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

"Have you had chronic gastritis or duodenal ulcer before? This type of disease may be bleeding?"

Ibuprofen,

Although painkillers are effective, adverse reactions of gastrointestinal bleeding may also occur.

If the patient has a gastrointestinal disease in the past, the use of ibuprofen may be more likely to cause bleeding.

but,

Soon Lin Feng shook his head again.

If it is really an acute hemorrhage, with such a low hemoglobin content (hemoglobin 68g/L) in the patient, it means that the patient has lost more than 1000ml of blood in a short period of time.

And just now, the patient had incontinence.

If you really lose blood, the stool must be red.

But Lin Feng remembered that when his aunt cleaned up and scrubbed, the stool was healthy and yellow.

Why is it yellow?

This is the color caused by the secretion of bile and the excretion of bilirubin.

If it is a large amount of upper gastrointestinal bleeding, it will also vomit blood, but the patient does not, only foaming at the mouth.

Moreover, there is another proof: the patient is not in shock, blood pressure, heart rate, etc. are all very healthy.

It's not like acute bleeding at all.

At this time, the patient also shook his head.

"I didn't have any stomach problems before..."

so,

Exclude heavy bleeding.

The remaining reason, the high probability is: there is a problem with the hematopoietic function!

However, there are problems with hematopoietic function. There are many reasons, such as tumors, lupus, etc...

Lin Feng had an idea:

"Has the patient's other reports come out?"

"Not yet..." Xiaoru, who was sitting next to the computer, replied.

"wait……"

The blood draw of the patient is a rescue after all, so many items have been checked.

Come here for another few minutes.

"Teacher, the liver and kidney functions have come out... my God!"

"What's wrong?"

"Teacher, the patient's blood creatinine is 1020μmol/L, so high!"

Lin Feng: "!!!"

Blood creatinine is so high!

It's already 10 times! !

Then,

Lin Feng laughed!

Found the reason!

Serum creatinine is a small molecule produced by the body's muscle metabolism, which can be excreted in the urine through the kidneys at ordinary times.

The high blood creatinine may be due to a broken kidney.

And it's 10 times, obviously the kidney is very bad!

Moreover, the kidney secretes erythropoietin to promote the synthesis of red blood cells.

When the kidneys have major problems, the hormone secretion will also decrease, and over time, anemia will occur.

That is:

Renal failure -> high blood creatinine, decreased erythropoietin -> red blood cell reduction -> anemia.

The logic is very smooth!

but,

Why is kidney failure?

Lin Feng asked the patient Chen Mei: "Do you take any special medicine? Or cosmetics, or take a lot of medicine...¨々..."

Chen Mei shook her head: "I eat normally and rarely take medicine or something..."

Lin Feng: "Is there a history of kidney disease before?"

Chen Mei still shook her head: "Nor..."

Lin Feng pondered...

Sudden!

Lin Feng's inspiration flashed!

Thought of an answer!

hypertension!

The patient had hypertension for a long time, but he was not treated regularly. The long-term high blood pressure shocked the kidneys and caused chronic renal insufficiency.

Hypertensive nephropathy!

Over time, renal function gradually deteriorated, and renal failure eventually occurred.

Kidney failure can make the body unable to excrete water and toxins, and cause heart and brain dysfunction, which can manifest as headaches, coma, convulsions, etc...

Isn't this the ‘epilepsy’ that the patient just showed up?

Hypertension -> Hypertensive Nephropathy -> Renal Failure -> Heart and Brain Dysfunction -> ‘Epilepsy’

but,

All this is speculation.

Need further testimony-B ultrasound (CT is clearer)!

"Xiao Ai, push a B ultrasound machine here..."

soon,

Xiao Ai walked in with a B-ultrasound.

At the bedside, Lin Feng applied couplant and gave the patient a B-ultrasound.

The first time is to check the kidneys.

one look,

Sure enough, the kidneys saw a big problem.

I saw the patient Chen Mei's right kidney shrunk.

Kidney atrophy!

This is the manifestation of kidney failure.

Look at the left kidney again.

Same!

It's still kidney atrophy!

The end stage of renal failure is uremia.

There is a disease called uremic encephalopathy!

"Uremic encephalopathy": Because toxins cannot be discharged in time, the blood creatinine and urea nitrogen concentration is very high, which leads to abnormal retention of metabolites, which will cause brain tissue metabolism disorders and brain cell edema. Once uremic encephalopathy develops, patients often react indifferently, lethargic, and can't answer questions. In severe cases, they may have convulsions and coma. Some people have mental symptoms such as gibberish.

everything,

It's all right!

Lin Feng's guess is correct!

Hypertension -> Renal Failure -> Cardiac and Brain Dysfunction -> ‘Epilepsy’

So far:

The answer is completely revealed!

The patient is a series of neurological changes caused by uremic encephalopathy, including epilepsy.

However, Lin Feng continued to look at other organs.

First, see if there is any fluid in the abdomen and chest cavity-answer: No.

Then he looked at the liver and gallbladder and so on... It's no big problem...

Looking at the bladder again, there was no urine, corresponding to uremia.

"｀"Send to the nephrology department for dialysis..."

At present, the only remedy for kidney failure is dialysis.

The meaning of dialysis is to simulate the function of the kidneys. A large vein is connected to the root catheter and connected to the dialysis machine. When the machine rotates, the venous blood can be drawn out and passed through the dialysis filter membrane to remove toxin molecules and excess water (simulating kidney function). The cleaned blood is then fed into the patient's blood vessel.

In this case, there are only two ways for the patient (really, Zhao):

·Long-term renal dialysis

·Kidney transplant

"Thank you doctor..."

Patient Chen Mei weakly expressed her gratitude to Lin Feng.

On the contrary, Lin Feng noticed that her husband's relationship with her was not harmonious, and when he learned of ‘kidney failure’, his eyes revealed depression.

This husband...tsk tsk...

Lin Feng shook his head and laughed.

...

Back to the clinic,

Busy.

Until noon.

Just as it was almost noon, the aunt brought the meal...

There was a great movement outside.

"Don't stop me, I'm going to die...uuuuu..."

"I don't want to be so fat, why do they treat me this way?"

"Woo~~~~"

One was clearly the cry of a young girl.

There is also the mother's crying and unable to comfort.

Because the movement was so loud, Lin Feng couldn't help but walked out.

. uniform.

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