Chapter 358
Chapter 358
Chapter 358
Lin Feng came to icu,
Several guards stood outside ICU.
After checking Lin Feng’s identity, Lin Feng was allowed to enter.
After entering the icu, I came to the ward of the female patient with “Guillain Barre Syndrome”.
Then I saw a group of ‘strangers’ inside.
The head is an old man.
“Leader No. 5?”
Lin Feng was taken aback. The appearance of the old man in front of him matched that of the big leader on the news.
“Good leadership…”
Lin Feng saluted.
“Haha, you are Lin Feng…I know you, the one that is very famous on the Internet…”
The leader is very happy. It may be that the female patient’s condition has improved, so he is very enthusiastic about Lin Feng.
Pulling Lin Feng, he greeted a bit…
The other doctors are very envious, knowing that Lin Feng is a “fish leaping dragon gate” this time, and if there are good things in the future, it may be easy to find Lin Feng…
Director Chen briefed Lin Feng on the treatment progress of the female patient.
After a day and a half of treatment, the female patient, who is the daughter of the leader, started to move her feet, and her hands were already “zero forty zero”.
At the same time, I did an EMG and antibody blood draw yesterday…
·Electromyography: Determine muscle weakness…
·Antibody blood draw: Guillain Barre syndrome, positive.
Lin Feng’s diagnosis is undoubtedly correct.
…
In the next half month,
Lin Feng feels what is meant by ‘someone on his head is easy to do things’…
Under normal circumstances, every doctor who enters the profession will join various medical associations (a total of hundreds of thousands).
This kind of association has many hills, competing for fame and fortune, and arranging seniority.
And Lin Feng doesn’t like this kind of thing, so he has never applied to join any association.
Now, not only several top medical associations in the country have invited Lin Feng, but also various senior titles.
Then, many senior leaders invited Lin Feng for dinner to get to know…
Inevitably, Lin Feng’s reputation began to become famous in the senior circle of the imperial capital.
…
After tossing for half a month,
Lin Feng finally got a little free.
Continue to see a doctor…
…
at night,
Imperial Capital Night Run Circle…
This is a small non-profit organization with about 200 people joining, and a dozen people run at night every night.
Today, 34-year-old Zhang, dressed in gear, assembled at the starting point.
Run at night with 15 other teammates.
Set off!
4 kilometers…6 kilometers…8 kilometers…
At the 9th kilometer…
Lao Zhang suddenly felt that he was tired, especially his lower limbs, which were limp…
“What’s the matter? I usually run 15 kilometers…”
“Why did you get tired after halfway running today?”
Lao Zhang wanted to continue running, but he couldn’t hold his body, so he could only stop and rest…
The runner next to him stopped and asked curiously.
“Why did Lao Zhang stop?”
“tired?”
“Lao Zhang, have you paid a lot of government food recently? Can’t carry it after only 8 kilometers?”
Lao Zhang panted and shook his head:
“I don’t know… Suddenly I feel tired… You can run first, I’ll take a break…”
“Then you rest first, let’s continue running…”
“Bye-Bye……”
Everyone parted.
Lao Zhang found a tree to lean against, but he couldn’t bear it, so he found a stone and sat down, panting…
At this time, he felt that his strength was even weaker…
“Could it be that the night run three days ago was too intense and damaged the muscles?”
Lao Zhang felt that the night run could not continue tonight.
Take a taxi home first, take a break…
Back home…
Lao Zhang felt that something was wrong.
Originally, he just had no strength on his feet.
But after returning home for more than ten minutes, he found that his hands had also begun to lose strength.
Even lifting a mobile phone becomes a bit laborious.
Now, he panicked.
Call your wife quickly, take yourself to the hospital, and hold on to the past.
It took 15 minutes to rush to the emergency department of Harmony Hospital.
…
Lin Feng happened to be in class P today.
There are still 3 hours to get off work. Surprisingly, there are no patients tonight, so Lin Feng is relatively idle.
“Doctor Lin…”
While resting…
Seeing a woman supporting a man, walked in.
Seeing that it was Lin Feng, I was pleasantly surprised.
