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

"Move your tongue left and right..."

Lin Feng ordered.

Zhang Youfu tried to move left and right. It was a bit difficult, but it was not impossible.

However, this was enough to make him panic.

"Doctor, can you be sure that it is a stroke?"

Zhang Youfu panicked.

Lin Feng smiled: "It doesn't have to be... Do you have a history of hypertension?"

Zhang Youfu: "Yes."

Lin Feng: "Do you usually take medicine on time?"

"Uh...this...no..."

Zhang Youfu said with a little shame.

If you have high blood pressure and do not take medicine on time, the possibility of stroke and cerebral hemorrhage is even greater.

Lin Feng: "High blood pressure is still a bit dangerous. Remember to take medicine on time in the future..."

Zhang Youfu nodded repeatedly: "Yes, yes..."

With this incident, he didn't dare not take medicine anymore.

"Lie down, I will do a personality check for you."

Significance of "One Three Seven" physical examination:

General cerebral hemorrhage, cerebral infarction,

There will be dysfunctions in the brain, including the paralysis of one limb, the paralysis of the tongue muscles, the expression muscles, the corners of the mouth are tilted, the nasolabial folds become shallow or disappear, etc.

In severe cases, there will be respiratory muscle disorders, and obvious breathing difficulties will occur.

Of course, there may be disturbances in consciousness.

According to these, Lin Feng asked Zhang Youfu to do the same.

Soon Lin Feng was surprised.

Because Zhang Youfu was conscious except for his tongue and corners of his mouth, his limbs had normal muscle strength, he had no hemiplegia, and his limbs had no weakness at all!

Instead, it does not support stroke (a typical feature).

but,

The problem of tongue and corner of the mouth, most likely, is still a problem in the brain.

Therefore, it is necessary to do a CT examination of the brain.

"I'm not sure it's a stroke right now, let's go for a checkup... I'll have a brain CT for you..."

"OK."

Although CT is a bit expensive, Zhang Youfu can no longer take care of it at this time.

Zhang Youfu took the checklist with his wife and went for a quick check.

...

20 minutes later,

Zhang Youfu returned to the clinic with the CT results.

·No cerebral hemorrhage!

· Lacunar cerebral infarction, but not serious.

Directly rule out the possibility of cerebral hemorrhage.

The so-called "lacunar infarction": It is the small irregular lacunas that are eventually formed due to tissue necrosis and vascular occlusion when small arteries are occluded.

but,

Lin Feng took a look at the CT. The location of these tiny cavities does not belong to the functional area and will not affect the patient's tongue and mouth corners.

so,

The current CT results cannot find the truth.

Lin Feng thought of another possibility:

Cerebral infarction!

Cerebral infarction is also a type of stroke.

(Stroke, also called stroke: includes cerebral hemorrhage + cerebral infarction.)

· CT cannot be detected within 24 hours of cerebral infarction, because the brain tissue has not changed much.

· 24-48 hours after the occurrence of cerebral infarction, edema and necrosis of the brain tissue caused by blood vessel blockage caused by ischemia and hypoxia can be detected by CT at this time.

so,

The CT in front of me did not prove cerebral infarction, but it does not mean that there is no cerebral infarction.

Lin Feng repeated this guess.

Zhang Youfu and his wife looked sad: "Is it still possible that it is a stroke?"

Lin Feng: "Be hospitalized first, and tomorrow will be 24 hours later, and then have a CT scan again..."

Zhang Youfu nodded: "This can only be done..."

For admission,

Then Lin Feng prescribed conventional treatments for cerebral infarction, such as anti-platelet aggregation, brain protection, nerve nutrition and so on.

...

one day,

It passed quickly.

Lin Feng gets off work.

There are 83 patients seen today, which is extremely fast.

The live broadcast ended with 23 million viewers.

There have been many corresponding discussions on the Internet.

"Did you watch Dr. Lin live?"

"It looks very exciting..."

"Dead..."

"Recognized what a ketone body is..."

"It's not good to lose weight..."

The popularity of the Internet is very high.

Douyin was very happy because the installed capacity increased.

There are also many doctors who have opened live broadcast rooms, but unfortunately the audience is less than a fraction of Lin Feng's live broadcast rooms.

...

The next day, 7:40 in the morning.

Lin Feng entered the emergency department on time.

The live broadcast is on.

"Come here~~~"

"I'm bored to lie down and watch Dr. Lin go to work~~~"

"I hope today is still wonderful..."

"Dr. Lin went to check the room..."

In an instant, more than 2 million viewers poured in.

…

Lin Feng came to Zhang Youfu's ward.

Behind him, Xiaoru and the assistant live broadcast assistant follow.

Doctor Tube Bed: "Dr. Lin..."

Lin Feng: "How is bed 8 (Zhang Youfu) now?"

Doctor Tube Bed: "Something is wrong. Not only did the symptoms not improve, they even tended to worsen. In the morning, the saliva flowed, and I couldn't drink water anymore. I felt hungry and uncomfortable. I tried to open my mouth and eat something. I couldn't open my mouth... "

Lin Feng: "..."

Suddenly became vigilant 0...

This is not right!

Because Lin Feng prescribed medicine for cerebral infarction, it should be relieved by reason.

"Let me see……"

Lin Feng walked in and checked it over in 3 minutes.

It was found that the muscle strength of the right upper limb seemed to be weakened, only grade 4 (normally grade 5).

Other conditions are similar to what the tube bed doctor said.

"Go get a CT!" (It's been 24 hours since the onset (morning drool and wet pillow).)

Lin Feng made a decisive decision.

20 minutes later,

The CT result came out.

·No cerebral infarction!

Excluded!

There was a lot of discussion in the live broadcast room.

Many of the viewers were medical students and doctors who came to watch the live broadcast and wanted to learn from the learning experience.

"It's not a cerebral infarction, nor a cerebral hemorrhage. What is the cause?"

"Could it be rabies?"

"Rabies has hydrophobia, but it's actually swallowing water and choking, so waterphobia, isn't it the same as a patient?"

"Hey, it really seems like that!"

"Is it really rabies?"

"If the patient is really rabies, then the obvious symptoms now must be 2.3 onset, and it is estimated that they will die from respiratory failure in five or six days."

"Ah? Is rabies so serious?"

"I've heard of rabies, can't it be cured?"

"I tell you very seriously that rabies is incurable. Once it strikes, it will die within a few days."

The live broadcast room was frying.

Everyone’s focus went to ‘Rabies’.

Xiaoru has been staring at the live broadcast room, she is responsible for the work of narration.

When I saw the live broadcast, everyone said it was ‘rabies’.

"Teacher, many people in the live broadcast room said it was rabies..."

"Rabies?"

Lin Feng was surprised.

Rabies does have symptoms such as choking and fear of drinking water. Since the patient is not a cerebrovascular accident, then these rare causes can only be considered.

"It can't be ruled out for the time being, but it doesn't feel like...".

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