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

After hanging up the phone of classmate Wang Bin,

Lin Feng sighed.

Began to walk into the consulting room,

Turn on the calling machine,

The first patient.

"Chang Meilin, please go to the third consultation room..."

...

after an hour……

After Lin Feng diagnosed 12 patients, the phone rang again.

Classmate Wang Bin,

Lin Feng: "How's it going? Did the cerebrospinal fluid test result come out?"

Wang Bin's voice is hoarse: "It's coming out, it's viral encephalitis..."

Lin Feng nodded: "Okay... After the check is done, you can prescribe the right medicine. I wish the child a speedy recovery..."

Viral encephalitis is a very widespread disease. Any encephalitis caused by a virus is called viral encephalitis. Data shows that there are dozens or hundreds of viruses that can cause encephalitis, and different viruses cause different situations. Treatment will also vary.

Therefore, only by finding out what virus is causing the inflammation, can the corresponding antiviral drugs be used to eradicate the cause.

ps: Not all viruses have symptomatic medicine...)

Wang Bin: "Thank you, Lin Feng..."

08 Lin Feng: "You're welcome, I didn't help much... If you need my help later, you can call me..."

Wang Bin was grateful after hearing this: "Lin Feng...Thank you!"

Lin Feng hangs up.

In fact, he is not optimistic about the condition of the child who has been delayed for a day, hope to be lucky...

(Summary: If the child is sick, if he can eat, drink and play, he is in good spirits. Generally speaking, it is not a big problem; but if the child is not in good spirits and refuses to eat or drink, he refuses to play, then send it to the hospital as soon as possible without delay.)

...

Continue to see a doctor...

"Chang Meilin, please go to the third consultation room..."

An aunt in her 40s walked in,

"Doctor Lin..."

"sit……"

Auntie is about to sit down...

result,

The door opened again,

Lin Feng saw a young couple and ran in.

The girl was pale, panting vigorously, and still had difficulty breathing.

She is about 170, but she looks very thin, and she is estimated to be less than 100 catties...

A look of pain.

The nurse opened the way.

To Lin Feng: "Dr. Lin, she is a little trouble breathing (pointing to the young girl)... You can help to see..."

Lin Feng quickly stood up with a serious expression:

"Lie down in bed, hurry!"

at this time,

Lin Feng no longer cares about that aunt.

(Auntie Orn: "..." I was cut in line...)

This girl has obvious difficulty breathing, which is a very dangerous disease.

"Dyspnea" is a technical term, and everyone knows what it means.

The existence of dyspnea often means that the condition is serious, and in many cases, it also means that the condition will progress very rapidly. Many patients of this type often breathe and speak one second before the occurrence, but the heart immediately stops beating the next second.

However, I can no longer ask the patient about the situation.

Push the rescue room quickly!

...

Pushing fast all the way...

Come to the rescue room.

"Quickly, give her an oxygen mask!"

Put on an oxygen mask, and then connect to a non-invasive ventilator (the breathing machine pumps in).

The patient breathed in, and finally relaxed a little, the female patient did not pant so badly.

Connect the ECG monitor,

one look,

·The blood oxygen saturation is 91%, which is a bit low...

· Blood pressure 130/78, high...

·Heart rate: 136, high...

· Breathing rate: 35 times... (higher)

Lin Feng frowned when he saw the last item.

The general respiratory rate of the human body is 12-20 breaths/min.

Beyond this range, the general reason is that due to lack of oxygen, the brain forces the breathing rate to increase, speeding up oxygen inhalation.

Then it will cause a side effect: the heart will be very tired, and in severe cases, it will lead to respiratory failure.

The patient in front of me has respiratory failure!

"Xiao Ai, prepare some medicine..."

Lin Feng asked the female patient as he ordered the medicine to be dispensed.

"Tell me, where does it hurt... the heart? Or the lungs?"

At this time, the patient's lips began to be a little cyanotic, and it was hypoxic.

(When the oxygen is insufficient, the reduced hemoglobin in the red blood cells increases, which can cause cyanosis of the skin and mucous membranes.)

Lin Feng's questioning, female patients did not respond very much.

"Has your consciousness become confused?"

"Trouble now!"

Because the patient may die at any time, Lin Feng must find the cause as soon as possible, and then control it!

Why does breathing difficulties occur?

Diseases involving the heart and lungs generally fall into these two organs. For example, myocardial infarction will cause chest pain and breathing difficulties, heart failure will also cause breathing difficulties, severe pneumonia, pulmonary embolism, pneumothorax, and thoracic cavity. Fluid accumulation, etc. will also cause difficulty breathing.

What is the reason?

It is best to be able to ask the patient about the specific situation, but the patient cannot respond to Lin Feng.

Lin Feng glanced at the ECG monitor.

The blood oxygen saturation is still falling, it has dropped to 88%! !

Obviously, the non-invasive face mask ventilator is no longer suitable.

"Immediately intubate her, with a low-frequency ventilator..."

Lin Feng made a decisive decision!

The nurse quickly prepares...

At this time, Lin Feng asked the nurse to let the patient's boyfriend in.

Lin Feng: "When did she do this?"

Boyfriend: "Just half an hour ago... It was like this all of a sudden. At that time, it was just a little short of breath and out of breath, and then I rushed over..."

Lin Feng heard the words and educates: "For this matter, you should try to get the ambulance to go. If something happens on the way, your life will be lost 083..."

Boyfriend: "Huh???"

A look dumbfounded.

In fact, he knows what kind of first aid and danger are there... Without this knowledge, he still feels breathing difficulties. It is not a serious illness, and how can he not be dead...

Lin Feng: "Doing something special or eating something special would cause her to be like this?"

Boyfriend: "I really don't know about this..."

Lin Feng was speechless.

It's useless at all.

Kicked her boyfriend out of the rescue room.

On the nurse's side, while spraying medicine, he intubated to get itching...

Lin Feng is thinking about what disease causes breathing difficulties...

Lin Feng's first reaction was pneumothorax.

Pneumothorax is a popular saying: if the lungs are broken, the gas (oxygen or carbon dioxide) in the alveoli will enter the chest cavity and expand, which in turn will oppress the lungs. It is difficult for the lungs to expand.

The inability of the lungs to expand means that the patient cannot breathe well, so they will be extremely hypoxic.

(See the figure in this chapter for details)

Why consider pneumothorax?

Because girls are very young, in their 20s, there should be no heart problems. (?)

Then the patient is too thin and tall. Patients with this constitution are more likely to develop pneumothorax.

While thinking,

Lin Feng listened to the patient's lungs while holding a stethoscope.

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ps: The update is over...

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