blenderwars Chapter 400
Chapter 400
Chapter 400
“Quickly, send to the rescue room…”
Lin Feng gave an order,
Then the flat car hurried back to the emergency room.
Along the way, it attracted the attention of countless patients and their families.
They know that there must be another patient accident…
When returning to the emergency department and passing by the nurse station,
Lin Feng yelled: “Contact ICU, there may be a patient here who wants to go up…”
Then went straight to the rescue room.
At this time, the husband of the female patient was in a state of confusion and anxiety.
From the emotions of Lin Feng and others, he felt that his wife’s condition seemed very serious!
Arrived in the rescue room,
Lin Feng shouted:
“Get on the ECG monitor!”
“Rehydration!”
“quick!!”
The nurses prepared quickly.
At this time, Lin Feng waved his hand in front of the female patient a few times:
“Can you see and hear me now? Give me a response if you can…”
When the patient came in 2 seconds…
“I want to eat strawberries…”
Lin Feng: “???”
There was a thump in my heart.
My consciousness became more vague, and I felt that I couldn’t answer what I asked.
Compared with when I first came to the clinic for treatment, it was totally different!
The difference is only more than 10 minutes…
at this time,
The ECG monitor is connected.
one look,
Lin Feng was shocked!
·The blood oxygen dropped to 91%
·Blood pressure, also dropped to 85/54……
“Oxygen mask, hurry up!!”
“Also, booster medicine!!”
Soon, the oxygen mask was tied to the patient’s head, and the tube was plugged into the oxygen port on the wall!
Use the booster drug “Adrenaline”!
The blood oxygen increased slightly, and then it stopped at 93% and stopped moving…
The patient’s lungs are obviously fine,
Then why is blood oxygen so low?
reason:
Although the patient’s lungs are fine, but there is a problem with the central nervous system, there will also be respiratory failure.
Sudden,
咚咚~~~
The patient’s limbs violently convulsed involuntarily, and even foamed at the mouth…
The patient’s husband ran in because of the chaos, Lin Feng and others had no time to take care of him. The husband was shocked when he saw this situation!
“Doctor Lin, what’s the matter?”
“I don’t know, I haven’t figured out the condition…”
Lin Feng needs data to judge,
But the problem is that the 7 results of the blood test have not yet come out.
Fortunately, Lin Feng didn’t have time to use any medicine to stop the convulsions. The patient’s convulsions only lasted for 1 minute, and then it was over.
I glanced at the patient’s ECG monitor,
Stabilized.
Did not continue to deteriorate.
The blood test result has not come out yet,
Taking advantage of this time, Lin Feng considered his condition and told the patient’s husband again.
“I don’t know the cause of the disease, but the condition is very serious. Icu may be sent to ICU at any time… The cost of ICU is very expensive, and the basis for a day is seven or eight thousand. You have to be prepared…¨々…”
The patient’s husband looked sad and hesitated: “Doctor Lin, money is not a problem, I must save my wife!”
Lin Feng nodded solemnly.
The mind keeps rotating.
Suddenly a question came to mind,
“You just said that your wife went to the suburbs to expand?” Lin Feng asked the patient’s husband.
“Yes, their company organizes outdoor expansion…”
Lin Feng nodded,
The nurse fills in the “Informed Consent Form” and asks the patient’s husband to sign it.
Ponder,
It’s summer and autumn season, there are many mosquitoes…
Could it be that I was bitten by a mosquito and then got Japanese encephalitis (Japanese encephalitis)? ”
A typical epidemic hepatitis B may be similar to an upper respiratory tract infection at first, but the patient is not mentally well, poor appetite, nausea, and vomiting are prominent.
It’s very similar to the patient’s situation.
…
at this time,
“Doctor Lin, the blood test results are out!”
A nurse quickly rushed into the rescue room with a stack of checklists.
Lin Feng took a look.
·Blood routine: the white blood cell count is significantly increased…
·The liver and kidney functions are basically normal…
·Other inspections are not very abnormal…
Lin Feng saw this,
I feel more likely to be encephalitis or meningitis.
