelling of the maxillofacial area, edema of both eyelids, swelling of the external rectus muscles of both eyes, and no obvious intracranial hemorrhage. A head CTA was added, and no abnormalities were found.
Doctors use ice, hemostasis (platelet products, etc.)...
However, the efficacy is not good.
At this point,
The young parents already had a distrustful attitude towards the local hospital, and hurriedly took a taxi from the next door to the imperial capital.
The outpatient number could not be hung up, and I came directly to the emergency department.
Then happened to find Lin Feng.
After the young parents finished speaking, they looked at Lin Feng with a longing expression.
"Doctor Lin, many people in my community say that you have the most powerful medical skills, and they all recommend me to come to you... This time I came to the emergency department, and I didn't expect to meet you so coincidentally... You must help us see the baby..."
The mother's words, with a crying tone, seemed a little humble and pleading.
"Don't worry, I'll try my best to help the baby look good..."
Lin Feng tried his best to appease...
"Did you bring the examination report from the local hospital?"
"Brought!"
My father pulled out several checklists from a wad of information bags.
Lin Feng looked at the "coagulation index" for the first time...
After a few glances,
Nothing wrong with it...
The date is also the blood draw done yesterday...
"You've had clotting tests and platelet tests before, haven't you?" Didn't check out what the reason was, right? "
"Yes, I haven't found out the reason!"
The young parents nodded repeatedly.
Lin Feng groaned.
Wait for the next examination, the coagulation index obviously does not need to be checked, but the little boy has anemia indications because of continuous bleeding, and needs to take a blood routine to see the degree of anemia.
Lin Feng looked back and looked at intern Zhang Donglai:
"Ask you a question..."
“！！！！！！！"
Zhang Donglai suddenly exploded, a sense of crisis!!
Lin Feng: "..........................."
Xiaoru next to her covered her mouth and smiled, she used to be like this, but she performed well in the back and won Lin Feng's approval, so she could stay next to Lin Feng and fight.
Lin Feng asked Zhang Donglai: "If a patient, the coagulation indicators are fine, but the bleeding continues... Can you think of any reason? "
Intern Zhang Donglai: "!!!! "
Cold sweat like a waterfall,
stiff fingers,
The mind kept spinning the knowledge of the book, looking and finding, looking and searching, but I didn't find the relevant information.
"This... This...... This..."
Stuttered.
In the live broadcast room, there was a maniacal laugh.
"Hahahaha~~~~~~"
"Laughing to death~~~"
"He's so nervous!!"
"Normally, I was also very nervous during my first internship, and I was sweating all over my body..."
"The sense of substitution is too strong, haha..."
"But what exactly is the answer?"
"I, as a doctor, don't know..."
At this time,
Lin Feng set his eyes on Xiao Ru, who was watching the play.
"You come to answer, what is the reason that makes a person's blood coagulation indicators are fine, but they don't stop bleeding?"
Xiaoru: "........................"
MMP~~
Woe from heaven!
"Teacher... Ahem, I won't either..."
"And you're still snickering? Go back and review it well! "
"Got it, teacher..."
In the live broadcast room, I laughed again...
At this time, Lin Feng said to the young parents:
"Your son, who has shown coagulation disorders since soon after birth, why can't I find the reason for many hospital examinations, obviously there are clinical manifestations of coagulation disorders, why platelets and coagulation tests are normal... Probably for the reason, I thought of one:
"Factor XIII deficiency"!
。