After 100 Days Of Sign-In, The First Operation Shocked The World

Chapter 404

What is muscle tension?

The limbs of the human body are usually free to move, but patients with high muscle tension can hardly move his limbs. His limbs are very stiff, with stiff hands and feet.

(Similar to zombies?)

As for the reason? Usually there is a problem with the nervous system.

Lin Feng grabbed the patient's leg.

I want to move my joints,

"Huh... it's really hard!"

Then he tried his hand, which was extremely stiff.

Lin Feng frowned and said, "No matter how severe the pneumonia is, the muscle tone will not be so high."

Wang Chen nodded: "Yes, I just don't understand."

At this moment,

"Hululu~~Hululu~~~~~"

The patient's breathing began to change.

"Sputum!"

"Xiao Zhang, suck him up!"

Dr. Wang Chen said to Xiao Zhang, the tube bed nurse.

"Yes……"

Nurse Xiao Zhang soon began to suck sputum...

At this time, the patient woke up from coughing up sputum, but his eyes were blank, his expression was indifferent, and he didn't care about the outside world...

Lin Feng asked Dr. Wang Chen: "Dr. Lin, has he always been so indifferent?"

Wang Chen: "I have been sick until now, I have always been like this..."

Normally?

I've always been this way since I was sick?

Moreover, with the strength of Harmony Hospital, the cause was not found even after investigation.

This aroused Lin Feng's high suspicion.

Summarize the symptoms that have nothing to do with pneumonia:

·Sweating a lot...

·High muscle tone...

·Indifferent expression...

Wang Chen: "By the way, the patient still has another disease—"

Get closer,

He whispered to Lin Feng: "The patient has schizophrenia..."

"Huh, "schizophrenia"? "

Lin Feng was surprised.

Lin Feng rarely sees mental patients.

Schizophrenia, this is all in textbooks or something that only appears in TV dramas.

Wang Chen looked at the patient with sympathy on his face: "This patient is quite pitiful. He was 33 years old. He originally talked to a girlfriend and was about to get married, but after his girlfriend found out that he had schizophrenia, they split up..."

Doctor Wang Chen was talking to himself with a pity on his face.

But Lin Feng's mind suddenly exploded.

mental illness! !

Suddenly Lin Feng thought of a disease!

"Malignant Syndrome"!

"Malignant syndrome" was first proposed by French doctor Delay in 1968. He believed that malignant syndrome is the most serious side effect caused by antipsychotic drugs, and it is rare in clinical practice.

The main manifestations are persistent high fever, muscle rigidity, impaired consciousness, autonomic dysfunction, and severe cardiovascular symptoms.

Doesn't this match the patient's symptoms?

·This is a side effect caused by antipsychotic drugs—corresponding to the patient's schizophrenia!

·Continuous high fever——corresponding to the patient's high fever!

·Muscle rigidity——corresponding to the patient's high muscle tone!

·Consciousness disorder—corresponding to the patient's indifferent expression!

This time,

All explained!

More reliable than "pneumonia"!

Lin Feng was excited.

The real culprit is 99%!

However, Lin Feng refrained from saying that he still needs to confirm some things:

Lin Feng asked Dr. Wang Chen: "He is schizophrenic, what kind of medicine is he taking?"

Wang Chen: "I've asked about it. I ate "risperidone". I have been eating it for more than ten years..."

Lin Feng: "Have you ever asked? Has the patient ever taken this medicine after falling ill?"

Wang Chen nodded: "Because we are worried about schizophrenia, we have been allowing patients to eat..."

Lin Feng nodded,

turn on computer,

Use the authorization number to check the drug "risperidone", what side effects...

soon,

Found the result!

· "Risperidone" instructions: these drugs may cause muscle rigidity...

Lin Feng patted his thigh.

Did not run away!

The culprit is definitely this "risperidone"!

Dr. Wang Chen: "Dr. Lin, what's the matter?"

Lin Feng smiled: "I probably found the reason..."

Then,

Lin Feng flipped through the papers related to this medicine and found dozens of them.

"Analysis of the Efficacy and Side Effects of Treatment of Schizophrenia"...

Open it and take a look,

There is a sentence in it that caught Lin Feng’s attention: "When a mental patient takes risperidone and other drugs, if there is a change in the dose or other changes, it may induce a malignant syndrome, which is manifested by muscle rigidity, profuse sweating, and fast heart rate. , Shortness of breath, weakness in swallowing muscles, stupor, high white blood cells, etc..."

"Fuck!!"

Dr. Wang Chen, who was behind Lin Feng, also saw it.

Exclaimed directly.

"Isn't this exactly the same as the patient's symptoms?"

"It turned out to be it!"

Doctor Wang Chen jumped up excitedly.

Finally figured it out!

Lin Feng: "Call his father and ask if he has stopped the medicine?"

Wang Chen immediately called the patient's father.

The father replied: "More than a week ago, I stopped risperidone for a few days because I didn't buy the medicine..."

In other words,

The medicine was discontinued, which caused a fever...

Then I went to the hospital and was diagnosed with pneumonia...

It is definitely a "malignant syndrome" caused after the drug withdrawal! !

Wang Chen thanked Lin Feng and said, "Thank you Dr. Lin, I found the reason right away... Dr. Lin is really amazing!"

Lin Feng shook his head and smiled: "I just happened to know this disease..."

Medicine is very complicated, and medicine is also very complicated. A clinician may be very familiar with the knowledge of his profession, but once a cross-specialty disease is over, he is often at a loss.

Of course, Lin Feng is an exception!

Proficient in all subjects!

All subjects are awesome!

Soon, Wang Chen shared Lin Feng's diagnosis results in the icu group.

The icu group fry the pan all at once.

"Fuck, it's Doctor Lin again!"

"Doctor Lin is awesome!"

080　 "If there is any disease that cannot find the cause in the future, just ask Dr. Lin..."

"Is this a psychiatric department? You know everything?"

"Psychiatric: Here comes, he is here for a hot man!"

"Awesome!!"

Next,

How to treat?

Very easy to handle!

The mortality rate of severe pneumonia is very high!

As long as this "malignant syndrome" can be detected and adjusted in time for psychiatric medication, most of the prognosis is good.

...

Lin Feng left icu and went to find Wu Haoming, father and daughter of leukemia patients.

The next day, Xiao Wenwen, the leukemia patient, was arranged to go to the hematology department to be hospitalized, to arrange examinations and information entry, to open the nationwide bone marrow matching, and to undergo chemotherapy treatment at the same time.

...

On the third day,

The last patient Zhang Wu (whether hemoptysis, anemia, oral ulcers, skin rash) has a set of results of the rheumatism immunity test results!

·Anti-nuclear antibody positive in autoimmune antibody 1:1000 particle type...

· Cytoplasmic antibody pANCA is positive, anti-Sm antibody is positive, complement C3 is very low...

·Laboratory Doctor: Diagnosed as "Systemic Lupus Erythematosus"...

Same as Lin Feng thought.

It's not the lungs, it's not bleeding!

It's rheumatic immune disease!

So,

What is "systemic lupus erythematosus"?

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