blenderwars Chapter 267
Chapter 267
Chapter 267
“Did the patient have any diseases before, such as congenital heart disease, etc.” Lin Feng asked suddenly.
The husband was taken aback: “No, I’m fine at ordinary times. I’m not feeling well for the past few days, but it’s not serious…”
“Did you have trouble breathing just tonight?”
“I felt a little uncomfortable in the afternoon. I felt a little difficult to breathe, but it was not serious. It started to get worse in the evening. I wanted to wait until tomorrow, but I didn’t think the situation was right, so I hurriedly called ~120 cars and came over. ”
The patient’s husband has lingering fears.
“Have you seen a doctor in the past two days-, have you taken medicine?”
“No, I won’t go to the pharmacy to buy some medicine… I have-took pictures…”
The husband is very careful and knows that the doctor may want to ask, so I took photos of all the medicines.
“Let me see……”
Lin Feng took a look at the photos.
· Amoxicillin, an antibiotic, to treat pneumonia.
·There is also a box of cold medicine and several Chinese patent medicines,
After Lin Feng read it, there is nothing special…
…
After some diagnosis, she was stunned.
Lin Feng initially believes that the patient should be: pneumonia.
“You go and do these checks…”
·Chest X-ray
·Blood routine,
“Okay, go now!”
The patient pushed the flat car and took oxygen all the way with the oxygen cylinder…
And that man, the patient’s husband, pushed the patient to get blood first, and then do X-rays…
During this process, Lin Feng instructed the nurse to fill the patient with some fluids, use some antibiotics, and stabilize the vital signs.
Half an hour later…
The result came out.
· Chest radiograph results: There is a little inflammation in the left lung.
so little?
Lin Feng suddenly became serious!
This result is completely different from what Lin Feng envisioned!
In Lin Feng’s vision, such severe breathing difficulties should be caused by severe inflammation.
“Why is this?”
“Isn’t it pneumonia?”
The so-called pneumonia, in most cases, bacteria, viruses and other microorganisms invade the lungs, causing inflammation, cough, sputum, chest pain, fever, hemoptysis and other symptoms.
In severe cases, there will be shortness of breath!
The patient in front of him is already short of breathing, but the pneumonia is not serious!
It is impossible to cause such obvious symptoms at all.
Of course, there is another possibility: the chest radiograph is not serious but the symptoms are very serious (there are such cases).
But in Lin Feng’s countless experience, this kind of person will only appear in the elderly, the patient in front of him, who is under 30 years old, is too young.
“Wait for the results of the blood draw!”
Pneumonia, inflammation, that will naturally cause an increase in white blood cells.
Reason: White blood cells are the guardian of the human body and specialize in dealing with bacterial invasion. After inflammation occurs, white blood cells can chemoattract and swallow invading bacteria around inflammation, so white blood cells will increase.
Of course, there are exceptions: if the patient’s body response is poor, the condition is severe, or the leukemia is suppressed, the white blood cell may not rise significantly, or even decrease.
soon,
The blood test results came out in a hurry.
·White blood cells, data journey, no increase!
“It seems that it is really not pneumonia…”
“What the hell is that?”
“Lung cancer, pulmonary embolism?”
“Heart problem?”
Lin Feng fell into deep thought.
This case is a bit unexpected!
“Do you have children?”
Lin Feng asked curiously.
Husband: “No, we are all busy with our careers, we don’t have this preparation…”
Lin Feng: “Have you ever had any disease before?”
The husband shook his head: “It’s all about colds and fevers, nothing else.”
“Have you been pregnant?”
“No.”
“Any long-term use of contraceptives?”
“No.”
“Any long-term bed?”
“No.”
Lin Feng pondered for a moment.
Young patients whose condition can reach the level of the patient in front of them are generally not minor illnesses.
She is so young, and has no history of bedridden, no pregnancy, no long-term oral contraceptives and other high-risk factors. The blood will not be very viscous, and it is unlikely to be a pulmonary embolism.
Moreover, pulmonary embolism has special characteristics: the triad of “dyspnea”, “chest pain” and “hemoptysis”.
The patient currently only has difficulty breathing, no chest pain, no hemoptysis, so he does not support pulmonary embolism.
As for lung cancer…
Lin Feng thought for a while and decided to check for heart disease first.
Because heart disease can be seen with an electrocardiogram, it is fast and cheap…
Although the patient is young, heart disease tends to be younger now.
Arrhythmia, heart failure, myocardial infarction, etc. may all have similar symptoms. At her age, although these diseases are unlikely to occur, they cannot be ruled out.
(Although ECG monitoring can also roughly see the ECG situation, it’s just relatively rough, and it’s definitely not as good as an ECG.)
On the ECG!
soon,
A piece of paper keeps printing out,
The electrocardiogram keeps getting longer…
Lin Feng frowned.
· ECG results: everything is normal! !
Moreover, the patient does not have chest pain, so myocardial infarction can be ruled out (see the previous chapter for details).
Myocarditis?
Because the patient has symptoms such as dyspnea and fatigue, and it is not a myocardial infarction, the possibility of myocarditis can be considered.
However, Lin Feng looked at the patient’s electrocardiogram and inferred from experience: not like it!
As for heart failure, there is no history of heart disease, and there should be no heart failure.
Considering,
Lin Feng temporarily ruled out heart problems due to insufficient evidence!
……… ……. …….
“Could it be the lungs?”
Wandering around, and finally around to the “lung”.
“It seems that I can only do a CT…”
at this time,
“Thirsty, drink water…”
At this time, the patient’s weak voice came out.
At this time, as the medication progressed, her breathing difficulties improved a little, “recovered vitality” and felt thirsty.
Although there was fluid supplementation midway, Lin Feng was afraid that she would have a heart problem, so he did not dare to fill too much fluid.
Obviously, the patient’s lips are a bit dry and cracked.
“My wife, here…”
The husband opened the lid of the cup and inserted a straw carefully, ready to give it to the patient.
The patient pulled off the oxygen mask and took a breath.
Sudden,
Puff~~~~
A very sudden movement!
The female patient vomited directly.
“Clang~~~”
The thermos cup was knocked over directly on the floor, and water splashed all over the place!
Lin Feng and the nurses were shocked!
Her husband was also taken aback!
Lin Feng suddenly flashed a thought in his mind, and quickly looked at the female patient!
But seeing her look extremely frightened, her lips trembled.
Fear!
At this moment of breathing also became anxious.
The heart rate is close to 140 beats per minute.
The blood oxygen saturation drops all the way, and has dropped to 88% unknowingly.
The ECG monitor initiated a sharp alarm sound
Lin Feng quickly ordered:
“Mask, take oxygen, increase oxygen!”
The nurse hurriedly brought back the mask for the female patient and adjusted the gate valve to increase the flow.
. Knife.