At this time,
“Dr. Lin, the patient’s blood oxygen saturation is starting to drop again…”
Lin Feng looked,
Sure enough, the patient’s blood oxygen dropped to 92%…
“Intubate, the oxygen mask is not enough…”
Soon, the nurse quickly intubated the tube, then connected the ventilator, pumped oxygen into the lungs, and supplied oxygen directly…
At this time, blood oxygen began to rise again.
Lin Feng: “Just ask the nurse’s station, is ICU contacted?”
“I’ll ask……”
A nurse ran out…
Soon after, the nurse ran back: “Dr. Lin, Icu said there are no more beds…”
Lin Feng nodded.
The patient’s husband clenched his fists: “Dr. Lin, can I add an extra bed to ICU?”
Lin Feng shook his head: “It’s difficult. ICUs are all seriously ill patients and may die at any time. Therefore, the isolation is very strict. An extra bed is not conducive to isolation…”
and,
Lin Feng didn’t say one more thing.
Lin Feng highly suspects that the cause of the female patient is “Japanese encephalitis”, which is a contagious disease. If a mosquito sucks her blood and ran out and then killed other ICU patients, that would be the end of it.
Lin Feng told another nurse: “Prepare the needle for spinal puncture…”
Then explained to the patient’s husband: “The results of the blood draw just now did not find the cause, and then I suspected that it was Japanese encephalitis…”
Then briefly explained the JE.
“To confirm whether it is Japanese encephalitis or not, a spinal puncture is required… (explained again), this puncture requires your consent…”
The patient’s husband nodded repeatedly, tears dripping: “Agree, I agree, everything agrees, please hurry up, Doctor Lin!”
soon,
The nurse performed a lumbar puncture on the female patient, took out a tube of cerebrospinal fluid, and sent it for emergency testing.
If the patient really has viral encephalitis, then there must be a virus outbreak in the cerebrospinal fluid, and if there is a virus, there will be antibodies.
If antibodies against Japanese encephalitis virus can be detected in the cerebrospinal fluid of the patient, it means that it is Japanese encephalitis.
but,
This antibody test is not so fast.
The condition cannot be delayed now,
Lin Feng can only do three operations:
·Breathe, the ventilator is itchy…
·Booster…
·If convulsions occur, use calmness…
·As for encephalitis? The results of laboratory tests have not yet come out, but you can try to use “empirical medication” to give patients antiviral drugs.
In theory, hormones can be used for inflammatory diseases, and hormones are the best anti-inflammatory drugs. But hormones are also a double-edged sword. They also weaken the immune system and are not necessarily conducive to treatment.
…
after an hour,
The cerebrospinal fluid results came out soon!
“｀ “Doctor Lin…”
The nurse handed the inspection report to Lin Feng.
Lin Feng checked the result!
“good!!”
Happily slapped his legs and yelled.
That’s right!
·Antibody IgM of Japanese encephalitis virus, positive!
Sure enough, as Lin Feng guessed, it was Japanese encephalitis!
Lin Feng is excited!
As long as you find the cause of (Zhao Zhao), you can prescribe the right medicine!
But this disease is still a bit tricky.
In particular, those with high fever, convulsions, and respiratory failure are all critically ill, and the progress is very rapid, and brain damage may have occurred.
Many patients with such severe Japanese encephalitis cannot survive.
Fortunately,
Lin Feng took only 100 minutes to diagnose the diagnosis during the whole process.
Did not delay the condition too much!
3 minutes later…
Anti-Japanese encephalitis virus drugs, directly injected intravenously!
Next,
Just wait.
This treatment process may take another week or so before the patient’s fever and coma will be relieved and recovered.
…
at this time,
Over the airport,
Wu Haoming arrived at the Imperial Capital Airport with two people.
“You can see Lin Feng in a minute!”
Wu Haoming is full of expectation and miss.
Smell the air of the imperial capital…
“Well…Is this the air that Lin Feng is breathing?”
“Awesome!!”
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ps: Today’s update is over~~husband.