“Dr. Lin, my husband suddenly has no strength, his feet have no strength, and his hands have become weak. You can help to see…”
Hold Lao Zhang’s hand and sit on a chair…
“Let me see……”
Lin Feng grabbed the patient’s hand and raised his brow.
So soft, weak…
“Tell me what happens…cause and consequence…”
“That’s it. My husband always likes to run at night, twice a week, about 15 kilometers each time… Today, I ran about 8 kilometers, and I can’t stand it…”
15 km……
Lin Feng was surprised.
So long!
Then subconsciously thought of a disease-rhabdomyolysis.
In general,
Muscle damage after strenuous exercise is completely possible to cause weakness. Many people who run a marathon will experience physical pain and fatigue afterwards, and all of them are rhabdomyolysis.
Of course, this is not to say that exercise is great, but: when the human body does not exercise for a long time and suddenly exercises vigorously, the muscles will dissolve.
However, since the patient can run 15 kilometers, it shows that he has rich experience in night running and should be fully prepared.
In addition, I can often run 15 kilometers, and today it is only 8 kilometers, which shows that I have not reached the limit.
“Do you have muscle pain?”
“No……”
Lin Feng nodded.
If there is no obvious muscle pain, combined with the above two inferences, the patient seems unlikely to have rhabdomyolysis 0 ……..
“Lie down on the bed, let me see…”
Lin Feng checked,
It was found that the muscle strength of both lower limbs was only level 3, and the muscle strength of both upper limbs was level 4.
(5 levels in total)
Lin Feng began to think about the specific disease in his mind.
·First of all, there are neurological problems, such as the previous Guillain Barre syndrome…
·Secondly, muscle problems, muscle dissolution…
·Also, the brain (cerebral hemorrhage or cerebral infarction), because it is the nerve center, may cause weakness in the limbs…
·heart……
First of all, it is natural to check the simplest and fastest heart.
Connected to the ECG machine, it came out all at once, no need to wait for the brain CT to take half an hour…
Dididi…………
The electrocardiogram drawing, constantly stretched…
“I go!!”
Lin Feng glanced at the electrocardiogram and was taken aback!
·The Q-T interval is significantly prolonged! The P-R interval has also been extended!
Big problem! !
This prolonged Q-T interval means that there is a problem with the electrical conduction system of the heart.
Ventricular fibrillation may happen at any time (ps: pork shaking)!
What are the consequences of ventricular fibrillation?
Cardiac Arrest!
Fortunately, Lin Feng had an ECG subconsciously. Otherwise, if the patient is really asked to do a brain CT, he will wait for an hour…
I’m afraid the patient died directly! !
“Quick, send to the rescue room!!”
Lin Feng shouted.
This patient, Zhang, may hang up directly at any time, so Lin Feng shouted in a hurry.
And Lao Zhang was terrified!
His wife was also terrified!
“Doctor, what’s the matter?”
“Doctor, is he okay with my husband?”
Lin Feng ignored the explanation, put the patient on the bed, and then drove the car to the rescue room.
There was a flurry of jumps.
Ask the patient while running.
2.3 “Your husband, do you usually have a history of heart disease?”
“No……”
“High blood pressure, diabetes?”
“nor……”
“Any other medical history?”
“Yes, hyperthyroidism, usually take hyperthyroidism drugs…”
Lin Feng’s face changed when he heard the words.
“If you have hyperthyroidism, don’t you tell me earlier, damn it!”
Lin Feng was a little angry.
“You didn’t ask me either…” Lao Zhang was a little aggrieved.
Lin Feng: “………………”
I don’t know how to say it.
However, this is not the time to care about this small issue.
Hyperthyroidism, also known as hyperthyroidism, is caused by the synthesis and release of excessive thyroid hormones by the thyroid gland, causing hypermetabolism and sympathetic nerve excitement in the body, causing palpitations, sweating, increased eating and defecation, and weight loss.
The patient has hyperthyroidism, Lin Feng subconsciously associates with hyperthyroid cardiomyopathy.
The reason is that thyroid hormone can excite the heart, causing rapid heart rate, consumption, etc., over time, it can damage the heart muscle.
. .
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