blenderwars Chapter 355
Chapter 355
Chapter 355
·……
·After transferring to the Harmony ICU, review the ECG and it is normal.
·The normal range of blood pressure is low, blood oxygen saturation is 93%…
“That’s it for the specific situation…just transferred to the hospital, and then the examination has not been done, but the next hospital”
“Everyone express their opinions…”
Professor Chen, the director of icu, looked at everyone expectantly.
The doctors started talking one after another.
The first doctor: “Brain natriuretic peptide” everyone knows, it means heart failure… the chest tightness and shortness of breath should be caused by heart failure. ”
The second doctor: “Dyspnea is nothing more than the heart and lungs. Since the patient’s previous CT is only effective for pneumonia, there is no pulmonary embolism, so it is unlikely to be a lung problem. Then there is only a heart disease. , With such a high level of brain natriuretic peptide, it is also heart failure.”
The other doctors express their opinions.
Then the blood oxygen began to fall rapidly.
89%…87%…85%…still falling continuously!
The heart rate has improved even more, reaching 140.
This shows what?
It shows that the body is urging the heart to pump blood with high power.
The female patient was cyanotic and her eyes were blurred.
“not good!”
“It seems to be more difficult to breathe!!”
At this moment, all doctors were nervous.
In particular, Director Chen knows that this is a relative of a certain ‘big boss’, not an ordinary patient.
You know, the patient’s oxygen level is the high-flow mask inhaling oxygen.
And the patient is still severely hypoxic!
“Immediately intubate and connect to the ventilator…”
Director Chen shouted.
A ventilator will pump oxygen in, which can shorten the time of oxygen inhalation, which can improve the problem of hypoxia to a certain extent.
Soon, the icu nurse with agile hands and feet anesthetized the patient and then plugged the trachea…
“First give 100% oxygen…”
The nurse quickly adjusted the parameters of the ventilator according to Director Chen’s orders.
Once on the ventilator, the effect is immediate.
The blood oxygen saturation of the female patient rose rapidly to 100%, and the heart rate gradually slowed to 100 beats/min…
Director Chen: “Take an electrocardiogram again and confirm myocardial infarction…”
ECG connected…
Then,
All doctors saw an ECG without myocardial infarction.
What has actually happened?
Could it be a heart failure?
this moment,
The doctors in the entire ward were thinking.
At this time, the female patient was lying quietly on the hospital bed, sedating…
Boosting drug input…
Ventilator working…
“The patient has not had basic diseases such as hypertension, coronary heart disease, diabetes, etc., and the possibility of sudden heart failure is too low…”
“Could it be myocarditis?”
“That won’t. If it becomes inflamed, it will cause a significant increase in myocardial enzymes… This is an absolute increase, so it cannot be myocarditis.”
“It makes sense…”
“Brain natriuretic peptide is very high, coupled with the wet rales all over the lungs, this must be heart failure, but why the heart failure, I just don’t know, it’s weird…”
“Can it be hyperthyroidism? High blood pressure? Other diseases of the endocrine system?”
At this moment,
Lin Feng spoke.
“I have a little idea…”
The doctors looked over.
Since Lin Feng came in, he has been looking at the patient’s medical records and said nothing.
Director Chen: “Lin Feng, what do you find…”
Director Chen still values Lin Feng very much, otherwise he would not call Lin Feng alone.
Lin Feng: “Now everyone’s eyes are on the heart and lungs, but I see the patient’s condition, heart and lung problems, and muscle weakness… even the patient said that he was so weak that he couldn’t walk…”
“Ordinary people may feel sick, and they will definitely be weak, but it is generally impossible to be so weak that they cannot walk…unless it is a neuromuscular disease…”
Everyone was meditating.
Some people suddenly lit up and thought of something.
Lin Feng continued: “Last night, I received a patient with general fatigue, but no obvious chest pain or stomach pain. Later I felt that the patient was “Guillain Barre Syndrome”! ”
“Guillan Barre Syndrome”? !
Those doctors who didn’t expect to have their eyes brightened at this moment!
Lin Feng: “Guillain Barre syndrome” is essentially the inflammation of the peripheral nerves, causing the patient’s limb muscle weakness, and even the breathing muscles have no strength. If the breathing muscles do not have strength, they will be short of breath, chest tightness, and severely respiratory failure. ……When the breathing muscles have no strength, it will of course cause the blood to fail to pump out, and then it will manifest the symptoms of “heart failure” that we have been considering. ”
“｀” The patient’s current investigation is definitely not a lung or heart problem, so this “Guillain Barre syndrome” corresponds to all the patient’s conditions. ”
At the end,
Lin Feng added another sentence.
“Of course, we must also consider the possibility of myasthenia gravis and myelitis.”
After listening, the doctors all agreed.
“Dr. Lin’s consideration, I think it makes sense.”
“Yes, I think it really looks like “Guillain Barre Syndrome”…”
“Why didn’t you expect it?”
“Although Dr. Lin is young, he is still very powerful…”
Praised one after another.
Professor Chen nodded: “Then check the “Guillan Barre syndrome” first… EMG, and lumbar puncture… If all are positive, then the disease can be confirmed. ”
Muscle electrograms, I can’t do it now, and ICU is still being maintained.
However, a spinal tap can be done.
Soon, the icu nurse performed a spinal puncture, took out the patient’s spinal fluid, and sent it for testing!
At this time, the dean of Harmony Hospital also came and came to see the relative of the big boss, which shows that he attaches great importance to this patient.
“How is it going?”
“At present, some clues have been found, which may be “Guilan Barre syndrome”. Thanks to Lin Feng for reminding…”
Lin Feng hastily humbled: “That’s because I received a suspected “Guillain Barre Syndrome” patient yesterday, so I thought about it with the unconsciousness…”
Director Chen smiled and said: “That’s also your strength… towel”
The dean smiled: “Lin Feng is good…”
As long as the relatives of the big boss are rescued, the whole harmony will benefit.
If it is really “Guilan Barre Syndrome”, then Lin Feng is one of the heroes!
At that time, it is estimated that Lin Feng may “get up to the sky to listen”!
. .