blenderwars Chapter 381
Chapter 381
Chapter 381
Lin Feng hugged the patient’s baby and ran all the way,
10 minutes later……
Arrived at icu! !
The family members of the patient outside icu were taken aback.
The door opened.
“Doctor Lin!” The nurse waited early.
“Quick, meridian channels, saline, and glucose!”
When Lin Feng rushed in, he quickly ordered the nurse.
“Relax, knowing that it is septic shock, we are ready!”
The couple took the opportunity to follow in.
The nurse quickly connected the ECG monitor…
one look,
·Heart rate 190!
·Low blood pressure (different from hemorrhagic shock, septic shock has normal or low blood pressure, but not very low)
· Blood oxygen saturation: 94%!
·Shallow breathing, low and blunt heart sounds, fast pulse…
Didn’t run away,
It’s definitely shock!
Hurry up and give the patient oxygen, direct pure oxygen flow…
Simultaneously carry out meridian channels, rehydration…
Lin Feng is busy,
Doctor Icu: “Dr. Lin, what’s the situation?”
Lin Feng shook his head: “It’s not clear yet, but the crp exploded. The cause must be infection…”
shock,
Naturally, catheterization is necessary so that urine output can be recorded.
I left a catheter directly for the baby!
As a result, the moment 060 was inserted, I saw the “turbid” urine flow out!
“Urinary tract infection!”
“It turned out to be so!!”
Doctors Lin Feng and Icu, upon seeing the situation, they understood all of a sudden.
“Quickly, send it for a urine routine test… By the way, do a urine culture to see what it is…”
Icu’s inspection is also prioritized to jump in the queue.
…
Half an hour later,
The result of the baby’s urine routine came out:
·Urine routine: white blood cell 3+!
As soon as this result came out, Dr. Lin Feng and Icu were surprised.
“so serious!”
“The infection is terrible!”
Three pluses of white blood cells indicate that it is a serious urinary tract infection, or it may be caused by aseptic inflammation caused by bladder mucosal lesions.
Waited another half an hour,
Urine culture results came out:
·Cultivation results: a large number of Escherichia coli!
The real murderer, out!
The main reason for the baby’s high fever is urinary tract infection, which causes pyelonephritis and septic shock, which is almost life-threatening!
Fortunately, the routine operation of inserting a urinary catheter found abnormal urination at the first time.
Otherwise, it would be difficult to do a urine routine (it is difficult for children to get urine), and the condition will continue to be delayed.
Now that the infection of “Escherichia coli” has been confirmed,
Symptomatic treatment!
Directly targeted antibiotics, infusion.
The intramuscular injection was too slow, and the patient’s baby was in a serious condition, so the fluid was infused directly through the meridians.
With rehydration, itching, antibiotics and anti-urinary tract infection treatment,
2 hours later,
The baby’s condition has finally stabilized!
Next, we need to further examine why it causes urinary tract infection.
It took another day to do several inspections,
Finally found the reason,
“Vesicoureteral reflux”!
It means: the urine in the bladder has refluxed into the ureter, renal pelvis or kidney!
Under normal circumstances, the path of urine is from the kidney-ureter-bladder, one way.
Then,
Urine itself, exfoliated cells, minerals, etc. are all nutrients needed by bacteria…
After the reflux flows into the kidneys, it is naturally easy to cause a large-scale outbreak of bacterial growth.
Causes pyelonephritis, and then causes fever, repeated high fever…
It is easy to cause kidney failure!
“Doctor Lin, why does the baby reflux?”
When the couple saw that the baby had come over, they were relieved and couldn’t help being curious.
Lin Feng: “It may be congenital, such as urinary system insufficiency, or it may be acquired, such as infection… These all require careful examination…”
…
This patient is Lin Feng’s last patient in the pediatrics department.
In the following week, Lin Feng went to the gynecology department for training.
Male gynecologist?
Lin Feng suddenly became the most popular doctor for gynecological patients.
…
After another week,
Gynecology training is over.
This means that Lin Feng has completed the rotation of various departments in the three years of formal training.
The next step is to work in a specialist (emergency department) for 2 years.
So 3+2 is over,
Then go to the countryside once (it seems to have been cancelled), wait for the end of going to the countryside, wait for approval, and then you can officially become an attending doctor!
…
New day,
Emergency Department,
“Wow, Doctor Lin is back~~~~”
“I haven’t seen you in two weeks, I’m not used to Dr. Lin’s absence!”
“Without Dr. Lin as a handsome guy, I have been in a bad mood at work for the past two weeks…”
Each nurse warmly welcomed Lin Feng’s return.
Other Pucho doctors: “……………………”
paralysis,
Lift the table (╯‵□)╯︵┻━┻!
Lin Feng, can you not come back?
at this time,
“Ring Ling Ling~~~~~”
Lin Feng’s cell phone rang.
“Hey……”
“Dr. Lin Feng? This is Zhang Wei from the Department of Obstetrics and Gynecology…”
Lin Feng was surprised.
Zhang Wei, director of the obstetrics and gynecology department, in her 50s, is a bigwig in the field of obstetrics and gynecology.
“Hello, Director Zhang, what’s the matter?”
“That’s it, Dr. Lin, there is a special patient in our obstetrics and gynecology department who needs a special operation. It is very difficult and no one has done it. I want to see if you can do it…”
now,
The name of Lin Feng’s “Fire Fighter” and “Hand of Devil’s Claw” spread throughout the entire Harmony Hospital.
No matter where it doesn’t work, I can’t help but think of Lin Feng.
Just a few months ago, Lin Feng rescued a pregnant woman who lost more than 10,000 ml of blood in the obstetrics and gynecology department.
Lin Feng is polite: “Director Zhang, you said…”
Zhang Wei: “That’s it. There is a pregnant woman who is pregnant with twins, but these twins are a bit special. With twin blood transfusion syndrome, the sister “snatches” the sister’s blood. We need to do a super-fine “fetoscopic surgery”… ”
Lin Feng listened quietly.
original,
That’s what happened:
·Ms. Zhang, a pregnant woman, is pregnant with twins, “single cashmere twins”.
What does that mean?
That is, one placenta, one chorionic sac, two amniotic sacs, and two fetuses.
It was originally nothing,
However, until the 21st week + 2 days of pregnancy, Miss Zhang had a maternity check and found a major problem.
During the color Doppler ultrasound examination, during the twins,
The first fetus has growth restriction and restricted activity due to oligohydramnios.
In the second fetus, there was an increase in amniotic fluid.
This is a type of “twin transfusion syndrome”.
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ps: There are too many things today, there are only two changes, sorry~~
. .